## 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 '6.1.0'
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 '2022-04-20'
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 '\-'
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: 'active | recurrence | relapse | inactive | remission | resolved' vs '(USCDI) active | recurrence | relapse | inactive | remission | resolved'
Information | StructureDefinition.short | Values for short differ: 'unconfirmed | provisional | differential | confirmed | refuted | entered-in-error' vs '(USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error'
Information | StructureDefinition.short | Values for short differ: 'problem-list-item | encounter-diagnosis | health-concern' vs '(USCDI) category codes'
Information | StructureDefinition.short | Values for short differ: 'Identification of the condition, problem or diagnosis' vs '(USCDI) Identification of the condition, problem or diagnosis'
Information | StructureDefinition.short | Values for short differ: 'Who has the condition?' vs '(USCDI) Who has the condition?'
Information | StructureDefinition.short | Values for short differ: 'Estimated or actual date, date-time, or age' vs '(USCDI) Estimated or actual date, date-time, or age'
Warning | Condition.onset[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'When in resolution/remission' vs '(USCDI) When in resolution/remission'
Warning | Condition.abatement[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Date record was first recorded' vs '(USCDI) Date record was first recorded'
Warning | Condition.recordedDate | Elements differ in definition for mustSupport: 'false' vs 'true'

### 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 | 2022-04-20 | 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 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. | 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 | 6.1.0 | 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 us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | 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 | string | 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 |
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 | (USCDI) 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 | (USCDI) 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 | (USCDI) category codes Slice: Unordered, Open by pattern:$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 | 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 | (USCDI) Identification of the condition, problem or diagnosis Binding: ?? (extensible): Valueset to describe the actual problem experienced by the patient |
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(4.0.0)) | Who has the condition? | S Σ | 1..1 | Reference(US Core Patient Profile) | (USCDI) 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 | (USCDI) 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 | (USCDI) 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 | (USCDI) 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(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 | 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