---
title: "SQL-022: Retrieve medical condition detail with latest decision"
summary: Retrieve medical condition detail with latest decision
status: draft
owner: SAIF Doc Gen
last_reviewed: 2026-07-28
library: SAIF.Business.View.Claim
reference_type: package
---

# SQL-022: Retrieve medical condition detail with latest decision

This SQL document describes how `Criteria` uses an inline Oracle query to support claim-domain read behavior.

## Classification

| Field | Value |
| --- | --- |
| **SQL ID** | SQL-022 |
| **Operation type** | Read |
| **Execution method** | Inline |
| **Database** | Oracle |
| **Schema** | [unqualified]** |
| **Command type** | Text |
| **Business object** | `Criteria` |
| **Criteria property** | ``retrievesql`` |
| **Lifecycle method** | ``Criteria read`` |

## Parameters

| Parameter | Direction | Type | Max length | Description |
| --- | --- | --- | --- | --- |
| `:ClaimID` | Input | N/A | N/A | Claim identifier used by the retrieval query. |
| `:MedicalConditionID` | Input | N/A | N/A | Medical condition identifier within the claim. |

## Tables

| Table | Access | Columns used |
| --- | --- | --- |
| [cl_medical_condition](../database-tables.md#cl-medical-condition) | SELECT | See sample SQL for referenced columns. |
| [cl_cond_compensability_decisn](../database-tables.md#cl-cond-compensability-decisn) | SELECT | See sample SQL for referenced columns. |
| [condition_type_code](../database-tables.md#condition-type-code) | SELECT | See sample SQL for referenced columns. |
| [claim_decision_code](../database-tables.md#claim-decision-code) | SELECT | See sample SQL for referenced columns. |
| [claim_denial_final_reas_cd](../database-tables.md#claim-denial-final-reas-cd) | SELECT | See sample SQL for referenced columns. |
| [claim_denial_reason_code](../database-tables.md#claim-denial-reason-code) | SELECT | See sample SQL for referenced columns. |
| [claim_denial_status_code](../database-tables.md#claim-denial-status-code) | SELECT | See sample SQL for referenced columns. |

## Sample SQL

```sql
SELECT
    cnd.claim_id as ClaimId,
    cnd.medical_condition_id AS MedicalConditionId,
    cnd.medical_condition_descr AS MedicalConditionDescr,
    cnd.major_contributing_cause_fl_cd AS MajorContributingCauseFlag,
    TYP.CODE_DESCR AS ConditionType,
    medically_stationary_Date AS MedicallyStationaryDate,
    cdc.code_descr AS ClaimDecision,
    DSN.COND_COMP_DECISION_DATE AS DecisionDate,
    FR.CODE_DESCR AS DenialFinalReason,
    dr.code_descr AS DenialReason,
    DS.CODE_DESCR AS DenialStatus,
    DSN.DENIAL_STATUS_EFF_DATE AS DenialStatusEffDate,
    CND.DIAGNOSIS_CODE AS DiagnosisCode
FROM cl_medical_condition cnd JOIN condition_type_code typ ON TYP.CODE = CND.CONDITION_TYPE_CODE JOIN cl_cond_compensability_decisn dsn ON DSN.CLAIM_ID = CND.CLAIM_ID AND DSN.MEDICAL_CONDITION_ID = CND.MEDICAL_CONDITION_ID AND DSN.COND_COMP_DECISION_ID = (SELECT max(COND_COMP_DECISION_ID) FROM cl_cond_compensability_decisn dsn2 WHERE DSN2.CLAIM_ID = DSN.CLAIM_ID AND dsn2.MEDICAL_CONDITION_ID = dsn.MEDICAL_CONDITION_ID) JOIN claim_decision_code cdc ON cdc.code = DSN.COND_COMP_DECISION_CODE LEFT OUTER JOIN claim_denial_final_reas_cd fr ON FR.CODE = DSN.DENIAL_FINAL_REASON_CODE LEFT OUTER JOIN claim_denial_reason_code dr ON DR.CODE = DSN.DENIAL_REASON_CODE LEFT OUTER JOIN claim_denial_status_code ds ON DS.CODE = DSN.DENIAL_STATUS_CODE
WHERE
    cnd.claim_id = :ClaimID AND
    medical_condition_id = :MedicalConditionID
```

## Operations and processes
- [Medical condition retrieval](../operations/medical-condition-retrieval.md)

## Business rules
- [BR-004: Medical condition detail uses the latest compensability decision](../business-rules.md#br-004-medical-condition-detail-uses-the-latest-compensability-decision)

## Sources
- `Business\SAIF.Business.View.Claim\clsMedicalConditionData.vb`