## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-findings

Left: | US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
Right: | Dental Findings (http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-findings)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus' vs 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-findings'
Error | StructureDefinition.version | Values for version differ: '8.0.0-ballot' vs '2.0.0-ballot'
Information | StructureDefinition.name | Values for name differ: 'USCoreSmokingStatusProfile' vs 'DentalFindings'
Information | StructureDefinition.title | Values for title differ: 'US Core Smoking Status Observation Profile' vs 'Dental Findings'
Information | StructureDefinition.date | Values for date differ: '2024-03-22' vs '2025-04-07T18:38:23+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'Payer/Provider Information Exchange Work Group'
Information | StructureDefinition.short | Values for short differ: 'final | entered-in-error' vs 'registered | preliminary | final | amended +'
Warning | Observation.status | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Observation.category | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Smoking Status' vs 'Type of observation (code / type)'
Error | Observation.code | Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.6 at Observation.code
Information | Observation.subject | Element minimum cardinalities differ: '1' vs '0'
Warning | Observation.encounter | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Observation.bodySite | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | Observation.bodySite | Example/preferred bindings differ at Observation.bodySite using binding from DentalFindings
Warning | Observation.component | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation |
copyright | Used 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'
date | 2024-03-22 | 2025-04-07T18:38:23+00:00 | Values Differ
description | The US Core Smoking Status Observation Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Smoking Status* Data Element. This profile sets minimum expectations for the Observation resource to record, search, and fetch smoking status data associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | This profile is used to convey point-in-time oral findings including findings of an odontogram, periodontal assessment, tooth-specific measurement, intraoral or extraoral soft tissue exam, TMJ, TMD, or occlusion assessment. Findings in this profile often support associated Dental Conditions/Problems. See the FHIR base resource descriptions for comparisons of [Condition](https://www.hl7.org/fhir/condition.html) and [Observation](https://www.hl7.org/fhir/observation.html). As multiple tooth surfaces, tooth numbers, and oral cavity areas may be applicable for a single observation, yet only a single Observation.bodySite is allowed, see SNOMED CT [Composition Grammar Syntax](http://hl7.org/fhir/snomedct.html#4.3.1.0.5) for correct use of post-coordinated concepts. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreSmokingStatusProfile | DentalFindings | Values Differ
publisher | HL7 International / Cross-Group Projects | Payer/Provider Information Exchange Work Group | Values Differ
purpose |  |
status | active |
title | US Core Smoking Status Observation Profile | Dental Findings | Values Differ
type | Observation |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-findings | Values Differ
version | 8.0.0-ballot | 2.0.0-ballot | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present us-core-24: Observation.code 72166-2|Tobacco smoking status or 11367-0|History of Tobacco use SHALL use valueCodeableConcept us-core-25: For Observation.code 401201003|Cigarette pack-years or 782516008|Number of calculated smoking pack years SHOULD use valueQuantity | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation |
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!S Σ | 1..1 | code | final | entered-in-error Binding: ?? (required) | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. | Elements differ in definition for mustSupport: 'true' vs 'false'
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:$this Binding: ?? (preferred): Codes for high level observation categories. |  | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ?? (preferred): Codes for high level observation categories. | Elements differ in definition for mustSupport: 'true' vs 'false'
code | S Σ C | 1..1 | CodeableConcept | Smoking Status Binding: ?? (extensible): Smoking status type | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: ?? (required) | Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.6 at Observation.code
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | S Σ | 0..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | Element minimum cardinalities differ: '1' vs '0'
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | S Σ | 0..1 | Reference(US Core Encounter Profile) | Healthcare event during which this observation is made | Elements differ in definition for mustSupport: 'false' vs 'true'
effective[x] | S Σ | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation | S Σ | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available |
performer | S Σ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) | Who is responsible for the observation | S Σ | 0..* | Reference(US Core Practitioner Profile) | Who is responsible for the observation |
Slices for value[x] | S Σ C | 1..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this | S Σ C | 1..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Binding: ?? (extensible) |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |
note |  | 0..* | Annotation | Comments about the observation |  | 0..* | Annotation | Comments about the observation |
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. | S | 0..1 | CodeableConcept | Observed body part Binding: ?? (preferred) | Elements differ in definition for mustSupport: 'false' vs 'true' Example/preferred bindings differ at Observation.bodySite using binding from DentalFindings
method |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. |
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation |  | 0..1 | Reference(Specimen) | Specimen used for this observation |
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant |
high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant |
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. |
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |
age |  | 0..1 | Range | Applicable age range, if relevant |  | 0..1 | Range | Applicable age range, if relevant |
text |  | 0..1 | string | Text based reference range in an observation |  | 0..1 | string | Text based reference range in an observation |
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | Σ | 0..* | BackboneElement | Component results | S Σ | 0..* | BackboneElement | Component results | Elements differ in definition for mustSupport: 'false' vs 'true'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. |
value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, 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 |
Documentation for this format