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

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
date	2022-04-20	2023-10-17	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 and constrains the way the elements are used using this profile. It provides the floor for standards development for specific use cases.	The US Core Condition Problems and Health Concerns 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 Encounter Diagnosis Profile. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Problems*, *Health Concerns*, and *SDOH Problems/Health Concerns* Data Elements. It sets minimum expectations for the Condition resource to record, search, and fetch information about a condition, diagnosis, or another event, situation, issue, or clinical concept documented and categorized as a problem or health concern, including information about a Social Determinants of Health related condition. 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]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreConditionProblemsHealthConcernsProfile
publisher	HL7 International - Cross-Group Projects	HL7 International / Cross-Group Projects	Values Differ
purpose
status	active
title	US Core Condition Problems and Health Concerns Profile
type	Condition
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
version	6.1.0	8.0.0-ballot	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 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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	SΣ	0..1	Meta	Metadata about the resource	Elements differ in definition for mustSupport: 'false' vs 'true'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
versionId					Σ	0..1	id	Version specific identifier	Added this element
lastUpdated					SΣ	0..1	instant	When the resource last changed	Added this element
source					Σ	0..1	uri	Identifies where the resource comes from	Added this element
profile					Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Added this element
security					Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Added this element
tag					Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Added this element
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	(USCDI) 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	(USCDI) 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	(USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ?? (extensible): A category assigned to the condition.	S	1..*	CodeableConcept	category codes Slice: Unordered, Open by value:$this Binding: ?? (extensible): A category assigned to the condition.
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	(USCDI) 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: ?? (preferred): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose ?? Required
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	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who has the condition?	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	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1	dateTime S, Age, Period, Range, string	(USCDI) Estimated or actual date, date-time, or age	SΣ	0..1	dateTime S, Age, Period, Range, string	Estimated or actual date, date-time, or age
abatement[x]	SC	0..1	dateTime S, Age, Period, Range, string	(USCDI) When in resolution/remission	SC	0..1	dateTime S, Age, Period, Range, string	When in resolution/remission
recordedDate	SΣ	0..1	dateTime	(USCDI) Date record was first recorded	SΣ	0..1	dateTime	Date record was first recorded
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 con-1: Stage SHALL have summary or assessment	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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 con-2: evidence SHALL have code or details	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
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