Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-parent

Messages

Metadata

Name	Value		Comments
abstract	false	true	Values Differ
baseDefinition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs	http://hl7.org/fhir/StructureDefinition/Observation	Values Differ
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2020-11-18	2021-04-15T12:44:45+00:00	Values Differ
description	Defines constraints on the Observation resource to represent head occipital-frontal circumference percentile for patients from birth to 36 months of age in FHIR using a standard LOINC code and UCUM units of measure. This profile is derived from the US Core Vital Signs Profile.	General structure for capturing comorbid conditions with respect to a primary ('index') condition. The specific set of comorbidities of interest in a given context are defined by slicing the components array. The same general approach can be applied to any comorbidity category checklist.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCorePediatricHeadOccipitalFrontalCircumferencePercentileProfile	ComorbiditiesParent	Values Differ
publisher	HL7 International - US Realm Steering Committee	HL7 International Clinical Interoperability Council	Values Differ
purpose
status	active
title	US Core Pediatric Head Occipital-frontal Circumference Percentile Profile	Comorbidities Parent	Values Differ
type	Observation
url	http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile	http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-parent	Values Differ
version	3.2.0	1.16.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Observation	I				I				Elements differ in short: "US Core Pediatric Head Occipital-frontal Circumference Percentile Profile" "Measurements and simple assertions" Elements differ in definition: "Defines constraints on the Observation resource to represent head occipital-frontal circumference percentile for patients from birth to 36 months of age in FHIR using a standard LOINC code and UCUM units of measure. This profile is derived from the US Core Vital Signs Profile." "Measurements and simple assertions made about a patient, device or other subject."
id	Σ				Σ
meta	Σ				Σ
implicitRules	?!Σ				?!Σ
language
text
contained
extension			Extension				Extension
modifierExtension	?!				?!
identifier	Σ				Σ
basedOn	Σ				Σ
partOf	Σ				Σ
status	?!SΣ				?!Σ				Elements differ in definition for mustSupport: "true" "false"
category	S		(Slice Definition)						Elements differ in definition for mustSupport: "true" "false"
code	SΣ				Σ				Elements differ in short: "Head Occipital-frontal circumference Percentile" "Type of observation (code / type)" Elements differ in definition: "Coded Responses from C-CDA Vital Sign Results." "Describes what was observed. Sometimes this is called the observation "name"." Elements differ in requirements: "5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301)." "Knowing what kind of observation is being made is essential to understanding the observation." Elements differ in definition for mustSupport: "true" "false" Elements differ in binding.description: "The vital sign codes from the base FHIR and US Core Vital Signs." "Codes identifying names of simple observations."
subject	SΣ				Σ				Elements differ in definition for mustSupport: "true" "false"
focus	Σ				Σ				Elements differ in short: "What the observation is about, when it is not about the subject of record" "The Index Condition" Elements differ in definition: "The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus." "The comorbid conditions may be defined with respect to a specific 'index' condition. For example, the US Centers for Disease Control (CDC) has a list of comorbid conditions important to COVID-19. In this case, the focus would be COVID-19 and the comorbid condition categories would be those called out by CDC, namely obesity, renal disease, respiratory disease, etc."
encounter	Σ				Σ
effective[x]	SΣI				Σ				Elements differ in short: "Often just a dateTime for Vital Signs" "Clinically relevant time/time-period for observation" Elements differ in definition: "Often just a dateTime for Vital Signs." "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." Elements differ in definition for mustSupport: "true" "false"
issued	Σ				Σ
performer	Σ				Σ
value[x]	SΣI		(Slice Definition)		ΣI				Elements differ in short: "Vital Signs Value" "Actual result" Elements differ in definition: "Vital Signs value are typically recorded using the Quantity data type." "The information determined as a result of making the observation, if the information has a simple value." Elements differ in requirements: "9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305)." "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations." Elements differ in definition for mustSupport: "true" "false"
dataAbsentReason	SI				I				Elements differ in definition for mustSupport: "true" "false"
interpretation
note
bodySite									Elements differ in short: "Observed body part" "Not used in this profile" Elements differ in definition: "Indicates the site on the subject's body where the observation was made (i.e. the target site)." "Not used in this profile"
method
specimen									Elements differ in short: "Specimen used for this observation" "Not used in this profile" Elements differ in definition: "The specimen that was used when this observation was made." "Not used in this profile"
device									Elements differ in short: "(Measurement) Device" "Not used in this profile" Elements differ in definition: "The device used to generate the observation data." "Not used in this profile"
referenceRange	I				I
id
extension			Extension				Extension
modifierExtension	?!Σ				?!Σ
low	I				I
high	I				I
type
appliesTo
age
text
hasMember	Σ				Σ				Elements differ in short: "Used when reporting vital signs panel components" "Related resource that belongs to the Observation group" Elements differ in definition: "Used when reporting vital signs panel components." "This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group." Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
derivedFrom	Σ				Σ
component	SΣI				Σ				Elements differ in short: "Component observations" "Component results" Elements differ in definition: "Used when reporting component observation such as systolic and diastolic blood pressure." "Component representing the presence or absence of the named comorbidity, with optional condition code(s) or reference to the actual condition(s)." Elements differ in definition for mustSupport: "true" "false"
id
extension			Extension				Extension		Elements differ in short: "Additional content defined by implementations" "Extensions to capture specific conditions that fall into the given category." Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." "If more detail about the comorbid condition is desired, elements in this extension can be populated with a specific condition code or a reference to a Condition resource. The extension elements SHALL be used only if the comorbidity category is present."
modifierExtension	?!Σ				?!Σ				Elements differ in short: "Extensions that cannot be ignored even if unrecognized" "Extension" Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." "An Extension"
code	SΣ				Σ				Elements differ in short: "Type of component observation (code / type)" "Code representing the comorbidity category" Elements differ in definition: "Describes what was observed. Sometimes this is called the observation "code"." "The code identifying category of comorbidity, for example, congestive heart failure or severe renal disease. The category typically represents a set of specific diagnosis codes." Elements differ in definition for mustSupport: "true" "false" Elements differ in binding.description: "The vital sign codes from the base FHIR and US Core Vital Signs." "Codes identifying names of simple observations."
value[x]	SΣI				Σ				Elements differ in short: "Vital Sign Component Value" "Actual component result" Elements differ in definition: "Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept." "The information determined as a result of making the observation, if the information has a simple value." Elements differ in requirements: "9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305)." "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations." Elements differ in definition for mustSupport: "true" "false"
dataAbsentReason	SI				I				Elements differ in definition for mustSupport: "true" "false"
interpretation
referenceRange
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