Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group

Left:US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
Right:TNM Stage Group Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group)

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-tnm-stage-group'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '2.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSmokingStatusProfile' vs 'TNMStageGroup'
InformationStructureDefinition.titleValues for title differ: 'US Core Smoking Status Observation Profile' vs 'TNM Stage Group 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/us/mcode/StructureDefinition/mcode-cancer-stage-group'
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.codeElements differ in short: 'Smoking Status' vs 'The type of stage information reported.'
WarningObservation.codeElements differ in definition: 'Describes what was observed. Sometimes this is called the observation 'name'.' vs 'The type of staging performed, e.g., clinically by oncologist, by a pathologist on a specimen, or other method. This information is required, although it may be redundant with the stage code recorded in Observation.valueCodeableConcept (for example, the 'c' in cN0 represents clinical staging).'
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 'The patient associated with staging assessment.'
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
WarningObservation.focusElements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'The cancer condition associated with staging assessment.'
WarningObservation.focusElements differ in definition: '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'
InformationObservation.focusElement minimum cardinalities differ: '0' vs '1'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '1'
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 'The stage group'
WarningObservation.value[x]Elements differ in definition: 'The information determined as a result of making the observation, if the information has a simple value.' vs 'The overall cancer stage, such as stage group IIA.'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
InformationObservation.value[x]Example/preferred bindings differ at Observation.value[x] using binding from USCoreSmokingStatusProfile
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.methodElement minimum cardinalities differ: '0' vs '1'
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 'Prognostic factors contributing to stage determination.'
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 'References to the prognostic factors affecting the stage, for example, the T, N, and M categories.'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'false' vs 'true'
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'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-group
    • 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.The extent of cancer reprsented by the stage group, based on a TNM staging system.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreSmokingStatusProfileTNMStageGroup
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Smoking Status Observation ProfileTNM Stage Group Profile
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatushttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group
                  • 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..*CancerStageGroupMeasurements and simple assertions
                  • Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                  • Elements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.'
                  ... id 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..*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..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 pattern:$this
                                          Binding: todo (preferred): Codes for high level observation categories.


                                            ... code SΣ1..1CodeableConceptSmoking Status
                                            Binding: todo (extensible)
                                            SΣ1..1CodeableConceptThe type of stage information reported.
                                            Binding: todo (required)
                                            • Elements differ in short: 'Smoking Status' vs 'The type of stage information reported.'
                                            • Elements differ in definition: 'Describes what was observed. Sometimes this is called the observation "name".' vs 'The type of staging performed, e.g., clinically by oncologist, by a pathologist on a specimen, or other method. This information is required, although it may be redundant with the stage code recorded in Observation.valueCodeableConcept (for example, the 'c' in cN0 represents clinical staging).'
                                            ... 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
                                            • 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 'The patient associated with staging assessment.'
                                            • 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
                                            SΣ1..1Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition)The cancer condition associated with staging assessment.
                                            • Elements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'The cancer condition associated with staging assessment.'
                                            • Elements differ in definition: '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.'
                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                            • Element minimum cardinalities differ: '0' vs '1'
                                            • Element maximum cardinalities differ: '2147483647' vs '1'
                                            ... 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
                                              • 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..1CodeableConceptThe stage group
                                                  Binding: todo (preferred)
                                                  Additional BindingsPurpose
                                                  todoMax Binding
                                                  • Elements differ in short: 'Typically Coded Responses from Smoking Status Value Set' vs 'The stage group'
                                                  • Elements differ in definition: 'The information determined as a result of making the observation, if the information has a simple value.' vs 'The overall cancer stage, such as stage group IIA.'
                                                  • Element minimum cardinalities differ: '1' vs '0'
                                                  • Example/preferred bindings differ at Observation.value[x] using binding from USCoreSmokingStatusProfile
                                                  ... 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.

                                                          S1..1CodeableConceptHow it was done
                                                          Binding: todo (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
                                                            • 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
                                                                              SΣ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Prognostic factors contributing to stage determination.
                                                                              Slice: Unordered, Open by profile:$this.resolve()
                                                                              • Elements differ in short: 'Related resource that belongs to the Observation group' vs 'Prognostic factors contributing to stage determination.'
                                                                              • 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 'References to the prognostic factors affecting the stage, for example, the T, N, and M categories.'
                                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                              ... 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
                                                                                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'
                                                                                .... 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