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

Left:Multiple Chronic Condition Care Plan Patient/Caregiver Condition Status Observation (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCPatientCaregiverConditionStatus)
Right:Multiple Chronic Condition Care Plan Patient/Caregiver Condition Status Observation (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCPatientCaregiverConditionStatus)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.0-ballot' vs '1.0.0-ballot2'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation'
WarningObservationElements differ in short: 'Measurements and simple assertions' vs 'assessment observation'
WarningObservationElements differ in definition: 'Measurements and simple assertions made about a patient, device or other subject.' vs '\-'
WarningObservationElements differ in comments: 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.' vs '\-'
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'
InformationObservation.categoryElement minimum cardinalities differ: '0' vs '1'
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: '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.' 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'.'
WarningObservation.effective[x]Elements differ in comments: 'At least a date should be present unless this observation is a historical report. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing] datatype which allow the measurement to be tied to regular life events.' vs 'At least a date should be present unless this observation is a historical report.'
WarningObservation.derivedFromElements differ in short: 'Related measurements the observation is made from' vs '(USCDI) US Core Profiles or other resource the observation is made from'
WarningObservation.derivedFromElements differ in definition: 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.' vs 'US Core Observations, DocumentReference, QuestionnaireResponse or other resource from which this observation value is derived.'
ErrorObservation.derivedFromType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation
    • Values Differ
    .copyright
      .date2022-09-27T19:57:15+00:00
        .descriptionThis profile constrains [FHIR R4.0.1 Observation](http://hl7.org/fhir/R4/observation.html) for use in the MCC FHIR Care Plan or other FHIR Care Plans. It is using Observation resource to record, search, and fetch Observations of the Patient or Caregivers feelings towards the status of patient conditions. The focus is on the conditions of interest and the performer element indicates weather this is the Patient or Caregiver's feelings. This is similar to a clinical impression but is being made by a non-clinican.This profile constrains [US Core Simple Observation](http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation) for use in the MCC FHIR Care Plan or other FHIR Care Plans. It is using Observation resource to record, search, and fetch Observations of the Patient or Caregivers feelings towards the status of patient conditions. The focus is on the conditions of interest and the performer element indicates weather this is the Patient or Caregiver's feelings. This is similar to a clinical impression but is being made by a non-clinican.
        • Values Differ
        .experimental
          .fhirVersion4.0.1
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
                .kindresource
                  .nameMCCPatientCaregiverConditionStatus
                    .publisherHL7 International - Patient Care WG
                      .purpose
                        .statusactive
                          .titleMultiple Chronic Condition Care Plan Patient/Caregiver Condition Status Observation
                            .typeObservation
                              .urlhttp://hl7.org/fhir/us/mcc/StructureDefinition/MCCPatientCaregiverConditionStatus
                                .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..*ObservationMeasurements and simple assertions
                                us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                                C0..*USCoreSimpleObservationProfileassessment observation
                                us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                                • Elements differ in short: 'Measurements and simple assertions' vs 'assessment observation'
                                • Elements differ in definition: 'Measurements and simple assertions made about a patient, device or other subject.' vs '\-'
                                • Elements differ in comments: 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.' vs '\-'
                                ... 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 Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                  Σ0..*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): Codes providing the status of an observation.

                                                      ?!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 +'
                                                      ... category S0..*CodeableConceptClassification of type of observation
                                                      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'
                                                      • Element minimum cardinalities differ: '0' vs '1'
                                                      ... code SΣ1..1CodeableConceptObservation on patient/caregiver feelings on the condition status (what is the trend of the condition status?)
                                                      Binding: ?? (example): Codes identifying names of simple observations.


                                                      Required Pattern: {"coding":[{"system":"http://loinc.org","code":"89253-9"}]}
                                                      SΣ1..1CodeableConceptObservation on patient/caregiver feelings on the condition status (what is the trend of the condition status?)
                                                      Binding: ?? (preferred)
                                                      Required Pattern: {"coding":[{"system":"http://loinc.org","code":"89253-9"}]}
                                                        ... 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'
                                                        ... Slices for focus SΣ1..*Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile)What the observation is about, when it is not about the subject of record
                                                        Slice: Unordered, Open by value:url
                                                        SΣ1..*Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile)What the observation is about, when it is not about the subject of record
                                                        Slice: Unordered, Open by value:url
                                                          ... 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, Period, Timing, instantClinically relevant time/time-period for observation
                                                            us-core-1: Datetime must be at least to day.
                                                            SΣ0..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: '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.' 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".'
                                                            • Elements differ in comments: 'At least a date should be present unless this observation is a historical report. For recording imprecise or "fuzzy" times (For example, a blood glucose measurement taken "after breakfast") use the [Timing] datatype which allow the measurement to be tied to regular life events.' vs 'At least a date should be present unless this observation is a historical report.'
                                                            ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                              ... performer SΣ1..*Reference(US Core Patient Profile | Multiple Chronic Condition Care Plan Caregiver on Care Team)Represents the caregiver or patient who is making the observation on the condition’s trend
                                                              SΣ1..*Reference(US Core Patient Profile | US Core RelatedPerson Profile)Represents the caregiver or patient who is making the observation on the condition’s trend
                                                                ... Slices for value[x] SΣC0..1CodeableConcept, stringCoded or narrative feeling about condition
                                                                Slice: Unordered, Open by type:$this
                                                                SΣC0..1CodeableConcept, stringCoded or narrative feeling about condition
                                                                Slice: Unordered, Open by type:$this
                                                                  ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                  SC0..1CodeableConceptWhy the 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.


                                                                      ... 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 observation0..1Reference(Specimen)Specimen used for this observation
                                                                              ... 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(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence)(USCDI) US Core Profiles or other resource the observation is made from
                                                                                                      • Elements differ in short: 'Related measurements the observation is made from' vs '(USCDI) US Core Profiles or other resource the observation is made from'
                                                                                                      • Elements differ in definition: 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.' vs 'US Core Observations, DocumentReference, QuestionnaireResponse or other resource from which this observation value is derived.'
                                                                                                      • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                                                                      ... 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