Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-condition vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Condition
copyright	Used by permission of HL7 International all rights reserved Creative Commons License	Used by permission of HL7 International, all rights reserved Creative Commons License	Values Differ
date	2022-08-02	2023-10-17	Values Differ
description	Minimum expectations for a Condition resource when accessed via an International Patient Access API. This profile communicates information about a patient's condition or diagnosis, such as recording primary and secondary diagnoses for encounters or justification for past medications. For the use of the condition resource to get a list of the patient's current problem list, use the [IPA-Problem-List-Item ](StructureDefinition-ipa-problem-list-item.html) profile instead. The difference between this profile and the IPA Problem List Item profile is that this profile does not specify or require a category.	The US Core Condition Encounter Diagnosis Profile inherits from the FHIR [Condition](https://hl7.org/fhir/R4/condition.html) resource; refer to it for scope and usage definitions. US Core version 5.0.0 split the US Core Condition Profile into this profile and the US Core Condition Problems and Health Concerns Profile. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Encounter Diagnosis* Data Element. It sets minimum expectations for the Condition resource to record, search, and fetch information about an encounter diagnosis. 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
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		urn:iso:std:iso:3166#US	Added the item 'urn:iso:std:iso:3166#US'
kind	resource
name	IPACondition	USCoreConditionEncounterDiagnosisProfile	Values Differ
publisher	HL7 International / Patient Care	HL7 International / Cross-Group Projects	Values Differ
purpose
status	active
title	IPA-Condition	US Core Condition Encounter Diagnosis Profile	Values Differ
type	Condition
url	http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-condition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis	Values Differ
version	1.1.0	8.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SOΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis.	Elements differ in definition for mustSupport: 'true' vs 'false'
verificationStatus	?!SOΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required): The verification status to support or decline the clinical status of the condition or diagnosis. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required): The verification status to support or decline the clinical status of the condition or diagnosis.	Elements differ in definition for mustSupport: 'true' vs 'false'
category	SO	0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ?? (extensible): A category assigned to the condition. Obligations Actor SHALL:populate-if-known Server	S	1..*	CodeableConcept	category codes Slice: Unordered, Open by value:$this Binding: ?? (extensible): A category assigned to the condition.	Element minimum cardinalities differ: '0' vs '1'
severity		0..1	CodeableConcept	Subjective severity of condition Binding: ?? (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.		0..1	CodeableConcept	Subjective severity of condition Binding: ?? (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SOΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: ?? (example): Identification of the condition or diagnosis. Obligations Actor SHALL:populate-if-known Server SHOULD:handle Client	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: ?? (preferred): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Documentation ?? Current Required for new records	Example/preferred bindings differ at Condition.code using binding from USCoreConditionEncounterDiagnosisProfile
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ?? (example): Codes describing anatomical locations. May include laterality.	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ?? (example): Codes describing anatomical locations. May include laterality.
subject	SOΣ	1..1	Reference(IPA-Patient)	Who has the condition? Obligations Actor SHALL:populate-if-known Server	SΣ	1..1	Reference(US Core Patient Profile S | Group)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of	SΣ	0..1	Reference(US Core Encounter Profile)	Encounter created as part of	Elements differ in definition for mustSupport: 'false' vs 'true'
onset[x]	Σ	0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age	Σ	0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime, Age, Period, Range, string	When in resolution/remission	C	0..1	dateTime, Age, Period, Range, string	When in resolution/remission
recordedDate	Σ	0..1	dateTime	Date record was first recorded	SΣ	0..1	dateTime	Date record was first recorded	Elements differ in definition for mustSupport: 'false' vs 'true'
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition	Σ	0..1	Reference(US Core Practitioner Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile)	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally	C	0..*	BackboneElement	Stage/grade, usually assessed formally
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ?? (example): Codes describing condition stages (e.g. Cancer stages).	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ?? (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ?? (example): Codes describing the kind of condition staging (e.g. clinical or pathological).		0..1	CodeableConcept	Kind of staging Binding: ?? (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence	C	0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ?? (example): Codes that describe the manifestation or symptoms of a condition.	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ?? (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition		0..*	Annotation	Additional information about the Condition
Documentation for this format