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

Left: | US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns)
Right: | De-Identified UDS Plus Diagnosis (http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-diagnosis)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns' vs 'http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-diagnosis'
Error | StructureDefinition.version | Values for version differ: '9.0.0-ballot' vs '0.1.0'
Information | StructureDefinition.name | Values for name differ: 'USCoreConditionProblemsHealthConcernsProfile' vs 'UDSPlusDiagnosis'
Information | StructureDefinition.title | Values for title differ: 'US Core Condition Problems and Health Concerns Profile' vs 'De-Identified UDS Plus Diagnosis'
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2026-03-16T10:54:28+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Cross Group Projects'
Information | StructureDefinition.short | Values for short differ: 'Detailed information about conditions, problems or diagnoses' vs 'De-Identified UDS Plus Diagnosis'
Information | StructureDefinition.definition | Values for definition differ: 'A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.' vs 'The UDS+ profile is based on the Condition resource and establishes the core elements, extensions, vocabularies and value sets for representing Diagnosis for UDS+ program.'
Information | StructureDefinition.short | Values for short differ: 'Logical id of this artifact' vs 'The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver'
Information | StructureDefinition.definition | Values for definition differ: 'The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.' vs 'De-dentified condition resource identifier.'
Warning | Condition.id | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Condition.meta | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Text summary of the resource, for human interpretation' vs 'Cannot include any text in the resource as part of the de-identified data.'
Information | Condition.text | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Contained, inline Resources' vs 'Cannot include any contained resources in the resource as part of the de-identified data.'
Information | Condition.contained | Element maximum cardinalities differ: '2147483647' vs '0'
Information | StructureDefinition.short | Values for short differ: 'category codes' vs 'problem-list-item | encounter-diagnosis'
Information | Condition.category | Element maximum cardinalities differ: '2147483647' vs '1'
Warning | Condition.encounter | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Condition.onset[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Condition.abatement[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the condition' vs '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 |  | Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date | 2023-10-17 | 2026-03-16T10:54:28+00:00 | Values Differ
description | 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. | The UDS+ profile is based on the Condition resource and establishes the core elements, extensions, vocabularies and value sets for representing Diagnosis for UDS+ program. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreConditionProblemsHealthConcernsProfile | UDSPlusDiagnosis | Values Differ
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 | De-Identified UDS Plus Diagnosis | Values Differ
type | Condition |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-diagnosis | Values Differ
version | 9.0.0-ballot | 0.1.0 | 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 | C | 0..* | Condition | De-Identified UDS Plus Diagnosis |
id | Σ | 0..1 | id | Logical id of this artifact | S Σ | 0..1 | id | The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver | Elements differ in definition for mustSupport: 'false' vs 'true'
meta | S Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | Elements differ in definition for mustSupport: 'true' vs 'false'
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
versionId | Σ | 0..1 | id | Version specific identifier |  |  |  |  | Removed this element
lastUpdated | S Σ | 0..1 | instant | When the resource last changed |  |  |  |  | Removed this element
source | Σ | 0..1 | uri | Identifies where the resource comes from |  |  |  |  | Removed this element
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |  |  |  |  | Removed this element
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |  |  |  |  | Removed 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". |  |  |  |  | Removed 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..0 |  | Cannot include any text in the resource as part of the de-identified data. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | Element maximum cardinalities differ: '1' vs '0'
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..0 |  | Cannot include any contained resources in the resource as part of the de-identified data. | Element maximum cardinalities differ: '2147483647' vs '0'
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 | ?!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): The clinical status of the condition or diagnosis. |
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
coding |  |  |  |  | Σ | 0..* | Coding | Code defined by a terminology system | Added this element
text |  |  |  |  | Σ | 0..0 |  | Plain text representation of the concept | Added this element
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): The verification status to support or decline the clinical status of the condition or diagnosis. |
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
coding |  |  |  |  | Σ | 0..* | Coding | Code defined by a terminology system | Added this element
text |  |  |  |  | Σ | 0..0 |  | Plain text representation of the concept | Added this element
Slices for category | S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by value:$this Binding: ?? (extensible): A category assigned to the condition. | S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ?? (extensible): A category assigned to the condition. | Element maximum cardinalities differ: '2147483647' vs '1'
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
coding |  |  |  |  | Σ | 0..* | Coding | Code defined by a terminology system | Added this element
text |  |  |  |  | Σ | 0..0 |  | Plain text representation of the concept | Added this element
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: ?? (preferred): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Documentation
?? | Current | Required for new records
| S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ?? (extensible): The set of codes indicating the diagnosis |
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
coding |  |  |  |  | Σ | 0..* | Coding | Code defined by a terminology system | Added this element
text |  |  |  |  | Σ | 0..0 |  | Plain text representation of the concept | Added this element
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 S | Group) | Who has the condition? | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who has the condition? |
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
reference |  |  |  |  | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Added 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). | Added this element
identifier |  |  |  |  | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Added this element
display |  |  |  |  | Σ | 0..0 |  | Text alternative for the resource | Added this element
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | S Σ | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of | 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
reference |  |  |  |  | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Added 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). | Added this element
identifier |  |  |  |  | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Added this element
display |  |  |  |  | Σ | 0..0 |  | Text alternative for the resource | Added this element
onset[x] | S Σ | 0..1 | dateTime S, Age, Period, Range, string | Estimated or actual date, date-time, or age | Σ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | Elements differ in definition for mustSupport: 'true' vs 'false'
abatement[x] | S C | 0..1 | dateTime S, Age, Period, Range, string | When in resolution/remission | C | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission Slice: Unordered, Open by type:$this | Elements differ in definition for mustSupport: 'true' vs 'false'
recordedDate | S Σ | 0..1 | dateTime | Date record was first recorded | S Σ | 0..1 | dateTime | Date record was first recorded |
recorder | Σ | 0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: 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 | 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 | 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