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Condition

The SHR Condition domain contains basic definitions used to capture information about problems, concerns, complaints, and disorders.

Abatement

The end, remission or resolution. C1880019

Value:  GeneralizedTemporalContext A generalized indicator of a dateTime or an age when an event happened.

AcademicProblem [Entry]

A problem with learning or behavior in a learning environment. C0000873

Based On Condition

Value:  CodeableConcept must be from TBD A set of codes drawn from different coding systems, representing the same concept.
BodySite not used A location in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart.
SpecificType required A code or description representing the concept represented by the instance at a specific level. For example, for a Condition, the concept is MTH#C0348080 (Condition) but the Value is the SpecificType, i.e. MTH#C0011849 (Diabetes Mellitus). For an observation, the SpecificType defines what is being observed, measured, or asked, as specifically as possible. The SpecificType should always align with the concept of the element, for example, a blood pressure observation can be coded as a sitting blood pressure or standing blood pressure, and may be from a different code system (e.g. LOINC versus MTH). In other cases, the SpecificType is the specific question being asked, or the specific goal being pursued.
Category must be from ConditionCategoryVS 0 or more A categorization of the action according its type, often a code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This can be used for searching, sorting and display purposes.
ClinicalStatus required A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).
IncludeOnProblemList optional Whether or not to include this condition on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or condition was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
Severity optional Degree of harshness or extent of a symptom, disorder, or condition.
Criticality optional The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Stage optional The relative advancement in the course of a disease.
Observation 0 or more An Observation represents evidence, both subjective and objective. Observation includes any information about a subject that results from an act of observing, measuring, or evaluation. The focus of an observation can include the subject's behavior, physiological state, health state, functional status, environment, exposures to substances, etc. An Observation contains information about the act of observing or measuring, and the result of the observation. The method of observing can vary widely, from questioning, physical examination, formal assessment vehicles, laboratory tests, imaging procedures, etc. Patient-reported information is also considered an observation, where subject and observer are the same individual.

Asplenia [Entry]

Congenital absence of spleen. C0600031

Based On Condition

Value:  CodeableConcept is 93030006 A set of codes drawn from different coding systems, representing the same concept.
SpecificType required A code or description representing the concept represented by the instance at a specific level. For example, for a Condition, the concept is MTH#C0348080 (Condition) but the Value is the SpecificType, i.e. MTH#C0011849 (Diabetes Mellitus). For an observation, the SpecificType defines what is being observed, measured, or asked, as specifically as possible. The SpecificType should always align with the concept of the element, for example, a blood pressure observation can be coded as a sitting blood pressure or standing blood pressure, and may be from a different code system (e.g. LOINC versus MTH). In other cases, the SpecificType is the specific question being asked, or the specific goal being pursued.
Category must be from ConditionCategoryVS 0 or more A categorization of the action according its type, often a code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This can be used for searching, sorting and display purposes.
ClinicalStatus required A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).
IncludeOnProblemList optional Whether or not to include this condition on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or condition was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
BodySite 0 or more A location in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart.
Severity optional Degree of harshness or extent of a symptom, disorder, or condition.
Criticality optional The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Stage optional The relative advancement in the course of a disease.
Observation 0 or more An Observation represents evidence, both subjective and objective. Observation includes any information about a subject that results from an act of observing, measuring, or evaluation. The focus of an observation can include the subject's behavior, physiological state, health state, functional status, environment, exposures to substances, etc. An Observation contains information about the act of observing or measuring, and the result of the observation. The method of observing can vary widely, from questioning, physical examination, formal assessment vehicles, laboratory tests, imaging procedures, etc. Patient-reported information is also considered an observation, where subject and observer are the same individual.

ClinicalStatus

A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).

Value:  code must be from http://hl7.org/fhir/ValueSet/condition-clinical

Condition [Entry]

A representation of a disorder, abnormality, problem, injury, complaint, risk, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble. Condition can be used to track a problem or a risk over a period of time. By virtue of its continuity over time, Condition is different from an Observation or Assessment; Observations represents evidence, and an Assessment is a judgment based on evidence and rendered at a point in time. Diagnosis is a type of Assessment that can lead to creation of a Condition (as can an assessment of risk). The two relate because observations can lead to conclusion that a Condition exists. A statement that a certain condition does not exist should be an assessment. Not all conditions are problems, but all problems are (in some sense) conditions. C0348080

SpecificType required A code or description representing the concept represented by the instance at a specific level. For example, for a Condition, the concept is MTH#C0348080 (Condition) but the Value is the SpecificType, i.e. MTH#C0011849 (Diabetes Mellitus). For an observation, the SpecificType defines what is being observed, measured, or asked, as specifically as possible. The SpecificType should always align with the concept of the element, for example, a blood pressure observation can be coded as a sitting blood pressure or standing blood pressure, and may be from a different code system (e.g. LOINC versus MTH). In other cases, the SpecificType is the specific question being asked, or the specific goal being pursued.
Category must be from ConditionCategoryVS 0 or more A categorization of the action according its type, often a code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This can be used for searching, sorting and display purposes.
ClinicalStatus required A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).
IncludeOnProblemList optional Whether or not to include this condition on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or condition was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
BodySite 0 or more A location in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart.
Severity optional Degree of harshness or extent of a symptom, disorder, or condition.
Criticality optional The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Stage optional The relative advancement in the course of a disease.
Observation 0 or more An Observation represents evidence, both subjective and objective. Observation includes any information about a subject that results from an act of observing, measuring, or evaluation. The focus of an observation can include the subject's behavior, physiological state, health state, functional status, environment, exposures to substances, etc. An Observation contains information about the act of observing or measuring, and the result of the observation. The method of observing can vary widely, from questioning, physical examination, formal assessment vehicles, laboratory tests, imaging procedures, etc. Patient-reported information is also considered an observation, where subject and observer are the same individual.

