Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs vs http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-cs

Left:US Core Vital Signs Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs)
Right:PACIO Cognitive Status (http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-cs)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs' vs 'http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-cs'
ErrorStructureDefinition.versionValues for version differ: '4.0.0' vs '1.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreVitalSignsProfile' vs 'CognitiveStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Vital Signs Profile' vs 'PACIO Cognitive Status'
InformationStructureDefinition.dateValues for date differ: '2020-11-17' vs '2021-11-03T21:45:55+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 Patient Care Work Group'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/vitalsigns' vs 'http://hl7.org/fhir/StructureDefinition/Observation'
WarningObservationElements differ in short: 'US Core Vital Signs Profile' 'Measurements and simple assertions'
WarningObservationElements differ in definition: 'Defines constraints on the Observation resource to represent vital signs observation. This profile is used as the base definition for the other US Core Vital Signs Profiles and based on the FHIR VitalSigns Profile.' 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservation.extensionElements differ in short: 'Additional content defined by implementations' 'Extension'
WarningObservation.extensionElements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. 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.' 'An Extension'
WarningObservation.basedOnElements differ in short: 'Fulfills plan, proposal or order' 'Currently not used in CognitiveStatus.'
WarningObservation.partOfElements differ in short: 'Part of referenced event' 'Currently not used in CognitiveStatus.'
WarningObservation.statusElements differ in short: 'registered | preliminary | final | amended +' 'Should have the value 'final' when the observation is complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used.'
ErrorObservation.statusElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.categoryElements differ in short: 'Classification of type of observation' 'A second category code may be used along with the code “functioning”. For example, for assessment tool/survey instrument observations use “survey” as a second code.'
ErrorObservation.categoryElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.codeElements differ in short: 'Coded Responses from C-CDA Vital Sign Results' 'For a Post-Acute Care Assessment, should include a LOINC code and text for the question or concept name.'
WarningObservation.codeElements differ in definition: 'Coded Responses from C-CDA Vital Sign Results.' 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements 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.'
ErrorObservation.codeElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.subjectElements differ in short: 'Who and/or what the observation is about' 'Should only reference a Patient resource.'
ErrorObservation.subjectElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.focusElements differ in short: 'What the observation is about, when it is not about the subject of record' 'Currently not used in CognitiveStatus.'
WarningObservation.effective[x]Elements differ in short: 'Often just a dateTime for Vital Signs' 'Clinically relevant time/time-period for observation'
WarningObservation.effective[x]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.'
ErrorObservation.effective[x]Elements differ in definition for mustSupport: 'true' 'false'
WarningObservation.issuedElements differ in short: 'Date/Time this version was made available' 'Currently not used in CognitiveStatus.'
WarningObservation.performerElements differ in short: 'Who is responsible for the observation' 'The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization.'
WarningObservation.value[x]Elements differ in short: 'Vital Signs Value' 'Whenever possible should use the CodeableConcept datatype to provide a suitable code to define the concept for the observation data. As for values like an assessment score or roll-up value, the datatype for this element should be determined by Observation.code. However, for values that are ordinal, may use the CodeableConcept datatype along with the Ordinal Value Extension.'
WarningObservation.value[x]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.'
WarningObservation.value[x]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.'
ErrorObservation.value[x]Elements differ in definition for mustSupport: 'true' 'false'
ErrorObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.interpretationElements differ in short: 'High, low, normal, etc.' 'Currently not used in CognitiveStatus.'
WarningObservation.bodySiteElements differ in short: 'Observed body part' 'Currently not used in CognitiveStatus.'
WarningObservation.methodElements differ in short: 'How it was done' 'Currently not used in CognitiveStatus.'
WarningObservation.specimenElements differ in short: 'Specimen used for this observation' 'Currently not used in CognitiveStatus.'
WarningObservation.deviceElements differ in short: '(Measurement) Device' 'Currently not used in CognitiveStatus.'
WarningObservation.referenceRangeElements differ in short: 'Provides guide for interpretation' 'Currently not used in CognitiveStatus.'
WarningObservation.hasMemberElements differ in short: 'Used when reporting vital signs panel components' 'Currently not used in CognitiveStatus.'
WarningObservation.hasMemberElements 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.'
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]]) Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
WarningObservation.derivedFromElements differ in short: 'Related measurements the observation is made from' 'Should point back to the SDC QuestionnaireResponse that this resource is derived from.'
ErrorObservation.derivedFromElements differ in definition for mustSupport: 'false' 'true'
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/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) Reference([CanonicalType[http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse]])
WarningObservation.componentElements differ in short: 'Component observations' 'Currently not used in CognitiveStatus.'
WarningObservation.componentElements differ in definition: 'Used when reporting component observation such as systolic and diastolic blood pressure.' '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.'
ErrorObservation.componentElements differ in definition for mustSupport: 'true' 'false'
ErrorObservation.component.codeElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.component.codeElements differ in binding.description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' 'Codes identifying names of simple observations.'
WarningObservation.component.value[x]Elements differ in short: 'Vital Sign Component Value' 'Actual component result'
WarningObservation.component.value[x]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.'
WarningObservation.component.value[x]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.'
ErrorObservation.component.value[x]Elements differ in definition for mustSupport: 'true' 'false'
ErrorObservation.component.dataAbsentReasonElements differ in definition for mustSupport: 'true' 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/vitalsignshttp://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'
    .date2020-11-172021-11-03T21:45:55+00:00
    • Values Differ
    .descriptionDefines constraints on the Observation resource to represent vital signs observations. This profile is used as the base definition for the other US Core Vital Signs Profiles and based on the FHIR VitalSigns Profile.An exchange of cognitive status observation for a patient. This profile is used for exchanging a single observation data generally included in a set of observation data collected through the use of a structured resource (e.g. assessment tool, instrument, or screen).
