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:
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.