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Create a condition

post

/Condition

Creates a new condition.

Note:

• The following restrictions are in place based on Condition.category:
  • For conditions with a category code of diagnosis:
    • Condition.encounter is required.
    • Condition.abatementDateTime is not supported.
  • For conditions with a category code of problem:
    • If Condition.dateRecorded is set in the request body, its value is currently ignored.
  • Creating conditions with a category code of health-concern is not currently supported.
• The code.coding field can have at most two codings.
  • One of the codings must have userSelected: true.
  • The other coding must have userSelected: false.
• A condition with a category code of diagnosis is automatically prioritized as the least significant priority by the Millennium electronic health record.

Authorization Types

This operation supports the following authorization types:

• Provider
• System

Request

Supported Media Types

• application/json+fhir

Header Parameters

• Authorization(required): string

  Contains the credentials to authenticate a consumer to the service. This should be the OAuth2 Bearer token.

• accept(required): string
  The media type to be requested. See what the resource's operation produces for what is supported.

Body ()

The body of the create operation

Root Schema : ConditionCreateBody

Type: object

Show Source

• abatementBoolean: boolean
  Indicates if the condition is resolved or has gone into remission.

  Example: true
• abatementDateTime: string
  The date or estimated date that the condition resolved or went into remission.

  Example: 2015-10-14T13:13:20-06:00
• category:
  A category assigned to the condition.

  Example: { "coding": [ { "system": "http://hl7.org/fhir/condition-category", "code": "diagnosis", "display": "Diagnosis" } ], "text": "Diagnosis" }
• clinicalStatus:
  The clinical status of the condition.

  Example: resolved
• code(required):
  Identification of the condition, problem, or diagnosis.

  Example: { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-9-cm", "code": "345.0", "display": "Generalized nonconvulsive epilepsy", "userSelected": true } ], "text": "Absence seizures" }
• encounter:
  The encounter during which the condition was first asserted.
  Note: Required when the condition category code is encounter-diagnosis.

  Example: { "reference": "Encounter/1309819" }
• note:
  Additional information about the condition.

  Example: Information related to condition
• onsetDateTime: string
  The estimated or actual date or date and time when the condition began, in the opinion of the clinician.
  Note:

  • Only a type of dateTime is supported.
  • The dateTime is converted to a GMT date.

  Example: 2015-10-14T13:13:20-06:00
• patient(required):
  Who has the condition.

  Example: { "reference": "Patient/2744123", "display": "Joe, Test" }
• resourceType(required): string
  The FHIR resource type. resourceType must be Condition.

  Example: Condition
• severity:
  The assessment of the severity of the condition as evaluated by the clinician.

  Example: { "coding": [ { "system": "http://snomed.info/sct", "code": "371923003", "display": "Mild to moderate" } ], "text": "Mild to moderate" }
• verificationStatus(required):
  The verification status to support or decline the clinical status of the condition or diagnosis.

