STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

U.S. Data Access Framework (DAF) Smoking Status Profile vs QICore-Observation

Messages

A series of messages from the comparison algorithm. Errors indicate that solutions cannot be interoperable across both implementation guides (or that there are structural flaws in the definition of at least one).

PathMessage
Errors Detected
(None)
Notes about differences (e.g. definitions)
ObservationElements differ in definition for short:
"Smoking Status Observation"
"Measurements and simple assertions"
ObservationElements differ in definition for definition:
"Smoking Status Observation."
"Measurements and simple assertions made about a patient, device or other subject."
Observation.extensionElements differ in definition for short:
"Additional Content defined by implementations"
"Extension"
Observation.extensionElements differ in definition for definition:
"May be used to represent additional information that is not part of the basic definition of the resource. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."
"An Extension"
Observation.codeElements differ in definition for short:
"Smoking Status: LOINC 72166-2 = Tobacco smoking status NHIS"
"Type of observation (code / type)"
Observation.codeElements differ in definition for definition:
"Smoking Status: Limited to fixed LOINC value 72166-2 = Tobacco smoking status NHIS."
"Describes what was observed. Sometimes this is called the observation "name"."
Observation.codeExample/preferred bindings differ at Observation.code using binding from QICore-Observation
Observation.codeElements differ in definition for binding.description:
"Codes identifying names of simple observations."
"LOINC codes"
Observation.value[x]Elements differ in definition for short:
"Coded Responses from Smoking Status Value Set"
"Actual result"
Observation.value[x]Elements differ in definition for definition:
"Coded Responses from Smoking Status Value Set."
"The information determined as a result of making the observation, if the information has a simple value."
Observation.value[x]Elements differ in definition for binding.description:
"This value set indicates the current smoking status of a patient"
"SNOMED CT for coded results"

Intersection

The intersection of the 2 constraint statements. This is what resource authors (either client or server) would need to conform to produce content valid against both implementation guides.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*Observationleft: Smoking Status Observation; right: Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: Component code SHALL not be same as observation code
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... observation-bodyPosition 0..1CodeableConceptleft: Additional Content defined by implementations; right: Extension
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
Binding: Body Position (preferred)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S0..*IdentifierUnique Id for this particular observation
... status ?! S∑1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..1CodeableConceptClassification of type of observation
Binding: Observation Category Codes (example)
... code S ∑1..1CodeableConceptleft: Smoking Status: LOINC 72166-2 = Tobacco smoking status NHIS; right: Type of observation (code / type)
Binding: US Laboratory Observation Profile Observation Name Codes (preferred)
... subject S ∑0..1Reference(DAF-Patient)Who and/or what this is about
... encounter S0..1Reference(DAF-Encounter)Healthcare event during which this observation is made
... effective[x] S ∑0..1dateTime, PeriodClinically relevant time/time-period for observation
... issued S ∑0..1instantDate/Time this was made available
... performer S ∑0..*Reference(DAF-Pract | DAF-Patient | DAF-RelatedPerson | DAF-Organization)Who is responsible for the observation
... value[x] S ∑0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Periodleft: Coded Responses from Smoking Status Value Set; right: Actual result
Binding: Smoking Status (required)
... dataAbsentReason 0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible)
... comment 0..1stringComments about result
... specimen S0..1Reference(QICore-Specimen)Specimen used for this observation
... device 0..1Reference(QICore-Device | DeviceMetric)(Measurement) Device
... related S ∑0..*BackboneElementResource related to this observation
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
.... target 1..1Reference(QICore-Observation | QuestionnaireResponse)Resource that is related to this one
... component ∑0..*BackboneElementComponent results
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... code ∑1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
.... value[x] ∑0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual component result
.... dataAbsentReason 0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
.... referenceRange 0..*Provides guide for interpretation of component result

doco Documentation for this format

Union

The union of the 2 constraint statements. This is what resource authors (either client or server) would need to be able to handle to accept content valid against either implementation guides.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*Observationleft: Smoking Status Observation; right: Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: Component code SHALL not be same as observation code
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*Extensionleft: Additional Content defined by implementations; right: Extension
Binding: Body Position (example)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S0..*IdentifierUnique Id for this particular observation
... status ?! S∑1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..1CodeableConceptClassification of type of observation
Binding: Observation Category Codes (example)
... code S ∑1..1CodeableConceptleft: Smoking Status: LOINC 72166-2 = Tobacco smoking status NHIS; right: Type of observation (code / type)
Binding: ???? (preferred)
... subject S ∑0..1Reference(#1 | Group | QICore-Device | QICore-Location)Who and/or what this is about
... encounter S0..1Reference(#4)Healthcare event during which this observation is made
... effective[x] S ∑0..1dateTime, PeriodClinically relevant time/time-period for observation
... issued S ∑0..1instantDate/Time this was made available
... performer S ∑0..*Reference(#3 | #1 | #5 | #2)Who is responsible for the observation
... value[x] S ∑0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Periodleft: Coded Responses from Smoking Status Value Set; right: Actual result
Binding: ???? (required)
... dataAbsentReason 0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible)
... interpretation S0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... bodySite S0..1CodeableConceptObserved body part
Binding: SNOMED CT Body Structures (example)
... method S0..1CodeableConceptHow it was done
Binding: Observation Methods (example)
... specimen S0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... low 0..1SimpleQuantityLow Range, if relevant
.... high 0..1SimpleQuantityHigh Range, if relevant
.... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: Observation Reference Range Meaning Codes (example)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... related S ∑0..*BackboneElementResource related to this observation
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
.... target 1..1Reference(Observation | QuestionnaireResponse)Resource that is related to this one
... component ∑0..*BackboneElementComponent results
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... code ∑1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
.... value[x] ∑0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual component result
.... dataAbsentReason 0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
.... referenceRange 0..*Provides guide for interpretation of component result

doco Documentation for this format