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Condition Profile

Canonical../StructureDefinition/nexus-emr-core-condition
Statusdraft · 1.26.0
BaseCondition (constraint)
SourceFSH · JSON

Nexus EMR profile for Condition resource, representing health concerns (CII E11) or clinical assessments (CII E34). Constrains necessary elements, requires a Nexus EMR identifier, and adds support for required extensions and security labels.

Overview

Overview

The Nexus EMR Core Condition profile represents health conditions, problems, diagnoses, and other health concerns within primary care EMR systems. This profile supports both active problem lists and historical conditions, providing a comprehensive view of a patient's health status across the Nexus EMR ecosystem.

Key Features

  • Flexible Diagnosis Coding: Supports ICD-10, SNOMED CT, and source EMR codes
  • Clinical and Verification Status: Tracks whether conditions are active, resolved, confirmed, or provisional
  • Problem List Management: Distinguishes between problem list items and encounter diagnoses
  • Onset Tracking: Captures when conditions started using dates, ages, or periods
  • Severity Assessment: Optional subjective severity ratings

Clinical Use Cases

This profile supports various clinical workflows:

  • Active problem list maintenance
  • Encounter-based diagnosis documentation
  • Chronic disease management
  • Past medical history recording
  • Differential diagnosis tracking

Mapping to Standards

  • Maps to CII E11 (Health Concern) and E34 (Clinical Assessment)
  • Aligns with CA Core+ Condition requirements
  • Compatible with ICD-10-CA and SNOMED CT Canadian Edition

Terminology bindings

Path Strength Value set
Condition.clinicalStatus required condition-clinical
Condition.verificationStatus required condition-ver-status
Condition.category extensible condition-category
Condition.severity preferred condition-severity