## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis vs http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition

Left: | US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis)
Right: | SDOHCC Condition (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis' vs 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition'
Error | StructureDefinition.version | Values for version differ: '8.0.0' vs '3.0.0'
Information | StructureDefinition.name | Values for name differ: 'USCoreConditionEncounterDiagnosisProfile' vs 'SDOHCCCondition'
Information | StructureDefinition.title | Values for title differ: 'US Core Condition Encounter Diagnosis Profile' vs 'SDOHCC Condition'
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2025-09-26T13:12:57+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Patient Care'
Information | StructureDefinition.short | Values for short differ: 'Detailed information about conditions, problems or diagnoses' vs 'Detailed information about SDOH conditions, problems or diagnoses'
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 'For representation of SDOH conditions.'
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 USCoreConditionEncounterDiagnosisProfile
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'
Warning | Condition.clinicalStatus | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.comment | Values for comment differ: 'verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.' vs 'verificationStatus is not required. For example, when a patient complains of stress during a provider encounter, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. For SDOH conditions that are autogenerated based on a questionnaire response, the Condition.asserter is a “Device” AND Condition.Category should be 'health-concern'. In that case, Condition.verificationStatus should be 'unconfirmed' and should be changed to “confirmed” only after review and concurrence by the provider and patient.'
Warning | Condition.verificationStatus | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | Condition.category | Element minimum cardinalities differ: '1' vs '2'
Information | Condition.severity | Example/preferred bindings differ at Condition.severity using binding from USCoreConditionEncounterDiagnosisProfile
Information | StructureDefinition.requirements | Values for requirements differ: '0..1 to account for primarily narrative only resources.' vs 'Code is required and must be selected from the bound value set.'
Information | Condition.bodySite | Element maximum cardinalities differ: '2147483647' vs '0'
Warning | Condition.onset[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.definition | Values for definition differ: 'The date or estimated date that the condition resolved or went into remission. This is called 'abatement' because of the many overloaded connotations associated with 'remission' or 'resolution' - Conditions are never really resolved, but they can abate.' vs 'The estimated or actual dateTime or Period that the condition resolved or went into remission. This is called 'abatement' because of the many overloaded connotations associated with 'remission' or 'resolution'.'
Information | StructureDefinition.comment | Values for comment differ: 'There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.' vs 'There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. For SDOH Conditions that have a fuzzy abatement period, a lower precision representation (e.g., month/year or year) may be used. However, for SDOH Conditions that end at a specific point in time (e.g., food insecurity may abate upon acquiring a new job or gaining eligibility to a food program) a higher precision representation (e.g., year/month/date) may also be used.'
Warning | Condition.abatement[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the condition' vs 'Who recorded the condition'
Information | StructureDefinition.short | Values for short differ: 'Person who asserts this condition' vs 'Person or device that asserts this condition'
Information | StructureDefinition.definition | Values for definition differ: 'Individual who is making the condition statement.' vs 'The individual or device making the condition statement.'
