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

Left:US Core Observation Survey Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey)
Right:Functional Performance Narrative History of Status (http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-narrative-history-of-status)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey' vs 'http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-narrative-history-of-status'
ErrorStructureDefinition.versionValues for version differ: '5.0.0' vs '1.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationSurveyProfile' vs 'FunctionalPerformanceNarrativeHistoryOfStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Survey Profile' vs 'Functional Performance Narrative History of Status'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2022-05-13T16:07:55-04:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 Patient Care Work Group'
WarningObservationElements differ in short: 'Survey Observation' vs 'Measurements and simple assertions'
WarningObservationElements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements 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.'
WarningObservation.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningObservation.extensionElements 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'
WarningObservation.basedOnElements differ in short: 'Fulfills plan, proposal or order' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.partOfElements differ in short: 'Part of referenced event' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.statusElements 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.'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in requirements: 'To identify that observation is derived from a questionnaire.' vs 'Used for filtering what observations are retrieved and displayed.'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.focusElements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.effective[x]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.'
WarningObservation.effective[x]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.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.effective[x]Element minimum cardinalities differ: '0' vs '1'
WarningObservation.issuedElements differ in short: 'Date/Time this version was made available' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.performerElements 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.'
WarningObservation.performerElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.performerElement minimum cardinalities differ: '0' vs '1'
WarningObservation.value[x]Elements differ in short: 'Actual result' vs 'Unstructured summary of status observation for the patient. (Strongly encouraged until more structured method is established)'
WarningObservation.value[x]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)'
WarningObservation.value[x]Elements differ in comments: 'An observation may have a value if it represents an individual survey question and answer pair. An observation should not have a value if it represents a multi-question survey or multi-select “check all that apply” question. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.' vs 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section] below.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.value[x]Element minimum cardinalities differ: '0' vs '1'
WarningObservation.dataAbsentReasonElements differ in comments: ''Null' or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.' vs 'Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be 'detected', 'not detected', 'inconclusive', or 'specimen unsatisfactory'. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code 'error' could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.interpretationElements differ in short: 'High, low, normal, etc.' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.bodySiteElements differ in short: 'Observed body part' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.methodElements differ in short: 'How it was done' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.specimenElements differ in short: 'Specimen used for this observation' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.deviceElements differ in short: '(Measurement) Device' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.referenceRangeElements differ in short: 'Provides guide for interpretation' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.hasMemberElements differ in short: 'Reference to panel or multi-select responses' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.hasMemberElements differ in definition: 'Aggregate set of Observations that represent question answer pairs for both multi-question surveys and multi-select questions.' vs '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.'
WarningObservation.hasMemberElements differ in comments: 'This grouping element is used to represent surveys that group several questions together or individual questions with “check all that apply” responses. For example in the simplest case a flat multi-question survey where the 'panel' observation is the survey instrument itself and instead of an `Observation.value` the `hasMember` element references other Observation that represent the individual questions answer pairs. In a survey that has a heirarchical grouping of questions, the observation 'panels' can be nested. Because surveys can be arbitrarily complex structurally, not all survey structures can be represented using this Observation grouping pattern.' 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] below. Note that a system may calculate results from [QuestionnaireResponse] into a final score and represent the score as an Observation.'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.derivedFromElements differ in short: 'Related Observations or QuestionnaireResponses that the observation is made from' vs 'Currently not used in NarrativeHistoryOfStatus.'
WarningObservation.derivedFromElements differ in definition: 'Observations or QuestionnaireResponses from which this observation value is derived.' vs 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.'
WarningObservation.derivedFromElements differ in definition for mustSupport: 'true' vs 'false'
ErrorObservation.derivedFromType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
WarningObservation.componentElements differ in short: 'Component results' vs 'Currently not used in NarrativeHistoryOfStatus.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
      • Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
      .date2022-04-202022-05-13T16:07:55-04:00
      • Values Differ
      .descriptionTo promote interoperability and adoption through common implementation, the US Core Observation Survey Profile sets minimum expectations for the Observation Resource to record, search, and fetch retrieve observations that represent the questions and responses to form/survey and assessment tools. It can be used to represent individual responses, panels of multi-question surveys, and multi-select responses to “check all that apply” questions. 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
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreObservationSurveyProfileFunctionalPerformanceNarrativeHistoryOfStatus
                • Values Differ
                .publisherHL7 International - Cross-Group ProjectsHL7 Patient Care Work Group
                • Values Differ
                .purpose
                  .statusactive
                    .titleUS Core Observation Survey ProfileFunctional Performance Narrative History of Status
                    • Values Differ
                    .typeObservation
                      .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-surveyhttp://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-narrative-history-of-status
                      • Values Differ
                      .version5.0.01.0.0
                      • Values Differ

