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  1. FHIR Specification Feedback
  2. FHIR-36197

Representing improving | deteriorating patient responses in R4/R5 Condition resource

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Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R5
    • Patient Care
    • Condition
    • Hide
      • ClinicalImpression.changePattern (sequenced after ClinicalImpression.problem)
      • Cardinality = 0..1
      • Short Description =  Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change.
      • Definition = Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change.  It is a subjective assessment of the direction of the change.
      • Binding Strength = example
      • Value Set includes "patterns"
        • Worsening (qualifier value) SCTID: 230993007
        • Improving (qualifier value) SCTID: 385633008
        • No status change (qualifier value) SCTID: 260388006
      Show
      ClinicalImpression.changePattern (sequenced after ClinicalImpression.problem) Cardinality = 0..1 Short Description =   Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change. Definition  = Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change.  It is a subjective assessment of the direction of the change. Binding Strength =  example Value Set includes "patterns" Worsening (qualifier value) SCTID: 230993007 Improving (qualifier value) SCTID: 385633008 No status change (qualifier value) SCTID: 260388006
    • Stephen Chu / Larry McKnight : 7-0-0
    • Enhancement
    • Compatible, substantive
    • R5

    Description

      Patient Care PG received a request to advise on how to represent changing patient conditions in FHIR Condition resource.
      Use case: patient condition may improve | deteriorate | stabilise over the different phases | course of a disease.
      A number of options had been discussed during conference calls in 2022-02 and 2022-03 with suggestion that two options can be considered:

      • Use an Observation profile
      • add data structure to Condition resource (preferred option)
        The Powerful file attached description the trigger/use case to this change proposal, the discussions on various option, and the preferred option.

      Attachments

        1. 2022-03-03 ClinicalStatus-ChangingCondition-diseaseCourse.pptx
          1.03 MB
        2. 2022-04-29 Changing condition trends-info exchange requirements and options (1).pptx
          1.54 MB
        3. image-2022-06-23-16-40-13-909.png
          image-2022-06-23-16-40-13-909.png
          276 kB
        4. image-2022-06-23-16-47-03-849.png
          image-2022-06-23-16-47-03-849.png
          261 kB

        Activity

          People

            Unassigned Unassigned
            chuscmi Stephen Chu
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            Dates

              Created:
              Updated:
              Resolved: