Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category

Left:US Core Observation Occupation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation)
Right:TNM Primary Tumor Category Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category)

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-tnm-primary-tumor-category'
ErrorStructureDefinition.versionValues for version differ: '6.1.0' vs '3.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationOccupationProfile' vs 'TNMPrimaryTumorCategory'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Occupation Profile' vs 'TNM Primary Tumor Category Profile'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2022-08-24' vs '2023-10-25T20:34:07+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/mcode/StructureDefinition/mcode-tnm-category'
InformationStructureDefinition.shortValues for short differ: 'Past Or Present Occupation' vs 'Measurements and simple assertions'
InformationStructureDefinition.definitionValues for definition differ: 'Related data elements for a current or previous job.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
InformationStructureDefinition.commentValues for comment differ: '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.'
InformationStructureDefinition.shortValues for short differ: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Occupation history' vs 'Type of observation (code / type)'
InformationObservation.codeExample/preferred bindings differ at Observation.code using binding from TNMPrimaryTumorCategory
InformationStructureDefinition.shortValues for short differ: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
InformationStructureDefinition.definitionValues for definition differ: '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 'The patient associated with TNM category.'
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'What the observation is about, when it is not about the subject of record' vs 'The cancer condition associated with TNM category.'
InformationStructureDefinition.definitionValues for definition differ: 'The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.' vs 'Staging is associated with a particular primary cancer condition. Observation.focus is used to point back to that condition.'
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'
InformationStructureDefinition.shortValues for short differ: 'How it was done' vs 'The staging system used.'
InformationStructureDefinition.definitionValues for definition differ: 'Indicates the mechanism used to perform the observation.' vs 'The staging system or protocol used to determine the category of the cancer based on its extent. When the staging system is implied by Observation.code, Observation.method is not required. However, when Observation.code does not imply a staging system (for example, if the code is SNOMED CT 385388004 Lymphoma stage), then the staging system must be specified in Observation.method. '
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.methodElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: '(Measurement) Device' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'The device used to generate the observation data.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: 'Provides guide for interpretation' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: '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'
InformationStructureDefinition.shortValues for short differ: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
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 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Component results' vs 'Component results'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-category
    • 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'
    .date2022-08-242023-10-25T20:34:07+00:00
    • Values Differ
    .descriptionThe US Core Occupation Observation Profile is based upon the core FHIR Observation Resource and implements the US Core Data for Interoperability (USCDI) Occupation and Occupation Industry requirements. This profile promotes interoperability and adoption through common implementation by setting minimum expectations for the Observation resource to record, search, and fetch a patient's past or present job and "type of business that compensates for work or assigns work to an unpaid worker or volunteer". In the context of this profile, a job is defined as a work situation, training position, or volunteer position held for a specified period. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.Category of the primary tumor, based on its size and extent, based on evidence such as physical examination, imaging, and/or biopsy.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreObservationOccupationProfileTNMPrimaryTumorCategory
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International / Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactivedraft
              • Values Differ
              .titleUS Core Observation Occupation ProfileTNM Primary Tumor Category Profile
              • Values Differ
              .typeObservation
                .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupationhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category
                • Values Differ
                .version6.1.03.0.0
                • Values Differ

                Structure

                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                .. Observation C0..*ObservationPast Or Present Occupation
                C0..*TNMCategoryMeasurements and simple assertions
                  ... 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
                                  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..1code(USCDI) registered | preliminary | final | amended +
                                        Binding: ?? (required): Codes providing the status of an observation.

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

                                          ... Slices for category S0..*CodeableConcept(USCDI) Classification of type of observation
                                          Slice: Unordered, Open by pattern:$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'
                                          ... code SΣ1..1CodeableConcept(USCDI) Occupation history
                                          Binding: ?? (example): Codes identifying names of simple observations.


                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"11341-5"}]}
                                          SΣ1..1CodeableConceptType of observation (code / type)
                                          Binding: ?? (preferred)
                                          Additional BindingsPurpose
                                          ??Max Binding
                                          • Example/preferred bindings differ at Observation.code using binding from TNMPrimaryTumorCategory
                                          ... subject SΣ1..1Reference(US Core Patient Profile)(USCDI) Who and/or what the observation is aboutSΣ0..1Reference(Cancer Patient Profile)Who and/or what the observation is about
                                          • Element minimum cardinalities differ: '1' vs '0'
                                          ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                          SΣ0..*Reference(Primary Cancer Condition Profile)The cancer condition associated with TNM category.
                                          • 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:$this
                                            SΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                            ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                              ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                              Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                ... Slices for value[x] ΣC1..1CodeableConceptActual result
                                                Slice: Unordered, Closed by type:$this
                                                SΣC0..1CodeableConceptActual result
                                                Binding: ?? (preferred)
                                                Additional BindingsPurpose
                                                ??Max Binding
                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                • Element minimum cardinalities differ: '1' vs '0'
                                                ... 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.

                                                        S1..1CodeableConceptThe staging system used.
                                                        Binding: ?? (extensible)
                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                        • Element minimum cardinalities differ: '0' vs '1'
                                                        ... 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)Not used in this profile
                                                            ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                            C0..*BackboneElementNot 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..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
                                                                                Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)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..*BackboneElement(USCDI) Component results
                                                                                    Slice: Unordered, Open by pattern:code
                                                                                    Σ0..*BackboneElementComponent results
                                                                                    • 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: ?? (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