Profile Comparison between http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus vs http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus

Left:Smoking Status (http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus)
Right:Smoking Status (http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus)

Messages

ErrorStructureDefinition.versionValues for version differ: '3.0.0' vs '4.0.0-ballot'
InformationStructureDefinition.dateValues for date differ: '2024-05-18T00:16:25-05:00' vs '2024-12-19T00:36:20+00:00'
InformationObservation.typeIdStructureDefinition SmokingStatus has added constraint that is not found in SmokingStatus and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
InformationObservation.referenceRange.typeIdStructureDefinition SmokingStatus has added constraint that is not found in SmokingStatus and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/cda/stds/core/StructureDefinition/Observation
      .copyright
        .date2024-05-18T00:16:25-05:002024-12-19T00:36:20+00:00
        • Values Differ
        .descriptionThis template represents a patient's smoking status. It is a combination and replacement of the two previous templates Smoking Status - Meaningful Use and Tobacco Use, and it aligns with the US Core Smoking Status profile. When the code represents a quantifiable observation (such as Cigarette pack-years - 401201003), the value may be a Physical Quantity. When the code is Smoking Status (72166-2) or Tobacco Use (11367-0), the value **SHALL** be coded. Regarding effectiveTime: some values in the Tobacco Use value set represent temporal meanings (e.g. 266919005 - Never smoked tobacco) and should correspond to a single timestamp representing when the observation was true. Other codes, such as 59978006 - Cigar smoker, may be represented with a single timestamp or a time range indicating when the patient began smoking and when they stopped.
          .experimental
            .fhirVersion5.0.0
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindlogical
                    .nameSmokingStatus
                      .publisherHealth Level Seven
                        .purpose
                          .statusdraft
                            .titleSmoking Status
                              .typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                .urlhttp://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus
                                  .version3.0.04.0.0-ballot
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  .. Observation C1..1ObservationBase for all types and resources
                                  Instance of this type are validated by templateId
                                  Logical Container: ClinicalDocument (CDA Class)
                                  should-text-ref-value: SHOULD contain text/reference/@value
                                  coded-value: When code is Smoking Status (72166-2) or Tobacco Use (11367-0), the value SHALL be coded
                                  C1..1ObservationBase for all types and resources
                                  Instance of this type are validated by templateId
                                  Logical Container: ClinicalDocument (CDA Class)
                                  should-text-ref-value: SHOULD contain text/reference/@value
                                  coded-value: When code is Smoking Status (72166-2) or Tobacco Use (11367-0), the value SHALL be coded
                                    ... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                      ... realmCode 0..*CS0..*CS
                                        ... typeId 0..1IIC0..1IIII-1: An II instance must have either a root or an nullFlavor.
                                        • StructureDefinition SmokingStatus has added constraint that is not found in SmokingStatus and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
                                        .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                          .... assigningAuthorityName 0..1??0..1??
                                            .... displayable 0..1??0..1??
                                              .... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                .... st-simple 1..1stringPrimitive Type string
                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                1..1stringPrimitive Type string
                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                  ... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
                                                  1..*IISlice: Unordered, Open by value:root, value:extension
                                                    ... classCode 1..1??Binding: ?? (required)
                                                    Fixed Value: OBS
                                                    1..1??Binding: ?? (required)
                                                    Fixed Value: OBS
                                                      ... moodCode 1..1??Binding: ?? (required)
                                                      Fixed Value: EVN
                                                      1..1??Binding: ?? (required)
                                                      Fixed Value: EVN
                                                        ... negationInd 0..1??0..1??
                                                          ... id 1..*II1..*II
                                                            ... code 1..1CDBinding: ?? (required): Smoking status type

