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|4.0.1	http://hl7.org/fhir/StructureDefinition/Condition	Values Differ
copyright
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) *Problem* and *Health Concern* 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 / 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 / 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	2.0.1	10.0.0-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(4.0.1)	Documentation of a health problem of the patient	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
Condition.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource	S This element must be supported. Σ This element is included in summaries.	0..1	Meta	Metadata about the resource	Elements differ in definition for mustSupport: 'false' vs 'true'
Condition.meta.id						0..1	string	Unique id for inter-element referencing	Added this element
Condition.meta.Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
Condition.meta.versionId					Σ This element is included in summaries.	0..1	id	Version specific identifier	Added this element
Condition.meta.lastUpdated					S This element must be supported. Σ This element is included in summaries.	0..1	instant	When the resource last changed	Added this element
Condition.meta.source					Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from	Added this element
Condition.meta.profile					Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Added this element
Condition.meta.security					Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Added this element
Condition.meta.tag					Σ This element is included in summaries.	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
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.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
Condition.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
Condition.contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Condition.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	0..*	Identifier	External Ids for this condition	Σ This element is included in summaries.	0..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. SO This element has obligations and must be supported. Σ This element is included in summaries. C	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)	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required)
Condition.verificationStatus	?! This element is a modifier element. Σ This element is included in summaries. C	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.	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required)	Elements differ in definition for mustSupport: 'false' vs 'true'
Condition.category	SO This element has obligations and must be supported.	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 This element must be supported.	1..*	CodeableConcept	category codes Slice: Unordered, Open by value:$this Binding: ?? (extensible): A category assigned to the condition. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them	Element minimum cardinalities differ: '0' vs '1'
Condition.severity	SO This element has obligations and must be supported.	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'
Condition.code	SO This element has obligations and must be supported. Σ This element is included in summaries.	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)	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: ?? (extensible): Valueset to describe the actual problem experienced by the patient
Condition.bodySite	Σ This element is included in summaries.	0..*	CodeableConcept	Anatomical location, if relevant Binding: ?? (preferred)	Σ This element is included in summaries.	0..*	CodeableConcept	Anatomical location, if relevant Binding: ?? (example): Codes describing anatomical locations. May include laterality.
Condition.subject	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	Reference(Patient (IPS)(2.0.1))	Who has the condition? Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group)	Who has the condition?
Condition.subject.id		0..1	string	Unique id for inter-element referencing					Removed this element
Condition.subject.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Condition.subject.reference	SO This element has obligations and must be supported. Σ This element is included in summaries. C	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
Condition.subject.type	Σ This element is included in summaries.	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
Condition.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
Condition.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource					Removed this element
Condition.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Encounter created as part of	Σ This element is included in summaries.	0..1	Reference(Encounter)	Encounter created as part of
Condition.Slices for onset[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	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) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime S This type must be supported. , Age, Period, Range, string	Estimated or actual date, date-time, or age
Condition.abatement[x]	C	0..1	dateTime, Age, Period, Range, string	When in resolution/remission	S This element must be supported. C	0..1	dateTime S This type must be supported. , Age, Period, Range, string	When in resolution/remission	Elements differ in definition for mustSupport: 'false' vs 'true'
Condition.recordedDate	Σ This element is included in summaries.	0..1	dateTime	Date record was first recorded	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	Date record was first recorded	Elements differ in definition for mustSupport: 'false' vs 'true'
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition	Σ This element is included in summaries.	0..1	Reference(US Core Practitioner Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile)	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally	C	0..*	BackboneElement	Stage/grade, usually assessed formally
Condition.stage.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.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).
Condition.stage.assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
Condition.stage.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).
Condition.evidence	C	0..*	BackboneElement	Supporting evidence	C	0..*	BackboneElement	Supporting evidence
Condition.evidence.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	CodeableConcept	Manifestation/symptom Binding: ?? (example): Codes that describe the manifestation or symptoms of a condition.	Σ This element is included in summaries. C	0..*	CodeableConcept	Manifestation/symptom Binding: ?? (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Resource)	Supporting information found elsewhere	Σ This element is included in summaries. C	0..*	Reference(Resource)	Supporting information found elsewhere
Condition.note		0..*	Annotation	Additional information about the Condition		0..*	Annotation	Additional information about the Condition
Documentation for this format