Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:SDOHCC Observation Assessment (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment'
ErrorStructureDefinition.versionValues for version differ: '4.1.0' vs '1.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'SDOHCCObservationAssessment'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'SDOHCC Observation Assessment'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2020-06-27' vs '2021-12-07T14:30:02+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Patient Care WG'
WarningStructureDefinition.abstractValues for abstract differ: 'false' vs 'true'
WarningObservationElements differ in short: 'Measurements and simple assertions' 'SDOH assessment observation'
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.' 'For SDOH observations derived from assessment of the individual.'
WarningObservationElements differ in comments: '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.' 'For representation of SDOH observations that involve assessment (e.g., by a provider or payer) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation). Many of the SDOHCC profiles reference one another. One flow supported by this IG is that QuestionnaireResponses result in Observations that can be used as evidence for Conditions that can lead to Goals, ServiceRequests and Procedures. However, alternatives paths are also possible.'
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. As the Gravity Project continues to refine content for the SDOH categories (e.g., food, housing, transportation, etc.), this value set binding strength may change and may be refined to codes (including LOINC and SNOMED) that pertain to SDOH categories.'
ErrorObservation.subjectType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]]) Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]])
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.'
ErrorObservation.effective[x]Elements differ in definition for mustSupport: 'true' 'false'
ErrorObservation.performerElements differ in definition for mustSupport: 'false' 'true'
ErrorObservation.performerType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam]])
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 the concept exists. 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.dataAbsentReasonElements differ in definition for mustSupport: 'true' 'false'

Metadata

NameValueComments
.abstractfalsetrue
  • Values Differ
.baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
    .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'
    .date2020-06-272021-12-07T14:30:02+00:00
    • Values Differ
    .descriptionDefines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve laboratory test resultsProfile for Social Determinants of Health (SDOH) observations that involve assessment (e.g., by a provider, payer, etc.) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation). The Cross-Group Projects work group granted an exception to US Core on 06/10/2021 - Jira ticket 32892.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreLaboratoryResultObservationProfileSDOHCCObservationAssessment
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International - Patient Care WG
            • Values Differ
            .purpose
              .statusactivedraft
              • Values Differ
              .titleUS Core Laboratory Result Observation ProfileSDOHCC Observation Assessment
              • Values Differ
              .typeObservation
                .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment
                • Values Differ
                .version4.1.01.1.0
                • Values Differ

                Structure

                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                .. Observation II
                • Elements differ in short: "Measurements and simple assertions" "SDOH assessment 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." "For SDOH observations derived from assessment of the individual."
                • Elements differ in comments: "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." "For representation of SDOH observations that involve assessment (e.g., by a provider or payer) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation). Many of the SDOHCC profiles reference one another. One flow supported by this IG is that QuestionnaireResponses result in Observations that can be used as evidence for Conditions that can lead to Goals, ServiceRequests and Procedures. However, alternatives paths are also possible."
                ... id ΣΣ
                  ... meta ΣΣ
                    ... implicitRules ?!Σ?!Σ
                      ... language
                        ... text
                          ... contained
                            ... extension ExtensionExtension
                              ... modifierExtension ?!?!
                                ... identifier ΣΣ
                                  ... basedOn ΣΣ
                                    ... partOf ΣΣ
                                      ... status ?!SΣ?!SΣ
                                        ... Slices for category S
                                        • 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. As the Gravity Project continues to refine content for the SDOH categories (e.g., food, housing, transportation, etc.), this value set binding strength may change and may be refined to codes (including LOINC and SNOMED) that pertain to SDOH categories."
                                        ... subject SΣSΣ
                                        • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]]) Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]])
                                        ... focus ΣΣ
                                          ... encounter ΣΣ
                                            ... effective[x] SΣIΣ
                                            • 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."
                                            • Elements differ in definition for mustSupport: "true" "false"
                                            ... issued ΣΣ
                                              ... performer ΣSΣ
                                              • Elements differ in definition for mustSupport: "false" "true"
                                              • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam]])
                                              ... value[x] SΣISΣI
                                              • 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 the concept exists. 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."
                                              ... dataAbsentReason SII
                                              • Elements differ in definition for mustSupport: "true" "false"
                                              ... interpretation
                                                ... note
                                                  ... bodySite
                                                    ... method
                                                      ... specimen
                                                        ... device
                                                          ... referenceRange II
                                                            .... id
                                                              .... extension ExtensionExtension
                                                                .... modifierExtension ?!Σ?!Σ
                                                                  .... low II
                                                                    .... high II
                                                                      .... type
                                                                        .... appliesTo
                                                                          .... age
                                                                            .... text
                                                                              ... hasMember ΣΣ
                                                                                ... derivedFrom ΣΣ
                                                                                  ... component ΣΣ
                                                                                    .... id
                                                                                      .... extension ExtensionExtension
                                                                                        .... modifierExtension ?!Σ?!Σ
                                                                                          .... code ΣΣ
                                                                                            .... value[x] ΣΣ
                                                                                              .... dataAbsentReason II
                                                                                                .... interpretation
                                                                                                  .... referenceRange

                                                                                                    doco Documentation for this format