Common
Class Diagnosis

"a.The act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient history, examination, and/or review of laboratory data. b.The opinion derived from such an evaluation" American Heritage Dictionary

Attributes
«CS» Code contextCode contextCode

This optional code is used to categorize the Diagnosis in such a manner as to accommodate LOINC codes that are required by certain implementations (especially CDA). In the FHIM, the "type" of diagnosis is conveyed by the context of the class pointing to this class. For example, an association from Surgery to Diagnosis might have a role name of "pre-operative diagnosis". This mechanism, however, does not allow binding to the a coded terminology such as LOINC. This property provides the ability to bind the diagnosis to such a code. Possible values include:
59769-0 Postprocedure diagnosis
11535-2 Hospital discharge diagnosis
46241-6 Admission diagnosis
29308-4 Diagnosis (used for Encounter Diagnosis template)
10219-4 Preoperative Diagnosis
10218-6 Postoperative Diagnosis
"Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)." Possible values include: Admission diagnosis; Discharge diagnosis; Chief complaint; Comorbidity diagnosis; pre-op diagnosis; post-op diagnosis; Billing. - HL7 FHIR, Encounter.diagnosis.use
"Classification of diagnosis source." - PCORnet Common Data Model, Encounter.DX_Source. Possible values include: Admitting; Discharge; Final; Interim; No information; Unknown; Other.

«CS» Code diagnosisCode diagnosisCode

Contains a code that most closely identifies the condition or the diagnosis. This code will come from one of several commonly used coding systems, depending on the branch of medicine involved (e.g., clinical medicine, dentistry, mental health), and on the purpose (e.g., clinical, billing). The code will likely come from one of the following: Structured Nomenclature for Medicine (SNOMED), International Classifications of Diseases (ICD), Diagnostic and Statistical Manual of Mental Disorders (DSM).
"Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure." - HL7 FHIR, Encounter.diagnosis.condition
"The diagnosis." - HL7 FHIR, Claim.diagnosis.diagnosis[x]. Note that FHIR can be a code or a pointer to a Condition.
"Diagnosis code." - PCORnet Common Data Model, Encounter.DX.
"Diagnosis code type." - PCORnet Common Data Model, Encounter.DX_Type. Possible values include: ICD-9-CM; ICD-10-CM; ICD-11-CM; SNOMED-CT; No information; Unknown; Other. Note that in the FHIM, this would be known from the codeSystem of the Code datatype.

«CS» Code diagnosisModifier diagnosisModifier

Contains a "modifier" that more precisely identifies the condition or the diagnosis. Some coding schemes, such as the International Classifications of Diseases version 9, support the notion of a "modifier", while others do not. This property is only to be used when the code property is using a coding scheme that supports a modifier.


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameDiagnosis
Name Expression
NamespaceCommon
Owned Template Signature
OwnerCommon
Owning Template Parameter
PackageCommon
Qualified NameFHIM::Common::Diagnosis
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 contextCode
Public «CS» Code contextCode

This optional code is used to categorize the Diagnosis in such a manner as to accommodate LOINC codes that are required by certain implementations (especially CDA). In the FHIM, the "type" of diagnosis is conveyed by the context of the class pointing to this class. For example, an association from Surgery to Diagnosis might have a role name of "pre-operative diagnosis". This mechanism, however, does not allow binding to the a coded terminology such as LOINC. This property provides the ability to bind the diagnosis to such a code. Possible values include:
59769-0 Postprocedure diagnosis
11535-2 Hospital discharge diagnosis
46241-6 Admission diagnosis
29308-4 Diagnosis (used for Encounter Diagnosis template)
10219-4 Preoperative Diagnosis
10218-6 Postoperative Diagnosis
"Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)." Possible values include: Admission diagnosis; Discharge diagnosis; Chief complaint; Comorbidity diagnosis; pre-op diagnosis; post-op diagnosis; Billing. - HL7 FHIR, Encounter.diagnosis.use
"Classification of diagnosis source." - PCORnet Common Data Model, Encounter.DX_Source. Possible values include: Admitting; Discharge; Final; Interim; No information; Unknown; Other.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDiagnosis
Terminologies[
HL7_FHIR_R4 DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role
]
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamecontextCode
Name Expression
NamespaceDiagnosis
Opposite
OwnerDiagnosis
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::Diagnosis::contextCode
StereotypeValueSetConstraints
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 diagnosisCode
Public «CS» Code diagnosisCode

Contains a code that most closely identifies the condition or the diagnosis. This code will come from one of several commonly used coding systems, depending on the branch of medicine involved (e.g., clinical medicine, dentistry, mental health), and on the purpose (e.g., clinical, billing). The code will likely come from one of the following: Structured Nomenclature for Medicine (SNOMED), International Classifications of Diseases (ICD), Diagnostic and Statistical Manual of Mental Disorders (DSM).
"Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure." - HL7 FHIR, Encounter.diagnosis.condition
"The diagnosis." - HL7 FHIR, Claim.diagnosis.diagnosis[x]. Note that FHIR can be a code or a pointer to a Condition.
"Diagnosis code." - PCORnet Common Data Model, Encounter.DX.
"Diagnosis code type." - PCORnet Common Data Model, Encounter.DX_Type. Possible values include: ICD-9-CM; ICD-10-CM; ICD-11-CM; SNOMED-CT; No information; Unknown; Other. Note that in the FHIM, this would be known from the codeSystem of the Code datatype.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDiagnosis
Terminologies[
HL7_FHIR_R4 Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code
]
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamediagnosisCode
Name Expression
NamespaceDiagnosis
Opposite
OwnerDiagnosis
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::Diagnosis::diagnosisCode
StereotypeValueSetConstraints
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 diagnosisModifier
Public «CS» Code diagnosisModifier

Contains a "modifier" that more precisely identifies the condition or the diagnosis. Some coding schemes, such as the International Classifications of Diseases version 9, support the notion of a "modifier", while others do not. This property is only to be used when the code property is using a coding scheme that supports a modifier.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDiagnosis
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamediagnosisModifier
Name Expression
NamespaceDiagnosis
Opposite
OwnerDiagnosis
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::Diagnosis::diagnosisModifier
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic