Observation Delta

Base R4 Observation	Profile UKCore-Observation	CareConnect-Observation	Notes
Observation.identifier.assigner 0..1 Reference (Organization)	Observation.identifier.assigner 0..1 Reference (UKCore-Organization)	Observation.identifier.assigner 0..1 Reference (CareConnect-Organization-1)	Change: Reference change to UKCore-profile
Observation.basedOn 0..* Reference (CarePlan \| DeviceRequest \| ImmunizationRecommendation \| MedicationRequest \| NutritionOrder \| ServiceRequest)	Observation.basedOn 0..* Reference (DeviceRequest \| ImmunizationRecommendation \| NutritionOrder \| UKCore-CarePlan \| UKCore-MedicationRequest \| UKCore-ServiceRequest)	Observation.basedOn 0..* Reference (CareConnect-CarePlan-1 \| DeviceRequest \| ImmunizationRecommendation \| NutritionOrder \| CareConnect-ReferralRequest-1 \| CareConnect-MedicationRequest-1 \| CareConnect-ProcedureRequest-1)	Target Type Reference changes for R4: Added: ServiceRequest Removed: ProcedureRequest, ReferralRequest
Observation.partOf 0..* Reference (MedicationAdministration \| MedicationDispense \| MedicationStatement \| Procedure \| Immunization \| ImagingStudy)	Observation.partOf 0..* Reference (UKCore-ImagingStudy \| UKCore-Immunization \| UKCore-MedicationAdministration \| UKCore-MedicationDispense \| UKCore-MedicationStatement \| UKCore-Procedure)		R4 Changes: Added Element in R4
Observation.code.coding 0..* LOINC Codes (Example)	Observation.code.coding:snomedCT 0..* UKCoreObservationType (preferred)	Observation.code.coding:snomedCT 0..1 Care Connect Observation Type (extensible)	ValueSet Changes: Sliced to carry SNOMED CT (preferred) and LOINC ValueSets in UK Core
Observation.status 1..1 ObservationStatus (Required)	Observation.status 1..1 ObservationStatus (Required)	Observation.status 1..1 ObservationStatus (Required)	R4 Change: Changed value set from http://hl7.org/fhir/ValueSet/observation-status to http://hl7.org/fhir/ValueSet/observation-status\|4.0.1/
Observation.subject 0..1 Reference (Patient \| Group \| Device \| Location)	Observation.subject 0..1 Reference (Group \| UKCore-Device \| UKCore-Location \| UKCore-Patient)	Observation.subject 0..1 Reference (Group \| Device \| CareConnect-Patient-1 \| CareConnect-Location-1)	Changes: Reference changes to UKCore-profile
Observation.focus 0..* Reference (Any)	Observation.focus 0..* Reference (Resource)		R4 Change: Added Element
Observation.encounter 0..1 Reference (Encounter)	Observation.encounter 0..1 Reference (UKCore-Encounter)	Observation.context 0..1 Reference (CareConnect-EpisodeOfCare-1 \| CareConnect-Encounter-1)	R4 Changes: Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
Observation.effective[x] 0..1 effectiveDateTime, effectivePeriod, effectiveTiming, effectiveInstant	Observation.effective[x] 0..1 effectiveDateTime, effectivePeriod, effectiveTiming, effectiveInstant	Observation.effective[x] 0..1 effectiveDateTime, effectivePeriod	Added Types for R4: Timing Instant
Observation.performer 0..* Reference (Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| RelatedPerson)	Observation.performer 0..* Reference (UKCore-CareTeam \| UKCore-Organization \| UKCore-Patient \| UKCore-Practitioner \| UKCore-PractitionerRole \| UKCore-RelatedPerson)	Observation.performer 0..* Reference (CareConnect-RelatedPerson-1 \| CareConnect-Patient-1 \| CareConnect-Organization-1 \| CareConnect-Practitioner-1)	Added Target Type References for R4: PractitionerRole CareTeam
Observation.value[x] 0..1 Quantity \|CodeableConcept \|string \|boolean \|integer \|Range \|Ratio \|SampledData \|time \|dateTime \|Period	Observation.value[x] 0..1 Quantity \|CodeableConcept \|string \|boolean \|integer \|Range \|Ratio \|SampledData \|time \|dateTime \|Period	Observation.value[x] 0..1 Quantity \|CodeableConcept \|string \|boolean \|Range \|Ratio \|SampledData \|Attachment \|time \|dateTime \|Period	R4 Changes: Add Type: Integer Remove Type: Attachment
Observation.dataAbsentReason 0..1 DataAbsentReason (Extensible)	Observation.dataAbsentReason 0..1 DataAbsentReason (Extensible)	Observation.dataAbsentReason 0..1 Observation Value Absent Reason (extensible)	R4 ValueSet and CodeSystem changes: Change value set from http://hl7.org/fhir/ValueSet/observation-valueabsentreason to http://hl7.org/fhir/ValueSet/data-absent-reason Change code system for extensibly bound codes from "http://hl7.org/fhir/data-absent-reason" to "http://terminology.hl7.org/CodeSystem/data-absent-reason"