  Example: confirmed

{
    "type":"object",
    "required":[
        "resourceType",
        "patient",
        "code",
        "verificationStatus"
    ],
    "properties":{
        "resourceType":{
            "description":"The FHIR resource type. <code>resourceType</code> must be <code>Condition</code>.\n",
            "type":"string",
            "example":"Condition"
        },
        "patient":{
            "description":"Who has the condition.",
            "example":"{\n  \"reference\": \"Patient/2744123\",\n  \"display\": \"Joe, Test\"\n}\n"
        },
        "encounter":{
            "description":"The encounter during which the condition was first asserted.<br>\n\n<b>Note:</b> Required when the condition category code is <code>encounter-diagnosis</code>.\n",
            "example":"{\n  \"reference\": \"Encounter/1309819\"\n}\n"
        },
        "code":{
            "description":"Identification of the condition, problem, or diagnosis.\n",
            "example":"{\n  \"coding\": [\n    {\n      \"system\": \"http://hl7.org/fhir/sid/icd-9-cm\",\n      \"code\": \"345.0\",\n      \"display\": \"Generalized nonconvulsive epilepsy\",\n      \"userSelected\": true\n    }\n  ],\n  \"text\": \"Absence seizures\"\n}\n"
        },
        "category":{
            "description":"A category assigned to the condition.\n",
            "example":"{\n  \"coding\": [\n    {\n      \"system\": \"http://hl7.org/fhir/condition-category\",\n      \"code\": \"diagnosis\",\n      \"display\": \"Diagnosis\"\n    }\n  ],\n  \"text\": \"Diagnosis\"\n}\n"
        },
        "clinicalStatus":{
            "description":"The clinical status of the condition.",
            "example":"resolved"
        },
        "verificationStatus":{
            "description":"The verification status to support or decline the clinical status of the condition or diagnosis.",
            "example":"confirmed"
        },
        "severity":{
            "description":"The assessment of the severity of the condition as evaluated by the clinician.\n",
            "example":"{\n  \"coding\": [\n    {\n      \"system\": \"http://snomed.info/sct\",\n      \"code\": \"371923003\",\n      \"display\": \"Mild to moderate\"\n    }\n  ],\n  \"text\": \"Mild to moderate\"\n}\n"
        },
        "onsetDateTime":{
            "description":"The estimated or actual date or date and time when the condition began, in the opinion of the clinician.<br>\n\n<b>Note:</b>\n<ul>\n<li>Only a type of <code>dateTime</code> is supported.</li>\n<li>The <code>dateTime</code> is converted to a GMT date.</li>\n</ul>\n",
            "type":"string",
            "example":"2015-10-14T13:13:20-06:00"
        },
        "abatementBoolean":{
            "description":"Indicates if the condition is resolved or has gone into remission.",
            "type":"boolean",
            "example":true
        },
        "abatementDateTime":{
            "description":"The date or estimated date that the condition resolved or went into remission.",
            "type":"string",
            "example":"2015-10-14T13:13:20-06:00"
        },
        "note":{
            "description":"Additional information about the condition.",
            "example":"Information related to condition"
        }
    },
    "example":"{\n  \"resourceType\": \"Condition\",\n  \"patient\": {\n    \"reference\": \"Patient/12724066\"\n  },\n  \"code\": {\n    \"text\": \"Freetext Diagnosis\"\n  },\n  \"category\": {\n    \"coding\": [\n      {\n        \"system\": \"http://hl7.org/fhir/condition-category\",\n        \"code\": \"diagnosis\",\n        \"display\": \"Diagnosis\"\n      }\n    ],\n    \"text\": \"Diagnosis\"\n  },\n  \"clinicalStatus\": \"active\",\n  \"verificationStatus\": \"differential\",\n  \"encounter\": {\n    \"reference\": \"Encounter/97953477\"\n  }\n}\n"
}

Example:

{
  "resourceType": "Condition",
  "patient": {
    "reference": "Patient/12724066"
  },
  "code": {
    "text": "Freetext Diagnosis"
  },
  "category": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/condition-category",
        "code": "diagnosis",
        "display": "Diagnosis"
      }
    ],
    "text": "Diagnosis"
  },
  "clinicalStatus": "active",
  "verificationStatus": "differential",
  "encounter": {
    "reference": "Encounter/97953477"
  }
}

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Response

Supported Media Types

• application/json+fhir

201 Response

Example Request:

POST https://fhir-ehr-code.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/Condition

Example Response:

  Date: Tue, 28 Feb 2017 21:26:37 GMT
  Cache-Control: no-cache
  Vary: Origin,User-Agent,Accept-Encoding
  Strict-Transport-Security: max-age=631152000
  X-Xss-Protection: 1; mode=block
  Pragma: no-cache
  Etag: W/"6809861"
  X-Frame-Options: SAMEORIGIN
  X-Content-Type-Options: nosniff
  Expires: Mon, 01 Jan 1990 00:00:00 GMT
  Last-Modified: Tue, 28 Feb 2017 21:26:44 GMT
  Location: https://fhir-ehr-code.cerner.com/dstu2/ec2458f2-1e24-41c8-b71b-0e701af7583d/Condition/p6809861
  Content-Length: 0
  Content-Type: application/json
  X-Request-Id: 11111111111111111111111111111111

The ETag response header indicates the current If-Match version to use on a subsequent update.

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