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

Left:Social History Observation (http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation)
Right:Social History Observation (http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation)

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 SocialHistoryObservation has added constraint that is not found in SocialHistoryObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
InformationStructureDefinition.shortValues for short differ: '(USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns' vs '𝗨𝗦𝗖𝗗𝗜: Alcohol Use, Substance Use, SDOH Problems/Health Concerns'
InformationObservation.referenceRange.typeIdStructureDefinition SocialHistoryObservation has added constraint that is not found in SocialHistoryObservation 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 job (occupation and industry), lifestyle, and environmental health risk factors. Demographic data (e.g., marital status, race, ethnicity, religious affiliation) are captured in the header. Though tobacco use and exposure may be represented with a Social History Observation, it is recommended to use the Current Smoking Status template or the Tobacco Use template instead, to represent smoking or tobacco habits. There are supplemental templates and guidance for observations of [Occupational Data for Health](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=522), [nutrition](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=478) and [pregnancy](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=494) that could be captured in the Social History Observation, and implementers may want to consider using those more specific templates in the Social History section.
          .experimental
            .fhirVersion5.0.0
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindlogical
                    .nameSocialHistoryObservation
                      .publisherHealth Level Seven
                        .purpose
                          .statusdraft
                            .titleSocial History Observation
                              .typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                .urlhttp://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation
                                  .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
                                  should-value: SHOULD contain value
                                  4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM.
                                  should-sh-author: SHOULD contain author
                                  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
                                  should-value: SHOULD contain value
                                  4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM.
                                  should-sh-author: SHOULD contain author
                                    ... 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 SocialHistoryObservation has added constraint that is not found in SocialHistoryObservation 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 C1..1CDBinding: ?? (preferred)
                                                            4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956).
                                                            C1..1CDBinding: ?? (preferred)
                                                            4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956).
                                                              ... 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
                                                                                                                ... priorityCode 0..1CEBinding: ?? (example)0..1CEBinding: ?? (example)
                                                                                                                  ... repeatNumber 0..1IVL_INT0..1IVL_INT
                                                                                                                    ... languageCode 0..1CSBinding: ?? (required)0..1CSBinding: ?? (required)
                                                                                                                      ... Slices for value 0..1ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ(USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns
                                                                                                                      Slice: Unordered, Open by type:$this
                                                                                                                      0..1ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ𝗨𝗦𝗖𝗗𝗜: Alcohol Use, Substance Use, SDOH Problems/Health Concerns
                                                                                                                      Slice: Unordered, Open by type:$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..*??Base for all types and resources
                                                                                                                                    0..*??Base for all types and resources
                                                                                                                                      ... informant 0..*Informant0..*Informant
                                                                                                                                        ... participant 0..*Participant20..*Participant2
                                                                                                                                          ... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:observation
                                                                                                                                          0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:observation
                                                                                                                                            ... 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 SocialHistoryObservation has added constraint that is not found in SocialHistoryObservation 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