Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-grouper-observation

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)

Messages

ErrorStructureDefinition.urlValues 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'
ErrorStructureDefinition.versionValues for version differ: '8.0.0-ballot' vs '1.0.1'
InformationStructureDefinition.nameValues for name differ: 'USCoreSmokingStatusProfile' vs 'USPathologyGrouperObservation'
InformationStructureDefinition.titleValues for title differ: 'US Core Smoking Status Observation Profile' vs 'US Pathology Grouper Observation'
InformationStructureDefinition.dateValues for date differ: '2024-03-22' vs '2024-12-20T00:27:56+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Orders and Observations'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/ihe-sdc-ecc-Observation'
InformationStructureDefinition.shortValues for short differ: 'Business Identifier for observation' vs 'The SDC instanceGUID'
InformationStructureDefinition.definitionValues 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'
WarningObservation.identifierElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.identifierElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: 'final | entered-in-error' vs 'registered | preliminary | final | amended +'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Smoking Status' vs 'SDC section ID'
InformationStructureDefinition.definitionValues 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.'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
ErrorObservation.codeUnable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.6 at Observation.code
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
WarningObservation.performerElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Actual result' vs 'In a grouper Observation this value is blank'
InformationStructureDefinition.definitionValues 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'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
InformationObservation.value[x]Element maximum cardinalities differ: '1' vs '0'
ErrorObservation.value[x]Element minimum cardinalities conflict: '1..1' vs '0..0': No instances can be valid against both profiles
InformationStructureDefinition.shortValues for short differ: 'Related resource that belongs to the Observation group' vs 'Sub-questions of the Section'
InformationStructureDefinition.definitionValues 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'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Related measurements the observation is made from' vs 'parent observation reference'
InformationStructureDefinition.definitionValues 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'
WarningObservation.derivedFromElements differ in definition for mustSupport: 'false' vs 'true'
ErrorObservation.derivedFromType 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]])
InformationStructureDefinition.shortValues for short differ: 'Component results' vs 'additional entry'
InformationStructureDefinition.definitionValues 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'
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/cancer-reporting/StructureDefinition/ihe-sdc-ecc-Observation
    • Values Differ
    .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
    • Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
    .date2024-03-222024-12-20T00:27:56+00:00
    • Values Differ
    .descriptionThe 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.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreSmokingStatusProfileUSPathologyGrouperObservation
            • Values Differ
            .publisherHL7 International / Cross-Group ProjectsHL7 International / Orders and Observations
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Smoking Status Observation ProfileUS Pathology Grouper Observation
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatushttp://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-grouper-observation
                  • Values Differ
                  .version8.0.0-ballot1.0.1
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                  .. Observation C0..*ObservationMeasurements 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
                  C0..*ObservationSDCeCCMeasurements 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 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 interpretation0..1NarrativeText summary of the resource, for human interpretation
                              ... contained 0..*ResourceContained, inline Resources
                              0..*ResourceContained, inline Resources
                                ... extension 0..*ExtensionAdditional content defined by implementations
                                0..*ExtensionAdditional content defined by implementations
                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                  ?!0..*ExtensionExtensions that cannot be ignored
                                    ... identifier Σ0..*IdentifierBusiness Identifier for observation
                                    SΣ1..*IdentifierThe SDC instanceGUID
                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                    • Element minimum cardinalities differ: '0' vs '1'
                                    ... 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 ?!SΣ1..1codefinal | entered-in-error
                                        Binding: ?? (required)
                                        ?!Σ1..1coderegistered | preliminary | final | amended +
                                        Binding: ?? (required): Codes providing the status of an observation.

                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... Slices for category S1..*CodeableConceptClassification of type of observation
                                        Slice: Unordered, Open by value:$this
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        0..*CodeableConceptClassification of type of observation
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element minimum cardinalities differ: '1' vs '0'
                                        ... code SΣC1..1CodeableConceptSmoking Status
                                        Binding: ?? (extensible): Smoking status type

                                        Σ1..1CodeableConceptSDC section ID
                                        Binding: ?? (extensible)
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • 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
                                        ... subject SΣ1..1Reference(US Core Patient Profile(6.1.0))Who and/or what the observation is aboutSΣ0..1Reference(US Core Patient Profile(6.1.0))Who and/or what the observation is about
                                        • Element minimum cardinalities differ: '1' vs '0'
                                        ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                        Σ0..*Reference(Resource)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] SΣ1..1dateTime, PeriodClinically relevant time/time-period for observationΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                              ... performer SΣ0..*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
                                              Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... Slices for value[x] SΣC1..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                              Slice: Unordered, Open by type:$this
                                              SΣC0..0
                                              • Element minimum cardinalities differ: '1' vs '0'
                                              • Element maximum cardinalities differ: '1' vs '0'
                                              • Element minimum cardinalities conflict: '1..1' vs '0..0': No instances can be valid against both profiles
                                              ... 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
                                                            obs-3: Must have at least a low or a high or text
                                                            C0..*BackboneElementProvides guide for interpretation
                                                            obs-3: Must have at least a low or a high or text
                                                              .... 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
                                                                                SΣ0..*Reference(IHE SDC/eCP on FHIR Observation)Sub-questions of the Section
                                                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                SΣ0..*Reference(IHE SDC/eCP on FHIR Observation)parent observation reference
                                                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                • 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]])
                                                                                ... component Σ0..*BackboneElementComponent results
                                                                                SΣ0..*BackboneElementadditional entry
                                                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                .... 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: ?? (example): Codes identifying names of simple observations.

                                                                                        .... 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
                                                                                          .... 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

                                                                                                doco Documentation for this format