Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/breast-radiology/StructureDefinition/AssociatedFeature

Left:US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
Right:Associated Feature (http://hl7.org/fhir/us/breast-radiology/StructureDefinition/AssociatedFeature)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus' vs 'http://hl7.org/fhir/us/breast-radiology/StructureDefinition/AssociatedFeature'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '0.3.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSmokingStatusProfile' vs 'AssociatedFeature'
InformationStructureDefinition.titleValues for title differ: 'US Core Smoking Status Observation Profile' vs 'Associated Feature'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2022-12-07T21:19:53+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Clinical Interoperability Council'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-imaging'
WarningObservationElements differ in definition: '\-' vs 'This resource contains information about an associated feature observation. The feature observed is defined by the featureType component slice.'
InformationObservation.containedElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.basedOnElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.partOfElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '2'
WarningObservation.codeElements differ in short: 'Smoking Status' vs 'Imaging Name'
WarningObservation.codeElements differ in definition: 'Describes what was observed. Sometimes this is called the observation 'name'.' vs 'The name of the imaging test performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
WarningObservation.codeElements differ in comments: '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.' vs 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
WarningObservation.value[x]Elements differ in short: 'Typically Coded Responses from Smoking Status Value Set' vs 'Result Value'
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
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.dataAbsentReasonElement maximum cardinalities differ: '1' vs '0'
InformationObservation.interpretationElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.bodySiteElement minimum cardinalities differ: '0' vs '1'
WarningObservation.bodySite.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningObservation.bodySite.extensionElements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the element. 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'
InformationObservation.bodySite.extensionElement minimum cardinalities differ: '0' vs '1'
InformationObservation.specimenElement maximum cardinalities differ: '1' vs '0'
InformationObservation.deviceElement maximum cardinalities differ: '1' vs '0'
InformationObservation.referenceRangeElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.hasMemberElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.componentElement minimum cardinalities differ: '0' vs '1'
InformationObservation.componentElement maximum cardinalities differ: '2147483647' vs '2'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-imaging
    • 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'
    .date2022-04-202022-12-07T21:19:53+00:00
    • Values Differ
    .descriptionThe 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 when using this profile. It provides the floor for standards development for specific use cases.Associated Feature
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreSmokingStatusProfileAssociatedFeature
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International - Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Smoking Status Observation ProfileAssociated Feature
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatushttp://hl7.org/fhir/us/breast-radiology/StructureDefinition/AssociatedFeature
                  • Values Differ
                  .version6.0.0-ballot0.3.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation C0..*ObservationMeasurements and simple assertions
                  C0..*USCoreObservationImagingResultProfileMeasurements and simple assertions
                  • Elements differ in definition: '\-' vs 'This resource contains information about an associated feature observation. The feature observed is defined by the featureType component slice.'
                  ... 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: CommonLanguages (preferred): A human language.

                        Additional BindingsPurpose
                        AllLanguagesMax Binding
                        0..1codeLanguage of the resource content
                        Binding: CommonLanguages (preferred): A human language.

                        Additional BindingsPurpose
                        AllLanguagesMax 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..0
                            • Element maximum cardinalities differ: '2147483647' vs '0'
                            ... 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
                                Σ0..*IdentifierBusiness Identifier for observation
                                  ... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                  Σ0..0
                                  • Element maximum cardinalities differ: '2147483647' vs '0'
                                  ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                  Σ0..0
                                  • Element maximum cardinalities differ: '2147483647' vs '0'
                                  ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                  Binding: US Core Status for Smoking Status Observation (required)
                                  ?!SΣ1..1coderegistered | preliminary | final | amended +
                                  Binding: ObservationStatus (required): Codes providing the status of an observation.

