MaxIntegration V1.0 Documentation CCDS Support - Health Concerns

Health Concerns

In FHIR STU3 standard, Condition resource is designed as a type of event resource describing, measurements and simple assertions made about a patient, device or other subject. In this case, this resource is utilized to describe health concerns in this RESTful API.

Using Condition resource is used to record detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

Required or some important fields and parameters would be given in the following tables. Operations and parameters of this resource would also be listed.

Resource Element Fields

Name Description Type
identifier The identifier for this specific condition resource Identifier
clinicalStatus The condition status code (Condition Clinical Status Codes)
verificationStatus The condition verification status code (ConditionVerificationStatus)
category Category of the condition CodeableConcept (Condition Category Codes)
severity Subjective severity of condition CodeableConcept (Condition/Diagnosis Severity)
code Identification of the condition, problem or diagnosis CodeableConcept (Condition/Problem/Diagnosis Codes Severity)
subject Who and/or what this is about Reference (Patient | Group)
onset Estimated or actual date, date-time, or age onsetDateTime: dateTime
onsetAge: Age
onsetPeriod: Period
onsetRange: Range
onsetString: string
abatement If/when in resolution/remission abatementDateTime: dateTime
abatementAge: Age
abatementBoolean: boolean
abatementPeriod: Period
abatementRange: Range
abatementString: string

Health Concerns

Get Health Concerns by Patient

GET https://evalfhir.directmdemail.com/fhir/baseDstu3/Condition?patient={id}&category=http://hl7.org/fhir/condition-category|health-concern

Example:

GET https://evalfhir.directmdemail.com/fhir/baseDstu3/Condition?patient=232&category=http://hl7.org/fhir/condition-category|health-concern
                {
    "resourceType": "Bundle",
    "id": "61afe180-e93d-4156-8e97-ec9072d7257b",
    "meta": {
        "lastUpdated": "2017-12-20T13:57:14.172-06:00"
    },
    "type": "searchset",
    "total": 1,
    "link": [
        {
            "relation": "self",
            "url": "https://evalfhir.directmdemail.com/fhir/baseDstu3/Condition?category=http%3A%2F%2Fhl7.org%2Ffhir%2Fcondition-category%7Chealth-concern&patient=232"
        }
    ],
    "entry": [
        {
            "fullUrl": "https://evalfhir.directmdemail.com/fhir/baseDstu3/Condition/293",
            "resource": {
                "resourceType": "Condition",
                "id": "293",
                "meta": {
                    "versionId": "1",
                    "lastUpdated": "2017-12-15T15:18:36.000-06:00"
                },
                "text": {
                    "status": "additional"
                },
                "category": [
                    {
                        "coding": [
                            {
                                "system": "http://hl7.org/fhir/condition-category",
                                "code": "health-concern",
                                "display": "Health Concern"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding": [
                        {
                            "system": "2.16.840.1.113883.6.96",
                            "code": "161901003",
                            "display": "Chronically Ill"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/232"
                }
            },
            "search": {
                "mode": "match"
            }
        }
    ]
}
                
    

Search Health Concerns With Specific Date

For this resource, which is pretty much the same regarding the parameters, because it is also adapting Condition as it's base resource.

Parameter Name Description Type Required
_id The Id of the certain resource string False
identifier The unique identifier for the condition string False
onset-date Estimated or actual date of this condition or problem dateTime False
abatement-date Estimated or actual date of this condition or problem is resolved dateTime False
patient The Id representing the specific patient integer True (If the query is concerning a specific patient)
category The category of this condition, this parameter is used to search specific type of condition
Problems, Health Concerns, for example
string True (Required searching for Problems, and Health Concerns)
code Identify condition, problem or diagnosis string False
subject Who and/or what this is about string False

This following request format indicates how to get condition resources on a specific date, by limiting a range of same day.

