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

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

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus' vs 'http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date'
ErrorStructureDefinition.versionValues for version differ: '6.1.0' vs '1.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSmokingStatusProfile' vs 'ObservationDeathDate'
InformationStructureDefinition.titleValues for title differ: 'US Core Smoking Status Observation Profile' vs 'Observation - Death Date'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-11-16T21:52:09+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Public Health'
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: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Smoking Status' vs 'Date+time of death'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Who and/or what the observation is about' vs 'The decedent'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Who is responsible for the observation' vs 'Death certifier'
WarningObservation.performerElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.performerElement maximum cardinalities differ: '2147483647' vs '1'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Typically Coded Responses from Smoking Status Value Set' vs 'Date/Time of Death'
InformationStructureDefinition.definitionValues for definition differ: 'The information determined as a result of making the observation, if the information has a simple value.' vs 'Actual or presumed date of death. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Comments about the observation' vs 'Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade'
InformationStructureDefinition.definitionValues for definition differ: 'Comments about the observation or the results.' vs 'Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade'
WarningObservation.noteElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.noteElement maximum cardinalities differ: '2147483647' vs '1'
InformationStructureDefinition.shortValues for short differ: 'How it was done' vs 'Codes that describe the approach to establishing a date.'
WarningObservation.methodElements 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
      • Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
      .date2022-04-202023-11-16T21:52:09+00:00
      • Values Differ
      .descriptionThe US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and implements 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 and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.This Observation provides the death date and date pronounced dead. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period. The MDI Observation - Death Date artifact overlaps with the VRDR Death Date artifact.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreSmokingStatusProfileObservationDeathDate
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 International / Public Health
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Smoking Status Observation ProfileObservation - Death Date
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatushttp://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date
                    • Values Differ
                    .version6.1.01.1.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Observation C0..*ObservationMeasurements and simple assertions
                    C0..*ObservationMeasurements and simple assertions
                      ... 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..1code(USCDI) registered | preliminary | final | amended +
                                            Binding: ?? (required)
                                            ?!SΣ1..1coderegistered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.

                                              ... Slices for category S1..*CodeableConcept(USCDI) Classification 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 SΣ1..1CodeableConcept(USCDI) Smoking Status
                                              Binding: ?? (extensible)
                                              SΣ1..1CodeableConceptDate+time of death
                                              Binding: ?? (example): Codes identifying names of simple observations.


                                              Required Pattern: {"coding":[{"system":"http://loinc.org","code":"81956-5"}]}
                                                ... subject SΣ1..1Reference(US Core Patient Profile)(USCDI) Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)The decedent
                                                  ... 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
                                                      Σ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                      • 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
                                                        SΣ0..1Reference(US Core Practitioner Profile)Death certifier
                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                        • Element maximum cardinalities differ: '2147483647' vs '1'
                                                        ... value[x] SΣC1..1CodeableConcept S, Quantity, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period(USCDI) Typically Coded Responses from Smoking Status Value Set
                                                        Binding: ?? (preferred): This value set enumerates codes SNOMED CT codes historically used for the current smoking status of a patient with a maximum required binding to Snomed CT codes.

                                                        Additional BindingsPurpose
                                                        ??Max Binding

                                                        us-core-3: SHALL use UCUM for coded quantity units.
                                                        ΣC0..1dateTime, PeriodDate/Time of Death
                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                        • Element minimum cardinalities differ: '1' vs '0'
                                                        .... id 0..1stringUnique id for inter-element referencing
                                                        • Added this element
                                                        .... Slices for extension 0..*ExtensionExtension
                                                        Slice: Unordered, Open by value:url
                                                        • 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
                                                            S0..1AnnotationNotes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                            • Element maximum cardinalities differ: '2147483647' vs '1'
                                                            ... 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.

                                                              S0..1CodeableConceptCodes that describe the approach to establishing a date.
                                                              Binding: ?? (extensible): ValueSetDateEstablishmentApproach

                                                              • 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)(Measurement) Device
                                                                  ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                  C0..*BackboneElementProvides guide for interpretation
                                                                    .... 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
                                                                                          Slice: Unordered, Open by value:code
                                                                                            .... 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