Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history vs http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-narrative-history-of-status

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Observation
copyright	Used 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'
date	2022-04-20	2022-05-13T16:07:55-04:00	Values Differ
description	The US Core Observation Social History Profile meets the U.S. Core Data for Interoperability (USCDI) v2 ‘SDOH Assessments’ requirements. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch retrieve observations that represent simple observations made by an individual about a patient's social history status such as education, food insecurity, etc. 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.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreObservationSocialHistoryProfile	FunctionalPerformanceNarrativeHistoryOfStatus	Values Differ
publisher	HL7 International - Cross-Group Projects	HL7 Patient Care Work Group	Values Differ
purpose
status	active
title	US Core Observation Social History Profile	Functional Performance Narrative History of Status	Values Differ
type	Observation
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history	http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-narrative-history-of-status	Values Differ
version	5.0.0	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Observation	I	0..*	Observation	assessment observation	I	0..*	Observation	Measurements and simple assertions	Elements differ in short: 'assessment observation' vs 'Measurements and simple assertions' Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.' 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.'
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. Additional Bindings Purpose AllLanguages Max Binding		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	Elements differ in short: 'Additional content defined by implementations' vs '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'
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.	Elements differ in short: 'Fulfills plan, proposal or order' vs 'Currently not used in NarrativeHistoryOfStatus.'
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.	Elements differ in short: 'Part of referenced event' vs 'Currently not used in NarrativeHistoryOfStatus.'
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.	?!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.	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.' Elements differ in definition for mustSupport: 'true' vs 'false'
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	Type of observation (code / type) Binding: LOINCCodes (preferred)	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (required)	Elements differ in definition for mustSupport: 'true' vs 'false'
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	Elements differ in definition for mustSupport: 'true' vs 'false'
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.	Elements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'Currently not used in NarrativeHistoryOfStatus.'
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	Elements differ in definition: '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".' 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.' Elements differ in comments: 'At least a date should be present unless this observation is a historical report.' vs 'At least a date should be present unless this observation is a historical report. For recording imprecise or "fuzzy" times (For example, a blood glucose measurement taken "after breakfast") use the [Timing] datatype which allow the measurement to be tied to regular life events.' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
issued	Σ	0..1	instant	Date/Time this version was made available	Σ	0..1	instant	Currently not used in NarrativeHistoryOfStatus.	Elements differ in short: 'Date/Time this version was made available' vs 'Currently not used in NarrativeHistoryOfStatus.'
performer	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)	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.	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.' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
value[x]	SΣI	0..1	Quantity S, CodeableConcept S, string S, boolean S, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result	ΣI	1..1	string	Unstructured summary of status observation for the patient. (Strongly encouraged until more structured method is established)	Elements differ in short: 'Actual result' vs 'Unstructured summary of status observation for the patient. (Strongly encouraged until more structured method is established)' Elements differ in definition: 'The information determined as a result of making the observation, if the information has a simple value.' vs 'Unstructured summary of status observation for the patient. (Strongly encouraged until more structured method is established)' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
dataAbsentReason	I	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.	I	0..1	CodeableConcept	Why the 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	Currently not used in NarrativeHistoryOfStatus. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.	Elements differ in short: 'High, low, normal, etc.' vs 'Currently not used in NarrativeHistoryOfStatus.'
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.	Elements differ in short: 'Observed body part' vs 'Currently not used in NarrativeHistoryOfStatus.'
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.	Elements differ in short: 'How it was done' vs 'Currently not used in NarrativeHistoryOfStatus.'
specimen		0..1	Reference(Specimen)	Specimen used for this observation		0..1	Reference(Specimen)	Currently not used in NarrativeHistoryOfStatus.	Elements differ in short: 'Specimen used for this observation' vs 'Currently not used in NarrativeHistoryOfStatus.'
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device		0..1	Reference(Device | DeviceMetric)	Currently not used in NarrativeHistoryOfStatus.	Elements differ in short: '(Measurement) Device' vs 'Currently not used in NarrativeHistoryOfStatus.'
referenceRange	I	0..*	BackboneElement	Provides guide for interpretation	I	0..*	BackboneElement	Currently not used in NarrativeHistoryOfStatus.	Elements differ in short: 'Provides guide for interpretation' vs 'Currently not used in NarrativeHistoryOfStatus.'
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.	Elements differ in short: 'Related resource that belongs to the Observation group' vs 'Currently not used in NarrativeHistoryOfStatus.'
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.	Elements differ in short: 'Related measurements the observation is made from' vs 'Currently not used in NarrativeHistoryOfStatus.'
component	Σ	0..*	BackboneElement	Component results	Σ	0..*	BackboneElement	Currently not used in NarrativeHistoryOfStatus.	Elements differ in short: 'Component results' vs 'Currently not used in NarrativeHistoryOfStatus.'
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