Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status

Left:US Core Observation Occupation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation)
Right:Cancer Disease Status Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '2.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationOccupationProfile' vs 'CancerDiseaseStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Occupation Profile' vs 'Cancer Disease Status Profile'
InformationStructureDefinition.dateValues for date differ: '2022-08-24' vs '2023-01-13T14:44:53+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International Clinical Interoperability Council'
WarningObservationElements differ in short: 'Past Or Present Occupation' vs 'Measurements and simple assertions'
WarningObservationElements differ in definition: 'Related data elements for a current or previous job.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements differ in comments: 'A person can have more than one job at the same time and multiple jobs over time' 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.'
WarningObservation.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningObservation.extensionElements 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'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.codeElements differ in short: 'Occupation history' vs 'Type of observation (code / type)'
WarningObservation.subjectElements differ in definition: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'Patient whose disease status is recorded.'
WarningObservation.focusElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
WarningObservation.specimenElements differ in short: 'Specimen used for this observation' vs 'Not used in this profile'
WarningObservation.specimenElements differ in definition: 'The specimen that was used when this observation was made.' vs 'Not used in this profile'
WarningObservation.deviceElements differ in short: '(Measurement) Device' vs 'Not used in this profile'
WarningObservation.deviceElements differ in definition: 'The device used to generate the observation data.' vs 'Not used in this profile'
WarningObservation.referenceRangeElements differ in short: 'Provides guide for interpretation' vs 'Not used in this profile'
WarningObservation.referenceRangeElements differ in definition: 'Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an 'OR'. In other words, to represent two distinct target populations, two `referenceRange` elements would be used.' vs 'Not used in this profile'
WarningObservation.hasMemberElements differ in short: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
WarningObservation.hasMemberElements differ in definition: '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 'Not used in this profile'
WarningObservation.componentElements differ in short: 'Component results' vs 'Not used in this profile'
WarningObservation.componentElements differ in definition: '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 'Not used in this profile'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .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'
      .date2022-08-242023-01-13T14:44:53+00:00
      • Values Differ
      .descriptionThe US Core Occupation Status Observation Profile is based upon the core FHIR Observation Resource and implements the US Core Data for Interoperability (USCDI) v3 Occupation status requirements. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch the "Type of work of a person" and "Type of business that compensates for work or assigns work to an unpaid worker or volunteer" associated with a patient. 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.A clinician's qualitative judgment on the current trend of the cancer, e.g., whether it is stable, worsening (progressing), or improving (responding). The judgment may be based a single type or multiple kinds of evidence, such as imaging data, assessment of symptoms, tumor markers, laboratory data, etc.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreObservationOccupationProfileCancerDiseaseStatus
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Observation Occupation ProfileCancer Disease Status Profile
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupationhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status
                    • Values Differ
                    .version6.0.0-ballot2.1.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Observation C0..*ObservationPast Or Present Occupation
                    C0..*ObservationMeasurements and simple assertions
                    • Elements differ in short: 'Past Or Present Occupation' vs 'Measurements and simple assertions'
                    • Elements differ in definition: 'Related data elements for a current or previous job.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                    • Elements differ in comments: 'A person can have more than one job at the same time and multiple jobs over time' 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 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: todo (preferred): A human language.

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

                          Additional BindingsPurpose
                          todoMax 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..*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 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..*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..*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..1coderegistered | preliminary | final | amended +
                                        Binding: todo (required): Codes providing the status of an observation.

                                        ?!SΣ1..1coderegistered | preliminary | final | amended +
                                        Binding: todo (required): Codes providing the status of an observation.

                                          ... Slices for category S0..*CodeableConceptClassification of type of observation
                                          Slice: Unordered, Open by pattern:$this
                                          Binding: todo (preferred): Codes for high level observation categories.


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


                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... code SΣ1..1CodeableConceptOccupation history
                                          Binding: todo (example): Codes identifying names of simple observations.


                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"11341-5"}]}
                                          SΣ1..1CodeableConceptType of observation (code / type)
                                          Binding: todo (example): Codes identifying names of simple observations.


                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"97509-4"}]}
                                          • Elements differ in short: 'Occupation history' vs 'Type of observation (code / type)'
                                          ... subject SΣ1..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)Who and/or what the observation is aboutSΣ1..1Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient)Who and/or what the observation is about
                                          • Elements differ in definition: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'Patient whose disease status is recorded.'
                                          ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                          SΣ0..*Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition | http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition | http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor | http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-volume)What the observation is about, when it is not about the subject of record
                                          • Elements differ in definition for mustSupport: 'false' vs 'true'
                                          ... 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] Σ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                            Slice: Unordered, Open by type:$this
                                            SΣ0..1dateTimeClinically relevant time/time-period for observation
                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                            ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                              ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                              Σ0..*Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)Who is responsible for the observation
                                                ... Slices for value[x] ΣC1..1CodeableConceptActual result
                                                Slice: Unordered, Closed by type:$this
                                                SΣC0..1CodeableConceptActual result
                                                Binding: todo (required)
                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                • Element minimum cardinalities differ: '1' vs '0'
                                                ... dataAbsentReason C0..1CodeableConceptWhy the result is missing
                                                Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

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


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


                                                    ... note 0..*AnnotationComments about the observation
                                                    0..*AnnotationComments about the observation
                                                      ... bodySite 0..1CodeableConceptObserved body part
                                                      Binding: todo (example): Codes describing anatomical locations. May include laterality.

                                                      0..1CodeableConceptObserved body part
                                                      Binding: todo (example): Codes describing anatomical locations. May include laterality.

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

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

                                                          ... specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Not used in this profile
                                                          • Elements differ in short: 'Specimen used for this observation' vs 'Not used in this profile'
                                                          • Elements differ in definition: 'The specimen that was used when this observation was made.' vs 'Not used in this profile'
                                                          ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)Not used in this profile
                                                          • Elements differ in short: '(Measurement) Device' vs 'Not used in this profile'
                                                          • Elements differ in definition: 'The device used to generate the observation data.' vs 'Not used in this profile'
                                                          ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                          C0..*BackboneElementNot used in this profile
                                                          • Elements differ in short: 'Provides guide for interpretation' vs 'Not used in this profile'
                                                          • Elements differ in definition: 'Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two `referenceRange` elements would be used.' vs 'Not used in this profile'
                                                          .... 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..1QuantityLow Range, if relevantC0..1QuantityLow Range, if relevant
                                                                  .... high C0..1QuantityHigh Range, if relevantC0..1QuantityHigh Range, if relevant
                                                                    .... type 0..1CodeableConceptReference range qualifier
                                                                    Binding: todo (preferred): Code for the meaning of a reference range.

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

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


                                                                      0..*CodeableConceptReference range population
                                                                      Binding: todo (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..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Not used in this profile
                                                                            • Elements differ in short: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
                                                                            • Elements differ in definition: '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 'Not used in this profile'
                                                                            ... 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
                                                                              ... Slices for component SΣ0..*BackboneElementComponent results
                                                                              Slice: Unordered, Open by pattern:code.coding
                                                                              Σ0..*BackboneElementNot used in this profile
                                                                              • Elements differ in short: 'Component results' vs 'Not used in this profile'
                                                                              • Elements differ in definition: '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 'Not used in this profile'
                                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                              .... 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: todo (example): Codes identifying names of simple observations.

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

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

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


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