Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant

Left:US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
Right:Genomic Variant Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '2.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSmokingStatusProfile' vs 'GenomicVariant'
InformationStructureDefinition.titleValues for title differ: 'US Core Smoking Status Observation Profile' vs 'Genomic Variant Profile'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-01-13T14:44:53+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/uv/genomics-reporting/StructureDefinition/variant'
WarningObservationElements differ in short: 'Measurements and simple assertions' vs 'Variant'
WarningObservationElements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements 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.'
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.codeElements differ in short: 'Smoking Status' vs '69548-6'
InformationObservation.subjectElement minimum cardinalities differ: '1' 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 'Actual result'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.noteElements differ in short: 'Comments about the observation' vs 'Comments about the Observation that also contain a coded type'
WarningObservation.noteElements differ in definition: 'Comments about the observation or the results.' vs 'A text note which also contains information about who made the statement and when.'
WarningObservation.noteElements differ in comments: 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.' vs 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation. The CodedAnnotation data type, while not allowing for or intending to make the content computable, does allow the author to indicate the type of note. This does not replace the use of interpretation, value, or component values. One important note is that Annotation is a FHIR data type, this is **NOT** about annotations in the genomic context.'
WarningObservation.noteElements differ in requirements: 'Need to be able to provide free text additional information.' vs 'Need to be able to provide free text additional information. Notes SHALL NOT contain information which can be captured in a structured way.'
WarningObservation.methodElements differ in short: 'How it was done' vs 'Sequencing | SNP array | PCR | Computational analysis | ...'
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.specimenElements differ in definition for mustSupport: 'false' vs 'true'
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 definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant
    • 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'
    .date2022-04-202023-01-13T14:44:53+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.Details about a set of changes in the tested sample compared to a reference sequence. The term variant can be used to describe an alteration that may be benign, pathogenic, or of unknown significance. The term variant is increasingly being used in place of the term mutation. Variants can be computed relative to reference sequence assembly from which it was identified.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreSmokingStatusProfileGenomicVariant
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Smoking Status Observation ProfileGenomic Variant Profile
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatushttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant
                  • 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..*ObservationMeasurements and simple assertions
                  C0..*VariantVariant
                  • Elements differ in short: 'Measurements and simple assertions' vs 'Variant'
                  • 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 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)
                                      ?!SΣ1..1coderegistered | preliminary | final | amended +
                                      Binding: todo (required): Codes providing the status of an observation.

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


                                        S1..*CodeableConceptClassification of type of observation
                                        Slice: Unordered, Open by value:coding
                                        Binding: todo (preferred): Codes for high level observation categories.


                                          ... code SΣ1..1CodeableConceptSmoking Status
                                          Binding: todo (extensible)
                                          SΣ1..1CodeableConcept69548-6
                                          Binding: todo (example): Codes identifying names of simple observations.


                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"69548-6"}]}
                                          • Elements differ in short: 'Smoking Status' vs '69548-6'
                                          ... subject SΣ1..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)Who and/or what the observation is aboutSΣ0..1Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient)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
                                          ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                            ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                              ... Slices for effective[x] Σ1..1dateTimeClinically relevant time/time-period for observation
                                              Slice: Unordered, Closed by type:$this
                                              SΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                              Slice: Unordered, Open by type:$this
                                              • 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: todo (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
                                                  todoMax Binding

                                                  us-core-3: SHALL use UCUM for coded quantity units.
                                                  SΣC0..1CodeableConceptActual result
                                                  Slice: Unordered, Closed by type:$this
                                                  • Elements differ in short: 'Typically Coded Responses from Smoking Status Value Set' vs 'Actual result'
                                                  • 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.

                                                  SC0..1CodeableConceptWhy the result is missing
                                                  Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                  ... 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 that also contain a coded type
                                                    • Elements differ in short: 'Comments about the observation' vs 'Comments about the Observation that also contain a coded type'
                                                    • Elements differ in definition: 'Comments about the observation or the results.' vs 'A text note which also contains information about who made the statement and when.'
                                                    • Elements differ in comments: 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.' vs 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation. The CodedAnnotation data type, while not allowing for or intending to make the content computable, does allow the author to indicate the type of note. This does not replace the use of interpretation, value, or component values. One important note is that Annotation is a FHIR data type, this is **NOT** about annotations in the genomic context.'
                                                    • Elements differ in requirements: 'Need to be able to provide free text additional information.' vs 'Need to be able to provide free text additional information. Notes SHALL NOT contain information which can be captured in a structured way.'
                                                    ... 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.

                                                      S0..1CodeableConceptSequencing | SNP array | PCR | Computational analysis | ...
                                                      Binding: todo (extensible)
                                                      • Elements differ in short: 'How it was done' vs 'Sequencing | SNP array | PCR | Computational analysis | ...'
                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                      ... specimen 0..1Reference(Specimen)Specimen used for this observationS0..1Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen)Specimen used for this observation
                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                      ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                        ... 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
                                                                            ... component Σ0..*BackboneElementComponent results
                                                                            SΣ0..*BackboneElementComponent results
                                                                            Slice: Unordered, Open by pattern:code
                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                  .... code Σ1..1CodeableConceptType of component observation (code / type)
                                                                                  Binding: 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