Left: | US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus) |
Right: | US Pathology Grouper Observation (http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-grouper-observation) |
Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus' vs 'http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-grouper-observation' |
Error | StructureDefinition.version | Values for version differ: '8.0.0-ballot' vs '1.0.1' |
Information | StructureDefinition.name | Values for name differ: 'USCoreSmokingStatusProfile' vs 'USPathologyGrouperObservation' |
Information | StructureDefinition.title | Values for title differ: 'US Core Smoking Status Observation Profile' vs 'US Pathology Grouper Observation' |
Information | StructureDefinition.date | Values for date differ: '2024-03-22' vs '2024-12-20T00:27:56+00:00' |
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Orders and Observations' |
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/ihe-sdc-ecc-Observation' |
Information | StructureDefinition.short | Values for short differ: 'Business Identifier for observation' vs 'The SDC instanceGUID' |
Information | StructureDefinition.definition | Values for definition differ: 'A unique identifier assigned to this observation.' vs 'The identifier should match the SDC answer instanceGUID. If an answer instanceGUID is not available a Question instanceGUID shall be used' |
Warning | Observation.identifier | Elements differ in definition for mustSupport: 'false' vs 'true' |
Information | Observation.identifier | Element minimum cardinalities differ: '0' vs '1' |
Information | StructureDefinition.short | Values for short differ: 'final | entered-in-error' vs 'registered | preliminary | final | amended +' |
Warning | Observation.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | Observation.category | Element minimum cardinalities differ: '1' vs '0' |
Information | StructureDefinition.short | Values for short differ: 'Smoking Status' vs 'SDC section ID' |
Information | StructureDefinition.definition | Values for definition differ: 'Describes what was observed. Sometimes this is called the observation 'name'.' vs 'The code should match the section ID from the SDC form.' |
Warning | Observation.code | Elements differ in definition for mustSupport: 'true' vs 'false' |
Error | Observation.code | Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.6 at Observation.code |
Information | Observation.subject | Element minimum cardinalities differ: '1' vs '0' |
Warning | Observation.effective[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | Observation.effective[x] | Element minimum cardinalities differ: '1' vs '0' |
Warning | Observation.performer | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | StructureDefinition.short | Values for short differ: 'Actual result' vs 'In a grouper Observation this value is blank' |
Information | StructureDefinition.definition | Values for definition differ: 'The information determined as a result of making the observation, if the information has a simple value.' vs 'The value should match the from the SDC form. Unique Observations should be created for each multi-select answer' |
Information | Observation.value[x] | Element minimum cardinalities differ: '1' vs '0' |
Information | Observation.value[x] | Element maximum cardinalities differ: '1' vs '0' |
Error | Observation.value[x] | Element minimum cardinalities conflict: '1..1' vs '0..0': No instances can be valid against both profiles |
Information | StructureDefinition.short | Values for short differ: 'Related resource that belongs to the Observation group' vs 'Sub-questions of the Section' |
Information | StructureDefinition.definition | Values for definition differ: '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 'hasMember should be used to capture all sub-questions of the Section' |
Warning | Observation.hasMember | Elements differ in definition for mustSupport: 'false' vs 'true' |
Information | StructureDefinition.short | Values for short differ: 'Related measurements the observation is made from' vs 'parent observation reference' |
Information | StructureDefinition.definition | Values for definition differ: 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.' vs 'derivedFrom should be used to capture a parent Observation or the parent DocumentReference' |
Warning | Observation.derivedFrom | Elements differ in definition for mustSupport: 'false' vs 'true' |
Error | Observation.derivedFrom | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/ihe-sdc-ecc-Observation]]) |
Information | StructureDefinition.short | Values for short differ: 'Component results' vs 'additional entry' |
Information | StructureDefinition.definition | Values for definition differ: '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 'Any additional list item response fields which were filled in should be captured in the component as their appropriate value type' |
Warning | Observation.component | Elements differ in definition for mustSupport: 'false' vs 'true' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation | http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/ihe-sdc-ecc-Observation |
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copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
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date | 2024-03-22 | 2024-12-20T00:27:56+00:00 |
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description | The US Core Smoking Status Observation Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Smoking Status* Data Element. This profile sets minimum expectations for the Observation resource to record, search, and fetch smoking status data associated with a patient. 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 Observation Profile describes how to represent a Section from IHE SDC as a 'grouper' Observation. It is a parent Observation and the Observation.value[x] element should be left blank. The Observation.code element should represent the Section's @ID and @title. |
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experimental | false |
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fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | USCoreSmokingStatusProfile | USPathologyGrouperObservation |
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publisher | HL7 International / Cross-Group Projects | HL7 International / Orders and Observations |
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purpose | |||
status | active | ||
title | US Core Smoking Status Observation Profile | US Pathology Grouper Observation |
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type | Observation | ||
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-grouper-observation |
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version | 8.0.0-ballot | 1.0.1 |
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Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
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Observation | C | 0..* | Observation | Measurements and simple assertions 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 us-core-24: Observation.code 72166-2|Tobacco smoking status or 11367-0|History of Tobacco use SHALL use valueCodeableConcept us-core-25: For Observation.code 401201003|Cigarette pack-years or 782516008|Number of calculated smoking pack years SHOULD use valueQuantity | C | 0..* | ObservationSDCeCC | Measurements and simple assertions 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 | |||||||||
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.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
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 | |||||||||||
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 | SΣ | 1..* | Identifier | The SDC instanceGUID |
| ||||||||
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 | ?!SΣ | 1..1 | code | final | entered-in-error Binding: ?? (required) | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. |
| ||||||||
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:$this Binding: ?? (preferred): Codes for high level observation categories. | 0..* | CodeableConcept | Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories. |
| |||||||||
code | SΣC | 1..1 | CodeableConcept | Smoking Status Binding: ?? (extensible): Smoking status type | Σ | 1..1 | CodeableConcept | SDC section ID Binding: ?? (extensible) |
| ||||||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile(6.1.0)) | Who and/or what the observation is about | SΣ | 0..1 | Reference(US Core Patient Profile(6.1.0)) | Who and/or what the observation is about |
| ||||||||
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] | SΣ | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation | Σ | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| ||||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available | |||||||||
performer | SΣ | 0..* | Reference(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core CareTeam Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) | Who is responsible for the observation | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
| ||||||||
Slices for value[x] | SΣC | 1..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this | SΣC | 0..0 |
| ||||||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | 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 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 | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | SΣ | 0..* | Reference(IHE SDC/eCP on FHIR Observation) | Sub-questions of the Section |
| ||||||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | SΣ | 0..* | Reference(IHE SDC/eCP on FHIR Observation) | parent observation reference |
| ||||||||
component | Σ | 0..* | BackboneElement | Component results | SΣ | 0..* | BackboneElement | additional entry |
| ||||||||
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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | |||||||||
value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | |||||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | 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 |