## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs

Left: | US Core Vital Signs Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs)
Right: | US Core Vital Signs Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs)

### Messages

Error | StructureDefinition.version | Values for version differ: '6.1.0' vs '9.0.0'
Information | StructureDefinition.date | Values for date differ: '2020-11-17' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.definition | Values for definition differ: '\-' 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.'
Information | StructureDefinition.comment | Values for comment differ: '\-' 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.'
Information | Observation.language | Example/preferred bindings differ at Observation.language using binding from USCoreVitalSignsProfile
Information | StructureDefinition.short | Values for short differ: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
Information | Observation.category | Example/preferred bindings differ at Observation.category using binding from USCoreVitalSignsProfile
Information | StructureDefinition.short | Values for short differ: '(USCDI) Coded Responses from C-CDA Vital Sign Results' vs 'Coded vital sign result type'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Often just a dateTime for Vital Signs' vs 'Often just a dateTime for Vital Signs'
Warning | Observation.performer | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Vital Signs Value' vs 'Vital Signs Value'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Why the result is missing' vs 'Why the result is missing'
Information | Observation.referenceRange.type | Example/preferred bindings differ at Observation.referenceRange.type using binding from USCoreVitalSignsProfile
Information | StructureDefinition.short | Values for short differ: '(USCDI) Component observations' vs 'Component observations'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Type of component observation (code / type)' vs 'Coded vital sign result type'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Vital Sign Component Value' vs 'Vital Sign Component Value'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Why the component result is missing' vs 'Why the component result is missing'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/vitalsigns |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
date | 2020-11-17 | 2023-10-17 | Values Differ
description | To promote interoperability and adoption through common implementation, this profile is based on the base [FHIR Vital Signs Profile](http://hl7.org/fhir/R4/observation-vitalsigns.html) and defines *additional* constraints on the Observation resource to represent vital signs observations. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases. This US Core profiles that are derived from this profile are listed below. | This profile is based on the base [FHIR Vital Signs Profile](http://hl7.org/fhir/R4/observation-vitalsigns.html) and defines *additional* constraints on the Observation resource to represent vital signs observations. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. This US Core profiles that are derived from this profile are listed below. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreVitalSignsProfile |
publisher | HL7 International - Cross-Group Projects | HL7 International / Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | US Core Vital Signs Profile |
type | Observation |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs |
version | 6.1.0 | 9.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Observation | C | 0..* | observation-vitalsigns | US Core Vital Signs Profile | C | 0..* | observation-vitalsigns | US Core Vital Signs Profile |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Observation.language using binding from USCoreVitalSignsProfile
text |  | 0..1 | Narrative | Text 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..1 | Narrative | Text 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..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation |
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!S Σ | 1..1 | code | (USCDI) registered | preliminary | final | amended + Binding: ?? (required) | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required) |
Slices for category | S | 1..* | CodeableConcept | (USCDI) Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories. | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories. | Example/preferred bindings differ at Observation.category using binding from USCoreVitalSignsProfile
code | S Σ | 1..1 | CodeableConcept | (USCDI) Coded Responses from C-CDA Vital Sign Results Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | S Σ | 1..1 | CodeableConcept | Coded vital sign result type Binding: ?? (extensible): Vital sign result types |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who and/or what the observation is about | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about |
focus | Σ TU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | S Σ C | 1..1 | dateTime S, Period | (USCDI) Often just a dateTime for Vital Signs | S Σ C | 1..1 | dateTime S, Period | Often just a dateTime for Vital Signs |
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | S Σ | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) | Who is responsible for the observation | Elements differ in definition for mustSupport: 'false' vs 'true'
value[x] | S Σ C | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | (USCDI) Vital Signs Value Binding: ?? (extensible): Common UCUM units for recording Vital Signs. | S Σ C | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Signs Value Binding: ?? (extensible): Common UCUM units for recording Vital Signs. |
dataAbsentReason | S C | 0..1 | CodeableConcept | (USCDI) Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | S C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |
note |  | 0..* | Annotation | Comments about the observation |  | 0..* | Annotation | Comments about the observation |
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. |  | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. |
method |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. |
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation |  | 0..1 | Reference(Specimen) | Specimen used for this observation |
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | C | 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 |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant |
high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant |
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. | Example/preferred bindings differ at Observation.referenceRange.type using binding from USCoreVitalSignsProfile
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |
age |  | 0..1 | Range | Applicable age range, if relevant |  | 0..1 | Range | Applicable age range, if relevant |
text |  | 0..1 | string | Text based reference range in an observation |  | 0..1 | string | Text based reference range in an observation |
hasMember | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from |
component | S Σ C | 0..* | BackboneElement | (USCDI) Component observations | S Σ C | 0..* | BackboneElement | Component observations |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S Σ | 1..1 | CodeableConcept | (USCDI) Type of component observation (code / type) Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | S Σ | 1..1 | CodeableConcept | Coded vital sign result type Binding: ?? (extensible): Vital sign result types |
value[x] | S Σ C | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | (USCDI) Vital Sign Component Value Binding: ?? (extensible): Common UCUM units for recording Vital Signs. | S Σ C | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value Binding: ?? (extensible): Common UCUM units for recording Vital Signs. |
dataAbsentReason | S C | 0..1 | CodeableConcept | (USCDI) Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, 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 |
Documentation for this format