## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips vs http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps

Left: | Condition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips)
Right: | Condition - Obligations (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips' vs 'http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps'
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '1.0.0-ballot'
Information | StructureDefinition.name | Values for name differ: 'ConditionUvIps' vs 'ConditionOblEuEps'
Information | StructureDefinition.title | Values for title differ: 'Condition (IPS)' vs 'Condition - Obligations (EPS)'
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2026-06-06T09:06:30+02:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Condition' vs 'http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core'
Information | StructureDefinition.short | Values for short differ: 'Documentation of a health problem of the patient' vs 'Detailed information about conditions, problems or diagnoses'
Information | StructureDefinition.short | Values for short differ: 'Language of the resource content' vs 'Language of the condition content'
Information | StructureDefinition.definition | Values for definition differ: 'A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.' vs 'Human readable specification of the problem. This is a general notes/comments entry for description of the problem, its diagnosis and prognosis.'
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.definition | Values for definition differ: 'Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.' vs 'Globally unique identifier of this problem which remain constant as the resource is updated and propagates from server to server.'
Information | StructureDefinition.definition | Values for definition differ: 'The clinical status of the condition.' vs 'The problem status describes the condition of the problem: 1. Active problems are problems of which the patient experiences symptoms or for which evidence exists. 2. If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. 3. Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or that of which there is no evidence of existence anymore.'
Warning | Condition.clinicalStatus | Elements differ in definition for mustSupport: 'true' vs 'false'
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.'
Information | StructureDefinition.short | Values for short differ: 'problem-list-item | encounter-diagnosis' vs 'Category'
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.'
Warning | Condition.category | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Condition.severity | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.definition | Values for definition differ: 'Identification of the condition, problem or diagnosis or recording of absent/unknown problems.' vs 'The problem code specifies the problem. Depending on the setting, different code systems can be used. The ProblemCodelist provides an overview of the possible code systems.'
Warning | Condition.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Condition.subject | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Condition.subject.reference | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Condition.subject.reference | Element minimum cardinalities differ: '1' vs '0'
Warning | Condition.onset[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Date record was first recorded' vs 'Date when the condition record was created'
Error | Condition.recorder | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
Information | StructureDefinition.short | Values for short differ: 'Person who asserts this condition' vs 'Who asserted the condition'
Information | StructureDefinition.short | Values for short differ: 'Stage/grade, usually assessed formally' vs 'Stage/grade'
Information | StructureDefinition.short | Values for short differ: 'Simple summary (disease specific)' vs 'Most recent Stage Group'
Information | StructureDefinition.definition | Values for definition differ: 'Reference to a formal record of the evidence on which the staging assessment is based.' vs 'Reference to the evidence on which the staging assessment is based.'
Information | StructureDefinition.short | Values for short differ: 'Kind of staging' vs 'Staging system used.'
Information | StructureDefinition.definition | Values for definition differ: 'Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.' vs 'Comment by the one who determined or updated the Problem.'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Condition | http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core | Values Differ
copyright |  | Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
date | 2024-06-19T10:50:07-05:00 | 2026-06-06T09:06:30+02:00 | 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. | This profiles set the IPS obligations on the EU Core Condition profile. | Values Differ
experimental |  |
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] |  | http://unstats.un.org/unsd/methods/m49/m49.htm#150 | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind | resource |
name | ConditionUvIps | ConditionOblEuEps | Values Differ
publisher | HL7 International / Patient Care | HL7 Europe | 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 | draft | Values Differ
title | Condition (IPS) | Condition - Obligations (EPS) | Values Differ
type | Condition |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips | http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps | Values Differ
version | 2.0.0 | 1.0.0-ballot | 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..* | ConditionEuCore | 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 | 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: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the condition 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)
| ?!O Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
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. | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required) |
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)
| O | 0..* | CodeableConcept | Category Binding: ?? (extensible): A category assigned to the condition.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
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)
| O | 0..1 | CodeableConcept | Subjective severity of condition Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
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)
| O Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ?? (preferred): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Documentation
?? | Preferred | For cross border data exchange
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: ?? (preferred) | Σ C | 0..* | CodeableConcept | Anatomical location, if relevant Binding: ?? (preferred) |
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
coding |  |  |  |  | Σ | 0..* | Coding | Code defined by a terminology system | Added this element
text |  |  |  |  | Σ | 0..1 | string | Plain text representation of the concept | Added this element
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)
| O Σ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
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)
| O Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
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). | 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). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource |
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:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
abatement[x] | C | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission | C | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission Slice: Unordered, Open by type:$this |
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | Σ | 0..1 | dateTime | Date when the condition record was created |
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | Σ | 0..1 | Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) | Who recorded the condition | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who asserted the condition |
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | C | 0..* | BackboneElement | Stage/grade |
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 | Most recent Stage Group 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 | Staging system used. 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