ID

40014

Beskrivning

This is a complete version of the FHIR resource Condition, v4.0.0 A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. This resource is used to record detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. The condition could be a point in time diagnosis in context of an encounter, it could be an item on the practitioner’s Problem List, or it could be a concern that doesn’t exist on the practitioner’s Problem List. Often times, a condition is about a clinician's assessment and assertion of a particular aspect of a patient's state of health. It can be used to record information about a disease/illness identified from application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that a practitioner considers harmful, potentially harmful and may be investigated and managed (problem), or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern). FHIR version R4 (v4.0.0). FHIR is a platform specification that defines a set of capabilities use across the healthcare process, in all jurisdictions, and in lots of different context. https://www.hl7.org/fhir/resourcelist.html

Länk

https://www.hl7.org/fhir/resourcelist.html

Nyckelord

Versioner (2)
  1. 2020-03-09 2020-03-09 -
  2. 2020-03-09 2020-03-09 -
Rättsinnehavare

HL7 FHIR

Uppladdad den

9 mars 2020

DOI

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Licens

Creative Commons BY-NC 4.0
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FHIR v4.0.0

Engelsk

Resource Condition (3)

1 Formulär  
  1. StudyEvent: ODM
    1. Resource Condition (3)
Condition
Beskrivning

Condition

Alias
UMLS CUI-1
C0012634
Identifier assigned to this condition
Beskrivning

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.

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0600091
Clinical status of the condition
Beskrivning

The clinical status of the condition.

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0449440
Clinical status of the condition: active
Beskrivning

The subject is currently experiencing the symptoms of the condition or there is evidence of the condition. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-clinical.html

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0449440
UMLS CUI [1,3]
C0205177
Clinical status of the condition: inactive
Beskrivning

The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-clinical.html

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0449440
UMLS CUI [1,3]
C1608263
Verification status
Beskrivning

The verification status to support the clinical status of the condition. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-ver-status.html

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C1711411
UMLS CUI [1,3]
C0449438
Unconfirmed verification status
Beskrivning

There is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition.

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C1711411
UMLS CUI [1,3]
C0449438
UMLS CUI [1,4]
C1547326
Category of condition
Beskrivning

A category assigned to the condition. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-category.html

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0683312
Assessment of the severity of the condition
Beskrivning

A subjective assessment of the severity of the condition as evaluated by the clinician. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-severity.html

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0439793
UMLS CUI [1,3]
C0220825
Identification of the condition
Beskrivning

Identification of the condition, problem or diagnosis. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-code.html

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0805701
Body site at which the condition can be found
Beskrivning

The anatomical location where this condition manifests itself. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-body-site.html

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C1545955
Subject who the condition record is associated with
Beskrivning

Indicates the patient or group who the condition record is associated with.

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0681850
Encounter during which the condition was created
Beskrivning

The Encounter during which this condition was created or to which the creation of this record is tightly associated.

Datatyp

text

Alias
UMLS CUI [1,1]
C1947978
UMLS CUI [1,2]
C0332281
UMLS CUI [1,3]
C0012634
Onset of the condition
Beskrivning

Estimated or actual date or date-time the condition began, in the opinion of the clinician.

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0449244
UMLS CUI [2,1]
C0012634
UMLS CUI [2,2]
C0574845
Date that the condition resolved or went into remission
Beskrivning

The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C3714811
UMLS CUI [2]
C0544452
Date of record of the condition
Beskrivning

The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0034869
UMLS CUI [1,3]
C0011008
Individual who recorded the record
Beskrivning

Individual who recorded the record and takes responsibility for its content.

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0034869
UMLS CUI [1,3]
C0027361
Clinical stage or grade of a condition
Beskrivning

Clinical stage or grade of a condition. May include formal severity assessments.

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0441800
Clinical stage or grade of a condition
Beskrivning

A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-stage.html

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0441800
UMLS CUI [1,3]
C1706244
Reference to a formal record of the evidence on which the staging assessment is based
Beskrivning

Condition.stage.assessment

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0441800
UMLS CUI [1,3]
C0220825
Staging type
Beskrivning

The kind of staging, such as pathological or clinical staging. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-stage-type.html

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0441800
UMLS CUI [1,3]
C0220825
Evidence to confirm or refute the condition
Beskrivning

Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C3887511
Symptom that led to the recording of this condition
Beskrivning

A manifestation or symptom that led to the recording of this condition. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-manifestation-or-symptom.html

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0205319
UMLS CUI [1,3]
C1457887
UMLS CUI [1,4]
C0034869
Links to other relevant information, including pathology reports.
Beskrivning

Condition.evidence.detail

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C3887511
UMLS CUI [1,3]
C1522508
Additional information about the condition
Beskrivning

Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

Datatyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C2004578
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Similar models

Resource Condition (3)

