Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

## US Core Condition

Page standards status: Informative

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The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core 3.1.1 Condition or US Core 6.1.0 Condition Encounter Diagnosis or US Core 6.1.0 Condition Problems and Health Concerns resources are:

R4 Element | Name | Cardinality | Type
--- | --- | --- | ---
Condition.clinicalStatus | clinicalStatus | 0..1 | CodeableConcept
Condition.verificationStatus | verificationStatus | 0..1 | CodeableConcept
Condition.category | category | 1..* | CodeableConcept
Condition.code | code | 1..1 | CodeableConcept
Condition.subject | subject | 1..1 | Reference(US Core Patient Profile)

Table Definition

The essential fields to be provided in the Condition resource from the CPCDS file are:

US Core Element | Must Support | Cardinality | CARIN-BB Element | CPCDS Element Mapping or Implementer Note
--- | --- | --- | --- | ---
Condition.clinicalStatus | S | 0..1 |  | . Note: active | recurrence | relapse | inactive | remission | resolved
Condition.verificationStatus | S | 0..1 |  | . Note: active | recurrence | relapse | inactive | remission | resolved
Condition.category | S | 1..* |  | . Note: Based on Diagnosis from claim pick appropriate condition category from: [problem-list-item | encounter-diagnosis | health-concern]
Condition.code | S | 1..1 | ExplanationOfBenefit.diagnosis.diagnosis | [{"6, 7, 8, 21, 22, 23, 30":"Diagnosis Code"}]
Condition.subject | S | 1..1 | ExplanationOfBenefit.patient | [{"Ref (1)":"Member id"}]

Table Definition

#### Example Condition Resource

An example mapping of a problem using the Condition is shown below:

    {
      "resourceType" : "Condition",
      "id" : "example",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Detailsid: examplemeta: clinicalStatus: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active', given as 'Active'})</span>verificationStatus: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed', given as 'Confirmed'})</span>category: Problem <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span>code: Single liveborn, born in hospital <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '442311008' = 'Liveborn born in hospital', given as 'Liveborn born in hospital'})</span>subject: <a href=\"Patient-example.html\">Amy V. Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>onset: Aug 10, 2016, 12:00:00 AM</div>"
      },
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "active",
            "display" : "Active"
          }
        ],
        "text" : "Active"
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code" : "confirmed",
            "display" : "Confirmed"
          }
        ],
        "text" : "Confirmed"
      },
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
              "code" : "problem-list-item",
              "display" : "Problem List Item"
            }
          ],
          "text" : "Problem"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "442311008",
            "display" : "Liveborn born in hospital"
          }
        ],
        "text" : "Single liveborn, born in hospital"
      },
      "subject" : {
        "reference" : "Patient/example",
        "display" : "Amy V. Shaw"
      },
      "onsetDateTime" : "2016-08-10"
    }

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