Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips vs http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core

Left:Observation Social History - Alcohol Use (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips)
Right:MedicalTestResult (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips' vs 'http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core'
ErrorStructureDefinition.versionValues for version differ: '2.0.0' vs '2.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'ObservationAlcoholUseUvIps' vs 'MedicalTestResultEuCore'
InformationStructureDefinition.titleValues for title differ: 'Observation Social History - Alcohol Use (IPS)' vs 'MedicalTestResult (EU core)'
InformationStructureDefinition.dateValues for date differ: '2024-06-19T10:50:07-05:00' vs '2025-12-19T18:28:31+01:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
InformationStructureDefinition.requirementsValues for requirements differ: 'Allows observations to be distinguished and referenced.' vs 'EHDSObservation.header.identifier'
InformationStructureDefinition.requirementsValues for requirements differ: 'Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.' vs 'EHDSObservation.order'
InformationStructureDefinition.requirementsValues for requirements differ: 'Need to track the status of individual results. Some results are finalized before the whole report is finalized.' vs 'EHDSObservation.header.status'
InformationStructureDefinition.requirementsValues for requirements differ: 'Used for filtering what observations are retrieved and displayed.' vs 'EHDSObservation has no requirement'
InformationObservation.categoryElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.requirementsValues for requirements differ: 'Knowing what kind of observation is being made is essential to understanding the observation.' vs 'EHDSObservation.code'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.codeExample/preferred bindings differ at Observation.code using binding from MedicalTestResultEuCore
InformationStructureDefinition.requirementsValues for requirements differ: 'Observations have no value if you don't know who or what they're about.' vs 'EHDSObservation.header.subject'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.requirementsValues for requirements differ: 'Knowing when an observation was deemed true is important to its relevance as well as determining trends.' vs 'EHDSObservation.observationDate[x]'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.requirementsValues for requirements differ: 'May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.' vs 'EHDSObservation.header.performer'
InformationStructureDefinition.requirementsValues for requirements differ: '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 'EHDSObservation.result.value[x]'
InformationStructureDefinition.requirementsValues for requirements differ: 'For many results it is necessary to handle exceptional values in measurements.' vs 'EHDSObservation.dataAbsentReason'
InformationStructureDefinition.requirementsValues for requirements differ: 'For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.' vs 'EHDSObservation.interpretation'
InformationStructureDefinition.requirementsValues for requirements differ: 'Need to be able to provide free text additional information.' vs 'EHDSObservation.resultDescription'
InformationStructureDefinition.requirementsValues for requirements differ: 'In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.' vs 'EHDSObservation.method'
InformationStructureDefinition.requirementsValues for requirements differ: 'Knowing what values are considered 'normal' can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.' vs 'EHDSObservation.referenceRange'
ErrorObservation.derivedFromType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy]])
InformationStructureDefinition.requirementsValues for requirements differ: 'Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.' vs 'EHDSObservation.component'
InformationObservation.componentElement maximum cardinalities differ: '0' vs '2147483647'
InformationStructureDefinition.requirementsValues for requirements differ: 'Knowing what kind of observation is being made is essential to understanding the observation.' vs 'EHDSObservation.component.code'
InformationObservation.component.codeExample/preferred bindings differ at Observation.component.code using binding from MedicalTestResultEuCore
InformationStructureDefinition.requirementsValues for requirements differ: '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 'EHDSObservation.component.result.value[x]'
InformationStructureDefinition.requirementsValues for requirements differ: 'For many results it is necessary to handle exceptional values in measurements.' vs 'EHDSObservation.component.dataAbsentReason'
InformationStructureDefinition.requirementsValues for requirements differ: 'For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.' vs 'EHDSObservation.component.interpretation'
InformationStructureDefinition.requirementsValues for requirements differ: 'Knowing what values are considered 'normal' can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.' vs 'EHDSObservation.component.referenceRange'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyrightCopyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).
      • Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
      .date2024-06-19T10:50:07-05:002025-12-19T18:28:31+01:00
      • Values Differ
      .descriptionThis profile constrains the Observation resource to represent alcohol use assessment in a patient summary.This profile sets minimum expectations for the Observation resource for Medical Test Results common to most of the use cases.
      • Values Differ
      .experimental
        .fhirVersion4.0.1
          .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]http://unstats.un.org/unsd/methods/m49/m49.htm#150
            • Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
            .kindresource
              .nameObservationAlcoholUseUvIpsMedicalTestResultEuCore
              • Values Differ
              .publisherHL7 International / Patient CareHL7 Europe
              • Values Differ
              .purpose
                .statusactive
                  .titleObservation Social History - Alcohol Use (IPS)MedicalTestResult (EU core)
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ipshttp://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core
                    • Values Differ
                    .version2.0.02.0.0-ballot
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                    .. Observation C0..*ObservationMeasurements and simple assertions
                    C0..*ObservationMeasurements and simple assertions
                      ... id Σ0..1idLogical id of this artifactΣ0..1idLogical 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: ?? (preferred): A human language.
                            Additional BindingsPurpose
                            ??Max Binding
                            0..1codeLanguage of the resource content
                            Binding: ?? (preferred): A human language.
                            Additional BindingsPurpose
                            ??Max Binding
                              ... text 0..1NarrativeText summary of the resource, for human interpretation
                              This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                              0..1NarrativeText summary of the resource, for human interpretation
                              This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                ... contained 0..*ResourceContained, inline Resources
                                0..*ResourceContained, inline Resources
                                  ... extension 0..*ExtensionAdditional content defined by implementations
                                  0..*ExtensionExtension
                                  Slice: Unordered, Open by value:url
                                    ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                    ?!0..*ExtensionExtensions that cannot be ignored
                                      ... identifier Σ0..*IdentifierBusiness Identifier for observation
                                      Σ0..*IdentifierBusiness Identifier for observation
                                        ... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                        Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                          ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                          Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                            ... status ?!Σ1..1coderegistered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.
