Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/cardx-htn/StructureDefinition/blood-pressure-panel

Left:US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
Right:Blood Pressure Panel (http://hl7.org/fhir/us/cardx-htn/StructureDefinition/blood-pressure-panel)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus' vs 'http://hl7.org/fhir/us/cardx-htn/StructureDefinition/blood-pressure-panel'
ErrorStructureDefinition.versionValues for version differ: '6.1.0' vs '0.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSmokingStatusProfile' vs 'BloodPressurePanel'
InformationStructureDefinition.titleValues for title differ: 'US Core Smoking Status Observation Profile' vs 'Blood Pressure Panel'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-08-03T21:36:59+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'Clinical Interoperability Council'
InformationStructureDefinition.jurisdictionRemoved the item 'urn:iso:std:iso:3166#US'
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.statusElements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
WarningObservation.categoryElements differ in short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
WarningObservation.codeElements differ in short: '(USCDI) Smoking Status' vs 'Blood pressure panel with all children optional'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.subjectElements differ in short: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.value[x]Elements differ in short: '(USCDI) Typically Coded Responses from Smoking Status Value Set' vs 'Actual result'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
InformationObservation.value[x]Element maximum cardinalities differ: '1' vs '0'
ErrorObservation.value[x]Element minimum cardinalities conflict: '1..1' vs '0..0': No instances can be valid against both profiles
InformationObservation.interpretationElement maximum cardinalities differ: '2147483647' vs '1'
WarningObservation.bodySiteElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.bodySiteElements differ in binding.description: 'Codes describing anatomical locations. May include laterality.' vs 'A set of codes that describe where on/in the body an observation or procedure took place'
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.methodElements differ in binding.description: 'Methods for simple observations.' vs 'A set of codes that describe the method used to measure a blood pressure'
InformationObservation.specimenElement maximum cardinalities differ: '1' vs '0'
WarningObservation.deviceElements differ in short: '(Measurement) Device' vs 'Blood Pressure Device'
WarningObservation.deviceElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.componentElements differ in short: 'Component results' vs 'Blood pressure components'
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.componentElement minimum cardinalities differ: '0' vs '2'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .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'
      .date2022-04-202023-08-03T21:36:59+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 and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.Blood Pressure Panel; a grouping of systolic and diastolic blood pressure components.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
          • Removed the item 'urn:iso:std:iso:3166#US'
          .kindresource
            .nameUSCoreSmokingStatusProfileBloodPressurePanel
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsClinical Interoperability Council
            • Values Differ
            .purpose
              .statusactivedraft
              • Values Differ
              .titleUS Core Smoking Status Observation ProfileBlood Pressure Panel
              • Values Differ
              .typeObservation
                .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatushttp://hl7.org/fhir/us/cardx-htn/StructureDefinition/blood-pressure-panel
                • Values Differ
                .version6.1.00.1.0
                • Values Differ

                Structure

                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                .. Observation C0..*ObservationMeasurements and simple assertions
                C0..*ObservationMeasurements 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: ?? (preferred): A human language.

                      Additional BindingsPurpose
                      ??Max Binding
                      0..1codeLanguage of the resource content
                      Binding: ?? (preferred): A human language.

                      Additional BindingsPurpose
                      ??Max Binding
                        ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                          ... contained 0..*ResourceContained, inline Resources
                          0..*ResourceContained, inline Resources
                            ... extension 0..*ExtensionAdditional content defined by implementations
                            0..*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..1code(USCDI) registered | preliminary | final | amended +
                                    Binding: ?? (required)
                                    ?!SΣ1..1coderegistered | preliminary | final | amended +
                                    Binding: ?? (required): Codes providing the status of an observation.

                                    • Elements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
                                    ... Slices for category S1..*CodeableConcept(USCDI) Classification of type of observation
                                    Slice: Unordered, Open by pattern:$this
                                    Binding: ?? (preferred): Codes for high level observation categories.


                                    0..*CodeableConceptClassification of type of observation
                                    Binding: ?? (preferred): Codes for high level observation categories.


                                    • Elements differ in short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                    • Element minimum cardinalities differ: '1' vs '0'
                                    ... code SΣ1..1CodeableConcept(USCDI) Smoking Status
                                    Binding: ?? (extensible)
                                    Σ1..1CodeableConceptBlood pressure panel with all children optional
                                    Binding: ?? (example): Codes identifying names of simple observations.