Warning | Condition.asserter | Elements differ in definition for mustSupport: 'false' vs 'true'
Error | Condition.asserter | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0], CanonicalType[http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-practitionerrole]])
Information | Condition.stage | Element maximum cardinalities differ: '2147483647' vs '0'
Warning | Condition.evidence | 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 |  | Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date | 2023-10-17 | 2025-09-26T13:12:57+00:00 | Values Differ
description | The US Core Condition Encounter Diagnosis 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 Problems and Health Concerns Profile. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Encounter Diagnosis* Data Element. It sets minimum expectations for the Condition resource to record, search, and fetch information about an encounter diagnosis. 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. | Profile for Social Determinants of Health (SDOH) conditions. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreConditionEncounterDiagnosisProfile | SDOHCCCondition | Values Differ
publisher | HL7 International / Cross-Group Projects | HL7 International / Patient Care | Values Differ
purpose |  |
status | active |
title | US Core Condition Encounter Diagnosis Profile | SDOHCC Condition | Values Differ
type | Condition |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition | Values Differ
version | 8.0.0 | 3.0.0 | 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 | Detailed information about SDOH conditions, problems or diagnoses Constraints: SDOH-Con-1, SDOH-Con-2, SDOH-Con-3 |
id | Σ | 0..1 | id | 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 USCoreConditionEncounterDiagnosisProfile
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 | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis. | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required) | Elements differ in definition for mustSupport: 'false' vs 'true'
verificationStatus | ?!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. | ?!S Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required) | Elements differ in definition for mustSupport: 'false' vs 'true'
Slices for category | S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by value:$this Binding: ?? (extensible): A category assigned to the condition. | S C | 2..* | CodeableConcept | category codes Slice: Unordered, Open by value:$this Binding: ?? (extensible): A category assigned to the condition. | Element minimum cardinalities differ: '1' vs '2'
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 USCoreConditionEncounterDiagnosisProfile
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: ?? (required): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Usage
?? | Current |
?? | Extensible | SDOHCCCondition#`Condition.category` = digital-access
?? | Extensible | SDOHCCCondition#`Condition.category` = digital-literacy
?? | Extensible | SDOHCCCondition#`Condition.category` = educational-attainment
?? | Extensible | SDOHCCCondition#`Condition.category` = elder-abuse
?? | Extensible | SDOHCCCondition#`Condition.category` = employment-status
?? | Extensible | SDOHCCCondition#`Condition.category` = financial-insecurity
?? | Extensible | SDOHCCCondition#`Condition.category` = food-insecurity
?? | Extensible | SDOHCCCondition#`Condition.category` = health-insurance-coverage-status
?? | Extensible | SDOHCCCondition#`Condition.category` = homelessness
?? | Extensible | SDOHCCCondition#`Condition.category` = housing-instability
?? | Extensible | SDOHCCCondition#`Condition.category` = inadequate-housing
?? | Extensible | SDOHCCCondition#`Condition.category` = incarceration-status
?? | Extensible | SDOHCCCondition#`Condition.category` = intimate-partner-violence
?? | Extensible | SDOHCCCondition#`Condition.category` = language-access
?? | Extensible | SDOHCCCondition#`Condition.category` = material-hardship
?? | Extensible | SDOHCCCondition#`Condition.category` = medical-cost-burden
?? | Extensible | SDOHCCCondition#`Condition.category` = personal-health-literacy
?? | Extensible | SDOHCCCondition#`Condition.category` = social-connection
?? | Extensible | SDOHCCCondition#`Condition.category` = stress
?? | Extensible | SDOHCCCondition#`Condition.category` = transportation-insecurity
?? | Extensible | SDOHCCCondition#`Condition.category` = utility-insecurity
?? | Extensible | SDOHCCCondition#`Condition.category` = veteran-status
?? | Required | SDOHCCCondition#`Condition.category` = sdoh-category-unspecified
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: ?? (example): Codes describing anatomical locations. May include laterality. | Σ | 0..0 |  |  | Element maximum cardinalities differ: '2147483647' vs '0'
subject | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0) S | Group) | Who has the condition? | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who has the condition? |
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter created as part of | S Σ | 0..1 | Reference(US Core Encounter Profile(7.0.0)) | 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, Period | 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, Period | When in resolution/remission | Elements differ in definition for mustSupport: 'false' vs 'true'
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(7.0.0) | US Core Patient Profile(7.0.0) | PractitionerRole | US Core RelatedPerson Profile(7.0.0)) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the condition | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition |
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | S Σ C | 0..1 | Reference(RelatedPerson | US Core Patient Profile(7.0.0) | US Core Practitioner Profile(7.0.0) | SDOHCC PractitionerRole) | Person or device that asserts this condition | Elements differ in definition for mustSupport: 'false' vs 'true' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0], CanonicalType[http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-practitionerrole]])
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | C | 0..0 |  |  | Element maximum cardinalities differ: '2147483647' vs '0'
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 | S C | 0..* | BackboneElement | Supporting evidence | Elements differ in definition for mustSupport: 'false' vs 'true'
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 Slice: Unordered, Open by profile:resolve() |
note |  | 0..* | Annotation | Additional information about the Condition |  | 0..* | Annotation | Additional information about the Condition |
Documentation for this format