## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns vs http://hl7.org/fhir/us/covid19library/StructureDefinition/underlying-metabolic-medical-condition

Left: | US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns)
Right: | COVID-19 metabolic underlying condition (http://hl7.org/fhir/us/covid19library/StructureDefinition/underlying-metabolic-medical-condition)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns' vs 'http://hl7.org/fhir/us/covid19library/StructureDefinition/underlying-metabolic-medical-condition'
Error | StructureDefinition.version | Values for version differ: '5.0.1' vs '1.0.0'
Information | StructureDefinition.name | Values for name differ: 'USCoreConditionProblemsHealthConcernsProfile' vs 'COVID19UnderlyingMetabolicMedicalCondition'
Information | StructureDefinition.title | Values for title differ: 'US Core Condition Problems and Health Concerns Profile' vs 'COVID-19 metabolic underlying condition'
Information | StructureDefinition.date | Values for date differ: '2022-04-20' vs '2022-07-25T13:34:17+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Clinical Information Modeling Initiative'
Information | StructureDefinition.copyright | Values for copyright differ: 'Used by permission of HL7 International, all rights reserved Creative Commons License' vs 'HL7 International & Logica Health, all rights reserved Creative Commons License'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Condition' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
Warning | Condition | Elements differ in definition: '\-' vs 'The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.'
Warning | Condition.extension | Elements differ in short: 'Extension' vs 'Additional content defined by implementations'
Warning | Condition.extension | Elements differ in definition: 'An Extension' vs '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.'
Warning | Condition.category | Elements differ in short: 'category codes' vs 'problem-list-item | encounter-diagnosis | health-concern'
Information | Condition.bodySite | Element maximum cardinalities differ: '2147483647' vs '0'
Warning | Condition.onset[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Condition.abatement[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Condition.recordedDate | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Condition.stage | Element maximum cardinalities differ: '2147483647' vs '0'
Information | Condition.evidence | Element maximum cardinalities differ: '2147483647' vs '0'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Condition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition | Values Differ
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License | HL7 International & Logica Health, all rights reserved Creative Commons License | Values Differ
date | 2022-04-20 | 2022-07-25T13:34:17+00:00 | Values Differ
description | The US Core Condition Problems and Health Concerns Profile is based upon the core FHIR Condition Resource and meets the U.S. Core Data for Interoperability (USCDI) v2 'Problems' and 'Health Concerns' requirements and SDOH 'Problems/Health Concerns' requirements. In version 5.0.0, The US Core Condition Profile has been split into the US Core Condition Encounter Diagnosis Profile and US Core Condition Problems and Health Concerns Profile. To promote interoperability and adoption through common implementation, this profile defines constraints and extensions on the Condition resource for the minimal set of data to record, search, and fetch information about a condition, diagnosis, or other event, situation, issue, or clinical concept that is documented and categorized as a problem or health concern including information about a Social Determinants of Health-related condition. It identifies which core elements, extensions, vocabularies and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific uses cases. | An assertion that a specific metabolic condition is present as an underlier to COVID-19. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreConditionProblemsHealthConcernsProfile | COVID19UnderlyingMetabolicMedicalCondition | Values Differ
publisher | HL7 International - Cross-Group Projects | HL7 International - Clinical Information Modeling Initiative | Values Differ
purpose |  |
status | active |
title | US Core Condition Problems and Health Concerns Profile | COVID-19 metabolic underlying condition | Values Differ
type | Condition |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | http://hl7.org/fhir/us/covid19library/StructureDefinition/underlying-metabolic-medical-condition | Values Differ
version | 5.0.1 | 1.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Condition | I | 0..* | Condition | Detailed information about conditions, problems or diagnoses | I | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses | Elements differ in definition: '\-' vs 'The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.'
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | string | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
|  | 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 |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations | Elements differ in short: 'Extension' vs 'Additional content defined by implementations' Elements differ in definition: 'An Extension' vs '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.'
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 | ?!S Σ I | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | ?!S Σ I | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
verificationStatus | ?!S Σ I | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ?!S Σ I | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error 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. | S I | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible) | Elements differ in short: 'category codes' vs 'problem-list-item | encounter-diagnosis | health-concern'
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. |  | 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 Code (extensible): Valueset to describe the actual problem experienced by the patient | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: COVID-19 metabolic underlying condition reference set (extensible) |
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (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) | Who has the condition? | S Σ | 1..1 | Reference(US Core Patient Profile) | 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] | S Σ | 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 | Elements differ in definition for mustSupport: 'true' vs 'false'
abatement[x] | S I | 0..1 | dateTime S, Age, Period, Range, string | When in resolution/remission | I | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission | Elements differ in definition for mustSupport: 'true' vs 'false'
recordedDate | S Σ | 0..1 | dateTime | Date record was first recorded | Σ | 0..1 | dateTime | Date record was first recorded | Elements differ in definition for mustSupport: 'true' vs 'false'
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | 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 | I | 0..* | BackboneElement | Stage/grade, usually assessed formally | I | 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 | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). |
assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | I | 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). |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). |
evidence | I | 0..* | BackboneElement | Supporting evidence | I | 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 |
code | Σ I | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | Σ I | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. |
detail | Σ I | 0..* | Reference(Resource) | Supporting information found elsewhere | Σ I | 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