An ELEMENT to represent the needs or related requirements to be resolved or noted, and are perceived as a problem or issue by a patient, carer or a Care Professional¹. Problems and Issues do not progress; they will either be resolved or closed. Problems and Issues differ from Diagnoses in this respect. Diagnoses progress as the understanding of them increases. ¹ NPFIT-NCR-DES-0135.07 NHS Care Record Elements

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): FINDING_OBSERVATION_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.	code Semantic expression constraint
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

Subject of relationships

Name	Object of relationship	Occurs	Dependency
HasRecordRole	ProblemAndIssueTag	0..*	INDEPENDENT
IsClinicalContextOf	GenericAdmissionEvent	0..*	INDEPENDENT
HasAnnotation	Text	0..*	INDEPENDENT
IsMotivationOf	GenericAdmissionEvent	0..*	INDEPENDENT
IsMotivationOf	GenericProcedure	0..*	INDEPENDENT
IsAssociationOf	GenericFindingObservation	0..*	INDEPENDENT
HasClinicalContext	DiagnosisName	0..*	INDEPENDENT
HasClinicalContext	GenericFindingObservation	0..*	INDEPENDENT
HasClinicalContext	GenericProcedure	0..*	INDEPENDENT
HasAssociation	RisksExpectationsOrGoals	0..*	INDEPENDENT
IsIndicationOf	ProductOrSubstanceRelatedActivity	0..*	INDEPENDENT

Object of relationships

Name	Subject of relationship	Occurs	Dependency
HasClinicalContext	GenericAdmissionEvent	0..*	INDEPENDENT
HasIndication	GenericAdmissionEvent	0..*	INDEPENDENT
IsClinicalContextOf	DiagnosisName	0..*	INDEPENDENT
IsClinicalContextOf	GenericFindingObservation	0..*	INDEPENDENT
IsAssociationOf	RisksExpectationsOrGoals	0..*	INDEPENDENT
HasIndication	GenericProcedure	0..*	INDEPENDENT
HasIndication	ProductOrSubstanceRelatedActivity	0..*	INDEPENDENT

Item of ENTRY Domain Models

GenericAdmissionEvent

GenericFinding

GenericProblemAndIssue

GenericProcedure

ProductOrSubstanceRelatedActivity

GenericDischargeEvent

RisksExpectationsAndGoals

Diagnosis

Reference Model Type

FINDING_OBSERVATION_ELEMENT