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

Left: | US Core Condition Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition)
Right: | US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns'
Error | StructureDefinition.version | Values for version differ: '4.0.0' vs '8.0.1'
Information | StructureDefinition.name | Values for name differ: 'USCoreCondition' vs 'USCoreConditionProblemsHealthConcernsProfile'
Information | StructureDefinition.title | Values for title differ: 'US Core Condition Profile' vs 'US Core Condition Problems and Health Concerns Profile'
Information | StructureDefinition.date | Values for date differ: '2020-06-27' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.definition | Values for definition differ: '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.' vs 'A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.'
Warning | Condition.meta | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | Condition.language | Example/preferred bindings differ at Condition.language using binding from USCoreCondition
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Information | StructureDefinition.short | Values for short differ: 'problem-list-item | encounter-diagnosis | health-concern' vs 'category codes'
Information | Condition.severity | Example/preferred bindings differ at Condition.severity using binding from USCoreCondition
Warning | Condition.onset[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Condition.abatement[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Condition.recordedDate | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Who recorded the condition' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the condition'

### 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 | 2020-06-27 | 2023-10-17 | Values Differ
description | Defines constraints and extensions on the Condition resource for the minimal set of data to query and retrieve problems and health concerns information. | 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 | USCoreCondition | USCoreConditionProblemsHealthConcernsProfile | Values Differ
publisher | HL7 International - US Realm Steering Committee | HL7 International / Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | US Core Condition Profile | US Core Condition Problems and Health Concerns Profile | Values Differ
type | Condition |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | Values Differ
version | 4.0.0 | 8.0.1 | 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 Constraints: us-core-1 | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | S Σ | 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 |  |  |  |  | S Σ | 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
| Example/preferred bindings differ at Condition.language using binding from USCoreCondition
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 | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required) | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required) |
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required) | ?!S Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required) |
category | S C | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: ?? (extensible) | 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. | Example/preferred bindings differ at Condition.severity using binding from USCoreCondition
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ?? (extensible): Valueset to describe the actual problem experienced by the patient | S Σ | 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
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 | S Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? | S Σ | 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] | Σ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age | S Σ | 0..1 | dateTime S, Age, Period, Range, string | Estimated or actual date, date-time, or age | Elements differ in definition for mustSupport: 'false' vs 'true'
abatement[x] | C | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission | S C | 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 | S Σ | 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 Constraints: con-1 | 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 Constraints: con-2 | 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ?? (example): Codes that describe the manifestation or symptoms of a condition. | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ?? (example): Codes that describe the manifestation or symptoms of a condition. |
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere | Σ C | 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