Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Observation
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License	Logica Health, all rights reserved Creative Commons License	Values Differ
date	2022-04-20	2023-07-18T14:07:06+00:00	Values Differ
description	The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and implements the U.S. Core Data for Interoperability (USCDI) v2 Smoking status' requirements. This profile sets minimum expectations for the Observation resource to record, search, and fetch smoking status data associated with a patient to promote interoperability and adoption through common implementation. 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.	A calculated average of two or more blood pressure readings in a specified time period or according to a specified algorithm or protocol. The average blood pressure has a systolic and a diastolic component.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US		Removed the item 'urn:iso:std:iso:3166#US'
jurisdiction[1]		http://unstats.un.org/unsd/methods/m49/m49.htm#001	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
kind	resource
name	USCoreSmokingStatusProfile	AverageBloodPressure	Values Differ
publisher	HL7 International - Cross-Group Projects	HL7 International - Clinical Information Modeling Initiative	Values Differ
purpose
status	active	draft	Values Differ
title	US Core Smoking Status Observation Profile	Average Blood Pressure	Values Differ
type	Observation
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus	http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure	Values Differ
version	6.1.0	2.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Observation	C	0..*	Observation	Measurements and simple assertions	C	0..*	Observation	Measurements and simple assertions	Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.' Elements differ in comments: '\-' 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.'
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
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url	Elements differ in short: 'Additional content defined by implementations' vs 'Extension' Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
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	?!SΣ	1..1	code	(USCDI) registered | preliminary | final | amended + Binding: ?? (required)	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation.	Elements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
Slices for category	S	1..*	CodeableConcept	(USCDI) Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ?? (preferred): Codes for high level observation categories.		0..*	CodeableConcept	Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories.	Elements differ in short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: vital-signs
display	Σ	0..1	string	Representation defined by the system	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	(USCDI) Smoking Status Binding: ?? (extensible)	Σ	1..1	CodeableConcept	Blood pressure panel; mean systolic and mean diastolic pressures Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"96607-7"}]}	Elements differ in short: '(USCDI) Smoking Status' vs 'Blood pressure panel; mean systolic and mean diastolic pressures' Elements differ in definition for mustSupport: 'true' vs 'false'
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who and/or what the observation is about	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about	Elements differ in short: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record	ΣTU	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
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this	SΣ	1..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation	Elements differ in definition for mustSupport: 'false' vs 'true'
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	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	CodeableConcept S, Quantity, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	(USCDI) Typically Coded Responses from Smoking Status Value Set Binding: ?? (preferred): This value set enumerates codes SNOMED CT codes historically used for the current smoking status of a patient with a maximum required binding to Snomed CT codes. Additional Bindings Purpose ?? Max Binding us-core-3: SHALL use UCUM for coded quantity units.	ΣC	0..0			Elements differ in short: '(USCDI) Typically Coded Responses from Smoking Status Value Set' vs 'Actual result' Elements differ in definition for mustSupport: 'true' vs 'false' 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	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.	S	0..1	CodeableConcept	Observed body part Binding: ?? (extensible): A set of codes that describe where on/in the body an observation or procedure took place	Elements differ in definition for mustSupport: 'false' vs 'true' Elements differ in binding.description: 'Codes describing anatomical locations. May include laterality.' vs 'A set of codes that describe where on/in the body an observation or procedure took place'
method		0..1	CodeableConcept	How it was done Binding: ?? (example): Methods for simple observations.	S	0..1	CodeableConcept	How it was done Binding: ?? (extensible): A set of codes that describe the method used to measure a blood pressure	Elements differ in definition for mustSupport: 'false' vs 'true' Elements differ in binding.description: 'Methods for simple observations.' vs 'A set of codes that describe the method used to measure a blood pressure'
specimen		0..1	Reference(Specimen)	Specimen used for this observation		0..0			Element maximum cardinalities differ: '1' vs '0'
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device	S	0..1	Reference(Blood Pressure Device)	Blood Pressure Device	Elements differ in short: '(Measurement) Device' vs 'Blood Pressure Device' Elements differ in definition for mustSupport: 'false' vs 'true'
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.
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	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
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	Σ	0..*	BackboneElement	Component results	SΣ	1..*	BackboneElement	Blood pressure components Slice: Unordered, Open by pattern:code	Elements differ in short: 'Component results' vs 'Blood pressure components' Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
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