ageAtOnsetThe age of the patient or subject at onset of the Condition. Note that this property could potentially be derived.
asserter"The source of the information about the allergy that is recorded." - HL7 FHIR, AllergyIntolerance.asserter"Individual who is making the condition statement." - HL7 FHIR, Condition.asserter
bodySite"The anatomical location where this condition manifests itself." - HL7 FHIR, Condition.bodySite
categoryThis property provides a categorization of the Condition. Because there are (currently) different generalizations (i.e., subtypes) of Concern, it is likely that the potential categorizations may differ from one subtype to another. It is therefore likely that the subtypes may redefine this property to bind to specific value sets. For now, this property is bound to the Problem Type value set. For Health Concern, the possible values include: Symptom, Behavior (e.g., smoking), a diagnosed disease, a suspected disease, a disease to be ruled out, etc."Indicates the kind of problem. This field can be used to categorize problems so that they may be managed and viewed independently within different applications (e.g., admission, final, post-operative, pre-operative, outpatient, discharge, etc.)." - HL7 Version 2.8, PRB-10. Note that HL7 does not provide any suggested values for this code."A category assigned to the condition." - HL7 FHIR, Condition.category
certainty"The degree of confidence that this condition is correct." - HL7 FHIR, Condition resource."Contains a qualitative representation of the certainty of a problem" (e.g., high, low, medium, etc.) - HL7 Version 2.8, PRB-19
chronicity"Contains the perseverance of a problem (e.g., acute, chronic, etc.)." - HL7 Version 2.8, PRB-12. Note that HL7does not provide any suggested values for this code.
clinicalStatus"Indicates the verification status for the allergy" - HL7 Version 2.8, IAM-17. HL7 Version 2 has the following suggested values (table 438): Unconfirmed; Pending; Suspect; Confirmed or verified; Confirmed but inactive; Erroneous; Doubt raised."Contains the verification status of a problem (e.g., confirmed, differential, provisional, rule-out, etc.)." - HL7 Version 2.8, PRB-13. Note that HL7 does not provide any suggested values for this code."The physiological state of the condition with respect to whether it is actually of concern. Values may typicall include: Active, Relapse, Remission, Resolved, Confirmed, Ruled out, Unknown." - HL7 CIMI, BaseAssertion.clinicalStatus"The clinical status of the condition." - HL7 FHIR, Condition.clinicalStatus. Possible values include: Active; Recurrence; Inactive; Remission; Resolved.
concernContextDescribes whether the condition exists or doesn't exist. Other values are potentially possible including rule in / rule out. Align with SNOMED situation with explicit context.
concernStatusChangeEventPointer to a history of updates to the Health Concern record, and relates the Health Concern record to various encounters over time.
conditionCourse dateAbatedDate upon which this particular Condition is no longer an active concern."Contains the date/time that the problem was actually resolved." - HL7 Version 2.8, PRB-9"The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate." - HL7 FHIR, Condition.abatement[x]
dateDiagnosedDate and time the health problem was diagnosed. Added for Public Health Reporting Initiative, 10/5/2012.
dateLastModifiedThe date and time that the Problem being described was last modified. It is assumed that the status of the problem is valid as of the last modified date. Note that this property could potentially be derived from the HealthConcernLifeCycle entries."Indicates the effective date/time of the current problem life cycle status." - HL7 Version 2.8, PRB-15
dateOfOnsetDate when this particular Condition first manifested itself or was confirmed via testing if it had not yet manifested itself. Note that this date may be inprecise (e.g., "sometime in 2006")."Contains the actual date of the first reaction." - HL7 Version 2.8, IAM-11"Contains the date/time when the problem began." - HL7 Version 2.8, PRB-16."Estimated or actual date or date-time the condition began, in the opinion of the clinician." - HL7 FHIR, Condition.onset[x]. Note that in FHIR the datatype can be a dateTime, Age, Period, Range, or a string; FHIM currently only supports a dateTime, or a string using the dateOfOnsetText property.Either the age of onset, range of approximate age or descriptive string can be recorded. For conditions with multiple occurrences, this describes the first known occurrence. Note that in FHIR the datatype can be a Age, Range, Period, or string; FHIM currently only supports a dateTime, or a string using the dateOfOnsetText property."Estimated or actual date, date-time, or age when allergy or intolerance was identified." - HL7 FHIR, AllergyIntolerance.onset[x]. Note that in FHIR the datatype can be a dateTime, Age, Period, Range, or a string; FHIM currently only supports a dateTime, or a string using the dateOfOnsetText property.
