Profile Comparison between http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression vs http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression

Left:Multiple Chronic Condition Care Plan Clinical Impression (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression)
Right:Multiple Chronic Condition Care Plan Clinical Impression (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.0-ballot' vs '1.0.0-ballot2'
InformationStructureDefinition.dateValues for date differ: '2022-12-04T03:53:47+00:00' vs '2023-07-28T17:47:38+00:00'
WarningClinicalImpression.problemElements differ in comments: 'e.g. The patient is a pregnant, has congestive heart failure, has an ‎Adenocarcinoma, and is allergic to penicillin.' vs 'e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/ClinicalImpression
      .copyright
        .date2022-12-04T03:53:47+00:002023-07-28T17:47:38+00:00
        • Values Differ
        .descriptionThis profile constrains [ClinicalImpression](http://hl7.org/fhir/StructureDefinition/ClinicalImpression) for use in the MCC FHIR Care Plan or other FHIR Care Plans.
          .experimental
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindresource
                    .nameMCCClinicalImpression
                      .publisherHL7 International - Patient Care WG
                        .purpose
                          .statusactive
                            .titleMultiple Chronic Condition Care Plan Clinical Impression
                              .typeClinicalImpression
                                .urlhttp://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression
                                  .version1.0.0-ballot1.0.0-ballot2
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                                  .. ClinicalImpression 0..*ClinicalImpressionA clinical assessment performed when planning treatments and management strategies for a patient
                                  0..*ClinicalImpressionA clinical assessment performed when planning treatments and management strategies for a patient
                                    ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                      ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                          ... language 0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.

                                          Additional BindingsPurpose
                                          ??Max Binding
                                          0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.

                                          Additional BindingsPurpose
                                          ??Max Binding
                                            ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                              ... contained 0..*ResourceContained, inline Resources
                                              0..*ResourceContained, inline Resources
                                                ... Slices for extension 0..*ExtensionExtension
                                                Slice: Unordered, Open by value:url
                                                0..*ExtensionExtension
                                                Slice: Unordered, Open by value:url
                                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                  ?!0..*ExtensionExtensions that cannot be ignored
                                                    ... identifier Σ0..*IdentifierBusiness identifier
                                                    Σ0..*IdentifierBusiness identifier
                                                      ... status ?!Σ1..1codein-progress | completed | entered-in-error
                                                      Binding: ?? (required): The workflow state of a clinical impression.

                                                      ?!Σ1..1codein-progress | completed | entered-in-error
                                                      Binding: ?? (required): The workflow state of a clinical impression.

                                                        ... statusReason 0..1CodeableConceptReason for current status
                                                        Binding: ?? (example): Codes identifying the reason for the current state of a clinical impression.

                                                        0..1CodeableConceptReason for current status
                                                        Binding: ?? (example): Codes identifying the reason for the current state of a clinical impression.

                                                          ... code Σ0..1CodeableConceptKind of assessment performed
                                                          Binding: ?? (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.

                                                          Σ0..1CodeableConceptKind of assessment performed
                                                          Binding: ?? (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.

                                                            ... description Σ0..1stringWhy/how the assessment was performedΣ0..1stringWhy/how the assessment was performed
                                                              ... subject SΣ1..1Reference(US Core Patient Profile)Patient or group assessedSΣ1..1Reference(US Core Patient Profile)Patient or group assessed
                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                  Slice: Unordered, Open by value:url
                                                                  0..*ExtensionAdditional content defined by implementations
                                                                  Slice: Unordered, Open by value:url
                                                                    .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URLΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                      .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                      Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                        ..... id 0..1stringxml:id (or equivalent in JSON)0..1stringxml:id (or equivalent in JSON)
                                                                          ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                          0..*ExtensionAdditional content defined by implementations
                                                                            ..... value 0..1uriPrimitive value for uri0..1uriPrimitive value for uri
                                                                              .... identifier Σ0..1IdentifierLogical reference, when literal reference is not knownΣ0..1IdentifierLogical reference, when literal reference is not known
                                                                                .... display Σ0..1stringText alternative for the resourceΣ0..1stringText alternative for the resource
                                                                                  ... encounter Σ0..1Reference(Encounter)Encounter created as part ofΣ0..1Reference(Encounter)Encounter created as part of
                                                                                    ... effective[x] SΣ0..1dateTime, PeriodTime of assessmentSΣ0..1dateTime, PeriodTime of assessment
                                                                                      ... date Σ0..1dateTimeWhen the assessment was documentedΣ0..1dateTimeWhen the assessment was documented
                                                                                        ... assessor Σ0..1Reference(Practitioner | PractitionerRole)The clinician performing the assessmentΣ0..1Reference(Practitioner | PractitionerRole)The clinician performing the assessment
                                                                                          ... previous 0..1Reference(ClinicalImpression)Reference to last assessment0..1Reference(ClinicalImpression)Reference to last assessment
                                                                                            ... problem SΣ1..*Reference(Condition | AllergyIntolerance)Relevant impressions of patient state
                                                                                            SΣ1..*Reference(Condition | AllergyIntolerance)Relevant impressions of patient state
                                                                                            • Elements differ in comments: 'e.g. The patient is a pregnant, has congestive heart failure, has an ‎Adenocarcinoma, and is allergic to penicillin.' vs 'e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.'
                                                                                            ... investigation 0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
                                                                                            0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                    .... code 1..1CodeableConceptA name/code for the set
                                                                                                    Binding: ?? (example): A name/code for a set of investigations.

                                                                                                    1..1CodeableConceptA name/code for the set
                                                                                                    Binding: ?? (example): A name/code for a set of investigations.

                                                                                                      .... item 0..*Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)Record of a specific investigation
                                                                                                      0..*Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)Record of a specific investigation
                                                                                                        ... protocol 0..*uriClinical Protocol followed
                                                                                                        0..*uriClinical Protocol followed
                                                                                                          ... summary 0..1stringSummary of the assessment0..1stringSummary of the assessment
                                                                                                            ... finding 0..*BackboneElementPossible or likely findings and diagnoses
                                                                                                            0..*BackboneElementPossible or likely findings and diagnoses
                                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                    .... itemCodeableConcept 0..1CodeableConceptWhat was found
                                                                                                                    Binding: ?? (example): Identification of the Condition or diagnosis.

                                                                                                                    0..1CodeableConceptWhat was found
                                                                                                                    Binding: ?? (example): Identification of the Condition or diagnosis.

                                                                                                                      .... itemReference 0..1Reference(Condition | Observation | Media)What was found0..1Reference(Condition | Observation | Media)What was found
                                                                                                                        .... basis 0..1stringWhich investigations support finding0..1stringWhich investigations support finding
                                                                                                                          ... prognosisCodeableConcept 0..*CodeableConceptEstimate of likely outcome
                                                                                                                          Binding: ?? (example): Prognosis or outlook findings.


                                                                                                                          0..*CodeableConceptEstimate of likely outcome
                                                                                                                          Binding: ?? (example): Prognosis or outlook findings.


                                                                                                                            ... prognosisReference 0..*Reference(RiskAssessment)RiskAssessment expressing likely outcome
                                                                                                                            0..*Reference(RiskAssessment)RiskAssessment expressing likely outcome
                                                                                                                              ... supportingInfo 0..*Reference(Resource)Information supporting the clinical impression
                                                                                                                              0..*Reference(Resource)Information supporting the clinical impression
                                                                                                                                ... note 0..*AnnotationComments made about the ClinicalImpression
                                                                                                                                0..*AnnotationComments made about the ClinicalImpression

                                                                                                                                  doco Documentation for this format