Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry vs http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred

Left:US Core Pulse Oximetry Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry)
Right:Observation - How Death Injury Occurred (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry' vs 'http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred'
ErrorStructureDefinition.versionValues for version differ: '6.1.0' vs '1.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCorePulseOximetryProfile' vs 'ObservationHowDeathInjuryOccurred'
InformationStructureDefinition.titleValues for title differ: 'US Core Pulse Oximetry Profile' vs 'Observation - How Death Injury Occurred'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-11-16T21:52:09+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Public Health'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs' vs 'http://hl7.org/fhir/StructureDefinition/Observation'
InformationStructureDefinition.shortValues for short differ: 'US Core Pulse Oximetry Profile' vs 'The certified explanation of how the injury leading to death occurred.'
InformationStructureDefinition.definitionValues for definition differ: '\-' vs 'The certified explanation of how the injury leading to death occurred.'
InformationStructureDefinition.commentValues for comment differ: '\-' vs '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.'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.commentValues for comment differ: 'To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below for guidance on referencing another Observation.' vs 'To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.'
InformationStructureDefinition.shortValues for short differ: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Oxygen Saturation by Pulse Oximetry' vs 'Injury incident description Narrative'
InformationStructureDefinition.definitionValues for definition differ: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Injury incident description Narrative'
InformationStructureDefinition.commentValues for comment differ: 'The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood).' vs '*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.'
InformationStructureDefinition.requirementsValues for requirements differ: '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).' vs 'Knowing what kind of observation is being made is essential to understanding the observation.'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Who and/or what the observation is about' vs 'The subject of this observation is the decedent.'
InformationStructureDefinition.definitionValues for definition differ: '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.' vs 'The subject of this observation is the decedent.'
InformationStructureDefinition.commentValues for comment differ: '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](http://hl7.org/fhir/extension-observation-focuscode.html).' vs '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](http://hl7.org/fhir/R4/extension-observation-focuscode.html).'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Often just a dateTime for Vital Signs' vs 'Date/Time of Injury'
InformationStructureDefinition.definitionValues for definition differ: 'Often just a dateTime for Vital Signs.' 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.'
InformationStructureDefinition.commentValues for comment differ: '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](http://hl7.org/fhir/datatypes.html#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. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.commentValues for comment differ: 'For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.' vs 'For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.'
InformationStructureDefinition.shortValues for short differ: 'Who is responsible for the observation' vs 'Death certifier'
InformationStructureDefinition.definitionValues for definition differ: 'Who was responsible for asserting the observed value as 'true'.' vs 'Certifier of the explanation.'
WarningObservation.performerElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.performerElement maximum cardinalities differ: '2147483647' vs '1'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Vital Signs Value' vs 'Actual result'
InformationStructureDefinition.definitionValues for definition differ: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
InformationStructureDefinition.commentValues for comment differ: 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/observation.html#notes) below.' vs 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.'
InformationStructureDefinition.requirementsValues for requirements differ: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
InformationObservation.value[x]Element minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Why the result is missing' vs 'Why the result is missing'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.noteElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.commentValues for comment differ: 'Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/extension-bodysite.html).' vs 'Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Used when reporting vital signs panel components' vs 'Related resource that belongs to the Observation group'
InformationStructureDefinition.definitionValues for definition differ: 'Used when reporting vital signs panel components.' vs '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.'
InformationStructureDefinition.commentValues for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.'
ErrorObservation.hasMemberType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
InformationStructureDefinition.commentValues for comment differ: 'All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below.' vs 'All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Used when reporting flow rates or oxygen concentration.' vs 'Component results'
InformationStructureDefinition.definitionValues for definition differ: 'Used when reporting flow rates or oxygen concentration.' vs '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.'
InformationStructureDefinition.commentValues for comment differ: 'For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/observation.html#notes) below.' vs 'For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Type of component observation (code / type)' vs 'Type of component observation (code / type)'
WarningObservation.component.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Vital Sign Component Value' vs 'Actual component result'
InformationStructureDefinition.definitionValues for definition differ: '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.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
InformationStructureDefinition.commentValues for comment differ: 'Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/observation.html#notes) below.' vs 'Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.'
InformationStructureDefinition.requirementsValues for requirements differ: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
WarningObservation.component.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Why the component result is missing' vs 'Why the component result is missing'
WarningObservation.component.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signshttp://hl7.org/fhir/StructureDefinition/Observation
    • 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'
    .date2022-04-202023-11-16T21:52:09+00:00
    • Values Differ
    .descriptionTo promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch pulse oximetry and inspired oxygen observations with a standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.This Observation provides the certified explanation of how the injury leading to death occurred. The MDI Observation - How Death Injury Occurred artifact overlaps with the VRDR Injury Incident artifact.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCorePulseOximetryProfileObservationHowDeathInjuryOccurred
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International / Public Health
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Pulse Oximetry ProfileObservation - How Death Injury Occurred
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetryhttp://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred
                  • Values Differ
                  .version6.1.01.1.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation C0..*USCoreVitalSignsProfileUS Core Pulse Oximetry Profile
                  C0..*ObservationThe certified explanation of how the injury leading to death occurred.
                    ... 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
                                ... extension 0..*ExtensionAdditional content defined by implementations
                                0..*ExtensionAdditional content defined by implementations
                                  ... 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..1code(USCDI) registered | preliminary | final | amended +
                                          Binding: ?? (required)
                                          ?!SΣ1..1coderegistered | preliminary | final | amended +
                                          Binding: ?? (required): Codes providing the status of an observation.

