Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips 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	Added the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2024-06-19T10:50:07-05:00	2023-10-17	Values Differ
description	This profile represents the constraints applied to the Condition resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of a problem is represented in the patient summary as an instance of the Condition resource constrained by this profile.	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	Added the item '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	ConditionUvIps	USCoreConditionProblemsHealthConcernsProfile	Values Differ
publisher	HL7 International / Patient Care	HL7 International / Cross-Group Projects	Values Differ
purpose	Representation of a problem in the international patient summary		Removed the item 'Representation of a problem in the international patient summary'
status	active
title	Condition (IPS)	US Core Condition Problems and Health Concerns Profile	Values Differ
type	Condition
url	http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns	Values Differ
version	2.0.0	9.0.0-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	Documentation of a health problem of the patient	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	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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		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	?!SOΣC	0..1	??	active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required)
verificationStatus	?!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.	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required)	Elements differ in definition for mustSupport: 'false' vs 'true'
category	SO	0..*	??	problem-list-item | encounter-diagnosis Binding: ?? (extensible) Additional Bindings Purpose ?? candidate Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	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	SO	0..1	??	Subjective severity of condition Binding: ?? (preferred) Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)		0..1	CodeableConcept	Subjective severity of condition Binding: ?? (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.	Elements differ in definition for mustSupport: 'true' vs 'false' Example/preferred bindings differ at Condition.severity using binding from ConditionUvIps
code	SOΣ	1..1	??	Identification of the condition, problem or diagnosis Binding: ?? (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	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 ConditionUvIps
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ?? (preferred)	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ?? (example): Codes describing anatomical locations. May include laterality.	Example/preferred bindings differ at Condition.bodySite using binding from ConditionUvIps
subject	SOΣ	1..1	Reference(Patient (IPS))	Who has the condition? Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	SΣ	1..1	Reference(US Core Patient Profile S | Group)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	SOΣ	0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	SΣ	0..1	dateTime S, 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	SC	0..1	dateTime S, Age, Period, Range, string	When in resolution/remission	Elements differ in definition for mustSupport: 'false' vs 'true'
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