Profile Comparison between http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-clinical-result-observation vs http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-clinical-result-observation

Left:De-Identified UDS Plus Clinical Result Observation (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-clinical-result-observation)
Right:De-Identified UDS Plus Clinical Result Observation (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-clinical-result-observation)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.1' vs '1.1.0'
InformationStructureDefinition.dateValues for date differ: '2023-12-01T16:16:20+11:00' vs '2024-09-20T09:28:19-04:00'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: '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.' vs 'An Extension'
WarningObservation.issuedElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.issuedElement maximum cardinalities differ: '1' vs '0'
InformationObservation.noteElement maximum cardinalities differ: '2147483647' vs '0'
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/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.' 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](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyright
        .date2023-12-01T16:16:20+11:002024-09-20T09:28:19-04:00
        • Values Differ
        .descriptionThe UDS+ profile is based on the Observation resource and establishes the core elements, extensions, vocabularies and value sets for representing clinical result observations for UDS+ program.
          .experimentalfalse
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
                  .kindresource
                    .nameUDSPlusClinicalResultObservation
                      .publisherHRSA BPHC
                        .purpose
                          .statusactive
                            .titleDe-Identified UDS Plus Clinical Result Observation
                              .typeObservation
                                .urlhttp://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-clinical-result-observation
                                  .version1.0.11.1.0
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  .. Observation C0..*ObservationDe-Identified UDS Plus Clinical Result Observation
                                  obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                                  obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                                  C0..*ObservationDe-Identified UDS Plus Clinical Result Observation
                                  obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                                  obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                                    ... id SΣ0..1idThe de-identified Observation identifier created by the health center to send data to UDS+ Data ReceiverSΣ0..1idThe de-identified Observation identifier created by the health center to send data to UDS+ Data Receiver
                                      ... 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..00..0
                                              ... contained 0..00..0
                                                ... extension 0..*ExtensionAdditional content defined by implementations
                                                0..*ExtensionExtension
                                                Slice: Unordered, Open by value:url
                                                  ... 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..1coderegistered | preliminary | final | amended +
                                                          Binding: ?? (required): Codes providing the status of an observation.

                                                          ?!SΣ1..1coderegistered | preliminary | final | amended +
                                                          Binding: ?? (required): Codes providing the status of an observation.

                                                            ... category S1..*CodeableConceptClassification of type of observation
                                                            Binding: ?? (extensible): The set of codes indicating the category of the observation


                                                            S1..*CodeableConceptClassification of type of observation
                                                            Binding: ?? (extensible): The set of codes indicating the category of the observation


                                                              ... code SΣ1..1CodeableConceptType of observation (code / type)
                                                              Binding: ?? (extensible): The set of codes indicating the Observations

                                                              SΣ1..1CodeableConceptType of observation (code / type)
                                                              Binding: ?? (extensible): The set of codes identifying the lab test

                                                                ... subject SΣ1..1Reference(De-Identified UDS Plus Patient)Who and/or what the observation is aboutSΣ1..1Reference(De-Identified UDS Plus Patient)Who and/or what the observation is about
                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                    .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                    Slice: Unordered, Open by value:url
                                                                    0..*ExtensionAdditional content defined by implementations
                                                                    Slice: Unordered, Open by value:url
                                                                      .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URLΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                        .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                        Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                        Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                        Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                          .... identifier Σ0..1IdentifierLogical reference, when literal reference is not knownΣ0..1IdentifierLogical reference, when literal reference is not known
                                                                            .... display Σ0..0Σ0..0
                                                                              ... focus Σ0..*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 SΣ0..1Reference(De-Identified UDS Plus Encounter)Healthcare event during which this observation is madeSΣ0..1Reference(De-Identified UDS Plus Encounter)Healthcare event during which this observation is made
                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                    .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                    Slice: Unordered, Open by value:url
                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                    Slice: Unordered, Open by value:url
                                                                                      .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URLΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                        .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                        Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                        Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                        Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                          .... identifier Σ0..1IdentifierLogical reference, when literal reference is not knownΣ0..1IdentifierLogical reference, when literal reference is not known
                                                                                            .... display Σ0..0Σ0..0
                                                                                              ... effective[x] SΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observationSΣC0..1dateTime S, Period, TimingClinically relevant time/time-period for observation
                                                                                              uds-plus-res-1: All dateTime data elements should be truncated to a year only for de-identified resources.
                                                                                              uds-plus-res-2: All Period.start data elements should be truncated to a year only for de-identified resources.
                                                                                              uds-plus-res-3: All Period.emd data elements should be truncated to a year only for de-identified resources.
                                                                                              uds-plus-res-4: All Timing.event data elements should be truncated to a year only for de-identified resources.
                                                                                              uds-plus-res-5: All Timing.event data elements should be truncated to a year only for de-identified resources.
                                                                                                ... issued SΣ0..1instantDate/Time this version was made availableΣ0..0
                                                                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                • Element maximum cardinalities differ: '1' vs '0'
                                                                                                ... performer SΣ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                                                SΣ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                                                  .... 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
                                                                                                  .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                                  • Added this element
                                                                                                  .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                                  Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                                  • Added this element
                                                                                                  .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                                                                                                  • Added this element
                                                                                                  .... display Σ0..0
                                                                                                  • Added this element
                                                                                                  ... value[x] SΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultSΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, dateTime, PeriodActual result
                                                                                                  uds-plus-res-6: All dateTime data elements should be truncated to a year only for de-identified resources.
                                                                                                  uds-plus-res-7: All Period.start data elements should be truncated to a year only for de-identified resources.
                                                                                                  uds-plus-res-8: All Period.end data elements should be truncated to a year only for de-identified resources.
                                                                                                    ... dataAbsentReason C0..1CodeableConceptWhy 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.

                                                                                                      ... 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
                                                                                                        0..0
                                                                                                        • Element maximum cardinalities differ: '2147483647' vs '0'
                                                                                                        ... bodySite S0..1CodeableConceptObserved body part
                                                                                                        Binding: ?? (example): Codes describing anatomical locations. May include laterality.

                                                                                                        S0..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
                                                                                                                obs-3: Must have at least a low or a high or text
                                                                                                                C0..*BackboneElementProvides guide for interpretation
                                                                                                                obs-3: Must have at least a low or a high or text
                                                                                                                  .... 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(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                                                    Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                                                      ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                                                      Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                                                        ... component SΣ0..*BackboneElementComponent results
                                                                                                                                        SΣ0..*BackboneElementComponent results
                                                                                                                                          .... 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..1CodeableConceptType of component observation (code / type)
                                                                                                                                                Binding: ?? (extensible): The set of codes indicating the Observations

                                                                                                                                                SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                                                                                Binding: ?? (extensible): The set of codes identifying the lab test

                                                                                                                                                  .... value[x] SΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultSΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, dateTime, PeriodActual component result
                                                                                                                                                  uds-plus-res-9: All dateTime data elements should be truncated to a year only for de-identified resources.
                                                                                                                                                  uds-plus-res-10: All Period.start data elements should be truncated to a year only for de-identified resources.
                                                                                                                                                  uds-plus-res-11: All Period.end data elements should be truncated to a year only for de-identified resources.
                                                                                                                                                    .... dataAbsentReason C0..1CodeableConceptWhy 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.

                                                                                                                                                      .... 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