This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3
Patient Care Work Group | Maturity Level: N/A | Ballot Status: Informative |
Definition for Code System Condition Clinical Status Codes
<CodeSystem xmlns="http://hl7.org/fhir"> <id value="condition-clinical"/> <meta> <lastUpdated value="2018-04-03T12:05:46.262+10:00"/> <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h2> Condition Clinical Status Codes</h2> <div> <p> Preferred value set for Condition Clinical Status.</p> </div> <p> This code system http://hl7.org/fhir/condition-clinical defines the following codes:</p> <table class="codes"> <tr> <td> <b> Lvl</b> </td> <td style="white-space:nowrap"> <b> Code</b> </td> <td> <b> Display</b> </td> <td> <b> Definition</b> </td> </tr> <tr> <td> 1</td> <td style="white-space:nowrap">active <a name="condition-clinical-active"> </a> </td> <td> Active</td> <td> The subject is currently experiencing the symptoms of the condition or there is evidence of the condition.</td> </tr> <tr> <td> 2</td> <td style="white-space:nowrap"> recurrence <a name="condition-clinical-recurrence"> </a> </td> <td> Recurrence</td> <td> The subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis.</td> </tr> <tr> <td> 2</td> <td style="white-space:nowrap"> relapse <a name="condition-clinical-relapse"> </a> </td> <td> Relapse</td> <td> The subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc.</td> </tr> <tr> <td> 2</td> <td style="white-space:nowrap"> well-controlled <a name="condition-clinical-well-controlled"> </a> </td> <td> Well-Controlled</td> <td> The subject's condition is adequately or well managed such that the recommended evidence-based clinical outcome targets are met.</td> </tr> <tr> <td> 2</td> <td style="white-space:nowrap"> poorly-controlled <a name="condition-clinical-poorly-controlled"> </a> </td> <td> Poorly-Controlled</td> <td> The subject's condition is inadequately/poorly managed such that the recommended evidence-based clinical outcome targets are not met.</td> </tr> <tr> <td> 1</td> <td style="white-space:nowrap">inactive <a name="condition-clinical-inactive"> </a> </td> <td> Inactive</td> <td> The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition.</td> </tr> <tr> <td> 2</td> <td style="white-space:nowrap"> remission <a name="condition-clinical-remission"> </a> </td> <td> Remission</td> <td> The subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning.</td> </tr> <tr> <td> 2</td> <td style="white-space:nowrap"> resolved <a name="condition-clinical-resolved"> </a> </td> <td> Resolved</td> <td> The subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning.</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="pc"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status"> <valueString value="Trial Use"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="3"/> </extension> <url value="http://hl7.org/fhir/condition-clinical"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.1.165"/> </identifier> <version value="3.3.0"/> <name value="Condition Clinical Status Codes"/> <status value="draft"/> <experimental value="true"/> <publisher value="FHIR Project team"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> </contact> <description value="Preferred value set for Condition Clinical Status."/> <caseSensitive value="true"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical"/> <content value="complete"/> <concept> <code value="active"/> <display value="Active"/> <definition value="The subject is currently experiencing the symptoms of the condition or there is evidence of the condition."/> <concept> <code value="recurrence"/> <display value="Recurrence"/> <definition value="The subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis."/> </concept> <concept> <code value="relapse"/> <display value="Relapse"/> <definition value="The subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc."/> </concept> <concept> <code value="well-controlled"/> <display value="Well-Controlled"/> <definition value="The subject's condition is adequately or well managed such that the recommended evidence-based clinical outcome targets are met."/> </concept> <concept> <code value="poorly-controlled"/> <display value="Poorly-Controlled"/> <definition value="The subject's condition is inadequately/poorly managed such that the recommended evidence-based clinical outcome targets are not met."/> </concept> </concept> <concept> <code value="inactive"/> <display value="Inactive"/> <definition value="The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition."/> <concept> <code value="remission"/> <display value="Remission"/> <definition value="The subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning."/> </concept> <concept> <code value="resolved"/> <display value="Resolved"/> <definition value="The subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning."/> </concept> </concept> </CodeSystem>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.