Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Condition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition	Values Differ
copyright	Used 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'
date	2022-04-20	2023-03-21T04:50:14+11:00	Values Differ
description	The US Core Condition Problems and Health Concerns Profile is based upon the core FHIR Condition Resource and meets the U.S. Core Data for Interoperability (USCDI) v2 'Problems' and 'Health Concerns' requirements and SDOH 'Problems/Health Concerns' requirements. In version 5.0.0, The US Core Condition Profile has been split into the US Core Condition Encounter Diagnosis Profile and US Core Condition Problems and Health Concerns Profile. To promote interoperability and adoption through common implementation, this profile defines constraints and extensions on the Condition resource for the minimal set of data to record, search, and fetch information about a condition, diagnosis, or other event, situation, issue, or clinical concept that is documented and categorized as a problem or health concern including information about a Social Determinants of Health-related condition. 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 use cases.	Records the the primary cancer condition, the original or first tumor in the body (Definition from: [NCI Dictionary of Cancer Terms](https://www.cancer.gov/publications/dictionaries/cancer-terms/def/primary-tumor)). Cancers that are not clearly secondary (i.e., of uncertain origin or behavior) should be documented as primary.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreConditionProblemsHealthConcernsProfile	PrimaryCancerCondition	Values Differ
publisher	HL7 International - Cross-Group Projects	HL7 International Clinical Interoperability Council	Values Differ
purpose
status	active
title	US Core Condition Problems and Health Concerns Profile	Primary Cancer Condition Profile	Values Differ
type	Condition
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns	http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition	Values Differ
version	6.0.0-ballot	2.1.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses	Elements differ in definition: '\-' vs 'The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.'
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url	S	0..*	Extension	Extension Slice: Unordered, Open by value:url	Elements differ in definition for mustSupport: 'false' vs 'true'
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	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required)	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required)	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required)
Slices for category	S	1..*	CodeableConcept	category codes Slice: Unordered, Open by pattern:$this Binding: ?? (extensible): A category assigned to the condition.	SC	1..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Binding: ?? (extensible)	Elements differ in short: 'category codes' vs 'problem-list-item | encounter-diagnosis | health-concern'
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	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: ?? (extensible): Valueset to describe the actual problem experienced by the patient	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: ?? (extensible)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ?? (example): Codes describing anatomical locations. May include laterality.	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ?? (extensible)	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1	dateTime S, 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	Elements differ in definition for mustSupport: 'true' vs 'false'
abatement[x]	SC	0..1	dateTime S, Age, Period, Range, string	When in resolution/remission	C	0..1	dateTime, Age, Period, Range, string	When in resolution/remission	Elements differ in definition for mustSupport: 'true' vs 'false'
recordedDate	SΣ	0..1	dateTime	Date record was first recorded	Σ	0..1	dateTime	Date record was first recorded	Elements differ in definition for mustSupport: 'true' vs 'false'
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	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	SC	0..*	BackboneElement	Stage/grade, usually assessed formally	Elements differ in definition for mustSupport: 'false' vs 'true'
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	Most recent Stage Group Binding: ?? (example): Codes describing condition stages (e.g. Cancer stages).	Elements differ in short: 'Simple summary (disease specific)' vs 'Most recent Stage Group' Elements differ in definition: 'A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.' vs 'In mCODE, staging information MUST be captured in an Observation that conforms to the CancerStageGroup profile. For convenience, the stage group MAY appear in this element, copied from the CancerStageGroup, but mCODE Data Senders and Receivers MAY ignore it.'
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment	SC	0..*	Reference(Cancer Stage Group Profile)	Formal record of assessment	Elements differ in definition for mustSupport: 'false' vs 'true' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/ClinicalImpression], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-group]])
type		0..1	CodeableConcept	Kind of staging Binding: ?? (example): Codes describing the kind of condition staging (e.g. clinical or pathological).		0..1	CodeableConcept	Staging system used. Binding: ?? (required)	Elements differ in short: 'Kind of staging' vs 'Staging system used.' Elements differ in definition: 'The kind of staging, such as pathological or clinical staging.' vs 'In mCODE, staging information MUST be captured in an Observation that conforms to the CancerStageGroup profile. For convenience, the staging system MAY appear in this element, but mCODE Data Senders and Receivers MAY ignore it.'
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