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

Left:US Core Vital Signs Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs)
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-vital-signs' 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: 'USCoreVitalSignsProfile' vs 'SDOHCCObservationAssessment'
InformationStructureDefinition.titleValues for title differ: 'US Core Vital Signs Profile' vs 'SDOHCC Observation Assessment'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2020-11-17' 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'
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' 'SDOH assessment observation'
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.' '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: 'Coded Responses from C-CDA Vital Sign Results' 'Type of observation (code / type)'
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 comments: '*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.' '*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.'
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.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 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'
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: 'Vital Signs Value' 'Actual result'
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.dataAbsentReasonElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.hasMemberElements differ in short: 'Used when reporting vital signs panel components' 'Related resource that belongs to the Observation group'
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.componentElements differ in short: 'Component observations' 'Component results'
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
.abstractfalsetrue
  • Values Differ
.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'
.date2020-11-172021-12-07T14:30:02+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.Profile 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
          .nameUSCoreVitalSignsProfileSDOHCCObservationAssessment
          • Values Differ
          .publisherHL7 International - Cross-Group ProjectsHL7 International - Patient Care WG
          • Values Differ
          .purpose
            .statusactivedraft
            • Values Differ
            .titleUS Core Vital Signs ProfileSDOHCC Observation Assessment
            • Values Differ
            .typeObservation
              .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signshttp://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: "US Core Vital Signs Profile" "SDOH assessment observation"
              • 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." "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: "Coded Responses from C-CDA Vital Sign Results" "Type of observation (code / type)"
                                      • 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 comments: "*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." "*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."
                                      • 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."
                                      ... 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 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
                                            ... 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: "Vital Signs Value" "Actual result"
                                            • 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."
                                            ... 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
                                                                            • Elements differ in short: "Used when reporting vital signs panel components" "Related resource that belongs to the Observation group"
                                                                            • 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 ΣΣ
                                                                              ... component SΣIΣ
                                                                              • Elements differ in short: "Component observations" "Component results"
                                                                              • 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