The Condition resource is populated with problems/diagnoses from multiple HIEBus sources, including medical claims, electronic medical records, clinical documents, ADT messages, and pharmacy fills. A Problem List can be built by querying the Condition resource directly or by compiling Condition resources included with Encounters and CodeableConcept resources included with ExplanationOfBenefits. Problems/diagnoses can be grouped and categorized using ValueSets developed by AHRQ.
Contents
Encounter.diagnosis
.ExplanationOfBenefit.diagnosis
(in accordance with the CARIN BB profile).Many clinical use cases require a single list with each problem listed once. It can also be helpful for most clinical use cases to categorize problems into chronic (ongoing) and acute (usually limited time period) and/or to display a higher-level diagnosis than some of those in the most detailed ICD-10 codes (e.g., ‘Obesity’ from ‘Obesity, unspecified E66.9’, ‘Body mass index [BMI] 38.0-38.9, adult Z68.38’, and ‘Morbid (severe) obesity due to excess calories E66.01’).
version=CCI
and a comma-delimited list of ICD-10-CM codes.version=CCSR Category
and a comma-delimited list of ICD-10-CM codes.$classify
operation and common value set scopes.
For example, for /ValueSet/$classify?code=I21.4,I21.09,I21.3,S90.32XA,I10,G89.29&system=http://hl7.org/fhir/sid/icd-10-cm
:
&version=CCI
&version=CCSR Category
userselected=false
indicating it is mapped code, rather than a source code.
userselected=false
and a system=
one of those listed at https://[YOUR_FHIR_ENDPOINT]/documentation?prefix=fhir-r4#coding-systems
indicates it is mapped code, rather than a source code.Condition.verficationstatus
is unconfirmed
unless specifically indicated otherwise by the source system (which is rare)Condition.category
to several reference code systems where possible (e.g. HL7 FHIR Condition Category, CARIN Claim Diagnosis Type, LOINC , and SNOMED). Source data, particularly from EMRs, has a large amount of variation.