dateOfOnsetTextTextual description of the time period when this particular Condition first manifested itself or was confirmed via testing if it had not yet manifested itself."Contains a text description of the time period of the first reaction when an exact date is not known (e.g., adolescence, childhood, spring 1990)." - HL7 Version 2.8, IAM-12"This field allows for a textual representation of the time when the problem began." - HL7 Version 2.8, PRB-17
diagnosisListProvides a list of diagnoses that are related to the Health Concern
evidence"Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed." - HL7 FHIR, Condition.evidence
externalCausePointer to the Accident, Injury, or Exposure that caused the Health Concern.
familyPrognosisAwareness"Indicates the individual's family or significant other's comprehension of the actual problem/prognosis." - HL7 Version 2.8, PRB-24Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.
kindIdentifies the Health Concern or Problem being described. This property is a code, which should come from an approved subset of SNOMED-CT, e.g., the "VA-KP Problem List Subset."Note that there is a separate class for Family History Concerns, which is a generalization of the Health Concern class. Therefore, this property should never contain a concept that has "Family History Of" built into it (i.e., a pre-coordinated concept), such as "Family History of Diabetes". When such infomation needs to be conveyed, this property should contain "Diabetes," and the FamiliyHistoryConcern subclass will indicate that the Diabetes was observed in a family member and will identify the relationship of that family member (e.g., Father, Mother) to the patient. Thus, in effect, we are creating a structure that explicity post-coordinates the concept of Family History Of with the concept of the disease that the family member had."Identifies the problem. This is the identifier from an institution's master list of problems." - HL7 Version 2.8, PRB-3"Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance." - HL7 FHIR, AllergyIntolerance.code"Category for the risk." - HL7 Care Plan Domain Analysis Model."Identification of the condition, problem or diagnosis." - HL7 FHIR, Condition.code"The actual condition specified. Could be a coded condition (like MI or Diabetes) or a less specific string like 'cancer' depending on how much is known about the condition and the capabilities of the creating system." - HL7 FHIR, FamilyMemberHistory.condition.code
observation outcome"Indicates what happened following the condition. If the condition resulted in death, deceased date is captured on the relation." - HL7 FHIR, FamilyMemberHistory.condition.outcome
patientsProblemAwareness"Contains the individual's comprehension of the problem (e.g., full, marginal, partial, etc.)." - HL7 Version 2.8, PRB-21. Note that HL7 does not provide any suggested values for this code.Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.
patientsPrognosisAwareness"Contains the individual's comprehension of the prognosis for the problem (e.g., full, marginal, partial, etc.)." - HL7 Version 2.8, PRB-23. Note that HL7 does not provide any suggested values for this code.Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.
probability"Contains a quantitative or numeric representation of the certainty that the problem exists for this patient. This field has a valid range of 0 to 1. For example, a healthcare provider may be 75% (.75) sure that the problem has been correctly identified." - HL7 Version 2.8, PRB-20
problemManagementDisciplinePointer to the category of caregiver with responsibility for managing this specific problem.
prognosis"Contains the prognosis for the individual's problem (e.g., good, poor, etc.)." - HL7 Version 2.8, PRB-22. Note that HL7does not provide any suggested values for this code.Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.
responsibleClinicIdentifies the organization/location responsible for treating the Health Concern. Used primarily in inpatient situations.
responsibleProviderIdentifies the provider responsible for treating the Health Concern.
sensitivity"Contains information about the level of security and/or sensitivity surrounding the problem (e.g., highly sensitive, not sensitive, sensitive, etc.)." - HL7 Version 2.8, PRB-25. Note that HL7does not provide any suggested values for this code.Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.Note that this property may be removed or altered based on the outcome of the Security and Privacy modeling.
severity"Indicates the general severity of the allergy." - HL7 Version 2.8, AL1.4 and IAM-4. HL7 Version 2 has the following suggested values (table 128): Severe; Moderate; Mild; Unknown."Indicates the severity of the Problem." - HL7 Version 2.8, PRB-26. Note that HL7 does not suggest values for this code."A subjective assessment of the severity of the condition as evaluated by the clinician." - HL7 FHIR, Condition.severity. Possible values include: Mild; Moderate; Severe."Intensity of a symptom or condition. The criteria for this value differ by condition." - HL7 CIMI, Assertion.severity
stage"Clinical stage or grade of a condition. May include formal severity assessments." - HL7 FHIR, Condition.stage
verificationStatus"The state of knowledge concerning the presence of a putative condition; e.g., confirmed, refuted, provisional, suspected." - HL7 CIMI, BaseAssertion.verificationStatus"The verification status to support the clinical status of the condition." - HL7 FHIR, Condition.verificationStatus. Possibe values include: Provisional; Differential; Confirmed; Refuted; Entered-in-Error; Unknown."Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product)." - HL7 FHIR, AllergyIntolerance.verificationStatus. Possible values are Confirmed; Unconfirmed; Refuted; Entered In Error.
wasCauseOfDeathIf the patient is deceased, this property indicates whether the Health Concern (aka Problem) was (one of) the cause(s) of death.
FHIM::Common::ClinicalStatement