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

Left: | Condition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips)
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/ips/StructureDefinition/Condition-uv-ips' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns'
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '9.0.0'
Information | StructureDefinition.name | Values for name differ: 'ConditionUvIps' vs 'USCoreConditionProblemsHealthConcernsProfile'
Information | StructureDefinition.title | Values for title differ: 'Condition (IPS)' vs 'US Core Condition Problems and Health Concerns Profile'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' 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'
Information | StructureDefinition.short | Values for short differ: 'Documentation of a health problem of the patient' vs 'Detailed information about conditions, problems or diagnoses'
Warning | Condition.meta | Elements differ in definition for mustSupport: 'false' vs 'true'
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.comment | Values for comment differ: 'This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.' vs '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.'
Warning | Condition.verificationStatus | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'problem-list-item | encounter-diagnosis' vs 'category codes'
Information | StructureDefinition.definition | Values for definition differ: 'A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'. ' vs 'A category assigned to the condition.'
Information | StructureDefinition.comment | Values for comment differ: 'In this profile, Condition represents a health problem of the patient. Therefore one of the category value(s) must be problem-list-item.' vs 'The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.'
Information | Condition.category | Element minimum cardinalities differ: '0' vs '1'
Warning | Condition.severity | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Condition.severity | Example/preferred bindings differ at Condition.severity using binding from ConditionUvIps
Information | StructureDefinition.definition | Values for definition differ: 'Identification of the condition, problem or diagnosis or recording of absent/unknown problems.' vs 'Identification of the condition, problem or diagnosis.'
Information | Condition.bodySite | Example/preferred bindings differ at Condition.bodySite using binding from ConditionUvIps
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 |  |
date | 2024-06-19T10:50:07-05:00 | 2023-10-17 | Values Differ
description | This profile represents the constraints applied to the Condition resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of a problem is represented in the patient summary as an instance of the Condition resource constrained by this profile. | 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 | Added the item '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 | ConditionUvIps | USCoreConditionProblemsHealthConcernsProfile | Values Differ
publisher | HL7 International / Patient Care | HL7 International / Cross-Group Projects | Values Differ
purpose | Representation of a problem in the international patient summary |  | Removed the item 'Representation of a problem in the international patient summary'
status | active |
title | Condition (IPS) | US Core Condition Problems and Health Concerns Profile | Values Differ
type | Condition |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | Values Differ
version | 2.0.0 | 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 | Documentation of a health problem of the patient | 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
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 | ?? | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required) |
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'
category | SO | 0..* | ?? | problem-list-item | encounter-diagnosis Binding: ?? (extensible)
Additional Bindings | Purpose
?? | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| 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 | SO | 0..1 | ?? | Subjective severity of condition Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  | 0..1 | CodeableConcept | Subjective severity of condition Binding: ?? (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | Elements differ in definition for mustSupport: 'true' vs 'false' Example/preferred bindings differ at Condition.severity using binding from ConditionUvIps
code | SO Σ | 1..1 | ?? | Identification of the condition, problem or diagnosis Binding: ?? (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| 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: ?? (preferred) | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: ?? (example): Codes describing anatomical locations. May include laterality. | Example/preferred bindings differ at Condition.bodySite using binding from ConditionUvIps
subject | SO Σ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| S Σ | 1..1 | Reference(US Core Patient Profile S | Group) | Who has the condition? |
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
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
|  |  |  |  | Removed 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). |  |  |  |  | Removed this element
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |  |  |  |  | Removed this element
display | Σ | 0..1 | string | Text alternative for the resource |  |  |  |  | Removed this element
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
Slices for onset[x] | SO Σ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| S Σ | 0..1 | dateTime S, Age, Period, Range, string | Estimated or actual date, date-time, or age |
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