Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation vs http://phr.kanta.fi/StructureDefinition/fiphr-sd-vitalsigns

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Observation	http://hl7.org/fhir/StructureDefinition/vitalsigns	Values Differ
copyright	Creative Commons Public Domain		Removed the item 'Creative Commons Public Domain'
date	2019-08-26T15:10:00+10:00	2021-02-22T09:56:10.9020658+00:00	Values Differ
description	Minimum expectations for an Observation resource when accessed via a International Patient Access API	Finnish PHR base profile for Observation resource	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		urn:iso:std:iso:3166#FI	Added the item 'urn:iso:std:iso:3166#FI'
kind	resource
name	IPAObservation	FIPHRsdVitalsigns	Values Differ
publisher	HL7 International - Patient Care Workgroup	HL7 Finland	Values Differ
purpose		Finnish PHR abstract base profile for Observation used in Vital signs measurements made about a patient. Base profile defines profiled elements used in all vital signs observation resources.	Added the item 'Finnish PHR abstract base profile for Observation used in Vital signs measurements made about a patient. Base profile defines profiled elements used in all vital signs observation resources.'
status	draft
title	IPA-Observation	Finnish PHR Vital Signs profile	Values Differ
type	Observation
url	http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation	http://phr.kanta.fi/StructureDefinition/fiphr-sd-vitalsigns	Values Differ
version	0.1.0	0.3.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Observation	C	0..*	Observation	Measurements and simple assertions ipa-obs-1: If there is no component or related element then either a value[x] or a data absent reason must be present	C	0..*	observation-vitalsigns	Finnish PHR base profile for Observation resource	Elements differ in short: 'Measurements and simple assertions' vs 'Finnish PHR base profile for Observation resource' Elements differ in definition: 'Measurements and simple assertions made about a patient, device or other subject.' vs 'The FHIR Vitals Signs profile sets minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient.'
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	ΣN	1..1	Meta	Metadata about the resource	Element minimum cardinalities differ: '0' vs '1'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this	Elements differ in definition: 'A list of profiles (references to [StructureDefinition] resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url].' vs 'FinnishPHR: Profile required. The URL is a reference to [StructureDefinition.url].' Element minimum cardinalities differ: '0' vs '1'
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: todo (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	ΣN	0..*	Coding	Security Labels applied to this resource Binding: todo (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: todo (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	ΣN	0..*	Coding	Tags applied to this resource Binding: todo (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: todo (preferred): A human language. Additional Bindings Purpose todo Max Binding		1..1	code	Language of the resource content Binding: todo (required): Finnish PHR: A code of human language.	Element minimum cardinalities differ: '0' vs '1' Elements differ in binding.description: 'A human language.' vs 'Finnish PHR: A code of human language.'
text		0..1	Narrative	Text summary of the resource, for human interpretation	N	1..1	Narrative	Text summary of the resource, for human interpretation	Element minimum cardinalities differ: '0' vs '1'
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation	ΣN	1..*	Identifier	Business Identifier for observation	Elements differ in definition: 'A unique identifier assigned to this observation.' vs 'A unique identifier assigned to this observation. Finnish PHR: At least one of the identifiers SHALL be globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system).' Element minimum cardinalities differ: '0' vs '1'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .	Elements differ in definition: 'The purpose of this identifier.' vs 'The purpose of this identifier. Finnish PHR: The code 'official' SHALL be only used if the given identifier value is truly globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system).' Elements differ in comments: 'Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.' vs 'This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.'
type	Σ	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	SΣN	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	Elements differ in definition for mustSupport: 'false' vs 'true'
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient Example General: urn:ietf:rfc:3986	Elements differ in comments: 'Identifier.system is always case sensitive.' vs 'see http://en.wikipedia.org/wiki/Uniform_resource_identifier' Element minimum cardinalities differ: '0' vs '1'
value	Σ	0..1	string	The value that is unique Example General: 123456	Σ	1..1	string	The value that is unique Example General: 123456	Elements differ in definition: 'The portion of the identifier typically relevant to the user and which is unique within the context of the system.' vs 'The portion of the identifier typically relevant to the user and which is unique within the context of the system. Finnish PHR: At least one of the identifiers SHALL be truly globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system).' Elements differ in comments: 'If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension]. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.' vs 'If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension].' Element minimum cardinalities differ: '0' vs '1'
period	Σ	0..1	Period	Time period when id is/was valid for use	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	ΣCN	0..0			Element maximum cardinalities differ: '1' vs '0'
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order	ΣCN	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event	ΣCN	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: todo (required): Codes providing the status of an observation.	?!SΣ	1..1	code	Finnish PHR: Status final Binding: todo (required): Codes providing the status of an observation. Fixed Value: final	Elements differ in short: 'registered | preliminary | final | amended +' vs 'Finnish PHR: Status final' Elements differ in definition: 'The status of the result value.' vs 'Finnish PHR: The status of the result value.' Elements differ in comments: 'This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.' vs 'Finnish PHR: Only status 'final' shall be used in FinnishPHR.' Elements differ in requirements: 'Need to track the status of individual results. Some results are finalized before the whole report is finalized.' vs 'Finnish PHR: Need to track the status of individual results. Erronous observation may not be stored in FinnishPHR.'