GET https://evalfhir.directmdemail.com/fhir/baseDstu3//Condition?patient={id}&category=http://hl7.org/fhir/condition-category|health-concern&onset-date=>={dateTime}&onset-date=<={dateTime}

Example:

GET https://evalfhir.directmdemail.com/fhir/baseDstu3//Condition?patient=56&category=http://hl7.org/fhir/condition-category|health-concern&onset-date=>=2015-06-22&onset-date=<=2015-06-22
        {
    "resourceType": "Bundle",
    "id": "f1ca2d66-9a1b-4828-ab3b-7c5835049efc",
    "meta": {
        "lastUpdated": "2018-02-14T17:59:01.773-06:00"
    },
    "type": "searchset",
    "total": 1,
    "link": [
        {
            "relation": "self",
            "url": "https://evalfhir.directmdemail.com/fhir/baseDstu3//Condition?category=http%3A%2F%2Fhl7.org%2Ffhir%2Fcondition-category%7Chealth-concern&onset-date=%3E%3D2015-06-22&onset-date=%3C%3D2015-06-22&patient=56"
        }
    ],
    "entry": [
        {
            "fullUrl": "https://evalfhir.directmdemail.com/fhir/baseDstu3//Condition/118",
            "resource": {
                "resourceType": "Condition",
                "id": "118",
                "meta": {
                    "versionId": "1",
                    "lastUpdated": "2018-02-14T17:15:14.000-06:00"
                },
                "text": {
                    "status": "additional"
                },
                "category": [
                    {
                        "coding": [
                            {
                                "system": "http://hl7.org/fhir/condition-category",
                                "code": "health-concern",
                                "display": "Health Concern"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding": [
                        {
                            "system": "2.16.840.1.113883.6.96",
                            "code": "161901003",
                            "display": "Chronically Ill"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/56",
                    "display": "Alice Jones Newman"
                },
                "onsetDateTime": "2015-06-22T11:00:00-04:00"
            },
            "search": {
                "mode": "match"
            }
        }
    ]
}
        
    

Search Health Concerns With a Date Range

The request format would be like:

GET https://evalfhir.directmdemail.com/fhir/baseDstu3//Condition?patient={id}&category=http://hl7.org/fhir/condition-category|health-concern&onset-date=>={dateTime}&onset-date=<={dateTime (later than previous dateTime)}

Example:

GET https://evalfhir.directmdemail.com/fhir/baseDstu3//Condition?patient=56&category=http://hl7.org/fhir/condition-category|health-concern&onset-date=>=2015-06-22&onset-date=<=2015-06-27
        {
    "resourceType": "Bundle",
    "id": "2256dfc2-1831-4ca4-9714-819acbe5cd58",
    "meta": {
        "lastUpdated": "2018-02-14T17:59:43.688-06:00"
    },
    "type": "searchset",
    "total": 1,
    "link": [
        {
            "relation": "self",
            "url": "https://evalfhir.directmdemail.com/fhir/baseDstu3//Condition?category=http%3A%2F%2Fhl7.org%2Ffhir%2Fcondition-category%7Chealth-concern&onset-date=%3E%3D2015-06-22&onset-date=%3C%3D2015-06-27&patient=56"
        }
    ],
    "entry": [
        {
            "fullUrl": "https://evalfhir.directmdemail.com/fhir/baseDstu3//Condition/118",
            "resource": {
                "resourceType": "Condition",
                "id": "118",
                "meta": {
                    "versionId": "1",
                    "lastUpdated": "2018-02-14T17:15:14.000-06:00"
                },
                "text": {
                    "status": "additional"
                },
                "category": [
                    {
                        "coding": [
                            {
                                "system": "http://hl7.org/fhir/condition-category",
                                "code": "health-concern",
                                "display": "Health Concern"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding": [
                        {
                            "system": "2.16.840.1.113883.6.96",
                            "code": "161901003",
                            "display": "Chronically Ill"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/56",
                    "display": "Alice Jones Newman"
                },
                "onsetDateTime": "2015-06-22T11:00:00-04:00"
            },
            "search": {
                "mode": "match"
            }
        }
    ]
}