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreVitalSignsProfileCognitiveStatus
            • Values Differ
            .publisherHL7 International - US Realm Steering CommitteeHL7 Patient Care Work Group
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Vital Signs ProfilePACIO Cognitive Status
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signshttp://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-cs
                  • Values Differ
                  .version4.0.01.0.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation II
                  • Elements differ in short: "US Core Vital Signs Profile" "Measurements and simple assertions"
                  • Elements differ in definition: "Defines constraints on the Observation resource to represent vital signs observation. This profile is used as the base definition for the other US Core Vital Signs Profiles and based on the FHIR VitalSigns Profile." "Measurements and simple assertions made about a patient, device or other subject."
                  ... id ΣΣ
                    ... meta ΣΣ
                      ... implicitRules ?!Σ?!Σ
                        ... language
                          ... text
                            ... contained
                              ... extension ExtensionExtension
                              • Elements differ in short: "Additional content defined by implementations" "Extension"
                              • Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the resource. 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." "An Extension"
                              ... modifierExtension ?!?!
                                ... identifier ΣΣ
                                  ... basedOn ΣΣ
                                  • Elements differ in short: "Fulfills plan, proposal or order" "Currently not used in CognitiveStatus."
                                  ... partOf ΣΣ
                                  • Elements differ in short: "Part of referenced event" "Currently not used in CognitiveStatus."
                                  ... status ?!SΣ?!Σ
                                  • Elements differ in short: "registered | preliminary | final | amended +" "Should have the value 'final' when the observation is complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used."
                                  • Elements differ in definition for mustSupport: "true" "false"
                                  ... Slices for category S
                                  • Elements differ in short: "Classification of type of observation" "A second category code may be used along with the code “functioning”. For example, for assessment tool/survey instrument observations use “survey” as a second code."
                                  • Elements differ in definition for mustSupport: "true" "false"
                                  ... code SΣΣ
                                  • Elements differ in short: "Coded Responses from C-CDA Vital Sign Results" "For a Post-Acute Care Assessment, should include a LOINC code and text for the question or concept name."
                                  • 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"
                                  ... subject SΣΣ
                                  • Elements differ in short: "Who and/or what the observation is about" "Should only reference a Patient resource."
                                  • Elements differ in definition for mustSupport: "true" "false"
                                  ... focus ΣΣ
                                  • Elements differ in short: "What the observation is about, when it is not about the subject of record" "Currently not used in CognitiveStatus."
                                  ... encounter ΣΣ
                                    ... effective[x] SΣIΣ
                                    • 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 ΣΣ
                                    • Elements differ in short: "Date/Time this version was made available" "Currently not used in CognitiveStatus."
                                    ... performer ΣΣ
                                    • Elements differ in short: "Who is responsible for the observation" "The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization."
                                    ... value[x] SΣIΣI
                                    • Elements differ in short: "Vital Signs Value" "Whenever possible should use the CodeableConcept datatype to provide a suitable code to define the concept for the observation data. As for values like an assessment score or roll-up value, the datatype for this element should be determined by Observation.code. However, for values that are ordinal, may use the CodeableConcept datatype along with the Ordinal Value Extension."
                                    • 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 SII
                                    • Elements differ in definition for mustSupport: "true" "false"
                                    ... interpretation
                                    • Elements differ in short: "High, low, normal, etc." "Currently not used in CognitiveStatus."
                                    ... note
                                      ... bodySite
                                      • Elements differ in short: "Observed body part" "Currently not used in CognitiveStatus."
                                      ... method
                                      • Elements differ in short: "How it was done" "Currently not used in CognitiveStatus."
                                      ... specimen
                                      • Elements differ in short: "Specimen used for this observation" "Currently not used in CognitiveStatus."
                                      ... device
                                      • Elements differ in short: "(Measurement) Device" "Currently not used in CognitiveStatus."
                                      ... referenceRange II
                                      • Elements differ in short: "Provides guide for interpretation" "Currently not used in CognitiveStatus."
                                      .... id
                                        .... extension ExtensionExtension
                                          .... modifierExtension ?!Σ?!Σ
                                            .... low II
                                              .... high II
                                                .... type
                                                  .... appliesTo
                                                    .... age
                                                      .... text
                                                        ... hasMember ΣΣ
                                                        • Elements differ in short: "Used when reporting vital signs panel components" "Currently not used in CognitiveStatus."
                                                        • 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 ΣSΣ
                                                        • Elements differ in short: "Related measurements the observation is made from" "Should point back to the SDC QuestionnaireResponse that this resource is derived from."
                                                        • Elements differ in definition for mustSupport: "false" "true"
                                                        • 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/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) Reference([CanonicalType[http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse]])
                                                        ... component SΣIΣ
                                                        • Elements differ in short: "Component observations" "Currently not used in CognitiveStatus."
                                                        • Elements differ in definition: "Used when reporting component observation such as systolic and diastolic blood pressure." "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."
                                                        • Elements differ in definition for mustSupport: "true" "false"
                                                        .... id
                                                          .... extension ExtensionExtension
                                                            .... modifierExtension ?!Σ?!Σ
                                                              .... code SΣΣ
                                                              • 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] SΣIΣ
                                                              • 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 SII
                                                              • Elements differ in definition for mustSupport: "true" "false"
                                                              .... interpretation
                                                                .... referenceRange

                                                                  doco Documentation for this format