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
| Code | Label | Clinical Meaning |
|---|---|---|
ACTIVE | Active | Condition is currently present and being managed |
INACTIVE | Inactive | Condition not currently active but may return |
REMISSION | Remission | Symptoms have decreased or disappeared |
RECURRENCE | Recurrence | Condition returned after period of remission |
RELAPSE | Relapse | Condition worsened after improvement |
RESOLVED | Resolved | Condition 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:
- Display
ACTIVEconditions prominently - Show
REMISSIONconditions with monitoring notes - Archive
RESOLVEDconditions in history - Flag
RECURRENCEfor clinical attention
Chronic Disease Monitoring
For ongoing conditions:
- Track status changes over time
- Identify patterns of relapse/recurrence
- Adjust treatment based on status trends
- Document transitions with clinical reasoning
Clinical Decision Support
When evaluating patient:
- Check for
ACTIVEconditions affecting treatment - Review
REMISSIONconditions for monitoring needs - Consider
RESOLVEDconditions for historical context - Alert on
RECURRENCEorRELAPSErequiring action
Care Coordination
When transferring care:
- Communicate current
ACTIVEconditions - Highlight conditions in
REMISSIONrequiring follow-up - Include status history for chronic conditions
- Note any recent status changes
Related Entities
| Entity | Relationship | Description |
|---|---|---|
| PatientMedicalCondition | Used with | Medical conditions that use this status |
Standard Values
| Code | Label | Description |
|---|---|---|
ACTIVE | Active | Condition is currently active and being managed |
RECURRENCE | Recurrence | Condition has returned after a period of remission |
RELAPSE | Relapse | Condition has worsened after improvement |
INACTIVE | Inactive | Condition is not currently active |
REMISSION | Remission | Symptoms have decreased or disappeared |
RESOLVED | Resolved | Condition has been cured or resolved |
Properties
| Property | Type | Mode | Description | Required |
|---|---|---|---|---|
| code | string | stored | Unique code identifying the status Example: | Required |
| label | string | stored | Human-readable name of the status Example: | Required |
| description | string | 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"
}