Stream: implementers
Topic: Medical Certificate Document
Rath Panyowat (Oct 19 2021 at 17:19):
My country is implementing a national service for issuing a medical certificate (such as a certificate for employment, sick leave, driving license, etc.)—the development team plan to use FHIR document for this.
My question is:
If the patient's health status is entirely normal, can we use the Condition resource for this? Or should we use other resources like ClinicalImpression?
And about the terminology;
In ICD-10, there is a code like Z00.0 General medical examination or Z02.4 Examination for driving license, but I can't find codes for the same purpose on SNOMED CT. Or just a code that say the patient is healthy. Are there SNOMED CT codes for these situations?
Lloyd McKenzie (Oct 19 2021 at 18:46):
It's not wrong to have a Condition that says "normal health", though it's not something that's typically done. @Rob Hausam - thoughts on the SNOMED codes question?
Grahame Grieve (Oct 19 2021 at 19:01):
Condition is specifically named "Condition" and not "problem" because it's scope does include documented positive things about health, such as 'pregnant', or 'healthy'
Rob Hausam (Oct 19 2021 at 19:43):
@Rath Panyowat Yes, agree that Condition can be used for this. The documentation states:
The condition resource may be used to record a certain health state of a patient which does not normally present a negative outcome, e.g. pregnancy. The condition resource may be used to record a condition following a procedure, such as the condition of Amputee-BKA following an amputation procedure.
Though the Condition documentation doesn't address the "healthy" or "well" states explicitly, they are included by implication in the statement above. And SNOMED CT does have a code for 102499006 |Fit and well (finding)|, as well as multiple subtype codes including those for "Well adult", "Well child", etc.
Rath Panyowat (Oct 20 2021 at 02:04):
@Lloyd McKenzie @Grahame Grieve @Rob Hausam Thank you very much everyone :pray:
Last updated: Apr 12 2022 at 19:14 UTC
