A constrained ELEMENT to represent the tags or labels that can be assigned to a problem and/or issue. These components do
not convey clinical meanings such as findings or procedures. Their primary use is to categorise record components into common
headings to enable reuse and retrieval. E.g. a branch of models concerned with a specific problem can be categorised as an
observation which may be a presenting complaint. The meaning of the problem observation and its associated elements
will remain unchanged irrespective of the problem tag used. However, the context in which the information is to be consumed
may change depending on the tag used to label the problem and/or observation.
NOTE: There is only one temporary SNOMED CT expression for the ProblemAndIssue Tag due to limited requirements but may expand
and further requirements are received.
Specializes
Attributes
| Name |
Data type |
Occurs |
Description |
Value constraints |
| name |
SC
|
1..1 |
The name, expressed as a coded value or as plain text, specifies the clinical or administrative concept to which this EHR
node corresponds, as labelled in the EHR system in which it was first committed.
|
| value |
| Literal value(s): RECORD_ARTEFACT_ELEMENT |
|
| rc_id |
II
|
1..1 |
The globally-unique identifier by which this node in the EHR hierarchy is referenced in the EHR system to which the data were
first committed. This identifier shall be retained by the EHR Recipient and re-used whenever this RECORD_COMPONENT is subsequently
included in another EHR_EXTRACT.
|
|
| meaning |
CD.CV.SCT
|
1..1 |
The standardised clinical or administrative concept to which the name attribute has been mapped. In archetyped systems it
will correspond to the archetype node name. In non-archetyped systems it might be a coded term from an appropriate terminology
system.
|
|
| synthesised |
BL
|
1..1 |
This attribute value shall be TRUE if this RECORD_COMPONENT has been created in order to comply with this standard , but this
point in the EHR hierarchy has no corresponding node in the EHR from which it was extracted.
|
| value |
| Default value: false |
|
| obs_time |
IVL_TS
|
0..1 |
The date and time, or interval, at which the ITEM actually occurred or was true, if different from the session time of the
COMPOSITION.
|
|
| value |
ANY
|
1..1 |
An ELEMENT has a single DATA_VALUE containing the value, unless this is indicated as absent by a null_flavour attribute.
|
| nullFlavor |
| Literal value(s): NA |
|
Component Relationships
Object Relationships
| Subject Class |
Name |
Occurs |
Dependency |
Specified by |
|
CareIssues
|
HasRecordRole |
0..* |
INDEPENDENT |
CareIssues
|
Item of ENTRY Constrained Domain Models
Reference Model Type