                                    Required Pattern: {"coding":[{"system":"http://loinc.org","code":"85354-9"}]}
                                    • Elements differ in short: '(USCDI) Smoking Status' vs 'Blood pressure panel with all children optional'
                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                    ... subject SΣ1..1Reference(US Core Patient Profile)(USCDI) Who and/or what the observation is aboutSΣ1..1Reference(Patient)Who and/or what the observation is about
                                    • Elements differ in short: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
                                    ... 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
                                        SΣ1..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                        ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                          ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                          Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                            ... value[x] SΣC1..1CodeableConcept S, Quantity, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period(USCDI) Typically Coded Responses from Smoking Status Value Set
                                            Binding: ?? (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
                                            ??Max Binding

                                            us-core-3: SHALL use UCUM for coded quantity units.
                                            ΣC0..0
                                            • Elements differ in short: '(USCDI) Typically Coded Responses from Smoking Status Value Set' vs 'Actual result'
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            • Element maximum cardinalities differ: '1' vs '0'
                                            • Element minimum cardinalities conflict: '1..1' vs '0..0': No instances can be valid against both profiles
                                            ... dataAbsentReason C0..1CodeableConceptWhy the result is missing
                                            Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                            C0..1CodeableConceptWhy the result is missing
                                            Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                              ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                              Binding: ?? (extensible): Codes identifying interpretations of observations.


                                              0..1CodeableConceptHigh, low, normal, etc.
                                              Binding: ?? (extensible)
                                              • Element maximum cardinalities differ: '2147483647' vs '1'
                                              ... note 0..*AnnotationComments about the observation
                                              0..*AnnotationComments about the observation
                                                ... bodySite 0..1CodeableConceptObserved body part
                                                Binding: ?? (example): Codes describing anatomical locations. May include laterality.

                                                S0..1CodeableConceptObserved body part
                                                Binding: ?? (extensible): A set of codes that describe where on/in the body an observation or procedure took place

                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                • Elements differ in binding.description: 'Codes describing anatomical locations. May include laterality.' vs 'A set of codes that describe where on/in the body an observation or procedure took place'
                                                ... method 0..1CodeableConceptHow it was done
                                                Binding: ?? (example): Methods for simple observations.

                                                S0..1CodeableConceptHow it was done
                                                Binding: ?? (extensible): A set of codes that describe the method used to measure a blood pressure

                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                • Elements differ in binding.description: 'Methods for simple observations.' vs 'A set of codes that describe the method used to measure a blood pressure'
                                                ... specimen 0..1Reference(Specimen)Specimen used for this observation0..0
                                                • Element maximum cardinalities differ: '1' vs '0'
                                                ... device 0..1Reference(Device | DeviceMetric)(Measurement) DeviceS0..1Reference(Device | DeviceMetric)Blood Pressure Device
                                                • Elements differ in short: '(Measurement) Device' vs 'Blood Pressure Device'
                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                C0..*BackboneElementProvides guide for interpretation
                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                    0..*ExtensionAdditional content defined by implementations
                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                        .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                          .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                            .... type 0..1CodeableConceptReference range qualifier
                                                            Binding: ?? (preferred): Code for the meaning of a reference range.

                                                            0..1CodeableConceptReference range qualifier
                                                            Binding: ?? (preferred): Code for the meaning of a reference range.

                                                              .... appliesTo 0..*CodeableConceptReference range population
                                                              Binding: ?? (example): Codes identifying the population the reference range applies to.


                                                              0..*CodeableConceptReference range population
                                                              Binding: ?? (example): Codes identifying the population the reference range applies to.


                                                                .... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                  .... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                    ... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                    Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                      ... 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
                                                                        SΣ2..*BackboneElementBlood pressure components
                                                                        Slice: Unordered, Open by value:code
                                                                        • Elements differ in short: 'Component results' vs 'Blood pressure components'
                                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                        • Element minimum cardinalities differ: '0' vs '2'
                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                          0..*ExtensionAdditional content defined by implementations
                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                              .... code Σ1..1CodeableConceptType of component observation (code / type)
                                                                              Binding: ?? (example): Codes identifying names of simple observations.

                                                                              Σ1..1CodeableConceptType of component observation (code / type)
                                                                              Binding: ?? (example): Codes identifying names of simple observations.

                                                                                .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                  .... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                  C0..1CodeableConceptWhy the component result is missing
                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                    .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                                    0..*CodeableConceptHigh, low, normal, etc.
                                                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                                      .... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                      0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                        doco Documentation for this format