Left: | US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab) |
Right: | Functional Performance Narrative History of Status (http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-narrative-history-of-status) |
Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-narrative-history-of-status' |
Error | StructureDefinition.version | Values for version differ: '5.0.0' vs '1.0.0' |
Information | StructureDefinition.name | Values for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'FunctionalPerformanceNarrativeHistoryOfStatus' |
Information | StructureDefinition.title | Values for title differ: 'US Core Laboratory Result Observation Profile' vs 'Functional Performance Narrative History of Status' |
Information | StructureDefinition.date | Values for date differ: '2022-04-20' vs '2022-05-13T16:07:55-04:00' |
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 Patient Care Work Group' |
Warning | Observation | Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.' |
Warning | Observation | Elements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.' |
Warning | Observation.extension | Elements differ in short: 'Additional content defined by implementations' vs 'Extension' |
Warning | Observation.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.' vs 'An Extension' |
Warning | Observation.basedOn | Elements differ in short: 'Fulfills plan, proposal or order' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.partOf | Elements differ in short: 'Part of referenced event' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.status | Elements differ in short: 'registered | preliminary | final | amended +' vs '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.' |
Warning | Observation.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.code | Elements differ in short: 'Laboratory Test Name' vs 'Type of observation (code / type)' |
Warning | Observation.code | Elements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.' |
Warning | Observation.code | 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.' vs '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.' |
Warning | Observation.code | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.subject | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.focus | Elements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.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.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.' |
Warning | Observation.effective[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | Observation.effective[x] | Element minimum cardinalities differ: '0' vs '1' |
Warning | Observation.issued | Elements differ in short: 'Date/Time this version was made available' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.performer | Elements differ in short: 'Who is responsible for the observation' vs '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.' |
Information | Observation.performer | Element minimum cardinalities differ: '0' vs '1' |
Warning | Observation.value[x] | Elements differ in short: 'Result Value' vs 'Unstructured summary of status observation for the patient. (Strongly encouraged until more structured method is established)' |
Warning | Observation.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.' vs 'Unstructured summary of status observation for the patient. (Strongly encouraged until more structured method is established)' |
Warning | Observation.value[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | Observation.value[x] | Element minimum cardinalities differ: '0' vs '1' |
Warning | Observation.dataAbsentReason | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.interpretation | Elements differ in short: 'High, low, normal, etc.' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.bodySite | Elements differ in short: 'Observed body part' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.method | Elements differ in short: 'How it was done' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.specimen | Elements differ in short: 'Specimen used for this observation' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.device | Elements differ in short: '(Measurement) Device' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.referenceRange | Elements differ in short: 'Provides guide for interpretation' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.hasMember | Elements differ in short: 'Related resource that belongs to the Observation group' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.derivedFrom | Elements differ in short: 'Related measurements the observation is made from' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Warning | Observation.component | Elements differ in short: 'Component results' vs 'Currently not used in NarrativeHistoryOfStatus.' |
Name | Value | Comments | |
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abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation | ||
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
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date | 2022-04-20 | 2022-05-13T16:07:55-04:00 |
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description | The US Core Laboratory Result Observation Profile is based upon the core FHIR Observation Resource, and, along with the US Core DiagnosticReport Profile for Laboratory Results Reporting, meets the U.S. Core Data for Interoperability (USCDI) v2 ‘Laboratory’ requirements. Laboratory results are grouped and summarized using the DiagnosticReport resource which reference Observation resources. Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) which references other observations, or rarely a laboratory test with component result values. The US Core Laboratory Result Observation Profile sets minimum expectations for the Observation resource resource to record, search, and fetch laboratory test results associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific uses cases. | An exchange of summary observation regarding the most recent prior status immediately preceding the current admission, illness, or exacerbation for a patient. The use of this profile is encouraged in the absence of formal prior level assessments. For formal assessments conducted with for example, an assessment instrument, use the PAC Collection and PAC Observation profiles to capture assessment data. |
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experimental | false |
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fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | USCoreLaboratoryResultObservationProfile | FunctionalPerformanceNarrativeHistoryOfStatus |
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publisher | HL7 International - Cross-Group Projects | HL7 Patient Care Work Group |
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purpose | |||
status | active | ||
title | US Core Laboratory Result Observation Profile | Functional Performance Narrative History of Status |
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type | Observation | ||
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-narrative-history-of-status |
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version | 5.0.0 | 1.0.0 |
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Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
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Observation | I | 0..* | Observation | Measurements and simple assertions us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present | I | 0..* | Observation | Measurements and simple assertions |
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id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | string | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation | |||||||||
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Currently not used in NarrativeHistoryOfStatus. |
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partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Currently not used in NarrativeHistoryOfStatus. |
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status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | ?!Σ | 1..1 | code | 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. Binding: ObservationStatus (required): Codes providing the status of an observation. |
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Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | S | 1..* | CodeableConcept | Classification of type of observation Slice: Ordered, Open by pattern:coding Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
code | SΣ | 1..1 | CodeableConcept | Laboratory Test Name Binding: LOINCCodes (extensible): LOINC codes | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (required) |
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subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about |
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focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | Currently not used in NarrativeHistoryOfStatus. |
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encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(US Core Encounter Profile) | Healthcare event during which this observation is made | |||||||||
effective[x] | SΣI | 0..1 | dateTime S, Period, Timing, instant | Clinically relevant time/time-period for observation us-core-1: Datetime must be at least to day. | Σ | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation |
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issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Currently not used in NarrativeHistoryOfStatus. |
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performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | Σ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) | 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. |
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value[x] | SΣI | 0..1 | Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Result Value us-core-4: SHOULD use Snomed CT for coded Results us-core-3: SHALL use UCUM for coded quantity units. | ΣI | 1..1 | string | Unstructured summary of status observation for the patient. (Strongly encouraged until more structured method is established) |
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dataAbsentReason | SI | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible) | I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | 0..* | CodeableConcept | Currently not used in NarrativeHistoryOfStatus. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
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note | 0..* | Annotation | Comments about the observation | 0..* | Annotation | Comments about the observation | |||||||||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | 0..1 | CodeableConcept | Currently not used in NarrativeHistoryOfStatus. Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
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method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | 0..1 | CodeableConcept | Currently not used in NarrativeHistoryOfStatus. Binding: ObservationMethods (example): Methods for simple observations. |
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specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | 0..1 | Reference(Specimen) | Currently not used in NarrativeHistoryOfStatus. |
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device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | 0..1 | Reference(Device | DeviceMetric) | Currently not used in NarrativeHistoryOfStatus. |
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referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation | I | 0..* | BackboneElement | Currently not used in NarrativeHistoryOfStatus. |
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id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
low | I | 0..1 | SimpleQuantity | Low Range, if relevant | I | 0..1 | SimpleQuantity | Low Range, if relevant | |||||||||
high | I | 0..1 | SimpleQuantity | High Range, if relevant | I | 0..1 | SimpleQuantity | High Range, if relevant | |||||||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||||
age | 0..1 | Range | Applicable age range, if relevant | 0..1 | Range | Applicable age range, if relevant | |||||||||||
text | 0..1 | string | Text based reference range in an observation | 0..1 | string | Text based reference range in an observation | |||||||||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Currently not used in NarrativeHistoryOfStatus. |
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derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Currently not used in NarrativeHistoryOfStatus. |
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component | Σ | 0..* | BackboneElement | Component results | Σ | 0..* | BackboneElement | Currently not used in NarrativeHistoryOfStatus. |
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id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||||||
value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | |||||||||
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (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 | |||||||||||
Documentation for this format |