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 and constrains the way the elements are used using this profile. It provides the floor for standards development for specific use cases.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreConditionProblemsHealthConcernsProfile
type: Condition
elements:
  onset:
    short: (USCDI) Estimated or actual date,  date-time, or age
    mustSupport: true
    choices: [onsetDateTime, onsetAge, onsetPeriod, onsetRange, onsetString]
    index: 9
  category:
    short: (USCDI) category codes
    mustSupport: true
    index: 3
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        us-core:
          match: {}
          schema:
            short: (USCDI) 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: 4
          min: 1
        screening-assessment:
          match: {}
          schema:
            short: (USCDI) USCDI Health Status/Assessments Data Class
            mustSupport: true
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category'}
            index: 5
  clinicalStatus:
    short: (USCDI) active | recurrence | relapse | inactive | remission | resolved
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/condition-clinical'}
    mustSupport: true
    index: 1
  abatementAge: {type: Age, short: (USCDI) When in resolution/remission, mustSupport: true, choiceOf: abatement, index: 18}
  onsetRange: {type: Range, short: '(USCDI) Estimated or actual date,  date-time, or age', mustSupport: true, choiceOf: onset, index: 13}
  onsetAge: {type: Age, short: '(USCDI) Estimated or actual date,  date-time, or age', mustSupport: true, choiceOf: onset, index: 11}
  onsetPeriod: {type: Period, short: '(USCDI) Estimated or actual date,  date-time, or age', mustSupport: true, choiceOf: onset, index: 12}
  abatement:
    short: (USCDI) When in resolution/remission
    mustSupport: true
    choices: [abatementDateTime, abatementAge, abatementPeriod, abatementRange, abatementString]
    index: 16
  abatementPeriod: {type: Period, short: (USCDI) When in resolution/remission, mustSupport: true, choiceOf: abatement, index: 19}
  abatementString: {type: string, short: (USCDI) When in resolution/remission, mustSupport: true, choiceOf: abatement, index: 21}
  abatementRange: {type: Range, short: (USCDI) When in resolution/remission, mustSupport: true, choiceOf: abatement, index: 20}
  extension:
    type: Extension
    short: (USCDI) Date the condition was first asserted
    mustSupport: true
    url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    index: 0
    slicing:
      slices:
        assertedDate:
          match: {}
          schema: {type: Extension, short: (USCDI) Date the condition was first asserted, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate', index: 0}
          max: 1
  recordedDate: {short: (USCDI) Date record was first recorded, mustSupport: true, index: 22}
  onsetString: {type: string, short: '(USCDI) Estimated or actual date,  date-time, or age', mustSupport: true, choiceOf: onset, index: 14}
  code:
    short: (USCDI) Identification of the condition, problem or diagnosis
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code'}
    mustSupport: true
    index: 6
  onsetDateTime: {type: dateTime, short: '(USCDI) Estimated or actual date,  date-time, or age', mustSupport: true, choiceOf: onset, index: 10}
  abatementDateTime: {type: dateTime, short: (USCDI) When in resolution/remission, mustSupport: true, choiceOf: abatement, index: 17}
  verificationStatus:
    short: (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/condition-ver-status'}
    mustSupport: true
    index: 2
  subject:
    type: Reference
    short: (USCDI) Who has the condition?
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 7
package_version: 6.0.0
extensions:
  assertedDate: {url: 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate', max: 1, type: Extension, short: (USCDI) Date the condition was first asserted, mustSupport: true, index: 0}
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: 6.0.0
required: [category, code]