InterweaveCondition

FHIR Profile

The Notts Care Record will use the InterweaveCondition Resource Profile as published in the Interweave Implementation Guide

Note: The Interweave Condition resource profile has a status of 'DRAFT', and is still subject to change.

Notts Guidance

In Phase 1 of the Notts Care Record Project, the Condition Resource will be used to share

  • Major Diagnoses as inferred from General Practitioner Repository of Clinical Care (GPRCC)
  • Major Mental Health Diagnoses as recorded on Rio

Clinical Status

MUST be provided as it is essential to explain the status of the condition – eg is it currently active.

This implies a need to keep this status up-to-date – and ideally this will be done, but in reality might not always be possible. For example in the case of historical records where the patient has moved on. At a minimum however this status must be valid as-at the “assertedDate”. This allows a viewer to make an informed judgement about the likelihood that it is still relevant now.

Category

A number of diferent types of Conditions have been defined by the NHS:

CodeDisplayDefinition
problem-list-item Problem List ItemAn item on a problem list which can be managed over time and can be expressed by a practitioner (e.g. physician, nurse), patient, or related person.
encounter-diagnosis Encounter DiagnosisA point in time diagnosis (e.g. from a physician or nurse) in context of an encounter.
presenting-complaint Presenting Complaint
co-morbidity Co-morbidity
issue Issue

Where possible the data provider **SHOULD** specify which of these best describes the type of Condition they are sharing.

Code

MUST be provided as it is essential to describe what the condition actually is. Ideally will be a SNOMED code (where constraint = descendantOf 404684003 OR descendantOf 413350009 OR descendantOf 272379006), however Read codes could be considered if mapping to snomed is not posisble. System for code MUST also be provided, i.e.:

  • http://snomed.info/sct
  • http://read.info/readv2
  • http://read.info/ctv3

The display name for the code MUST be provided in code.coding.display. An alternate plain text representation of the concept can be provided in part of code.text

Subject

Every Condition MUST be linked to a Patient using the ID of the relevant FHIR Resource for the Patient.

Asserted Date

Every Condition MUST include when the condition was noted. Provides essential guidance for a viewer about the recency and thus likely relevance / accuracy of historical records.

Onset Date

The estimated or actual date or date-time the condition began SHOULD BE provided if available.

Abatement_Date Date

The estimated or actual date or date-time that the condition was resolved or went into remission SHOULD BE provided if available.

Body Site

The snomed coding for the affected body part SHOULD BE provided if possible and relevant.

Click here to see some examples of Conditions