Criticality

The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. Criticality (C3858539)

Value:  code must be from http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality

IncludeOnProblemList

Whether or not to include this condition on the subject's current problem list.

Value:  boolean

Injury [Entry]

Damage inflicted on the body by an external force. C3263722

Based On Condition

Setting optional Description of the place or type of surroundings where something is positioned or where an event takes place.
Location optional A position, site, or point in space where something can be found.
SpecificType required A code or description representing the concept represented by the instance at a specific level. For example, for a Condition, the concept is MTH#C0348080 (Condition) but the Value is the SpecificType, i.e. MTH#C0011849 (Diabetes Mellitus). For an observation, the SpecificType defines what is being observed, measured, or asked, as specifically as possible. The SpecificType should always align with the concept of the element, for example, a blood pressure observation can be coded as a sitting blood pressure or standing blood pressure, and may be from a different code system (e.g. LOINC versus MTH). In other cases, the SpecificType is the specific question being asked, or the specific goal being pursued.
Category must be from ConditionCategoryVS 0 or more A categorization of the action according its type, often a code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This can be used for searching, sorting and display purposes.
ClinicalStatus required A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).
IncludeOnProblemList optional Whether or not to include this condition on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or condition was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
BodySite 0 or more A location in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart.
Severity optional Degree of harshness or extent of a symptom, disorder, or condition.
Criticality optional The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Stage optional The relative advancement in the course of a disease.
Observation 0 or more An Observation represents evidence, both subjective and objective. Observation includes any information about a subject that results from an act of observing, measuring, or evaluation. The focus of an observation can include the subject's behavior, physiological state, health state, functional status, environment, exposures to substances, etc. An Observation contains information about the act of observing or measuring, and the result of the observation. The method of observing can vary widely, from questioning, physical examination, formal assessment vehicles, laboratory tests, imaging procedures, etc. Patient-reported information is also considered an observation, where subject and observer are the same individual.

MentalHealthCondition [Entry]

A condition relating to a person’s psychological and emotional well-being. C1446377

Based On Condition

Value:  CodeableConcept must be from DSMVS A set of codes drawn from different coding systems, representing the same concept.
SpecificType required A code or description representing the concept represented by the instance at a specific level. For example, for a Condition, the concept is MTH#C0348080 (Condition) but the Value is the SpecificType, i.e. MTH#C0011849 (Diabetes Mellitus). For an observation, the SpecificType defines what is being observed, measured, or asked, as specifically as possible. The SpecificType should always align with the concept of the element, for example, a blood pressure observation can be coded as a sitting blood pressure or standing blood pressure, and may be from a different code system (e.g. LOINC versus MTH). In other cases, the SpecificType is the specific question being asked, or the specific goal being pursued.
Category must be from ConditionCategoryVS 0 or more A categorization of the action according its type, often a code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This can be used for searching, sorting and display purposes.
ClinicalStatus required A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).
IncludeOnProblemList optional Whether or not to include this condition on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or condition was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
BodySite 0 or more A location in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart.
Severity optional Degree of harshness or extent of a symptom, disorder, or condition.
Criticality optional The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Stage optional The relative advancement in the course of a disease.
Observation 0 or more An Observation represents evidence, both subjective and objective. Observation includes any information about a subject that results from an act of observing, measuring, or evaluation. The focus of an observation can include the subject's behavior, physiological state, health state, functional status, environment, exposures to substances, etc. An Observation contains information about the act of observing or measuring, and the result of the observation. The method of observing can vary widely, from questioning, physical examination, formal assessment vehicles, laboratory tests, imaging procedures, etc. Patient-reported information is also considered an observation, where subject and observer are the same individual.

Onset

The beginning or first appearance of a mental or physical disorder. C0277793

Value:  GeneralizedTemporalContext A generalized indicator of a dateTime or an age when an event happened.

Preexisting

If the problem or condition existed before the current episode of care.

Value:  boolean

Severity

Degree of harshness or extent of a symptom, disorder, or condition. C0392364

Value:  CodeableConcept must be from http://hl7.org/fhir/ValueSet/condition-severity A set of codes drawn from different coding systems, representing the same concept.

Stage

The relative advancement in the course of a disease. C0699749

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.
Evidence optional An observation that serves as evidence for some type of assessment.

WhenClinicallyRecognized

The time at which a condition or condition was first identified in a healthcare context.

Value:  GeneralizedTemporalContext A generalized indicator of a dateTime or an age when an event happened.