description: 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.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreConditionProblemsHealthConcernsProfile
type: Condition
elements:
  onset:
    mustSupport: true
    choices: [onsetDateTime, onsetAge, onsetPeriod, onsetRange, onsetString]
    index: 11
  category:
    short: category codes
    mustSupport: true
    index: 5
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: value}
      min: 1
      slices:
        us-core:
          match: {}
          schema:
            short: problem-list-item | health-concern
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern'}
            mustSupport: true
            _required: true
            index: 6
          min: 1
        screening-assessment:
          match: {}
          schema:
            short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: USCDI Health Status/Assessments Data Class'
            mustSupport: false
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category'}
            index: 7
  clinicalStatus:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/condition-clinical'}
    mustSupport: true
    index: 3
  abatementAge: {type: Age, mustSupport: true, choiceOf: abatement, index: 20}
  meta:
    mustSupport: true
    index: 0
    elements:
      lastUpdated: {short: When the resource last changed, mustSupport: true, index: 1}
  onsetRange: {type: Range, mustSupport: true, choiceOf: onset, index: 15}
  onsetAge: {type: Age, mustSupport: true, choiceOf: onset, index: 13}
  onsetPeriod: {type: Period, mustSupport: true, choiceOf: onset, index: 14}
  abatement:
    mustSupport: true
    choices: [abatementDateTime, abatementAge, abatementPeriod, abatementRange, abatementString]
    index: 18
  abatementPeriod: {type: Period, mustSupport: true, choiceOf: abatement, index: 21}
  abatementString: {type: string, mustSupport: true, choiceOf: abatement, index: 23}
  abatementRange: {type: Range, mustSupport: true, choiceOf: abatement, index: 22}
  extension:
    type: Extension
    short: Date the condition was first asserted
    mustSupport: true
    url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    index: 2
    slicing:
      slices:
        assertedDate:
          match: {}
          schema: {type: Extension, short: Date the condition was first asserted, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate', index: 2}
          max: 1
  recordedDate: {mustSupport: true, index: 24}
  onsetString: {type: string, mustSupport: true, choiceOf: onset, index: 16}
  recorder:
    type: Reference
    short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the condition'
    refers: ['http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
    index: 25
  code:
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code'}
    mustSupport: true
    index: 8
  onsetDateTime: {type: dateTime, mustSupport: true, choiceOf: onset, index: 12}
  abatementDateTime: {type: dateTime, mustSupport: true, choiceOf: abatement, index: 19}
  verificationStatus:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/condition-ver-status'}
    mustSupport: true
    index: 4
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 9
package_version: 8.0.0
extensions:
  assertedDate: {url: 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate', max: 1, type: Extension, short: Date the condition was first asserted, mustSupport: true, index: 2}
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
base: http://hl7.org/fhir/StructureDefinition/Condition
version: 8.0.0
required: [category, code]