Condition, diagnosis, or reason for seeking medical attention.

Data Element

Date of Resolution
Description

Date of subsiding or termination of a symptom, problem, or condition.

Comment

Date of Resolution Data Element

APTA re-iterates its comments that it is unclear when a past medical problem is “resolved.” APTA recommends that ONC define “resolved” and outline criteria for what constitutes a “resolved condition.” For instance, if a patient does not return for additional visits, does that mean the condition should be classified as “resolved,” when in fact, the condition may not have been resolved but the clinician does not know because the patient never returned. Additionally, we recommend that ONC include a data element for “condition status.” Providers could use this to signal “we don’t know what happened after this point,” and then the resolution date would be null. We note that FHIR has two “status” data elements on condition –— one for clinical status and the other for verification status.

Suggest aligning with US Core Abatement Date

MedMorph suggests renaming and redefining Date of Resolution to align with the US Core element of Abatement Date. Please note that US Core uses the term "Abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

Element Name: Condition Abatement Date
Element Definition: The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

It is unclear when a past…

It is unclear when a past medical problem is “resolved.” We recommend that ONC define “resolved” and outline criteria for what constitutes a “resolved condition.” For instance, if a patient does not return for additional visits, does that mean the condition should be classified as “resolved,” when in fact, the condition may not have been resolved but the clinician does not know because the patient never returned.

Additionally, we recommend that ONC include a data element for “condition status.” Providers could use this to signal “we don’t know what happened after this point,” and then the resolution date would be null. We note that FHIR has two “status” data elements on condition – one for clinical status and the other for verification status.

Log in or register to post comments