                                            ... Slices for category S1..*CodeableConcept(USCDI) Classification of type of observation
                                            Slice: Unordered, Open by value:coding.code, value:coding.system
                                            Binding: ?? (preferred): Codes for high level observation categories.


                                            0..*CodeableConceptClassification of type of observation
                                            Binding: ?? (preferred): Codes for high level observation categories.


                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            ... code SΣ1..1CodeableConcept(USCDI) Oxygen Saturation by Pulse Oximetry
                                            Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

                                            SΣ1..1CodeableConceptInjury incident description Narrative
                                            Binding: ?? (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"11374-6"}]}
                                              .... id 0..1stringUnique id for inter-element referencing
                                              • Removed this element
                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                              • Removed this element
                                              .... Slices for coding SΣ2..*Coding(USCDI) Code defined by a terminology system
                                              Slice: Unordered, Open by pattern:$this
                                              • Removed this element
                                              .... text Σ0..1stringPlain text representation of the concept
                                              • Removed this element
                                              ... subject SΣ1..1Reference(US Core Patient Profile)(USCDI) Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)The subject of this observation is the decedent.
                                                ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                Σ0..*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] SΣC1..1dateTime S, Period(USCDI) Often just a dateTime for Vital SignsΣ0..1dateTimeDate/Time of Injury
                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                    • Element minimum cardinalities differ: '1' vs '0'
                                                    .... id 0..1stringxml:id (or equivalent in JSON)
                                                    • Added this element
                                                    .... Slices for extension 0..*ExtensionExtension
                                                    Slice: Unordered, Open by value:url
                                                    • Added this element
                                                    .... value 0..1dateTimePrimitive value for dateTime
                                                    • Added this element
                                                    ... 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
                                                      SΣ0..1Reference(US Core Practitioner Profile)Death certifier
                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                      • Element maximum cardinalities differ: '2147483647' vs '1'
                                                      ... Slices for value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period(USCDI) Vital Signs Value
                                                      Slice: Unordered, Open by type:$this
                                                      Binding: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                      SΣC1..1CodeableConceptActual result
                                                      • Element minimum cardinalities differ: '0' vs '1'
                                                      .... id 0..1stringUnique id for inter-element referencing
                                                      • Added this element
                                                      .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                      Slice: Unordered, Open by value:url
                                                      • Added this element
                                                      .... coding Σ0..*CodingCode defined by a terminology system
                                                      • Added this element
                                                      .... text SΣ0..1stringDescription of how injured
                                                      • Added this element
                                                      ... dataAbsentReason SC0..1CodeableConcept(USCDI) Why the result is missing
                                                      Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      ... 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
                                                        S0..*AnnotationComments about the observation
                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                        ... 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                    Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation 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]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                                                    ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                                    Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                      ... Slices for component SΣC0..*BackboneElement(USCDI) Used when reporting flow rates or oxygen concentration.
                                                                                      Slice: Unordered, Open by pattern:code
                                                                                      Σ0..*BackboneElementComponent results
                                                                                      Slice: Unordered, Open by value:code
                                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                      .... 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 SΣ1..1CodeableConcept(USCDI) Type of component observation (code / type)
                                                                                            Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

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

                                                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                            .... value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period(USCDI) Vital Sign Component Value
                                                                                            Binding: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                                                            Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                            .... dataAbsentReason SC0..1CodeableConcept(USCDI) Why 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.

                                                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                            .... 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