1 Formulär
  1. StudyEvent: ODM
    1. Resource Condition (3)
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Condition
C0012634 (UMLS CUI-1)
Condition.identifier
Item
Identifier assigned to this condition
text
C0012634 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item
Clinical status of the condition
integer
C0012634 (UMLS CUI [1,1])
C0449440 (UMLS CUI [1,2])
Condition.clinicalStatus
Code List
Clinical status of the condition
CL Item
active (1)
CL Item
inactive (2)
Item
Clinical status of the condition: active
text
C0012634 (UMLS CUI [1,1])
C0449440 (UMLS CUI [1,2])
C0205177 (UMLS CUI [1,3])
Condition.clinicalStatus.active
Code List
Clinical status of the condition: active
CL Item
Recurrence (recurrence)
The subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis. (Comment:en)
CL Item
Relapse (relapse)
The subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc. (Comment:en)
Item
Clinical status of the condition: inactive
text
C0012634 (UMLS CUI [1,1])
C0449440 (UMLS CUI [1,2])
C1608263 (UMLS CUI [1,3])
Condition.clinicalStatus.active
Code List
Clinical status of the condition: inactive
CL Item
Remission (remission)
The subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning. (Comment:en)
CL Item
Resolved (resolved)
The subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning. (Comment:en)
Item
Verification status
text
C0012634 (UMLS CUI [1,1])
C1711411 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
Condition.clinicalStatus.active
Code List
Verification status
CL Item
Confirmed (confirmed)
There is sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition. (Comment:en)
CL Item
Refuted (refuted)
This condition has been ruled out by diagnostic and clinical evidence. (Comment:en)
CL Item
Entered in Error  (entered-in-error)
The statement was entered in error and is not valid. (Comment:en)
Item
Unconfirmed verification status
text
C0012634 (UMLS CUI [1,1])
C1711411 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
C1547326 (UMLS CUI [1,4])
Condition.clinicalStatus.active
Code List
Unconfirmed verification status
CL Item
Unconfirmed (unconfirmed)
There is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition. (Comment:en)
CL Item
Provisional (provisional)
This is a tentative diagnosis - still a candidate that is under consideration. (Comment:en)
CL Item
Differential (differential)
One of a set of potential (and typically mutually exclusive) diagnoses asserted to further guide the diagnostic process and preliminary treatment. (Comment:en)
Item
Category of condition
text
C0012634 (UMLS CUI [1,1])
C0683312 (UMLS CUI [1,2])
Condition.clinicalStatus.active
Code List
Category of condition
CL Item
Problem List Item  (problem-list-item)
CL Item
Encounter Diagnosis  (encounter-diagnosis)
Condition.severity
Item
Assessment of the severity of the condition
integer
C0012634 (UMLS CUI [1,1])
C0439793 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
Condition.code
Item
Identification of the condition
integer
C0012634 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
Condition.bodySite
Item
Body site at which the condition can be found
integer
C0012634 (UMLS CUI [1,1])
C1545955 (UMLS CUI [1,2])
Condition.subject
Item
Subject who the condition record is associated with
text
C0012634 (UMLS CUI [1,1])
C0681850 (UMLS CUI [1,2])
Condition.encounter
Item
Encounter during which the condition was created
text
C1947978 (UMLS CUI [1,1])
C0332281 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,3])
Condition.onset[x]
Item
Onset of the condition
datetime
C0012634 (UMLS CUI [1,1])
C0449244 (UMLS CUI [1,2])
C0012634 (UMLS CUI [2,1])
C0574845 (UMLS CUI [2,2])
Condition.abatement[x]
Item
Date that the condition resolved or went into remission
datetime
C0012634 (UMLS CUI [1,1])
C3714811 (UMLS CUI [1,2])
C0544452 (UMLS CUI [2])
Condition.recordedDate
Item
Date of record of the condition
datetime
C0012634 (UMLS CUI [1,1])
C0034869 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Condition.recorder
Item
Individual who recorded the record
text
C0012634 (UMLS CUI [1,1])
C0034869 (UMLS CUI [1,2])
C0027361 (UMLS CUI [1,3])
Condition.stage
Item
Clinical stage or grade of a condition
text
C0012634 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
Condition.stage.summary
Item
Clinical stage or grade of a condition
integer
C0012634 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
C1706244 (UMLS CUI [1,3])
Condition.stage.assessment
Item
Reference to a formal record of the evidence on which the staging assessment is based
text
C0012634 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
Condition.stage.type
Item
Staging type
integer
C0012634 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
Condition.evidence
Item
Evidence to confirm or refute the condition
text
C0012634 (UMLS CUI [1,1])
C3887511 (UMLS CUI [1,2])
Condition.evidence.code
Item
Symptom that led to the recording of this condition
integer
C0012634 (UMLS CUI [1,1])
C0205319 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
C0034869 (UMLS CUI [1,4])
Condition.evidence.detail
Item
Links to other relevant information, including pathology reports.
text
C0012634 (UMLS CUI [1,1])
C3887511 (UMLS CUI [1,2])
C1522508 (UMLS CUI [1,3])
Condition.note
Item
Additional information about the condition
text
C0012634 (UMLS CUI [1,1])
C2004578 (UMLS CUI [1,2])
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