Observation.interpretation 0..* Observation Interpretation Codes (Extensible)	Observation.interpretation 0..* ObservationInterpretationCodes (extensible)	Observation.interpretation 0..1 Observation Interpretation Codes (extensible)	R4 Changes: Max Cardinality changed from 1 to * Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/v2-0078" to "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
Observation.note 0..* Annotation	Observation.note 0..* Annotation	Observation.comment 0..1 string	R4 Changes: Renamed from comment to note Max Cardinality changed from 1 to * Type changed from string to Annotation
Observation.note.author[x].authorReference 0..1 Reference (Practitioner \| Patient \| RelatedPerson \| Organization)	Observation.note.author[x].authorReference 0..1 Reference (UKCore-Organization \| UKCore-Patient \| UKCore-Practitioner \| UKCore-RelatedPerson)	Observation.comment 0..1 string	Changes: References not present in Care Connect
Observation.bodySite.coding 0..* SNOMED CT Body Structures (Example)	Observation.bodySite.coding:snomedCT 0..1 UKCoreBodySite (preferred)	Observation.bodySite.coding:snomedCT 0..1 Care Connect Body Site (preferred)	Changes: Sliced in UKCore-to carry SNOMED CT ((preferred) ValueSet
Observation.method 0..1 Observation Methods (Example)	Observation.method 0..1 ObservationMethods (extensible)	Observation.method 0..1 Observation Methods (example)	Changes: ValueSet binding strength changed to Extensible in the UK Core
Observation.specimen 0..1 Reference (Specimen)	Observation.specimen 0..1 Reference (UKCore-Specimen)	Observation.specimen 0..1 Reference (CareConnect-Specimen-1)	Change: Reference change to UKCore-profile
Observation.device 0..1 Reference (Device \| DeviceMetric)	Observation.device 0..1 Reference (DeviceMetric \| UKCore-Device)	Observation.device 0..1 Reference (Device \| DeviceMetric)	Change: Reference change to UKCore-profile
Observation.referenceRange.type 0..1 Observation Reference Range Meaning Codes (preferred)	Observation.referenceRange.type 0..1 ObservationReferenceRangeMeaningCodes (preferred)	Observation.referenceRange.type 0..1 Observation Reference Range Meaning Codes (extensible)	R4 Changed Binding Strength: From extensible to preferred
Observation.hasMember 0..* Reference (Observation \| QuestionnaireResponse \| MolecularSequence)	Observation.hasMember 0..* Reference (MolecularSequence \| UKCore-Observation \| UKCore-QuestionnaireResponse)		R4 Changes: Added Element
Observation.derivedFrom 0..* Reference (DocumentReference \| ImagingStudy \| Media \| QuestionnaireResponse \| Observation \| MolecularSequence)	Observation.derivedFrom 0..* Reference (Media \| MolecularSequence \| UKCore-DocumentReference \| UKCore-ImagingStudy \| UKCore-Observation \| UKCore-QuestionnaireResponse)		R4 Changes: Added Element
Observation.component.code 1..1 LOINC Codes (Example)	Observation.component.code.coding:snomedCT 0..* UKCoreObservationType ((preferred))	Observation.component.code.coding:snomedCT 0..1 Care Connect Observation Type (preferred)	Changes: Sliced in UKCore-to carry SNOMED CT (preferred) ValueSet
Observation.component.value[x] 0..1 Quantity \| CodeableConcept \| string \| boolean \| integer \| Range\| Ratio \| SampledData \|time \| dateTime \|Period	Observation.component.value[x] 0..1 Quantity \| CodeableConcept \| string \| boolean \| integer \| Range\| Ratio \| SampledData \|time \| dateTime \|Period	Observation.component.value[x] 0..1 Quantity \| CodeableConcept \| string \| Range\| Ratio \| SampledData \| Attachment \| time \| dateTime \| Period	R4 Type changes: Added: boolean Added: integer Removed: Attachment
Observation.component.dataAbsentReason 0..1 DataAbsentReason (Extensible)	Observation.component.dataAbsentReason 0..1 DataAbsentReason (extensible)	Observation.component.dataAbsentReason 0..1 Observation Value Absent Reason (extensible)	R4 Changes: Change value set from http://hl7.org/fhir/ValueSet/observation-valueabsentreason to http://hl7.org/fhir/ValueSet/data-absent-reason Change code system for extensibly bound codes from "http://hl7.org/fhir/data-absent-reason" to "http://terminology.hl7.org/CodeSystem/data-absent-reason"
Observation.interpretation 0..* Observation Interpretation Codes (Extensible)	Observation.interpretation 0..* ObservationInterpretationCodes (extensible)	Observation.interpretation 0..1 Observation Interpretation Codes (extensible)	R4 Changes: Max Cardinality changed from 1 to * Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/v2-0078" to "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
		Observation.related 0..* BackboneElement	R4 Changes: Deleted element