Clinical
Summary
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| Patient Care Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Encounter , Patient , Practitioner , RelatedPerson |
Raw JSON ( canonical form + also see JSON Format Specification )
Real-word condition example (heart)
{
"resourceType": "Condition",
"id": "f001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "f001" </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#439401001)</span></p><p><b>severity</b>: Moderate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6736007)</span></p><p><b>code</b>: Heart valve disorder <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#368009)</span></p><p><b>bodySite</b>: heart structure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#40768004 "Left thorax")</span></p><p><b>subject</b>: <a href=\"patient-f001.html\">Patient/f001: P. van de Heuvel</a> "Pieter VAN DE HEUVEL"</p><p><b>encounter</b>: <a href=\"encounter-f001.html\">Encounter/f001</a></p><p><b>onset</b>: 2011-08-05</p><p><b>recordedDate</b>: 2011-10-05</p><p><b>asserter</b>: <a href=\"patient-f001.html\">Patient/f001: P. van de Heuvel</a> "Pieter VAN DE HEUVEL"</p><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Cardiac chest pain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#426396005)</span></td></tr></table></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
"resourceType" : "Condition",
"id" : "f001",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"f001\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition "f001" </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#439401001)</span></p><p><b>severity</b>: Moderate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6736007)</span></p><p><b>code</b>: Heart valve disorder <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#368009)</span></p><p><b>bodySite</b>: heart structure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#40768004 "Left thorax")</span></p><p><b>subject</b>: <a href=\"patient-example-f001-pieter.html\">Patient/f001: P. van de Heuvel</a> "Pieter VAN DE HEUVEL"</p><p><b>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001</a></p><p><b>onset</b>: 2011-08-05</p><p><b>recordedDate</b>: 2011-10-05</p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Informant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#informant)</span></td><td><a href=\"patient-example-f001-pieter.html\">Patient/f001: P. van de Heuvel</a> "Pieter VAN DE HEUVEL"</td></tr></table><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Cardiac chest pain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#426396005)</span></td></tr></table></div>"
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
}
]
"clinicalStatus" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}]
},
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "439401001",
"display": "diagnosis"
}
]
}
],
"severity": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "6736007",
"display": "Moderate"
}
]
"verificationStatus" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "368009",
"display": "Heart valve disorder"
}
]
"category" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "439401001",
"display" : "diagnosis"
}]
}],
"severity" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "6736007",
"display" : "Moderate"
}]
},
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "40768004",
"display": "Left thorax"
}
],
"text": "heart structure"
}
],
"subject": {
"reference": "Patient/f001",
"display": "P. van de Heuvel"
"code" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "368009",
"display" : "Heart valve disorder"
}]
},
"encounter": {
"reference": "Encounter/f001"
"bodySite" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "40768004",
"display" : "Left thorax"
}],
"text" : "heart structure"
}],
"subject" : {
"reference" : "Patient/f001",
"display" : "P. van de Heuvel"
},
"onsetDateTime": "2011-08-05",
"recordedDate": "2011-10-05",
"asserter": {
"reference": "Patient/f001",
"display": "P. van de Heuvel"
"encounter" : {
"reference" : "Encounter/f001"
},
"evidence": [
{
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "426396005",
"display": "Cardiac chest pain"
}
]
}
]
"onsetDateTime" : "2011-08-05",
"recordedDate" : "2011-10-05",
"participant" : [{
"function" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code" : "informant",
"display" : "Informant"
}]
},
"actor" : {
"reference" : "Patient/f001",
"display" : "P. van de Heuvel"
}
]
}],
"evidence" : [{
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "426396005",
"display" : "Cardiac chest pain"
}]
}
}]
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
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FHIR
Release
4B
(v4.3.0)
hl7.fhir.r4b.core#4.3.0
R5
hl7.fhir.core#5.0.0-draft-final
generated
on
Sat,
May
28,
2022
12:54+1000.
Wed,
Mar
1,
2023
23:06+1100.
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