API end point: https://patient360c.simplyhealthcareplans.com/P360Member/api/fhir.

Resource Condition (DSTU2)

Combines the CareEvolution Problem, ClaimProblem, and ReferralProblem concepts

• Supported interactions
• Search parameters
• Sorts
• Includes
• Operations
• To FHIR mappings
• From FHIR mappings

Supported interactions

• read
• search
• create
• update
• delete

Search parameters

Name	Type	Modifiers , prefixes	Multiple values	Can be chained	Description
_id	Token		Yes		Resource id
_lastUpdated	Date	lt le gt ge			When the resource last changed
_source	Uri	:missing	Yes		Where the resource comes from
asserter	Reference (Practitioner)	:missing	Yes	Yes	Person who asserts this condition
category	Token	:not :in :not-in :missing	Yes		The category of the condition
claim	Reference (Claim)	:missing	Yes	Yes	Searches for conditions by their associated claim
clinicalstatus	Token	:missing	Yes		The clinical status of the condition
code	Token	:not :in :not-in :missing	Yes		Code for the condition
encounter	Reference (Encounter)	:missing	Yes	Yes	Encounter when condition first asserted
onset	Date	:missing eq ne lt le gt ge sa eb ap			Date related onsets (dateTime and Period)
patient	Reference (Patient)	:missing	Yes	Yes	The patient the Condition is about
provenance-agent	Reference (Organization)	:missing	Yes	Yes	Search by provenance, specified by its author (aka originator) Organization
referral	Reference (ReferralRequest)	:missing	Yes	Yes	Searches for conditions by their associated referral
subject	Reference (Patient)	:missing	Yes	Yes	The patient the Condition is about. Functionally identical to the "patient" search parameter.

Sorts

• _id
• onset

Supports multiple sorts

Includes

• asserter
• claim
• encounter
• patient
• provenance-agent
• referral
• subject
• Provenance:target

Operations

• validate - Validate a resource

To FHIR mappings

FHIR	CareEvolution
asserter	Problem.VerifiedByCaregiverID
	Claim.CaregiverRelationships
	Referral.ReferFrom
category Bindings:  ValueSet-condition-category	Problem.Type Domain: DiagnosisType
	ClaimProblem.Type Domain: DiagnosisType
	ReferralProblem.Type Domain: DiagnosisType
clinicalStatus Bindings:  valueset-condition-clinical	Problem.Status Domain: DiagnosisStatus
	ClaimProblem.OnAdmission Domain: DiagnosisStatusOnAdmission
	Referral.Status Domain: ReferralStatus
code	Problem.Term Domain: DiagnosisCode
	Problem.TermAlternateTerms Domain: DiagnosisCode
	Problem.Description
	ClaimProblem.Term Domain: DiagnosisCode
	ReferralProblem.Term Domain: DiagnosisCode
dateRecorded	Problem.LastReviewedDate
encounter	Problem.EncounterID
	Claim.EncounterID
	Referral.EncounterID
extension('http://careevolution.com/fhirextensions#condition-claimReference')	Claim.ID
extension('http://careevolution.com/fhirextensions#condition-referralReference')	Referral.ID
extension('http://careevolution.com/fhirextensions#dataSource')	Problem.DataSource
extension('http://careevolution.com/fhirextensions#properties')	Problem.Properties
notes	Problem.Comment
onset	Problem.Date
	Problem.StopDate
	ClaimProblem.Date
	ReferralProblem.Date
patient	Problem.PatientID
	Claim.PatientID
	Referral.PatientID
verificationStatus Bindings:  valueset-condition-ver-status	Problem.VerificationStatus Domain: DiagnosisVerificationStatus
	ClaimProblem.ClaimID
	ClaimProblem.OnAdmission Domain: DiagnosisStatusOnAdmission
	Referral.Status Domain: ReferralStatus

From FHIR mappings

FHIR	CareEvolution
asserter	Problem.VerifiedByCaregiverID
category Bindings:  ValueSet-condition-category	Problem.Type Domain: DiagnosisType
clinicalStatus Bindings:  valueset-condition-clinical	Problem.Status Domain: DiagnosisStatus
code	Problem.Term Domain: DiagnosisCode
	Problem.TermAlternateTerms Domain: DiagnosisCode
	Problem.Description
dateRecorded	Problem.LastReviewedDate
encounter	Problem.EncounterID
extension('http://careevolution.com/fhirextensions#dataSource')	Problem.DataSource
extension('http://careevolution.com/fhirextensions#properties')	Problem.Properties
notes	Problem.Comment
onset	Problem.Date
	Problem.StopDate
patient	Problem.PatientID
verificationStatus Bindings:  valueset-condition-ver-status	Problem.VerificationStatus Domain: DiagnosisVerificationStatus

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