US Public Health Profiles Library
1.0.0 - STU1

US Public Health Profiles Library, published by HL7 Public Health Working Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-us-ph-common-library-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: US Public Health Condition Problems and Health Concerns

Official URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-problems-health-concerns | Version: 1.0.0
Active as of 2023-10-04 | Computable Name: USPublicHealthConditionProblemsHealthConcerns

This Condition profile represents a sign, symptom, or diagnosis for a problem or health concern related to a public health event.

It is based on the US Core Condition Problems and Health Concerns Profile with further constraints:

- US Public Health Patient as the Condition.subject
- verificationStatus guidance: in the case of a condition being mistakenly entered into the system and later corrected, set to ‘entered-in-error’

Usage:

- Examples for this Resource Profile: Condition/us-ph-condition-problem-health-concern-hypertension

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition |  | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses
verificationStatus |  | 0..1 | CodeableConcept | If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set
subject |  | 1..1 | Reference(US Public Health Patient) | Who has the condition?
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set Binding: ConditionVerificationStatus (required)
Slices for category | S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required)
category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient
subject | S Σ | 1..1 | Reference(US Public Health Patient) | Who has the condition?
onset[x] | S Σ | 0..1 |  | Estimated or actual date, date-time, or age
onsetDateTime |  |  | dateTime |
abatement[x] | S C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
recordedDate | S Σ | 0..1 | dateTime | Date record was first recorded
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Condition.clinicalStatus | required | ConditionClinicalStatusCodes
Condition.verificationStatus | required | ConditionVerificationStatus
Condition.category | extensible | ConditionCategoryCodes
Condition.category:us-core | required | USCoreProblemOrHealthConcern
Condition.category:sdoh | extensible | Pattern: sdoh
Condition.code | extensible | USCoreConditionCodes

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set Binding: ConditionVerificationStatus (required)
Slices for category | S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required)
category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (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: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject | S Σ | 1..1 | Reference(US Public Health Patient) | Who has the condition?
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
onset[x] | S Σ | 0..1 |  | Estimated or actual date, date-time, or age
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | S C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime S |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | S Σ | 0..1 | dateTime | Date record was first recorded
recorder | 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
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Condition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Condition.clinicalStatus | required | ConditionClinicalStatusCodes
Condition.verificationStatus | required | ConditionVerificationStatus
Condition.category | extensible | ConditionCategoryCodes
Condition.category:us-core | required | USCoreProblemOrHealthConcern
Condition.category:sdoh | extensible | Pattern: sdoh
Condition.severity | preferred | Condition/DiagnosisSeverity
Condition.code | extensible | USCoreConditionCodes
Condition.bodySite | example | SNOMEDCTBodyStructures
Condition.stage.summary | example | ConditionStage
Condition.stage.type | example | ConditionStageType
Condition.evidence.code | example | ManifestationAndSymptomCodes

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

Summary

Structures

This structure refers to these other structures:

- US Public Health Patient (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient)

Differential View

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition |  | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses
verificationStatus |  | 0..1 | CodeableConcept | If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set
subject |  | 1..1 | Reference(US Public Health Patient) | Who has the condition?
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set Binding: ConditionVerificationStatus (required)
Slices for category | S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required)
category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient
subject | S Σ | 1..1 | Reference(US Public Health Patient) | Who has the condition?
onset[x] | S Σ | 0..1 |  | Estimated or actual date, date-time, or age
onsetDateTime |  |  | dateTime |
abatement[x] | S C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
recordedDate | S Σ | 0..1 | dateTime | Date record was first recorded
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Condition.clinicalStatus | required | ConditionClinicalStatusCodes
Condition.verificationStatus | required | ConditionVerificationStatus
Condition.category | extensible | ConditionCategoryCodes
Condition.category:us-core | required | USCoreProblemOrHealthConcern
Condition.category:sdoh | extensible | Pattern: sdoh
Condition.code | extensible | USCoreConditionCodes

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set Binding: ConditionVerificationStatus (required)
Slices for category | S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required)
category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (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: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject | S Σ | 1..1 | Reference(US Public Health Patient) | Who has the condition?
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
onset[x] | S Σ | 0..1 |  | Estimated or actual date, date-time, or age
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | S C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime S |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | S Σ | 0..1 | dateTime | Date record was first recorded
recorder | 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
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Condition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Condition.clinicalStatus | required | ConditionClinicalStatusCodes
Condition.verificationStatus | required | ConditionVerificationStatus
Condition.category | extensible | ConditionCategoryCodes
Condition.category:us-core | required | USCoreProblemOrHealthConcern
Condition.category:sdoh | extensible | Pattern: sdoh
Condition.severity | preferred | Condition/DiagnosisSeverity
Condition.code | extensible | USCoreConditionCodes
Condition.bodySite | example | SNOMEDCTBodyStructures
Condition.stage.summary | example | ConditionStage
Condition.stage.type | example | ConditionStageType
Condition.evidence.code | example | ManifestationAndSymptomCodes

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

Summary

Structures

This structure refers to these other structures:

- US Public Health Patient (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient)

Other representations of profile: CSV, Excel, Schematron