## Profile Comparison between http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult vs http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult

Left: | AU Core Diagnostic Result Observation (http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult)
Right: | AU Core Diagnostic Result Observation (http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult)

### Messages

Error | Observation.hasMember | Type Mismatch: Reference([CanonicalType[http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult], CanonicalType[http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult-path]]) vs Reference([CanonicalType[http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult], CanonicalType[http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult-path]])

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org.au/fhir/StructureDefinition/au-diagnosticresult |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
description | This profile sets minimum expectations for an Observation resource to record, search, and fetch diagnostic results associated with a patient. It is based on the [AU Base Diagnostic Result](https://hl7.org.au/fhir/5.0.0/StructureDefinition-au-diagnosticresult.html) profile and identifies the *additional* mandatory core elements, extensions, vocabularies and value sets that **SHALL** be present in the Observation when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context. | This profile sets minimum expectations for an Observation resource to record, search, and fetch diagnostic results associated with a patient. It is based on the [AU Base Diagnostic Result](http://build.fhir.org/ig/hl7au/au-fhir-base/StructureDefinition-au-diagnosticresult.html) profile and identifies the *additional* mandatory core elements, extensions, vocabularies and value sets that **SHALL** be present in the Observation when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context. | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#AU |
kind | resource |
name | AUCoreDiagnosticResult |
publisher | HL7 Australia |
purpose |  |
status | active |
title | AU Core Diagnostic Result Observation |
type | Observation |
url | http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Observation | C | 0..* | AUBaseDiagnosticResult | A diagnostic result observation in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A diagnostic result shall at least have value or data absent reason or a child observation with a value or data absent reason inv-obs-1: BodyStructure Reference extension shall only be present if the body site is not present au-core-obs-01: If there is no component or hasMember element then at least value or data absent reason shall be present | C | 0..* | AUBaseDiagnosticResult | A diagnostic result observation in an Australian healthcare context obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present inv-obs-0: A diagnostic result shall at least have value or data absent reason or a child observation with a value or data absent reason inv-obs-1: BodyStructure Reference extension shall only be present if the body site is not present au-core-obs-01: If there is no component or hasMember element then at least value or data absent reason shall be present |
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
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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 | ?!SO Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| ?!SO Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
category | SO | 1..* | CodeableConcept | Diagnostic service section Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO | 1..* | CodeableConcept | Diagnostic service section Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
code | SO Σ | 1..1 | CodeableConcept | Diagnostic procedure Binding: ?? (example)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ | 1..1 | CodeableConcept | Diagnostic procedure Binding: ?? (example)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
subject | SO Σ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ | 1..1 | Reference(AU Core Patient) | Who and/or what the observation is about
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
focus | Σ | 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] | SO Σ C | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation au-core-obs-02: Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ C | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation au-core-obs-02: Date shall be at least to day or, if not available, the Data Absent Reason extension shall be present
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available |
performer | SO Σ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Base Related Person) | Who is responsible for the observation
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | AU Core Patient | AU Core RelatedPerson) | Who is responsible for the observation
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
value[x] | SO Σ C | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ C | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
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 | SO C | 0..1 | CodeableConcept | Observed body part Binding: ?? (extensible) au-core-obs-04: If a coded body site is provided, at least one coding shall be from SNOMED CT
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO C | 0..1 | CodeableConcept | Observed body part Binding: ?? (extensible) au-core-obs-04: If a coded body site is provided, at least one coding shall be from SNOMED CT
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
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 obs-3: Must have at least a low or a high or text | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
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. |
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 | SO Σ C | 0..* | Reference(AU Core Diagnostic Result Observation | AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ C | 0..* | Reference(AU Core Diagnostic Result Observation | AU Core Pathology Result Observation) | Individual observations in a group, study, or panel
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
| Type Mismatch: Reference([CanonicalType[http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult], CanonicalType[http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult-path]]) vs Reference([CanonicalType[http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult], CanonicalType[http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticresult-path]])
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | SO Σ C | 0..* | BackboneElement | Component results au-core-obs-03: The component shall at least have a value or a data absent reason
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ C | 0..* | BackboneElement | Component results au-core-obs-03: The component shall at least have a value or a data absent reason
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
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 | SO Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
value[x] | SO Σ C | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO Σ C | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
| SO C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
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