                                    ... Slices for category S1..*CodeableConceptClassification of type of observation
                                    Slice: Unordered, Open by pattern:$this
                                    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                    S2..*CodeableConceptClassification of type of observation
                                    Slice: Unordered, Open by pattern:$this
                                    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                    • Element minimum cardinalities differ: '1' vs '2'
                                    ... code SΣ1..1CodeableConceptSmoking Status
                                    Binding: US Core Smoking Status Observation Codes (extensible)
                                    SΣ1..1CodeableConceptImaging Name
                                    Binding: US Core Non Laboratory Codes (extensible)
                                    Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE","code":"RDE1571"}]}
                                    • Elements differ in short: 'Smoking Status' vs 'Imaging Name'
                                    • Elements differ in definition: 'Describes what was observed. Sometimes this is called the observation "name".' vs 'The name of the imaging test performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
                                    • Elements differ in comments: '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.' vs 'The typical patterns for codes are: 1) a LOINC code either as a translation from a "local" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.'
                                    ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
                                      ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                      Σ0..0
                                      • Element maximum cardinalities differ: '2147483647' vs '0'
                                      ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                        ... Slices for effective[x] Σ1..1dateTimeClinically relevant time/time-period for observation
                                        Slice: Unordered, Closed by type:$this
                                        SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                        • Element minimum cardinalities differ: '1' vs '0'
                                        ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                          ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                          Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                            ... value[x] SΣC1..1CodeableConcept S, Quantity, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodTypically Coded Responses from Smoking Status Value Set
                                            Binding: Smoking Status (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 BindingsPurpose
                                            US Core Smoking Status Max-BindingMax Binding

                                            us-core-3: SHALL use UCUM for coded quantity units.
                                            SΣC0..0
                                            • Elements differ in short: 'Typically Coded Responses from Smoking Status Value Set' vs 'Result Value'
                                            • 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: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                            SC0..0
                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                            • Element maximum cardinalities differ: '1' vs '0'
                                            ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                            Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                            0..0
                                            • Element maximum cardinalities differ: '2147483647' vs '0'
                                            ... note 0..*AnnotationComments about the observation
                                            0..*AnnotationComments about the observation
                                              ... bodySite 0..1CodeableConceptObserved body part
                                              Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

                                              1..1CodeableConceptObserved body part
                                              Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

                                              • Element minimum cardinalities differ: '0' vs '1'
                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                Slice: Unordered, Open by value:url
                                                1..*ExtensionExtension
                                                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 element. 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'
                                                • Element minimum cardinalities differ: '0' vs '1'
                                                .... coding Σ0..*CodingCode defined by a terminology system
                                                Σ0..*CodingCode defined by a terminology system
                                                  .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                                    ... method 0..1CodeableConceptHow it was done
                                                    Binding: ObservationMethods (example): Methods for simple observations.

                                                    0..1CodeableConceptHow it was done
                                                    Binding: ObservationMethods (example): Methods for simple observations.

                                                      ... specimen 0..1Reference(Specimen)Specimen used for this observation0..0
                                                      • Element maximum cardinalities differ: '1' vs '0'
                                                      ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..0
                                                      • Element maximum cardinalities differ: '1' vs '0'
                                                      ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                      C0..0
                                                      • Element maximum cardinalities differ: '2147483647' vs '0'
                                                      .... 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..1SimpleQuantityLow Range, if relevantC0..1SimpleQuantityLow Range, if relevant
                                                              .... high C0..1SimpleQuantityHigh Range, if relevantC0..1SimpleQuantityHigh Range, if relevant
                                                                .... type 0..1CodeableConceptReference range qualifier
                                                                Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                                0..1CodeableConceptReference range qualifier
                                                                Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                                  .... appliesTo 0..*CodeableConceptReference range population
                                                                  Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


                                                                  0..*CodeableConceptReference range population
                                                                  Binding: ObservationReferenceRangeAppliesToCodes (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
                                                                        Σ0..0
                                                                        • Element maximum cardinalities differ: '2147483647' vs '0'
                                                                        ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                        Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                          ... component Σ0..*BackboneElementComponent results
                                                                          Σ1..2BackboneElementComponent results
                                                                          Slice: Unordered, Open by pattern:code
                                                                          • Element minimum cardinalities differ: '0' vs '1'
                                                                          • Element maximum cardinalities differ: '2147483647' vs '2'
                                                                          .... 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: LOINCCodes (example): Codes identifying names of simple observations.

                                                                                Σ1..1CodeableConceptType of component observation (code / type)
                                                                                Binding: LOINCCodes (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: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                    C0..1CodeableConceptWhy the component result is missing
                                                                                    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                      .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                      Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                                                      0..*CodeableConceptHigh, low, normal, etc.
                                                                                      Binding: ObservationInterpretationCodes (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