PatientConditionStatus

Reference data entity defining the clinical status of medical conditions. Used to track whether a condition is active, in remission, resolved, or has recurred.

Overview

PatientConditionStatus provides standardized status codes for tracking the progression and current state of patient medical conditions. This enables healthcare providers to maintain accurate problem lists, distinguish between current and historical conditions, and monitor disease progression over time. Status tracking is essential for clinical decision support and care coordination.

Key Concepts

Status Lifecycle

Medical conditions typically follow a progression:

ACTIVE → REMISSION → RESOLVED
           ↓
       RECURRENCE/RELAPSE → ACTIVE

Standard Status Values

CodeLabelClinical Meaning
ACTIVEActiveCondition is currently present and being managed
INACTIVEInactiveCondition not currently active but may return
REMISSIONRemissionSymptoms have decreased or disappeared
RECURRENCERecurrenceCondition returned after period of remission
RELAPSERelapseCondition worsened after improvement
RESOLVEDResolvedCondition has been cured or completely resolved

Status Distinctions

Active vs Inactive

  • Active conditions require ongoing monitoring/treatment
  • Inactive conditions are dormant but not resolved

Remission vs Resolved

  • Remission: Disease controlled but may return (e.g., cancer in remission)
  • Resolved: Condition no longer exists (e.g., healed fracture)

Recurrence vs Relapse

  • Recurrence: Condition returns after complete remission
  • Relapse: Condition worsens during or shortly after treatment

Use Cases

Problem List Management

When maintaining patient problem list:

  1. Display ACTIVE conditions prominently
  2. Show REMISSION conditions with monitoring notes
  3. Archive RESOLVED conditions in history
  4. Flag RECURRENCE for clinical attention

Chronic Disease Monitoring

For ongoing conditions:

  1. Track status changes over time
  2. Identify patterns of relapse/recurrence
  3. Adjust treatment based on status trends
  4. Document transitions with clinical reasoning

Clinical Decision Support

When evaluating patient:

  1. Check for ACTIVE conditions affecting treatment
  2. Review REMISSION conditions for monitoring needs
  3. Consider RESOLVED conditions for historical context
  4. Alert on RECURRENCE or RELAPSE requiring action

Care Coordination

When transferring care:

  1. Communicate current ACTIVE conditions
  2. Highlight conditions in REMISSION requiring follow-up
  3. Include status history for chronic conditions
  4. Note any recent status changes

Related Entities

EntityRelationshipDescription
PatientMedicalConditionUsed withMedical conditions that use this status

Standard Values

CodeLabelDescription
ACTIVEActiveCondition is currently active and being managed
RECURRENCERecurrenceCondition has returned after a period of remission
RELAPSERelapseCondition has worsened after improvement
INACTIVEInactiveCondition is not currently active
REMISSIONRemissionSymptoms have decreased or disappeared
RESOLVEDResolvedCondition has been cured or resolved
3 properties
Schema

Properties

PropertyTypeModeDescriptionRequired
codestring
stored

Unique code identifying the status

Example: "ACTIVE"

Required
labelstring
stored

Human-readable name of the status

Example: "Active"

Required
descriptionstring
stored

Description of the status

Optional

Examples

Example 1

{
  "@type": "PatientConditionStatus",
  "code": "ACTIVE",
  "label": "Active",
  "description": "Condition is currently active and being managed"
}

Example 2

{
  "@type": "PatientConditionStatus",
  "code": "RECURRENCE",
  "label": "Recurrence",
  "description": "Condition has returned after a period of remission"
}

Example 3

{
  "@type": "PatientConditionStatus",
  "code": "RELAPSE",
  "label": "Relapse",
  "description": "Condition has worsened after improvement"
}

Example 4

{
  "@type": "PatientConditionStatus",
  "code": "INACTIVE",
  "label": "Inactive",
  "description": "Condition is not currently active"
}

Example 5

{
  "@type": "PatientConditionStatus",
  "code": "REMISSION",
  "label": "Remission",
  "description": "Symptoms have decreased or disappeared"
}

Example 6

{
  "@type": "PatientConditionStatus",
  "code": "RESOLVED",
  "label": "Resolved",
  "description": "Condition has been cured or resolved"
}