The Condition Resource is used to record detailed information pertinent to a clinician’s assessment and assertion of a particular aspect of a person’s state of health. Examples of the condition include problems, diagnoses, concerns, issues. There are many uses of a condition which includes:
– Recording a problem, diagnosis, health concern or health issue during an encounter
– The use of such information to populate a problem list of a summary statement such as a discharge summary
This resource is used to record detailed information about a clinician’s assessment and assertion of a particular aspect of a patient’s state of health. It is intended for use to record information about a disease/illness identified from the application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that require ongoing monitoring and/or management (health issue/concern), or identification of health issues/situations considered harmful, potentially harmful and required to be investigated and managed (problems).
The condition resource may also be used to record a certain health state of a patient which does not normally present a negative outcome (until complications are predicted or detected), e.g. pregnancy. Examples of complications of pregnancy include hyperemesis gravidarum, preeclampsia, eclampsia – which are captured as problems/diagnoses.
Fast Healthcare Interoperability Resources (FHIR) is a draft standard describing data formats and elements (known as “resources”) and an application programming interface (API) for exchanging electronic health records. The standard was created by the Health Level Seven International (HL7) health-care standards organization.
Its goal is to facilitate interoperation between legacy healthcare systems, to make it easy to provide healthcare information to healthcare providers and individuals on a wide variety of devices from computers to tablets to cell phones, and to allow third-party application developers to provide medical applications which can be easily integrated into existing systems.
FHIR provides an alternative to document-centric approaches by directly exposing discrete data elements as services. For example, basic elements of healthcare like patients, admissions, diagnostic reports and medications can each be retrieved and manipulated via their own resource URLs (Uniform Resource Locators). FHIR was supported at an American Medical Informatics Association meeting by many EHR (Electronic Health Record) vendors which value its open and extensible nature.