Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level

Left:US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
Right:Decedent Education Level (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus' vs 'http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level'
ErrorStructureDefinition.versionValues for version differ: '7.0.0' vs '3.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSmokingStatusProfile' vs 'DecedentEducationLevel'
InformationStructureDefinition.titleValues for title differ: 'US Core Smoking Status Observation Profile' vs 'Decedent Education Level'
InformationStructureDefinition.dateValues for date differ: '2024-03-22' vs '2024-10-16T18:41:34+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Public Health'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr'
InformationStructureDefinition.shortValues for short differ: 'final | entered-in-error' vs 'registered | preliminary | final | amended +'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Smoking Status' vs 'Highest level of education [US Standard Certificate of Death]'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Who and/or what the observation is about' vs 'This is the subject of the report, not the parent'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'What the observation is about, when it is not about the subject of record' vs 'The RelatedPerson or Patient record for the parent'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '1'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Actual result' vs 'The decedent's education level'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
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.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr
    • Values Differ
    .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'
    .date2024-03-222024-10-16T18:41:34+00:00
    • Values Differ
    .descriptionThe 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.Decedent Education Level (ObservationEducationLevelVitalRecords)
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreSmokingStatusProfileDecedentEducationLevel
            • Values Differ
            .publisherHL7 International / Cross-Group ProjectsHL7 International / Public Health
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Smoking Status Observation ProfileDecedent Education Level
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatushttp://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level
                  • Values Differ
                  .version7.0.03.0.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                  .. Observation 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
                  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
                  C0..*ObservationEducationLevelVitalRecordsMeasurements 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..*ExtensionAdditional content defined by implementations
                                  ... 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..1codefinal | entered-in-error
                                          Binding: ?? (required)
                                          ?!Σ1..1coderegistered | preliminary | final | amended +
                                          Binding: ?? (required): Codes providing the status of an observation.


                                          Fixed Value: final
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... Slices for category S1..*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'
                                          • Element minimum cardinalities differ: '1' vs '0'
                                          ... code SΣC1..1CodeableConceptSmoking Status
                                          Binding: ?? (extensible): Smoking status type

                                          Σ1..1CodeableConceptHighest level of education [US Standard Certificate of Death]
                                          Binding: ?? (required): EducationLevelPerson


                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"80913-7"}]}
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutΣ1..1Reference(Patient - Vital Records)This is the subject of the report, not the parent
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                          Σ0..1Reference(Patient - Mother Vital Records | Related Person - Parent Vital Records)The RelatedPerson or Patient record for the parent
                                          • Element maximum cardinalities differ: '2147483647' vs '1'
                                          ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                            ... effective[x] SΣ1..1dateTime, PeriodClinically relevant time/time-period for observationΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            ... 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
                                                ... Slices for value[x] SΣC1..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                Slice: Unordered, Open by type:$this
                                                ΣC1..1CodeableConceptThe decedent's education level
                                                Binding: ?? (required): Vital Records Education Level (NCHS)

                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                .... id 0..1stringUnique id for inter-element referencing
                                                • Added this element
                                                .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                Slice: Unordered, Open by value:url
                                                • Added this element
                                                .... coding Σ0..*CodingCode defined by a terminology system
                                                • Added this element
                                                .... text Σ0..1stringPlain text representation of the concept
                                                • Added this element
                                                ... 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)Specimen used for this observation
                                                            ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                              ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                              obs-3: Must have at least a low or a high or text
                                                              C0..*BackboneElementProvides guide for interpretation
                                                              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)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
                                                                                      Σ0..*BackboneElementComponent results
                                                                                        .... 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