Terminology - Classify Condition

POST /terminology/v1/classify/condition

Classifies a condition, problem, or diagnosis. The input must be from one of the following code systems:

ICD-10-CM
ICD-9-CM-Diagnosis
SNOMED

Note
Conditions are classified using ICD-10-CM. For best results, provide the most specific ICD10 coding for the condition. Classify operations may not return values for data using other code systems.

See the Classify API Overview for general principles that apply to all Classify API operations.

Contents

Body Parameters
Response Fields
Example

Body Parameters

code string (required)

Code value.

system string (required)

The source code system (as a name or URL).

display string

Display string.

Response Fields

ccsrCategory CodeableConcept

Clinically-relevant category based on AHRQ Clinical Classifications.

+ Child Fields

ccsrCategory.coding collection

A list of codings.

+ Child Fields

ccsrCategory.coding.code string

Code value.

ccsrCategory.coding.system string

The source code system (as a URL).

ccsrCategory.coding.display string

Display string.

ccsrDefaultInpatient Coding

Clinically-relevant category based on AHRQ Clinical Classifications. Prioritizes inpatient-relevant category.

+ Child Fields

ccsrDefaultInpatient.code string

Code value.

ccsrDefaultInpatient.system string

The source code system (as a URL).

ccsrDefaultInpatient.display string

Display string.

ccsrDefaultOutpatient Coding

Clinically-relevant category based on AHRQ Clinical Classifications. Prioritizes outpatient-relevant category.

+ Child Fields

ccsrDefaultOutpatient.code string

Code value.

ccsrDefaultOutpatient.system string

The source code system (as a URL).

ccsrDefaultOutpatient.display string

Display string.

cciChronic boolean

Based on AHRQ Chronic Condition Indicator.

cciAcute boolean

Based on AHRQ Chronic Condition Indicator.

hccCategory CodeableConcept

Medicare Risk Adjustment category based on latest version of ICD10 grouping system from CMS.

+ Child Fields

hccCategory.coding collection

A list of codings.

+ Child Fields

hccCategory.coding.code string

Code value.

hccCategory.coding.system string

The source code system (as a URL).

hccCategory.coding.display string

Display string.

behavioral boolean

Indicator of behavioral and mental health-related conditions based on grouping multiple CCSR categories.

substance boolean

Indicator of substance use and abuse-related conditions based on grouping multiple CCSR categories.

socialDeterminant boolean

Indicator of social determinants of health based on grouping multiple CCSR categories.

covid19Condition string (categorical)

One of: Confirmed, Suspected, Exposure, Encounter, SignsAndSymptoms, NonspecificRespiratoryViralInfection. Based on proprietary value sets developed from WHO, CDC, SNOMED, and AMA coding advisories.

Example

Try It
Try out the operations, with examples, in the Developer Portal Sandbox.

Sample Classify Input

{
    "code": "J45.50",
    "system": "ICD-10-CM"
}

Sample Classify Response

{
    "ccsrCategory": {
        "coding": [
            {
                "system": "CCSR Category",
                "code": "RSP009",
                "display": "Asthma"
            }
        ]
    },
    "ccsrDefaultInpatient": {
        "system": "Default CCSR Category",
        "code": "RSP009",
        "display": "Asthma"
    },
    "ccsrDefaultOutpatient": {
        "system": "Default Outpatient CCSR Category",
        "code": "RSP009",
        "display": "Asthma"
    },
    "cciAcute": false,
    "cciChronic": true,
    "hccCategoryLatest": null,
    "behavioral": false,
    "substance": false,
    "socialDeterminant": false,
    "covid19Condition": null
}

For additional examples, or to try out the API live, see the Developer Portal Sandbox