                                            ?!Σ1..1coderegistered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.
                                              ... category 0..*CodeableConceptClassification of type of observation
                                              Binding: ?? (preferred): Codes for high level observation categories.
                                              1..*CodeableConceptClassification of type of observation
                                              Slice: Unordered, Open by value:$this
                                              Binding: ?? (preferred): Codes for high level observation categories.
                                              • Element minimum cardinalities differ: '0' vs '1'
                                              ... code SOΣ1..1??Type of observation (code / type)
                                              Binding: ?? (example): Codes identifying names of simple observations.
                                              Required Pattern: {"coding":[{"system":"http://loinc.org","code":"74013-4"}]}
                                              ObligationsActor
                                              SHALL:populate-if-knownCreator (IPS)
                                              SHALL:handleConsumer (IPS)
                                              SHOULD:displayConsumer (IPS)
                                              Σ1..1CodeableConceptType of observation (code / type)
                                              Binding: ?? (preferred)
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              • Example/preferred bindings differ at Observation.code using binding from MedicalTestResultEuCore
                                              ... subject SOΣ1..1Reference(Patient (IPS))Who and/or what the observation is about
                                              ObligationsActor
                                              SHALL:populate-if-knownCreator (IPS)
                                              SHALL:handleConsumer (IPS)
                                              SHOULD:displayConsumer (IPS)
                                              Σ1..1Reference(Patient (EU core))Who and/or what the observation is about
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              .... id 0..1stringUnique id for inter-element referencing
                                              • Removed this element
                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                              • Removed this element
                                              .... reference SOΣC1..1stringLiteral reference, Relative, internal or absolute URL
                                              ObligationsActor
                                              SHALL:populate-if-knownCreator (IPS)
                                              SHALL:handleConsumer (IPS)
                                              • Removed this element
                                              .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                              Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                              • Removed this element
                                              .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                                              • Removed this element
                                              .... display Σ0..1stringText alternative for the resource
                                              • Removed this element
                                              ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                              Σ0..*Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core))What the observation is about, when it is not about the subject of record
                                                ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                  ... effective[x] SOΣ1..1dateTimeClinically relevant time/time-period for observation
                                                  ObligationsActor
                                                  SHALL:populate-if-knownCreator (IPS)
                                                  SHALL:handleConsumer (IPS)
                                                  SHOULD:displayConsumer (IPS)
                                                  Σ1..1dateTime, PeriodClinically relevant time/time-period for observation
                                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                  ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                    ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                    Σ0..*Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core))Who is responsible for the observation
                                                      ... Slices for value[x] ΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                      Slice: Unordered, Open by type:$this
                                                      ΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                      Slice: Unordered, Open by type:$this
                                                        ... dataAbsentReason C0..1CodeableConceptWhy the result is missing
                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                        C0..1CodeableConceptWhy the result is missing
                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                          ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                          0..*CodeableConceptHigh, low, normal, etc.
                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                            ... note 0..*AnnotationComments about the observation
                                                            0..*AnnotationComments about the observation
                                                              ... bodySite 0..1CodeableConceptObserved body part
                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                              0..1CodeableConceptObserved body part
                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                ... method 0..1CodeableConceptHow it was done
                                                                Binding: ?? (example): Methods for simple observations.
                                                                0..1CodeableConceptHow it was done
                                                                Binding: ?? (example): Methods for simple observations.
                                                                  ... specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                                    ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                      ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                      C0..*BackboneElementProvides guide for interpretation
                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                          0..*ExtensionAdditional content defined by implementations
                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                              .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                                .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                                  .... type 0..1CodeableConceptReference range qualifier
                                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                  0..1CodeableConceptReference range qualifier
                                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                    .... appliesTo 0..*CodeableConceptReference range population
                                                                                    Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                    0..*CodeableConceptReference range population
                                                                                    Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                      .... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                        .... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                          ... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                          Σ0..*Reference(MedicalTestResult (EU core))Related resource that belongs to the Observation group
                                                                                            ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                            Σ0..*Reference(MedicalTestResult (EU core) | ImagingStudy)Related measurements the observation is made from
                                                                                            • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy]])
                                                                                            ... component Σ0..0Component results
                                                                                            Σ0..*BackboneElementComponent results
                                                                                            • Element maximum cardinalities differ: '0' vs '2147483647'
                                                                                            .... 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: ?? (example): Codes identifying names of simple observations.
                                                                                                  Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                  Binding: ?? (preferred)
                                                                                                  • Example/preferred bindings differ at Observation.component.code using binding from MedicalTestResultEuCore
                                                                                                  .... 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
                                                                                                  Slice: Unordered, Open by type:$this
                                                                                                    .... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                                    Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                    C0..1CodeableConceptWhy the component result is missing
                                                                                                    Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                      .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                                      Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                      0..*CodeableConceptHigh, low, normal, etc.
                                                                                                      Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                        .... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                        0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                          ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                            ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                              ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                ..... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                                                                  ..... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                                                                    ..... type 0..1CodeableConceptReference range qualifier
                                                                                                                    Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                                    0..1CodeableConceptReference range qualifier
                                                                                                                    Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                                      ..... appliesTo 0..*CodeableConceptReference range population
                                                                                                                      Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                                      0..*CodeableConceptReference range population
                                                                                                                      Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                                        ..... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                                                          ..... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation

                                                                                                                            doco Documentation for this format