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

Left:Multiple Chronic Condition Care Plan Laboratory Result Observation (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCLaboratoryResultObservation)
Right:Multiple Chronic Condition Care Plan Laboratory Result Observation (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCLaboratoryResultObservation)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.0-ballot' vs '1.0.0-ballot2'
WarningObservation.statusElements differ in short: 'registered | preliminary | final | amended +' vs '(USCDI) registered | preliminary | final | amended +'
WarningObservation.categoryElements differ in short: 'Classification of type of observation' vs '(USCDI) Classification of type of observation'
WarningObservation.codeElements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
WarningObservation.codeElements differ in description: 'LOINC codes' vs 'Laboratory LOINC Codes'
WarningObservation.codeElements differ in description: 'LOINC codes' vs 'Laboratory LOINC Codes'
WarningObservation.subjectElements differ in short: 'Who and/or what the observation is about' vs '(USCDI) Who and/or what the observation is about'
WarningObservation.effective[x]Elements differ in short: 'Clinically relevant time/time-period for observation' vs '(USCDI) Clinically relevant time/time-period for observation'
WarningObservation.effective[x]Elements differ in definition: 'For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.'
WarningObservation.value[x]Elements differ in short: 'Result Value' vs '(USCDI) Result Value'
WarningObservation.dataAbsentReasonElements differ in short: 'Why the result is missing' vs '(USCDI) Why the result is missing'
WarningObservation.specimenElements differ in short: 'Specimen used for this observation' vs '(USCDI) Specimen used for this observation'
WarningObservation.specimenElements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
      .copyright
        .date2021-08-27
          .descriptionThis profile constrains [US Core Laboratory Result Observation Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab) 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
                      .nameMCCLaboratoryResultObservation
                        .publisherHL7 International - Patient Care WG
                          .purpose
                            .statusdraft
                              .titleMultiple Chronic Condition Care Plan Laboratory Result Observation
                                .typeObservation
                                  .urlhttp://hl7.org/fhir/us/mcc/StructureDefinition/MCCLaboratoryResultObservation
                                    .version1.0.0-ballot1.0.0-ballot2
                                    • Values Differ

                                    Structure

                                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                                    .. Observation C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
                                    C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
                                      ... 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 for observation
                                                      Σ0..*IdentifierBusiness Identifier for observation
                                                        ... basedOn SΣ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                        SΣ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                          ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                          Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                            ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                                            Binding: ?? (required)
                                                            ?!SΣ1..1code(USCDI) registered | preliminary | final | amended +
                                                            Binding: ?? (required): Codes providing the status of an observation.

                                                            • Elements differ in short: 'registered | preliminary | final | amended +' vs '(USCDI) registered | preliminary | final | amended +'
                                                            ... Slices for category S1..*CodeableConceptClassification of type of observation
                                                            Slice: Unordered, Open by pattern:$this
                                                            Binding: ?? (preferred): Codes for high level observation categories.


                                                            S1..*CodeableConcept(USCDI) Classification of type of observation
                                                            Slice: Unordered, Open by pattern:$this
                                                            Binding: ?? (preferred): Codes for high level observation categories.


                                                            • Elements differ in short: 'Classification of type of observation' vs '(USCDI) Classification of type of observation'
                                                            ... code SΣ1..1CodeableConceptPlease see the Laboratory Result Observation Value Set Library (link?) for value sets that are subsets of http://hl7.org/fhir/ValueSet/observation-codes that can be used at Observation.code element
                                                            Binding: ?? (extensible): LOINC codes

                                                            SΣ1..1CodeableConceptPlease see the Laboratory Result Observation Value Set Library (link?) for value sets that are subsets of http://hl7.org/fhir/ValueSet/observation-codes that can be used at Observation.code element
                                                            Binding: ?? (extensible): Laboratory LOINC Codes

                                                            • Elements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
                                                            • Elements differ in description: 'LOINC codes' vs 'Laboratory LOINC Codes'
                                                            • Elements differ in description: 'LOINC codes' vs 'Laboratory LOINC Codes'
                                                            ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)(USCDI) Who and/or what the observation is about
                                                            • Elements differ in short: 'Who and/or what the observation is about' vs '(USCDI) Who and/or what the observation is about'
                                                            ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                            ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                              ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                                ... effective[x] SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observationSΣC0..1dateTime S, Period, Timing, instant(USCDI) Clinically relevant time/time-period for observation
                                                                • Elements differ in short: 'Clinically relevant time/time-period for observation' vs '(USCDI) Clinically relevant time/time-period for observation'
                                                                • Elements differ in definition: 'For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.'
                                                                ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                                  ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                  Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                    ... value[x] SΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult ValueSΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period(USCDI) Result Value
                                                                    • Elements differ in short: 'Result Value' vs '(USCDI) Result Value'
                                                                    ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                                    Binding: ?? (extensible)
                                                                    SC0..1CodeableConcept(USCDI) Why the result is missing
                                                                    Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                    • Elements differ in short: 'Why the result is missing' vs '(USCDI) Why the result is missing'
                                                                    ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                    0..*CodeableConceptHigh, low, normal, etc.
                                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                      ... note 0..*AnnotationComments about the observation
                                                                      0..*AnnotationComments about the observation
                                                                        ... bodySite 0..1CodeableConceptObserved body part
                                                                        Binding: ?? (example): Codes describing anatomical locations. May include laterality.

                                                                        0..1CodeableConceptObserved body part
                                                                        Binding: ?? (example): Codes describing anatomical locations. May include laterality.

                                                                          ... method 0..1CodeableConceptHow it was done
                                                                          Binding: ?? (example): Methods for simple observations.

                                                                          0..1CodeableConceptHow it was done
                                                                          Binding: ?? (example): Methods for simple observations.

                                                                            ... specimen 0..1Reference(Specimen)Specimen used for this observationS0..1Reference(US Core Specimen Profile)(USCDI) Specimen used for this observation
                                                                            • Elements differ in short: 'Specimen used for this observation' vs '(USCDI) Specimen used for this observation'
                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                            ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                              ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                              C0..*BackboneElementProvides guide for interpretation
                                                                                .... 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
                                                                                      .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                                        .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                                          .... type 0..1CodeableConceptReference range qualifier
                                                                                          Binding: ?? (preferred): Code for the meaning of a reference range.

                                                                                          0..1CodeableConceptReference range qualifier
                                                                                          Binding: ?? (preferred): Code for the meaning of a reference range.

                                                                                            .... appliesTo 0..*CodeableConceptReference range population
                                                                                            Binding: ?? (example): Codes identifying the population the reference range applies to.


                                                                                            0..*CodeableConceptReference range population
                                                                                            Binding: ?? (example): Codes identifying the population the reference range applies to.


                                                                                              .... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                                .... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                                  ... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                  Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                    ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                    Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                      ... component Σ0..*BackboneElementComponent results
                                                                                                      Σ0..*BackboneElementComponent results
                                                                                                        .... 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 Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                              Binding: ?? (example): Codes identifying names of simple observations.

                                                                                                              Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                              Binding: ?? (example): Codes identifying names of simple observations.

                                                                                                                .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                                  .... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                                  C0..1CodeableConceptWhy the component result is missing
                                                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                                    .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                                                                    0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                                                                      .... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                                      0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                                        doco Documentation for this format