Condition

This topic describes information for the Condition resource.

To interact with the REST endpoints in the Condition resource, see Condition.

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. clients, 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 4.0.0 profile:

• US Core Condition 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: 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:

  Category codes diagnosis, problem and health-concern are supported for search and retrieve functionality. Codes diagnosis and problem are supported for conditions add and update functionality.

  • Details: Condition Category Codes

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

  • Details: Argonaut Valueset Codes

    System: http://argonaut.hl7.org

• Condition.clinicalStatus

  Description: Preferred value set for Condition Clinical Status.

  Details: Clinical Status

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

• Condition.clinicalStatus

  Description: 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.