Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category

Left:US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
Right:TNM Distant Metastases Category Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category'
ErrorStructureDefinition.versionValues for version differ: '4.1.0' vs '2.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSmokingStatusProfile' vs 'TNMDistantMetastasesCategory'
InformationStructureDefinition.titleValues for title differ: 'US Core Smoking Status Observation Profile' vs 'TNM Distant Metastases Category Profile'
InformationStructureDefinition.dateValues for date differ: '2019-05-21T00:00:00+00:00' vs '2022-01-18T03:17:40+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International Clinical Interoperability Council'
WarningObservationElements differ in definition: 'The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the USCDI Data Set 'Smoking status' requirements.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
WarningObservation.codeElements differ in short: 'Smoking Status' vs 'Type of observation (code / type)'
WarningObservation.subjectElements differ in definition: '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 'The patient associated with staging data.'
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
WarningObservation.focusElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.deviceElements differ in short: '(Measurement) Device' vs 'Not used in this profile'
WarningObservation.deviceElements differ in definition: 'The device used to generate the observation data.' vs 'Not used in this profile'
WarningObservation.referenceRangeElements differ in short: 'Provides guide for interpretation' vs 'Not used in this profile'
WarningObservation.referenceRangeElements differ in definition: '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'
WarningObservation.hasMemberElements differ in short: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
WarningObservation.hasMemberElements differ in definition: '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'
WarningObservation.componentElements differ in short: 'Component results' vs 'Not used in this profile'
WarningObservation.componentElements differ in definition: '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'
      .date2019-05-21T00:00:00+00:002022-01-18T03:17:40+00:00
      • Values Differ
      .descriptionDefines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve patient's Smoking Status information.Category describing the extent of a tumor metastasis in remote anatomical locations, based on evidence such as physical examination, imaging, and/or biopsy.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreSmokingStatusProfileTNMDistantMetastasesCategory
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Smoking Status Observation ProfileTNM Distant Metastases Category Profile
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatushttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category
                    • Values Differ
                    .version4.1.02.0.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Observation I0..*ObservationMeasurements and simple assertions
                    I0..*ObservationMeasurements and simple assertions
                    • Elements differ in definition: 'The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the USCDI Data Set 'Smoking status' requirements.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                    ... id Σ0..1stringLogical id of this artifactΣ0..1stringLogical 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: CommonLanguages (preferred)
                          Max Binding: AllLanguages: A human language.

                          0..1codeLanguage of the resource content
                          Binding: CommonLanguages (preferred)
                          Max Binding: AllLanguages: A human language.

                            ... 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: US Core Status for Smoking Status Observation (required)
                                          ?!SΣ1..1coderegistered | preliminary | final | amended +
                                          Binding: ObservationStatus (required): Codes providing the status of an observation.

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


                                            0..*CodeableConceptClassification of type of observation
                                            Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            ... code SΣ1..1CodeableConceptSmoking Status
                                            Binding: US Core Smoking Status Observation Codes (extensible)
                                            SΣ1..1CodeableConceptType of observation (code / type)
                                            Binding: Staging Type Value Set (for Distant Metastases Category) (required)
                                            • Elements differ in short: 'Smoking Status' vs 'Type of observation (code / type)'
                                            ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ0..1Reference(Cancer Patient Profile)Who and/or what the observation is about
                                            • Elements differ in definition: '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 'The patient associated with staging data.'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                            SΣ0..*Reference(Primary Cancer Condition 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
                                              ... Slices for effective[x] Σ1..1dateTimeClinically relevant time/time-period for observation
                                              Slice: Unordered, Closed by type:$this
                                              SΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                              • Element minimum cardinalities differ: '1' vs '0'
                                              ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                  ... Slices for value[x] ΣI1..1CodeableConceptActual result
                                                  Slice: Unordered, Closed by type:$this
                                                  SΣI0..1CodeableConceptActual result
                                                  Binding: TNM Distant Metastases Category Value Set (preferred)
                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                  • Element minimum cardinalities differ: '1' vs '0'
                                                  ... dataAbsentReason I0..1CodeableConceptWhy the result is missing
                                                  Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                  I0..1CodeableConceptWhy the result is missing
                                                  Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                    ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                    0..*CodeableConceptHigh, low, normal, etc.
                                                    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                      ... note 0..*AnnotationComments about the observation
                                                      0..*AnnotationComments about the observation
                                                        ... bodySite 0..1CodeableConceptObserved body part
                                                        Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

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

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

                                                          S0..1CodeableConceptHow it was done
                                                          Binding: Cancer Staging System Value Set (extensible)
                                                          • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                          ... 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)Not used in this profile
                                                            • Elements differ in short: '(Measurement) Device' vs 'Not used in this profile'
                                                            • Elements differ in definition: 'The device used to generate the observation data.' vs 'Not used in this profile'
                                                            ... referenceRange I0..*BackboneElementProvides guide for interpretation
                                                            obs-3: Must have at least a low or a high or text
                                                            I0..*BackboneElementNot used in this profile
                                                            • Elements differ in short: 'Provides guide for interpretation' vs 'Not used in this profile'
                                                            • Elements differ in definition: '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'
                                                            .... 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 I0..1SimpleQuantityLow Range, if relevantI0..1SimpleQuantityLow Range, if relevant
                                                                    .... high I0..1SimpleQuantityHigh Range, if relevantI0..1SimpleQuantityHigh Range, if relevant
                                                                      .... type 0..1CodeableConceptReference range qualifier
                                                                      Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                                      0..1CodeableConceptReference range qualifier
                                                                      Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                                        .... appliesTo 0..*CodeableConceptReference range population
                                                                        Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


                                                                        0..*CodeableConceptReference range population
                                                                        Binding: ObservationReferenceRangeAppliesToCodes (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
                                                                              • Elements differ in short: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
                                                                              • Elements differ in definition: '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'
                                                                              ... 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
                                                                                • Elements differ in short: 'Component results' vs 'Not used in this profile'
                                                                                • Elements differ in definition: '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'
                                                                                .... 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: LOINCCodes (example): Codes identifying names of simple observations.

                                                                                      Σ1..1CodeableConceptType of component observation (code / type)
                                                                                      Binding: LOINCCodes (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 I0..1CodeableConceptWhy the component result is missing
                                                                                          Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                          I0..1CodeableConceptWhy the component result is missing
                                                                                          Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                            .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                            Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                                                            0..*CodeableConceptHigh, low, normal, etc.
                                                                                            Binding: ObservationInterpretationCodes (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