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

Left:US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
Right:US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)

Messages

ErrorStructureDefinition.versionValues for version differ: '5.0.1' vs '7.0.0'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2024-03-22'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.definitionValues for definition differ: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
InformationStructureDefinition.commentValues for comment differ: '\-' 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.'
InformationStructureDefinition.shortValues for short differ: 'registered | preliminary | final | amended +' vs 'final | entered-in-error'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'
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](http://hl7.org/fhir/R4/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](questionnaireresponse.html) into a final score and represent the score as an Observation.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
        .date2022-04-202024-03-22
        • Values Differ
        .descriptionThe US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and implementers 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 when using this profile. It provides the floor for standards development for specific uses cases.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.
        • Values Differ
        .experimentalfalse
          .fhirVersion4.0.1
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
                .kindresource
                  .nameUSCoreSmokingStatusProfile
                    .publisherHL7 International - Cross-Group ProjectsHL7 International / Cross-Group Projects
                    • Values Differ
                    .purpose
                      .statusactive
                        .titleUS Core Smoking Status Observation Profile
                          .typeObservation
                            .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus
                              .version5.0.17.0.0
                              • 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
                              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
                                ... id Σ0..1stringLogical 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..1coderegistered | preliminary | final | amended +
                                                      Binding: ?? (required)
                                                      ?!SΣ1..1codefinal | entered-in-error
                                                      Binding: ?? (required)
                                                        ... Slices for category S1..*CodeableConceptClassification of type of observation
                                                        Slice: Unordered, Open by pattern:$this
                                                        Binding: ?? (preferred): Codes for high level observation categories.


                                                        S1..*CodeableConceptClassification of type of observation
                                                        Slice: Unordered, Open by pattern:$this
                                                        Binding: ?? (preferred): Codes for high level observation categories.


                                                          ... code SΣ1..1CodeableConceptSmoking Status
                                                          Binding: ?? (extensible)
                                                          SΣC1..1CodeableConceptSmoking Status
                                                          Binding: ?? (extensible): Smoking status type

                                                            ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)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
                                                              Σ0..*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:$this
                                                                  SΣ1..1dateTime, PeriodClinically relevant time/time-period for observation
                                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                  ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                                    ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                    Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                      ... Slices for value[x] ΣC1..1CodeableConceptActual result
                                                                      Slice: Unordered, Closed by type:$this
                                                                      SΣC1..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                                      Slice: Unordered, Open by type:$this
                                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                      ... 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