category	S	1..*	CodeableConcept	Classification of type of observation Binding: todo (preferred): Codes for high level observation categories.	SN	1..*	CodeableConcept	Classification of type of observation. Slice: Unordered, Open by value:coding.code, value:coding.system Binding: todo (preferred): Classification of type of observation.	Elements differ in short: 'Classification of type of observation' vs 'Classification of type of observation.' Elements differ in definition: 'A code that classifies the general type of observation being made.' vs 'Classification of type of observation.' Elements differ in comments: 'In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.' vs 'FinnishPHR: Vital-sign code SHALL be used. Additional codes MAY be used. (defined by the value set). More fine-grained filtering can be performed using the Observation.code.' Elements differ in requirements: 'Used for filtering what observations are retrieved and displayed.' vs 'All resources all vital signs observations.' Elements differ in binding.description: 'Codes for high level observation categories.' vs 'Classification of type of observation.'
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: todo (example): Codes identifying names of simple observations.	SΣN	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results Binding: todo (extensible): This identifies the vital sign result type.	Elements differ in short: 'Type of observation (code / type)' vs 'Coded Responses from C-CDA Vital Sign Results' Elements differ in definition: 'Describes what was observed. Sometimes this is called the observation "name".' vs 'Coded Responses from C-CDA Vital Sign Results.' Elements differ in comments: '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.' vs 'Describes type of observation.' Elements differ in requirements: 'Knowing what kind of observation is being made is essential to understanding the observation.' vs '5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).' Elements differ in binding.description: 'Codes identifying names of simple observations.' vs 'This identifies the vital sign result type.'
subject	SΣ	1..1	Reference(http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient)	Who and/or what the observation is about	SΣCN	1..1	Reference(http://phr.kanta.fi/StructureDefinition/fiphr-sd-patient) {r}	Who and/or what the observation is about	Elements differ in definition: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'Finnish PHR: The patient described by the observation and into whose record the observation is placed.' Elements differ in comments: 'One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.' vs 'Finnish PHR: Who this observation is about. Usually the same person as the application user, but if the user is storing observations on behalf of someone else, the subject is the person whose measurements or other observations are entered.' Elements differ in requirements: 'Observations have no value if you don't know who or what they're about.' vs 'Finnish PHR: Observations have always known the Patient'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL	Element minimum cardinalities differ: '0' vs '1'
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	ΣN	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	ΣCN	0..0			Element maximum cardinalities differ: '1' vs '0'
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record	ΣCTU	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made	ΣCN	0..0			Element maximum cardinalities differ: '1' vs '0'
effective[x]	SΣ	0..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs	Elements differ in short: 'Clinically relevant time/time-period for observation' vs 'Often just a dateTime for Vital Signs' 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". 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.' vs 'Often just a dateTime for Vital Signs.' Element minimum cardinalities differ: '0' vs '1'
issued	Σ	0..1	instant	Date/Time this version was made available	Σ	1..1	instant	Finnish PHR: The date and time this observation is stored	Elements differ in short: 'Date/Time this version was made available' vs 'Finnish PHR: The date and time this observation is stored' Elements differ in definition: 'The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.' vs 'Finnish PHR: The date and time this observation is stored' Elements differ in comments: 'For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ] time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.' vs 'Updated when the result is updated.' Element minimum cardinalities differ: '0' vs '1'
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation	ΣCN	1..1	Reference(http://phr.kanta.fi/StructureDefinition/fiphr-sd-patient) {r}	Finnish PHR: Application user who is responsible for the observation	Elements differ in short: 'Who is responsible for the observation' vs 'Finnish PHR: Application user who is responsible for the observation' Elements differ in definition: 'Who was responsible for asserting the observed value as "true".' vs 'FinnishPHR: Application user who was responsible for asserting the observed value as "true".' Element minimum cardinalities differ: '0' vs '1' Element maximum cardinalities differ: '2147483647' vs '1' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://phr.kanta.fi/StructureDefinition/fiphr-sd-patient]])
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL	Element minimum cardinalities differ: '0' vs '1'
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	ΣN	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	ΣCN	0..0			Element maximum cardinalities differ: '1' vs '0'
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
value[x]	SΣC	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result	SΣCN	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.	Elements differ in short: 'Actual result' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' Elements differ in definition: 'The information determined as a result of making the observation, if the information has a simple value.' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' Elements differ in comments: '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.' vs 'Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type).If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For further discussion and examples see the [notes section] below.' Elements differ in requirements: 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.' vs '9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).'
