Stream: implementers
Topic: I have a problem to using condition resource for diagnosis
hongxia Tan (Jul 14 2016 at 06:26):
I cann't find the way to define the type of diagnosis (like Admission diagnosis,pathologic diagnosis...),and to identify the primary or secondary diagnosis, and to identify the disease is contagious or not.
Grahame Grieve (Jul 14 2016 at 07:06):
whether the diagnosis is primary or secondary is not a property of the diagnosis, but of the context in which you are engaging with the patient - on the encounter, say.
Grahame Grieve (Jul 14 2016 at 07:06):
I don't think anyone has raised the issue of contagious before or not
hongxia Tan (Jul 14 2016 at 07:55):
but Encounter resource only have Condition resource's references, couldn't find element to identify the primary diagnosis.
Should diagnostic types be defined in Condition? Encounter just defines OutpatientDiagnosis(indication)、admittingDiagnosis and dischargeDiagnosis.
Lin Zhang (Jul 14 2016 at 08:18):
You can use loinc codes to encode these observations
Lin Zhang (Jul 14 2016 at 08:22):
For example,
LOINC 8651-2 Hospital discharge Dx
hongxia Tan (Jul 14 2016 at 09:30):
not the Terminology,I couldn't find the Appropriate element in resources to record diagnosis type
Grahame Grieve (Jul 14 2016 at 10:13):
this seems like a China question - didn't we discuss it on teh China stream?
Yunwei Wang (Jul 14 2016 at 16:33):
This has been discussed before at: https://chat.fhir.org/#narrow/stream/implementers/subject/Condition%27s.20Priority. The conclusion is to use extension but there is no agreement on whether such extension should be in encounter or condition.
Grahame Grieve (Jul 14 2016 at 19:51):
thx Yunwei - has anyone created a task to clarify this? Would be for PA or PC? I feel as though this is falling through the cracks
Grahame Grieve (Jul 14 2016 at 19:59):
just found this looking for something else: http://hl7-fhir.github.io/encounter-example-f003-abscess.xml.html
Michelle (Moseman) Miller (Sep 01 2016 at 14:42):
GF#10544 has been logged, which is specific to having extension(s) on the Condition (e.g. diagnosis) since the extensions already exist on the Encounter as follows:
http://hl7-fhir.github.io/extension-encounter-primarydiagnosis.html
http://hl7-fhir.github.io/extension-encounter-relatedcondition.html
Last updated: Apr 12 2022 at 19:14 UTC
