Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status

Left:US Core Treatment Intervention Preference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference)
Right:Cancer Disease Status Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status'
ErrorStructureDefinition.versionValues for version differ: '7.0.0' vs '4.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreTreatmentInterventionPreferenceProfile' vs 'CancerDiseaseStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Treatment Intervention Preference Profile' vs 'Cancer Disease Status Profile'
InformationStructureDefinition.dateValues for date differ: '2023-11-02' vs '2024-12-03T21:49:52+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Clinical Interoperability Council'
InformationStructureDefinition.shortValues for short differ: 'US Core Treatment Intervention Preference Profile' vs 'Measurements and simple assertions'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: '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.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Treatment intervention preferences code' vs 'Type of observation (code / type)'
InformationStructureDefinition.definitionValues for definition differ: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'Patient whose disease status is recorded.'
WarningObservation.focusElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.definitionValues for definition differ: 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g., human patients - this is usually called the 'physiologically relevant time'.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.'
InformationStructureDefinition.commentValues for comment differ: 'At least a date should be present unless this observation is a historical report.' vs 'At least a date should be present unless this observation is a historical report. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.'
InformationStructureDefinition.shortValues for short differ: 'Specimen used for this observation' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'The specimen that was used when this observation was made.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: '(Measurement) Device' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'The device used to generate the observation data.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: 'Provides guide for interpretation' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an 'OR'. In other words, to represent two distinct target populations, two `referenceRange` elements would be used.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.' vs 'Not used in this profile'
InformationStructureDefinition.commentValues for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.'
InformationStructureDefinition.shortValues for short differ: 'Component results' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.' vs 'Not used in this profile'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/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'
      .date2023-11-022024-12-03T21:49:52+00:00
      • Values Differ
      .descriptionThe US Core Treatment Intervention Preference Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile provides guidance on how to record a treatment intervention preference expressed by the patient regarding their personal health goals, preferences, and priorities for medical treatments or interventions in the event of a future health scenario where a person is unable to make medical decisions because of a severe illness or injury. This profile does not represent an actual order, but it can guide caregivers and medical personnel about what is important for the person. This profile sets minimum expectations for the Observation resource to record, search, and fetch for patient treatment intervention preferences. 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.A clinician's qualitative judgment on the current trend of the cancer, e.g., whether it is stable, worsening (progressing), or improving (responding). The judgment may be based a single type or multiple kinds of evidence, such as imaging data, assessment of symptoms, tumor markers, laboratory data, etc.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreTreatmentInterventionPreferenceProfileCancerDiseaseStatus
              • Values Differ
              .publisherHL7 International / Cross-Group ProjectsHL7 International / Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Treatment Intervention Preference ProfileCancer Disease Status Profile
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preferencehttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status
                    • Values Differ
                    .version7.0.04.0.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                    .. Observation C0..*ObservationUS Core Treatment Intervention Preference Profile
                    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
                    C0..*ObservationMeasurements 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 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
                                    ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                    ?!0..*ExtensionExtensions that cannot be ignored
                                      ... identifier Σ0..*IdentifierBusiness Identifier for observation
                                      Σ0..*IdentifierBusiness Identifier for observation
                                        ... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                        Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                          ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                          Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                            ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.

                                            ?!SΣ1..1coderegistered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.

                                              ... Slices for category S0..*CodeableConceptClassification 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 definition for mustSupport: 'true' vs 'false'
                                              ... code SΣ1..1CodeableConceptTreatment intervention preferences code
                                              Binding: ?? (example): Codes identifying names of simple observations.


                                              Required Pattern: {"coding":[{"system":"http://loinc.org","code":"75773-2"}]}
                                              SΣ1..1CodeableConceptType of observation (code / type)
                                              Binding: ?? (example): Codes identifying names of simple observations.


                                              Required Pattern: {"coding":[{"system":"http://loinc.org","code":"97509-4"}]}
                                                ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(Cancer Patient Profile)Who and/or what the observation is about
                                                  ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                  SΣ0..*Reference(US Core Condition Problems and Health Concerns Profile | Tumor Profile | Radiotherapy Volume Profile)What the observation is about, when it is not about the subject of record
                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                  ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                    ... effective[x] SΣ0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observationSΣ0..1dateTimeClinically relevant time/time-period for observation
                                                      ... 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(US Core Practitioner Profile)Who is responsible for the observation
                                                          ... value[x] SΣC0..1string S, CodeableConcept S, Quantity, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultSΣC0..1CodeableConceptActual result
                                                          Binding: ?? (preferred)
                                                          Additional BindingsPurpose
                                                          ??Max Binding
                                                            ... 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..*CodeableConceptHigh, low, normal, etc.
                                                              Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                ... 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.

                                                                  0..1CodeableConceptObserved body part
                                                                  Binding: ?? (example): Codes describing anatomical locations. May include laterality.

                                                                    ... method 0..1CodeableConceptHow it was done
                                                                    Binding: ?? (example): Methods for simple observations.

                                                                    0..1CodeableConceptHow it was done
                                                                    Binding: ?? (example): Methods for simple observations.

                                                                      ... specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Not used in this profile
                                                                        ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)Not used in this profile
                                                                          ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                          obs-3: Must have at least a low or a high or text
                                                                          C0..*BackboneElementNot used in this profile
                                                                          obs-3: Must have at least a low or a high or text
                                                                            .... 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)Not used in this profile
                                                                                                ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                  ... component Σ0..*BackboneElementComponent results
                                                                                                  Σ0..*BackboneElementNot used in this profile
                                                                                                    .... 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