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

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		Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2023-10-17	2026-03-16T10:49:09+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	SΣ	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	SΣ	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	SΣ	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	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required)	?!SΣC	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	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required)	?!SΣC	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	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	SΣ	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	SΣ	1..1	Reference(US Core Patient Profile S | Group)	Who has the condition?	SΣ	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					ΣC	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	SΣ	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					ΣC	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]	SΣ	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]	SC	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	SΣ	0..1	dateTime	Date record was first recorded	SΣ	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	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