This page is part of the FHIR Specification (v0.06: DSTU 1 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Resource Problem - Content 3.14

Status: Not an approved resource: exemplar developed by Patient Care WG. Under consideration by the Patient Care work group

Use to record detailed information about problems or diagnoses recognised by a clinician. There are many uses including: recording a Diagnosis during an Encounter; populating a Problem List or a Summary Statement, such as a Discharge Summary.

The resource name as it appears in a RESTful URL is /problem/

Resource Content 3.14.1

UML Image

<Problem xmlns="http://hl7.org/fhir">
 <code><!-- 1..1 CodeableConcept Identification of the problem or diagnosis --></code>
 <category><!-- 0..1 CodeableConcept E.g. finding | problem | diagnosis | concern --></category>
 <status><!-- 0..1 code provisional | working | confirmed | refuted --></status>
 <certainty><!-- 0..1 CodeableConcept degree of confidence --></certainty>
 <severity><!-- 0..1 CodeableConcept subjective severity of problem/diagnosis --></severity>
 <onset[x]><!-- 0..1 date|Age estimated or actual date, or age --></onset[x]>
 <dateFound><!-- 0..1 date when the first detected/suspect/entered --></dateFound>
 <abatement[x]><!-- 0..1 date|Age|boolean if/when in resolution/remission --></abatement[x]>
 <stage>  <!-- 0..1 stage/grade, usually assessed formally -->
  <summary><!-- 0..1 CodeableConcept simple summary (disease specific) --></summary>
  <assessment><!-- 0..* Resource(Any) formal record of assessment --></assessment>
 </stage>
 <evidence>  <!-- 0..* supporting evidence -->
  <code><!-- 0..1 CodeableConcept manifestation/symptom --></code>
  <details><!-- 0..1 Resource(Any) supporting information found elsewhere --></details>
 </evidence>
 <location>  <!-- 0..1 anatomical location, if relevant -->
  <code><!-- 0..1 CodeableConcept location - may include laterality --></code>
  <details><!-- 0..1 Resource(AnatomicalLocation) precise location details --></details>
 </location>
 <relatedItem>  <!-- 0..* causes or precedents for this problem -->
  <type><!-- 1..1 code due-to | follows --></type>
  <target><!-- 1..1 Resource(Problem|Procedure|Substance) relationship target --></target>
 </relatedItem>
 <extension><!-- 0..* Extension  See Extensions  --></extension>
 <text><!-- 1..1 Narrative Text summary of resource (for human interpretation) --></text>
</Problem>

Alternate definitions: Schema/Schematron, RDF (to do), XML, XMI (to do), Resource Profile

Terminology Bindings

Path	Details	Strength
Problem.code	Identification of the problem or diagnosis. (not bound to any particular codes)	complete/unstated
Problem.category	A category assigned to the problem/diagnosis. E.g. finding \| problem \| diagnosis \| concern \| condition (not bound to any particular codes)	complete/unstated
Problem.status	The clinical status of the problem or diagnosis (not bound to any particular codes)	complete/unstated
Problem.certainty	The degree of confidence that this problem/diagnosis is correct (not bound to any particular codes)	complete/unstated
Problem.severity	A subjective assessment of the severity of the Problem/Diagnosis as evaluated by the clinician. (not bound to any particular codes)	complete/unstated
Problem.relatedItem.type	The type of relationship between a problem/diagnosis and it's related item (see http://hl7.org/fhir/problem-relationship-type for values)	complete/required

Path

Details

Strength

Problem.code

Identification of the problem or diagnosis. (not bound to any particular codes)

complete/unstated

Problem.category

A category assigned to the problem/diagnosis. E.g. finding | problem | diagnosis | concern | condition (not bound to any particular codes)

complete/unstated

Problem.status

The clinical status of the problem or diagnosis (not bound to any particular codes)

complete/unstated

Problem.certainty

The degree of confidence that this problem/diagnosis is correct (not bound to any particular codes)

complete/unstated

Problem.severity

A subjective assessment of the severity of the Problem/Diagnosis as evaluated by the clinician. (not bound to any particular codes)

complete/unstated

Problem.relatedItem.type

The type of relationship between a problem/diagnosis and it's related item (see http://hl7.org/fhir/problem-relationship-type for values)

complete/required

Constraints

Stage must have summary or assessment (xpath on /stage: exists(f:summary) or exists(f:assessment))
evidence must have code or details (xpath on /evidence: exists(f:code) or exists(f:details))
location must have code or details (xpath on /location: exists(f:code) or exists(f:details))

Search Parameters 3.14.2

Search Parameters for RESTful searches. The standard parameters also apply. See Searching for more information.

$page : integer	Starting offset of the first record to return in the search set	single
$count : integer	Number of return records requested. The server is not bound to conform	single
$id : token	The logical resource id associated with the resource (must be supported by all servers)	single
code : qtoken	code for the problem/diagnosis	union
status : qtoken	the status of the problem/diagnosis	union
severity : qtoken	the severity of the problem	union
category : qtoken	the category of the problem	union
onset : date	date equal to when the problem started	single
onset-before : date	date before or equal to when the problem started	single
onset-after : date	date after or equal to when the problem started	single

(See Searching).

This is an old version of FHIR retained for archive purposes. Do not use for anything else
Implementers are welcome to experiment with the content defined here, but should note that the contents are subject to change without prior notice.
© HL7.org 2011 - 2012. FHIR v0.06 generated on Tue, Dec 4, 2012 00:04+1100. License