| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size' |
| Error | StructureDefinition.version | Values for version differ: '3.2.0' vs '1.16.0' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'TumorSize' |
| Information | StructureDefinition.title | Values for title differ: 'US Core Laboratory Result Observation Profile' vs 'Tumor Size' |
| Information | StructureDefinition.date | Values for date differ: '2020-06-27' vs '2021-04-15T12:44:45+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International Clinical Interoperability Council' |
| Warning | Observation | 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.' |
| Error | Observation.status | Elements differ in definition for mustSupport:
'true'
'false' |
| Error | Observation.category | Elements differ in definition for mustSupport:
'true'
'false' |
| Warning | Observation.code | Elements differ in short:
'Laboratory Test Name'
'Type of observation (code / type)' |
| Warning | Observation.code | 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'.' |
| Warning | Observation.code | 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.' |
| Warning | Observation.code | Elements differ in binding.description:
'LOINC codes'
'Codes identifying names of simple observations.' |
| Warning | Observation.subject | Elements differ in short:
'Who and/or what the observation is about'
'The patient whose tumor was measured.' |
| Warning | Observation.subject | Elements differ in definition:
'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.'
'The patient whose tumor was measured. SHALL be a `Patient` resource conforming to `CancerPatient`.' |
| Warning | Observation.focus | Elements differ in short:
'What the observation is about, when it is not about the subject of record'
'Identifies a tumor that has NOT been removed from the body' |
| Warning | Observation.focus | 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.'
'Reference to a BodyStructure resource conforming to Tumor.' |
| Warning | Observation.focus | Elements differ in comments:
'Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., 'Blood Glucose') and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode].'
'Use **only** when the tumor **has not** been removed from the body. If the tumor has been removed, use `specimen` instead and leave `focus` empty.' |
| Error | Observation.focus | Elements differ in definition for mustSupport:
'false'
'true' |
| Warning | Observation.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.' |
| Warning | Observation.value[x] | Elements differ in short:
'Result Value'
'Actual result' |
| Warning | Observation.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.' |
| Error | Observation.value[x] | Elements differ in definition for mustSupport:
'true'
'false' |
| Error | Observation.dataAbsentReason | Elements differ in definition for mustSupport:
'true'
'false' |
| Warning | Observation.method | Elements differ in short:
'How it was done'
'Method for measuring the tumor' |
| Warning | Observation.method | Elements differ in definition:
'Indicates the mechanism used to perform the observation.'
'Method for measuring the tumor' |
| Warning | Observation.method | Elements differ in comments:
'Only used if not implicit in code for Observation.code.'
'Tumors are typically measured via gross pathology after excision, or via diagnostic imaging or physical exam prior to removal. If `specimen` is set, `method` is expected to be a 'gross pathology' code. If `focus` is set, `method` is expected to be a type of diagnostic imaging or physical exam.' |
| Error | Observation.method | Elements differ in definition for mustSupport:
'false'
'true' |
| Warning | Observation.specimen | Elements differ in short:
'Specimen used for this observation'
'Identifies a tumor that has been removed from the body' |
| Warning | Observation.specimen | Elements differ in definition:
'The specimen that was used when this observation was made.'
'Reference to a Specimen resource conforming to TumorSpecimen.' |
| Warning | Observation.specimen | Elements differ in comments:
'Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).'
'Use **only** when the tumor **has** been removed from the body. If the tumor has been not removed, use `focus` instead and leave `specimen` empty.' |
| Error | Observation.specimen | Elements differ in definition for mustSupport:
'false'
'true' |
| Error | Observation.component | Elements differ in definition for mustSupport:
'false'
'true' |
abstract
jurisdiction[0]
Observation 
extension 
modifierExtension 
referenceRange