Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:Comorbidities Elixhauser (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser'
ErrorStructureDefinition.versionValues for version differ: '3.2.0' vs '1.16.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'ComorbiditiesElixhauser'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'Comorbidities Elixhauser'
InformationStructureDefinition.dateValues for date differ: '2020-06-27' vs '2021-04-15T12:44:45+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International Clinical Interoperability Council'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-parent'
WarningObservationElements differ in definition: 'This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' 'Measurements and simple assertions made about a patient, device or other subject.'
ErrorObservation.categoryElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.codeElements differ in short: 'Laboratory Test Name' 'Type of observation (code / type)'
WarningObservation.codeElements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.' '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
WarningObservation.codeElements differ in binding.description: 'LOINC codes' 'Codes identifying names of simple observations.'
WarningObservation.focusElements differ in short: 'What the observation is about, when it is not about the subject of record' 'The Index Condition'
WarningObservation.focusElements 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.' 'A reference to the cancer condition that is the context for the current list of comorbid conditions.'
ErrorObservation.focusElements differ in definition for mustSupport: 'false' 'true'
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.' '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' 'Actual result'
WarningObservation.value[x]Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT]. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' 'The information determined as a result of making the observation, if the information has a simple value.'
ErrorObservation.value[x]Elements differ in definition for mustSupport: 'true' 'false'
ErrorObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.bodySiteElements differ in short: 'Observed body part' 'Not used in this profile'
WarningObservation.bodySiteElements 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'
WarningObservation.specimenElements differ in short: 'Specimen used for this observation' 'Not used in this profile'
WarningObservation.specimenElements differ in definition: 'The specimen that was used when this observation was made.' 'Not used in this profile'
WarningObservation.deviceElements differ in short: '(Measurement) Device' 'Not used in this profile'
WarningObservation.deviceElements differ in definition: 'The device used to generate the observation data.' 'Not used in this profile'
WarningObservation.componentElements differ in definition: 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.' 'Component representing the presence or absence of the named comorbidity, with optional condition code(s) or reference to the actual condition(s).'
ErrorObservation.componentElements differ in definition for mustSupport: 'false' 'true'
WarningObservation.component.extensionElements differ in short: 'Additional content defined by implementations' 'Extensions to capture specific conditions that fall into the given category.'
WarningObservation.component.extensionElements 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.'
WarningObservation.component.modifierExtensionElements differ in short: 'Extensions that cannot be ignored even if unrecognized' 'Extension'
WarningObservation.component.modifierExtensionElements 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'
WarningObservation.component.codeElements differ in short: 'Type of component observation (code / type)' 'Code representing the comorbidity category'
WarningObservation.component.codeElements 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.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-parent
    • Values Differ
    .copyrightUsed 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'
    .date2020-06-272021-04-15T12:44:45+00:00
    • Values Differ
    .descriptionDefines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve laboratory test resultsComorbid condition checklist and optional risk score, using Elixhauser comorbidity categories as defined by the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (H-CUP).
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreLaboratoryResultObservationProfileComorbiditiesElixhauser
            • Values Differ
            .publisherHL7 International - US Realm Steering CommitteeHL7 International Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Laboratory Result Observation ProfileComorbidities Elixhauser
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser
                  • Values Differ
                  .version3.2.01.16.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation II
                  • Elements differ in definition: "This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements." "Measurements and simple assertions made about a patient, device or other subject."
                  ... id ΣΣ
                    ... meta ΣΣ
                      ... implicitRules ?!Σ?!Σ
                        ... language
                          ... text
                            ... contained
                              ... extension ExtensionExtension
                                ... modifierExtension ?!?!
                                  ... identifier ΣΣ
                                    ... basedOn ΣΣ
                                      ... partOf ΣΣ
                                        ... status ?!SΣ?!SΣ
                                          ... category S(Slice Definition)
                                          • Elements differ in definition for mustSupport: "true" "false"
                                          ... code SΣSΣ
                                          • Elements differ in short: "Laboratory Test Name" "Type of observation (code / type)"
                                          • Elements differ in definition: "The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC." "Describes what was observed. Sometimes this is called the observation "name"."
                                          • Elements differ in comments: "The typical patterns for codes are: 1) a LOINC code either as a translation from a "local" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display." "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation."
                                          • Elements differ in binding.description: "LOINC codes" "Codes identifying names of simple observations."
                                          ... subject SΣSΣ
                                            ... focus ΣSΣ
                                            • 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." "A reference to the cancer condition that is the context for the current list of comorbid conditions."
                                            • Elements differ in definition for mustSupport: "false" "true"
                                            ... encounter ΣΣ
                                              ... effective[x] SΣISΣ
                                              • 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." "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 ΣΣ
                                                ... performer ΣΣ
                                                  ... value[x] SΣIΣI
                                                  • Elements differ in short: "Result Value" "Actual result"
                                                  • Elements differ in definition: "The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT]. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification." "The information determined as a result of making the observation, if the information has a simple value."
                                                  • Elements differ in definition for mustSupport: "true" "false"
                                                  ... dataAbsentReason SII
                                                  • 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 II
                                                          .... id
                                                            .... extension ExtensionExtension
                                                              .... modifierExtension ?!Σ?!Σ
                                                                .... low II
                                                                  .... high II
                                                                    .... type
                                                                      .... appliesTo
                                                                        .... age
                                                                          .... text
                                                                            ... hasMember ΣΣ
                                                                              ... derivedFrom ΣΣ
                                                                                ... component ΣSΣ(Slice Definition)
                                                                                • Elements differ in definition: "Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations." "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: "false" "true"
                                                                                .... id
                                                                                  .... extension ExtensionExtension
                                                                                  • 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 ΣΣ
                                                                                  • 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."
                                                                                  .... value[x] ΣΣ
                                                                                    .... dataAbsentReason II
                                                                                      .... interpretation
                                                                                        .... referenceRange

                                                                                          doco Documentation for this format