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.	SCN	0..1	CodeableConcept	Why the result is missing Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.	Elements differ in description: 'Codes specifying why the result (`Observation.value[x]`) is missing.' vs 'Codes specifying why the result (Observation.value[x]) is missing.' Elements differ in description: 'Codes specifying why the result (`Observation.value[x]`) is missing.' vs 'Codes specifying why the result (Observation.value[x]) is missing.'
id		0..1	string	Unique id for inter-element referencing		0..1	string	xml:id (or equivalent in JSON)	Elements differ in short: 'Unique id for inter-element referencing' vs 'xml:id (or equivalent in JSON)'
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	ΣN	0..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system	Element maximum cardinalities differ: '2147483647' vs '1'
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: todo (extensible): Codes identifying interpretations of observations.	N	0..1	CodeableConcept	High, low, normal, etc. Binding: todo (extensible): Finnish PHR: Codes identifying interpretations of observations.	Elements differ in definition: 'A categorical assessment of an observation value. For example, high, low, normal.' vs 'Finnish PHR: The assessment made based on the result of the observation. Intended as a simple compact code placed adjacent to the result value. Otherwise known as abnormal flag.' Elements differ in comments: 'Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.' vs 'Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.' Element maximum cardinalities differ: '2147483647' vs '1' Elements differ in description: 'Codes identifying interpretations of observations.' vs 'Finnish PHR: Codes identifying interpretations of observations.' Elements differ in description: 'Codes identifying interpretations of observations.' vs 'Finnish PHR: Codes identifying interpretations of observations.'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system	Element minimum cardinalities differ: '0' vs '1'
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
note		0..*	Annotation	Comments about the observation	N	0..*	Annotation	Comments about the observation
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation	ΣCN	0..0			Element maximum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	ΣN	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	ΣCN	0..0			Element maximum cardinalities differ: '1' vs '0'
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
time	Σ	0..1	dateTime	When the annotation was made	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)	Σ	1..1	markdown	The annotation - text content (as markdown)
bodySite		0..1	CodeableConcept	Observed body part Binding: todo (example): Codes describing anatomical locations. May include laterality.	N	0..0			Element maximum cardinalities differ: '1' vs '0'
method		0..1	CodeableConcept	How it was done Binding: todo (example): Methods for simple observations.	N	0..0			Element maximum cardinalities differ: '1' vs '0'
specimen		0..1	Reference(Specimen)	Specimen used for this observation	CN	0..0			Element maximum cardinalities differ: '1' vs '0'
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device	CN	0..0			Element maximum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	ΣN	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	ΣCN	0..0			Element maximum cardinalities differ: '1' vs '0'
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text	CN	0..*	BackboneElement	Provides guide for interpretation
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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	Quantity	Low Range, if relevant	CN	0..1	Quantity	Low Range, if relevant
high	C	0..1	Quantity	High Range, if relevant	CN	0..1	Quantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: todo (preferred): Code for the meaning of a reference range.	N	0..1	CodeableConcept	Reference range qualifier Binding: todo (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: todo (example): Codes identifying the population the reference range applies to.	N	0..*	CodeableConcept	Reference range population Binding: todo (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant	CN	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	ΣCN	0..0			Elements differ in short: 'Related resource that belongs to the Observation group' vs 'Used when reporting vital signs panel components' Elements differ in definition: '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.' vs 'Used when reporting vital signs panel components.' Element maximum cardinalities differ: '2147483647' vs '0' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]])
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: todo (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: todo (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	ΣN	0..1	CodeableConcept	Description of identifier Binding: todo (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	ΣCN	0..0			Element maximum cardinalities differ: '1' vs '0'
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from	ΣCN	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
component	Σ	0..*	BackboneElement	Component results	SΣCN	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure.	Elements differ in short: 'Component results' vs 'Used when reporting systolic and diastolic blood pressure.' Elements differ in definition: 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.' vs 'Used when reporting systolic and diastolic blood pressure.' Elements differ in comments: 'For a discussion on the ways Observations can be assembled in groups together see [Notes] below.' vs 'Profiled further in derived profiles that use components.' Elements differ in definition for mustSupport: 'false' vs 'true'
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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: todo (example): Codes identifying names of simple observations.	SΣN	1..1	CodeableConcept	Type of component observation (code / type) Binding: todo (extensible): This identifies the vital sign result type.	Elements differ in definition for mustSupport: 'false' vs 'true' Elements differ in binding.description: 'Codes identifying names of simple observations.' vs 'This identifies the vital sign result type.'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	ΣN	1..*	Coding	Code defined by a terminology system	Element minimum cardinalities differ: '0' vs '1'
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result	SΣCN	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Vital Sign Value recorded with UCUM Binding: todo (required): Common UCUM units for recording Vital Signs.	Elements differ in short: 'Actual component result' vs 'Vital Sign Value recorded with UCUM' Elements differ in definition: 'The information determined as a result of making the observation, if the information has a simple value.' vs 'Vital Sign Value recorded with UCUM.' Elements differ in requirements: 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.' vs '9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).' Elements differ in definition for mustSupport: 'false' vs 'true'
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.	SCN	0..1	CodeableConcept	Why the component result is missing Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system	Element minimum cardinalities differ: '0' vs '1'
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: todo (extensible): Codes identifying interpretations of observations.	N	0..*	CodeableConcept	High, low, normal, etc. Binding: todo (extensible): Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system	Element minimum cardinalities differ: '0' vs '1'
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result		0..*	See referenceRange	Provides guide for interpretation of component result
Documentation for this format