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

Left: | IPA-Condition (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-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/uv/ipa/StructureDefinition/ipa-condition' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns'
Error | StructureDefinition.version | Values for version differ: '1.1.0' vs '9.0.0'
Information | StructureDefinition.name | Values for name differ: 'IPACondition' vs 'USCoreConditionProblemsHealthConcernsProfile'
Information | StructureDefinition.title | Values for title differ: 'IPA-Condition' vs 'US Core Condition Problems and Health Concerns Profile'
Information | StructureDefinition.date | Values for date differ: '2022-08-02' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#US'
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 IPACondition
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: 'problem-list-item | encounter-diagnosis' vs 'category codes'
Information | Condition.category | Element minimum cardinalities differ: '0' vs '1'
Information | Condition.severity | Example/preferred bindings differ at Condition.severity using binding from IPACondition
Warning | Condition.onset[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Condition.abatement[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Condition.recordedDate | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Who recorded the condition' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: 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 | 2022-08-02 | 2023-10-17 | Values Differ
description | Minimum expectations for a Condition resource when accessed via an International Patient Access API. This profile communicates information about a patient's condition or diagnosis, such as recording primary and secondary diagnoses for encounters or justification for past medications. For the use of the condition resource to get a list of the patient's current problem list, use the [IPA-Problem-List-Item ](StructureDefinition-ipa-problem-list-item.html) profile instead. The difference between this profile and the IPA Problem List Item profile is that this profile does not specify or require a category. | 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. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |  | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1] |  | urn:iso:std:iso:3166#US | Added the item 'urn:iso:std:iso:3166#US'
kind | resource |
name | IPACondition | USCoreConditionProblemsHealthConcernsProfile | Values Differ
publisher | HL7 International / Patient Care | HL7 International / Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | IPA-Condition | US Core Condition Problems and Health Concerns Profile | Values Differ
type | Condition |
url | http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-condition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | Values Differ
version | 1.1.0 | 9.0.0 | 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 conditions, problems or diagnoses |
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 IPACondition
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 | ?!SO Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis.
Obligations | Actor
SHALL:populate-if-known | Server
SHALL:handle | Client
| ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required) |
verificationStatus | ?!SO 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.
Obligations | Actor
SHALL:populate-if-known | Server
SHALL:handle | Client
| ?!S Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required) |
category | SO | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ?? (extensible): A category assigned to the condition.
Obligations | Actor
SHALL:populate-if-known | Server
| S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by value:$this Binding: ?? (extensible): A category assigned to the condition. | Element minimum cardinalities differ: '0' vs '1'
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 IPACondition
code | SO Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ?? (example): Identification of the condition or diagnosis.
Obligations | Actor
SHALL:populate-if-known | Server
SHOULD:handle | Client
| S Σ | 1..1 | CodeableConcept | 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 | SO Σ | 1..1 | Reference(IPA-Patient) | Who has the condition?
Obligations | Actor
SHALL:populate-if-known | Server
| S Σ | 1..1 | Reference(US Core Patient Profile S | Group) | 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 | 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 | 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 | 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(US Core Practitioner Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: 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