QI-Core Profile-based path |
Action |
Include in QI-Core 6.0 |
Justification |
QICoreConditionProblemsHealthConcerns.implicitRules |
Keep |
YES |
|
Condition.assertedDate |
Keep |
YES |
USCDI US Core 6.0 item Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
Condition.dueTo |
REMOVE |
NO |
No current use case. Determination takes clinical judgment and linkage of causes for condition/problem/healthConcern unlikely to exist |
Condition.occurredFollowing |
REMOVE |
NO |
No current use case. Determination of preceding events (condition, procedure, medicationAdministration, immunization, medicationStatement) unlikely to be retrieved as directly linked to a condition in a medical record |
Condition.modifierExtension |
KEEP |
YES |
Present in US Core |
Condition.clinicalStatus |
|
|
USCDI – same required binding as US Core to ConditionClinicalStatusCodes |
Condition.verificationStatus |
KEEP |
YES |
USCDI – same required binding as US Core to ConditionVerificationStatus |
Condition.slicesforCategory |
|
|
USCDI – same extensible binding as US Core to ConditionCategoryCodes |
Condition.category:us-core |
KEEP |
YES |
USCDI – same required binding to US Core Problem or Health Concern |
Condition.category:screening-assessment |
KEEP |
YES (Change from version 5.0) |
USCDI – USCDI Health Status Assessment Data Class; change from previous version with required binding to US Core Screening Assessment Condition Category (sdoh, functional-status, disability-status, cognitive-status)
This represents a change from QI-Core/US Core 5.0 that had distinct category for sdoh alone. |
Condition.severity |
REMOVE |
NO |
Not present in US Core or USCDI and severity unlikely to exist in retrieves |
Condition.code |
KEEP |
YES |
USCDI Same US Core extensible binding to US Core Condition Codes |
Condition.bodySite |
REMOVE |
NO |
Not USCDI or US Core; unless Condition.code indicates the body site, unlikely to retrieve as a distinct metadata element. Also, no clear use case. |
Condition.subject |
KEEP |
YES |
USCDI US Core references US Core Patient – change to QICorePatient |
Condition.encounter |
REMOVE |
NO |
Not USCDI or US Core – can address with ConditionEncounterDiagnosis |
Condition.[onset[x] |
http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-condition-problems-health-concerns-definitions.html#key_Condition.onset[x]] |
KEEP |
YES |
USCDI – US Core only specifies datatype onsetDateTime. Retain QI-Core onsetDateTime, onsetAge, onsetPeriod, onsetRange |
Condition.[abatement[x] |
http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-condition-problems-health-concerns-definitions.html#key_Condition.abatement[x]] |
KEEP |
YES |
USCDI – US Core only specifies abatementDateTime; Retain QI-Core abatementDateTime, abatementAge, abatementPeriod, abatementRange |
Condition.recordedDate |
KEEP |
YES |
USCDI – US Core and QI-Core limit to dateTime |
Condition.asserter |
REMOVE |
NO |
Not in USCDI or US Core and no clear use case |
Condition.stage (including stage.summary, stage.assessment) |
REMOVE |
NO |
Not in USCDI or US Core and no clear use case |