                      Structure

                      NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                      .. Observation I0..*ObservationSurvey Observation
                      us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                      us-core-3: SHALL use UCUM for coded quantity units.
                      I0..*ObservationMeasurements and simple assertions
                      • Elements differ in short: 'Survey 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 Σ0..1stringLogical id of this artifactΣ0..1stringLogical id of this artifact
                        ... 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: CommonLanguages (preferred): A human language.

                            Additional BindingsPurpose
                            AllLanguagesMax Binding
                            0..1codeLanguage of the resource content
                            Binding: CommonLanguages (preferred): A human language.

                            Additional BindingsPurpose
                            AllLanguagesMax Binding
                              ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                ... contained 0..*ResourceContained, inline Resources
                                0..*ResourceContained, inline Resources
                                  ... extension 0..*ExtensionAdditional content defined by implementations
                                  0..*ExtensionExtension
                                  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..*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)Currently not used in NarrativeHistoryOfStatus.
                                      • Elements differ in short: 'Fulfills plan, proposal or order' vs 'Currently not used in NarrativeHistoryOfStatus.'
                                      ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                      Σ0..*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 ?!SΣ1..1coderegistered | preliminary | final | amended +
                                      Binding: ObservationStatus (required): Codes providing the status of an observation.

                                      ?!Σ1..1codeShould 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 S1..*CodeableConceptClassification of type of observation
                                      Slice: Unordered, Open by pattern:$this
                                      Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                      S1..*CodeableConceptClassification of type of observation
                                      Slice: Ordered, Open by pattern:coding
                                      Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                      • Elements differ in requirements: 'To identify that observation is derived from a questionnaire.' vs 'Used for filtering what observations are retrieved and displayed.'
                                      ... code SΣ1..1CodeableConceptType of observation (code / type)
                                      Binding: US Core Survey Codes (preferred)
                                      Σ1..1CodeableConceptType of observation (code / type)
                                      Binding: LOINCCodes (required)
                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                      Σ0..*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 Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(US Core Encounter Profile)Healthcare event during which this observation is made
                                        ... effective[x] SΣI0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                        us-core-1: Datetime must be at least to day.
                                        Σ1..1dateTime, PeriodClinically 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 Σ0..1instantDate/Time this version was made availableΣ0..1instantCurrently not used in NarrativeHistoryOfStatus.
                                        • Elements differ in short: 'Date/Time this version was made available' vs 'Currently not used in NarrativeHistoryOfStatus.'
                                        ... performer SΣ0..*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
                                        Σ1..*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] SΣI0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultΣI1..1stringUnstructured 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 comments: 'An observation may have a value if it represents an individual survey question and answer pair. An observation should not have a value if it represents a multi-question survey or multi-select “check all that apply” question. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.' vs 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section] below.'
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element minimum cardinalities differ: '0' vs '1'
                                        ... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
                                        Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                        I0..1CodeableConceptWhy the result is missing
                                        Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                        • Elements differ in comments: '"Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.' vs 'Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.'
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                        Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                        0..*CodeableConceptCurrently 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..*AnnotationComments about the observation
                                        0..*AnnotationComments about the observation
                                          ... bodySite 0..1CodeableConceptObserved body part
                                          Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

                                          0..1CodeableConceptCurrently 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..1CodeableConceptHow it was done
                                          Binding: ObservationMethods (example): Methods for simple observations.

                                          0..1CodeableConceptCurrently 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..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Currently not used in NarrativeHistoryOfStatus.
                                          • Elements differ in short: 'Specimen used for this observation' vs 'Currently not used in NarrativeHistoryOfStatus.'
                                          ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)Currently not used in NarrativeHistoryOfStatus.
                                          • Elements differ in short: '(Measurement) Device' vs 'Currently not used in NarrativeHistoryOfStatus.'
                                          ... referenceRange I0..*BackboneElementProvides guide for interpretation
                                          I0..*BackboneElementCurrently not used in NarrativeHistoryOfStatus.
                                          • Elements differ in short: 'Provides guide for interpretation' vs 'Currently not used in NarrativeHistoryOfStatus.'
                                          .... 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 I0..1SimpleQuantityLow Range, if relevantI0..1SimpleQuantityLow Range, if relevant
                                                  .... high I0..1SimpleQuantityHigh Range, if relevantI0..1SimpleQuantityHigh Range, if relevant
                                                    .... type 0..1CodeableConceptReference range qualifier
                                                    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                    0..1CodeableConceptReference range qualifier
                                                    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                      .... appliesTo 0..*CodeableConceptReference range population
                                                      Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


                                                      0..*CodeableConceptReference range population
                                                      Binding: ObservationReferenceRangeAppliesToCodes (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 SΣ0..*Reference(US Core Observation Survey Profile S | US Core QuestionnaireResponse Profile | MolecularSequence)Reference to panel or multi-select responses
                                                            Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Currently not used in NarrativeHistoryOfStatus.
                                                            • Elements differ in short: 'Reference to panel or multi-select responses' vs 'Currently not used in NarrativeHistoryOfStatus.'
                                                            • Elements differ in definition: 'Aggregate set of Observations that represent question answer pairs for both multi-question surveys and multi-select questions.' vs '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.'
                                                            • Elements differ in comments: 'This grouping element is used to represent surveys that group several questions together or individual questions with “check all that apply” responses. For example in the simplest case a flat multi-question survey where the "panel" observation is the survey instrument itself and instead of an `Observation.value` the `hasMember` element references other Observation that represent the individual questions answer pairs. In a survey that has a heirarchical grouping of questions, the observation "panels" can be nested. Because surveys can be arbitrarily complex structurally, not all survey structures can be represented using this Observation grouping pattern.' 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] below. Note that a system may calculate results from [QuestionnaireResponse] into a final score and represent the score as an Observation.'
                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                            ... derivedFrom SΣ0..*Reference(US Core Observation Survey Profile S | US Core QuestionnaireResponse Profile S | US Core DocumentReference Profile | ImagingStudy | Media | MolecularSequence)Related Observations or QuestionnaireResponses that the observation is made from
                                                            Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Currently not used in NarrativeHistoryOfStatus.
                                                            • Elements differ in short: 'Related Observations or QuestionnaireResponses that the observation is made from' vs 'Currently not used in NarrativeHistoryOfStatus.'
                                                            • Elements differ in definition: 'Observations or QuestionnaireResponses from which this observation value is derived.' vs 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.'
                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                            • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                            ... component Σ0..*BackboneElementComponent results
                                                            Σ0..*BackboneElementCurrently not used in NarrativeHistoryOfStatus.
                                                            • Elements differ in short: 'Component results' vs 'Currently not used in NarrativeHistoryOfStatus.'
                                                            .... 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 Σ1..1CodeableConceptType of component observation (code / type)
                                                                  Binding: LOINCCodes (example): Codes identifying names of simple observations.

                                                                  Σ1..1CodeableConceptType of component observation (code / type)
                                                                  Binding: LOINCCodes (example): Codes identifying names of simple observations.

                                                                    .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                      .... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
                                                                      Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                      I0..1CodeableConceptWhy the component result is missing
                                                                      Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                        .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                        Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                                        0..*CodeableConceptHigh, 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

                                                                            doco Documentation for this format