Condition REST Endpoints

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Description

Condition

This topic describes information for the Condition resource.

Overview

The Condition resource is used to record problems, diagnoses, or other health matters that are concerning to a patient.

Depending on the site, problems and diagnoses are used in different ways. Diagnoses are recorded on an encounter to document conditions addressed or treated during a specific patient visit. For U.S. customers, diagnoses support financial or reimbursement workflows. Problems are ongoing or chronic conditions that are managed over every visit and not associated with a specific encounter. A condition may be both a diagnosis and a problem.

Conditions, specifically diagnoses, are often associated with orders to document the medical necessity of a specific medication or procedure order and may be referenced by other resources as a reason for an action or order.

Health concerns are also returned as part of the Condition resource and represent other concerns that a patient may have, such as financial or social risks.

This resource supprts the following HL7 FHIR US Core Implementation Guide STU 6.1.0 profiles:

• US Core Condition Encounter Diagnosis Profile
• US Core Condition Problems and Health Concerns Profile

Note:

The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site. The meta.security field is present only when a problem or diagnosis is marked as confidential.

Fields

• ID

• Clinical status

• Verification status

• Category

• Severity

• Condition code

• Subject

  • Reference (Patient)

• Encounter

• Onset

  • dateTime

• Resolved date

  • dateTime

• Date recorded

• Recorder

  • Reference (Practitioner)

• Asserter

  • Reference (Patient | Practitioner)

• Comment/Note

  • Annotation

    • author

      • Reference (Practitioner) | string

    • time (dateTime)

    • text (markdown)

Terminology Bindings

• Condition.code

  Description: The identification of the condition or diagnosis.

  • Details: SNOMED CT

    System: http://snomed.info/sct

  • Details: ICD-9-CM

    System: http://hl7.org/fhir/sid/icd-9-cm

  • Details: ICD-10-CM

    System: http://hl7.org/fhir/sid/icd-10-cm

• Condition.category

  Description: A category assigned to the condition.

  Note:

  The encounter-diagnosis, problem-list-item, health-concern, and sdoh category codes are supported for search and retrieve functionality. The encounter-diagnosis and problem-list-item are supported for add and update functionality.

  • Details: Condition Category Codes

    System: http://terminology.hl7.org/CodeSystem/condition-category

  • Details: US Core Condition Category Codes

    System: http://hl7.org/fhir/us/core/CodeSystem/condition-category

  • Details: US Core Category Codes

    System: http://hl7.org/fhir/us/core/CodeSystem/us-core-category

• Condition.clinicalStatus

  Description: The preferred value set for Condition Clinical Status.

  Details: Clinical Status

  System: http://hl7.org/fhir/condition-clinical

• Condition.clinicalStatus

  Description: The preferred value set for Condition Clinical Status.

  Details: Clinical Status

  System: http://hl7.org/fhir/condition-clinical

• Condition.severity

  Description: A subjective assessment of the severity of the condition as evaluated by the clinician.

  Details: SNOMED CT

  System: http://snomed.info/sct

• Condition.meta.security

  Description: These tags connect specific resources to the overall security policy and infrastructure.

  Details: ValueSet

  System: http://terminology.hl7.org/CodeSystem/v3-ActCode

Extensions

• Asserted Date

Custom Extensions

All URLs for custom extensions are defined as https://fhir-ehr.cerner.com/r4/StructureDefinition/{id}

ID	Value[x] Type	Description
diagnosis-type	CodeableConcept	Represents the type of diagnosis.

Condition

The operations from the Condition category.

Create a condition

Method: post

Path: /Condition

Get a condition by ID

Method: get

Path: /Condition/{ID}

Get a list of conditions

Method: get

Path: /Condition

Update a condition

Method: put

Path: /Condition/{ID}