Condition

The FHIR R4 Condition resource is used to document a patient's health conditions, including diagnoses, diseases, and other medical problems. It provides a structured way to record and track clinical conditions throughout a patient's care journey.

Health Gorilla exposes Condition as part of its FHIR R4 API to support patient-centric clinical data access.

Use Cases

  • Retrieving a patient's active, resolved, or past medical conditions
  • Adding new diagnoses to a patient's problem list
  • Updating the verification or clinical status of an existing condition
  • Reviewing longitudinal problem history as part of patient record retrieval workflows

Scope and Behavior

This documentation describes the FHIR R4 API interface for Condition. Health Gorilla’s platform may use additional internal services and data standards to acquire, normalize, and route clinical information. Only the FHIR R4–exposed behavior is documented here.

Health Gorilla supports a subset of the HL7 FHIR R4 Condition resource. Not all optional elements defined in the HL7 specification may be stored, indexed, or returned. Unsupported or unrecognized elements may be ignored or normalized during processing.

In Health Gorilla, Condition is most commonly accessed as part of patient record retrieval workflows, where diagnosis and problem data may be aggregated from connected clinical sources and normalized for longitudinal review. This resource supports clinical review, care coordination, and decision-making by exposing structured condition and diagnosis information alongside other patient clinical data.

Authentication

All requests to the FHIR R4 API require OAuth 2.0 authentication using a bearer token. Unauthorized requests return 401 Unauthorized responses.

Required Scopes

  • condition.read for GET
  • condition.write for POST, PUT, DELETE

For more information, go to: OAuth 2.0 Authentication.

Search Behavior

Searches are scoped to the authenticated tenant. The patient parameter is required for patient-scoped searches and is recommended for most search use cases.

Results are returned as a FHIR Bundle. Pagination may be applied. Use standard FHIR pagination links (Bundle.link) to retrieve additional result pages.

Note: The parameters listed below are not exhaustive and reflect commonly used fields in typical Health Gorilla workflows. Supported parameters and behavior may vary by configuration.

Frequently Used Search Parameters

ParameterDescriptionExample ValuesFHIR Data Type
patientFilters by patientPatient/{id}Reference
clinicalStatusFilters by condition statusactive, resolved, inactivetoken
verificationStatusFilters by verification levelconfirmed, unconfirmedtoken
categoryFilters by condition categoryproblem-list-item, encounter-diagnosistoken
codeFilters by diagnosis codeSNOMED CT, ICD-10 codestoken
onset-dateFilters by onset datege2023-01-01date

Commonly Returned Resource Attributes

AttributeDescriptionExample ValuesFHIR Data Type
subjectPatient associated with the conditionPatient/{id}Reference(Patient)
clinicalStatusThe current status of the conditionactive, resolvedCodeableConcept
verificationStatusCertainty about the presence of the conditionconfirmed, refuted, unconfirmedCodeableConcept
categoryCategory of the conditionproblem-list-item, encounter-diagnosisCodeableConcept[]
codeSNOMED CT or ICD-10 code for the condition44054006 (Diabetes mellitus type 2)CodeableConcept
onsetDateTimeWhen the condition first presented2023-05-01dateTime
abatementDateTimeWhen the condition resolved or was no longer present2023-10-01dateTime
recordedDateDate the condition was recorded2023-05-03dateTime
asserterWho asserted the conditionPractitioner/{id}Reference(Practitioner)

Notifications

The FHIR R4 API does not provide direct resource-change subscriptions for Condition. Changes to condition information may surface through broader notification workflows, depending on enabled Health Gorilla products and configuration.

Error Handling

All Condition operations follow Health Gorilla's standard error handling using FHIR OperationOutcome structures. For more information, go to: Error Handling.

Additional Resources

FHIR R4: Condition