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Problems

Information about a condition, diagnosis, or other event, situation, issue, or clinical concept that is documented.

Data Element

Additional Information

Date of Resolution
Date field associated with a past/resolved medical problem, typically coded using ICD, which specifies the date that the problem resolved.

Comment

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.

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.

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