                                                            1..1CDBinding: ?? (required): Smoking status type

                                                              .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                .... code 1..1??1..1??
                                                                  .... codeSystem 0..1??, ??, ??0..1??, ??, ??
                                                                    .... codeSystemName 0..1??0..1??
                                                                      .... codeSystemVersion 0..1??0..1??
                                                                        .... displayName 0..1??0..1??
                                                                          .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                                            .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                                              .... originalText 0..1ED0..1ED
                                                                                .... qualifier 0..*CR0..*CR
                                                                                  .... translation 0..*CD0..*CD
                                                                                    ... derivationExpr 0..1ST0..1ST
                                                                                      ... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
                                                                                        .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                          .... compression 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                            .... integrityCheck 0..1??0..1??
                                                                                              .... integrityCheckAlgorithm 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                .... language 0..1??0..1??
                                                                                                  .... mediaType 0..1??Binding: ?? (example)0..1??Binding: ?? (example)
                                                                                                    .... representation 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                      .... xmlText 0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                                                                                                        .... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrativeC0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
                                                                                                          .... thumbnail 0..1ED0..1ED
                                                                                                            ... statusCode 1..1CSBinding: ?? (required)1..1CSBinding: ?? (required)
                                                                                                              .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                .... code 1..1??Fixed Value: completed1..1??Fixed Value: completed
                                                                                                                  .... codeSystem 0..00..0
                                                                                                                    .... codeSystemName 0..00..0
                                                                                                                      .... codeSystemVersion 0..00..0
                                                                                                                        .... displayName 0..00..0
                                                                                                                          .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                                                                                            .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                                                                                              .... originalText 0..00..0
                                                                                                                                .... qualifier 0..00..0
                                                                                                                                  .... translation 0..00..0
                                                                                                                                    ... effectiveTime 1..1IVL_TS1..1IVL_TS
                                                                                                                                      .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                        .... value 0..1??Represents a timestamp indicating a "point in time" when the observation was true
                                                                                                                                        Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
                                                                                                                                        0..1??Represents a timestamp indicating a "point in time" when the observation was true
                                                                                                                                        Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
                                                                                                                                          .... operator 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                            .... low 0..1IVXB_TSRepresents the earliest time the observation was true. Should not be used for temporal codes (e.g. 266919005 - Never smoked tobacco)0..1IVXB_TSRepresents the earliest time the observation was true. Should not be used for temporal codes (e.g. 266919005 - Never smoked tobacco)
                                                                                                                                              .... center 0..1TS0..1TS
                                                                                                                                                .... width 0..1PQ0..1PQ
                                                                                                                                                  .... high 0..1IVXB_TSRepresents the last known time the observation was true. If the observation is still true, set `@nullFlavor` to `UNK`.0..1IVXB_TSRepresents the last known time the observation was true. If the observation is still true, set `@nullFlavor` to `UNK`.
                                                                                                                                                    ... priorityCode 0..1CEBinding: ?? (example)0..1CEBinding: ?? (example)
                                                                                                                                                      ... repeatNumber 0..1IVL_INT0..1IVL_INT
                                                                                                                                                        ... languageCode 0..1CSBinding: ?? (required)0..1CSBinding: ?? (required)
                                                                                                                                                          ... Slices for value 1..1CD, REALREAL shall only be used for Smoking Status where code = 401201003 or 782516008
                                                                                                                                                          Slice: Unordered, Closed by type:$this
                                                                                                                                                          1..1CD, REALREAL shall only be used for Smoking Status where code = 401201003 or 782516008
                                                                                                                                                          Slice: Unordered, Closed by type:$this
                                                                                                                                                            ... interpretationCode 0..*CEBinding: ?? (required)
                                                                                                                                                            0..*CEBinding: ?? (required)
                                                                                                                                                              ... methodCode 0..*CEBinding: ?? (example)
                                                                                                                                                              0..*CEBinding: ?? (example)
                                                                                                                                                                ... targetSiteCode 0..*CD0..*CD
                                                                                                                                                                  ... subject 0..1Subject0..1Subject
                                                                                                                                                                    ... specimen 0..*Specimen0..*Specimen
                                                                                                                                                                      ... performer 0..*Performer20..*Performer2
                                                                                                                                                                        ... author 0..*Author0..*Author
                                                                                                                                                                          ... informant 0..*Informant0..*Informant
                                                                                                                                                                            ... participant 0..*Participant20..*Participant2
                                                                                                                                                                              ... entryRelationship 0..*EntryRelationship0..*EntryRelationship
                                                                                                                                                                                ... reference 0..*Reference0..*Reference
                                                                                                                                                                                  ... precondition 0..*Precondition0..*Precondition
                                                                                                                                                                                    ... sdtcPrecondition2 0..*Precondition2XML: precondition2 (urn:hl7-org:sdtc)
                                                                                                                                                                                    0..*Precondition2XML: precondition2 (urn:hl7-org:sdtc)
                                                                                                                                                                                      ... referenceRange 0..*InfrastructureRoot0..*InfrastructureRoot
                                                                                                                                                                                        .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                          .... realmCode 0..*CS0..*CS
                                                                                                                                                                                            .... typeId 0..1IIC0..1IIII-1: An II instance must have either a root or an nullFlavor.
                                                                                                                                                                                            • StructureDefinition SmokingStatus has added constraint that is not found in SmokingStatus and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
                                                                                                                                                                                            ..... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                              ..... assigningAuthorityName 0..1??0..1??
                                                                                                                                                                                                ..... displayable 0..1??0..1??
                                                                                                                                                                                                  ..... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                                                                                                                                                                    ..... st-simple 1..1stringPrimitive Type string
                                                                                                                                                                                                    URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                                    1..1stringPrimitive Type string
                                                                                                                                                                                                    URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                                      .... templateId 0..*II0..*II
                                                                                                                                                                                                        .... typeCode 0..1??Binding: ?? (required)
                                                                                                                                                                                                        Fixed Value: REFV
                                                                                                                                                                                                        0..1??Binding: ?? (required)
                                                                                                                                                                                                        Fixed Value: REFV
                                                                                                                                                                                                          .... observationRange 1..1ObservationRange1..1ObservationRange
                                                                                                                                                                                                            ... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
                                                                                                                                                                                                            0..*InFulfillmentOf1XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
                                                                                                                                                                                                              ... sdtcCategory 0..*CDXML: category (urn:hl7-org:sdtc)
                                                                                                                                                                                                              • Added this element

                                                                                                                                                                                                              doco Documentation for this format