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  1. FHIR Specification Feedback
  2. FHIR-11026

Relationship between Condition and Observation - 2016-09 core #45

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • DSTU2
    • Patient Care
    • Condition
      Observation
    • 9.2 condition, 10.1
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      + Assertions of Condition Absence section +

      It is appropriate to capture a "refuted" Condition record if the Condition was considered present and subsequent evidence refuted it. Specifically, Condition.verificationStatus can convey refuted. The corresponding evidence of that refutation can be conveyed in Condition.evidence.

      + refuted code definition +

      This condition has been ruled out by *subsequent *diagnostic and clinical evidence.

      + Condition.evidence short description +

      Supporting evidence for the verification status

      + Condition.evidence definition +

      Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.

      Add comment: If the condition was confirmed, but subsequently refuted, then the evidence can be cumulative including all evidence over time.

      Note: Keith/Ioana agreed to close this tracker.

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      + Assertions of Condition Absence section + It is appropriate to capture a "refuted" Condition record if the Condition was considered present and subsequent evidence refuted it. Specifically, Condition.verificationStatus can convey refuted. The corresponding evidence of that refutation can be conveyed in Condition.evidence. + refuted code definition + This condition has been ruled out by *subsequent *diagnostic and clinical evidence. + Condition.evidence short description + Supporting evidence for the verification status + Condition.evidence definition + Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. Add comment: If the condition was confirmed, but subsequently refuted, then the evidence can be cumulative including all evidence over time. Note: Keith/Ioana agreed to close this tracker.
    • Emma/Ioana: 7-0-0
    • Enhancement
    • Non-substantive
    • R5

    Description

      Comment:

      There are certainly cases where condition and observation seem distinct (diabetes, skin color), but there are others where the distinction isn't so clear (complaints, injuries). If the resources cannot be merged (leaving the key semantic distinction of "things to keep an eye on" to the Concern class), then they should at least be similar enough to handle similar operations similarly (viz., modifiers such as absence & risk, qualifiers such as severity). Or, failing that, guidance around how similar operations might be expected to behave (e.g., query conditions with verificationStatus="refuted" + observations with value="negative")

      Summary:

      Relationship between Condition and Observation

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            michelle.m.miller Michelle Miller
            jlyle Jay Lyle
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            Dates

              Created:
              Updated:
              Resolved: