<aside> 💡 A clinical condition, problem, diagnosis or other event, situation, issue or clinical concept that has risen to a level of concern.

</aside>

Content

Condition is one of the event resources in the FHIR workflow specification.

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).

The condition resource may be used to record a certain health state of a patient which does not normally present a negative outcome, e.g. pregnancy. The condition resource may be used to record a condition following a procedure, such as the condition of Amputee-BKA following an amputation procedure.

While conditions are frequently a result of a clinician's assessment and assertion of a particular aspect of a patient's state of health, conditions can also be expressed by the patient, related person, or any care team member. A clinician may have a concern about a patient condition (e.g. anorexia) that the patient is not concerned about. Likewise, the patient may have a condition (e.g. hair loss) that does not rise to the level of importance such that it belongs on a practitioner’s Problem List.

Structure

Template

{
  "resourceType" : "Condition",
  "identifier" : [{ Identifier }], // External Ids for this condition
  "clinicalStatus" : { CodeableConcept }, // C? active | recurrence | relapse | inactive | remission | resolved
  "verificationStatus" : { CodeableConcept }, // C? unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
  "category" : [{ CodeableConcept }], // problem-list-item | encounter-diagnosis
  "severity" : { CodeableConcept }, // Subjective severity of condition
  "code" : { CodeableConcept }, // Identification of the condition, problem or diagnosis
  "bodySite" : [{ CodeableConcept }], // Anatomical location, if relevant
  "subject" : { Reference(Patient|Group) }, // R!  Who has the condition?
  "onsetDateTime" : "<dateTime>",
  "abatementString" : "<string>",
  "recordedDate" : "<dateTime>", // Date record was first recorded
  "recorder" : { Reference(Practitioner|PractitionerRole|Patient|
   RelatedPerson) }, // Who recorded the condition
  "note" : [{ Annotation }] // Additional information about the Condition
}

Example

Sample JSON Resource

{
  "resourceType": "Condition",
  "identifier": [
    {
      "value": "12345"
    }
  ],
  "clinicalStatus": {
    "coding": [
      {
        "system": "<http://terminology.hl7.org/CodeSystem/condition-clinical>",
        "code": "resolved"
      }
    ]
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "<http://terminology.hl7.org/CodeSystem/condition-ver-status>",
        "code": "confirmed"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "<http://snomed.info/sct>",
          "code": "55607006",
          "display": "Problem"
        },
        {
          "system": "<http://terminology.hl7.org/CodeSystem/condition-category>",
          "code": "problem-list-item"
        }
      ]
    }
  ],
  "severity": {
    "coding": [
      {
        "system": "<http://snomed.info/sct>",
        "code": "255604002",
        "display": "Mild"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "<http://snomed.info/sct>",
        "code": "386661006",
        "display": "Fever"
      }
    ]
  },
  "bodySite": [
    {
      "coding": [
        {
          "system": "<http://snomed.info/sct>",
          "code": "38266002",
          "display": "Entire body as a whole"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"
  },
  "encounter": {
    "reference": "Encounter/f201"
  },
  "onsetDateTime": "2013-04-02",
  "abatementString": "around April 9, 2013",
  "recordedDate": "2013-04-04",
  "recorder": {
    "reference": "Practitioner/f201"
  },
  "asserter": {
    "reference": "Practitioner/f201"
  }
  ]
}

Sample XML