A_Problem Tabular View

A_Problem - tabular view

No Current Link To Vocabulary

Coded With Extensions

Coded No Extensions

This CMET is used to represent a Problem and Issue.

A Problem and Issue is created by Creating a condition node and relating this to the clinical statement which is the Problem and Issue. This will, usually but not always, be a Diagnosis or a Clinical Observation and Finding.

Used by:

[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="CNOD" }

Indicates that this is a Condition Node.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates that this is an Event.

[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="181301000000103" }

A SNOMED CT code taken from the vocabulary shown.

The Coded Plain Flavour of Code Value (CV) data type shall be used to carry this information as follows:

The code attribute shall contain a code from the relevant vocabulary
The code System attribute shall contain the OID for SnomedCT
The display text shall carry a description associated with the code in SnomedCT

Default Text

[1..1] [R] effectiveTime (IVL<TS>)

The effective date carries the start and end date/time of the care event. The start date/time is required and the end date/time is optional.

The date range shall be carried as follows:

If both a start date and an end date are present the Date or Time Interval Complete datatype shall be used:

The low attribute shall contain the start date
The high attribute shall contain the end date.

If only a start date is present the Date or Time Interval After datatype shall be used:

The low attribute shall contain the start date.

[1..1] [M] id (II)

This is a unique identifier for this instance of a Problem.

The Identifier Global data type flavour is used to carry the identifiers follows:

The root attribute shall contain a DCE UUID.

[1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="active" }

The status of the Problem.

The Coded Only data type flavour is used to carry this information as follows:

The code attribute will contain a one of the following codes from the Act Status vocabulary:

normal
nullified
active
completed.

[0..1] author

Refers to the person who is the author of the act.

Constraint: This author is only required if the author or author time is different from the inherited author.

[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="AUT" }

Indicates that this is an author.

[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }

Specifies how this participation contributes to the context of the current act and whether it may be propagated to descendent acts whose association allows such propagation.

"O" (Overriding)- the association replaces any context of the same or more specific type that has been conducted from the parent act.

"P" (Propagating)- the association is conducted to all child acts where the ActRelationship.contextConductionInd is set to "true".

[1..1] [R] time (TS)

The time at which the author participated.

[1..1] role [CMET: UKCT_MT160018UK01]

A CMET to identify a person on SDS or provides detailed information for a person not registered on SDS.

[1..1] [M] pertinentInformation

Information which is pertinent to the Clinical Statement

[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }

Indicates that this is pertinent information.

[1..1] [M] inversionInd (BL) { Fixed="false" }

Indicates that the meaning of the ActRelationship is not reversed.

[1..1] [M] negationInd (BL) { Fixed="false" }

Indicates if the ActRelationship cannot be negated or not.

[1..1] [M] seperatableInd (BL) { Fixed="false" }

Indicates if the source Act is to be interpreted independently of the target Act.

[1..1] [M] templateId (II) { Default="CSAB_RM-NPfITUK10.sourceOf" }

An identifier of the Act Relationship that categorises clinical data by it's role within the message instance.

The IdentifierExternal datatype flavour is used to carry this information as follows:

The root attribute shall containthe OID "2.16.840.1.113883.2.1.3.2.4.18.2"
The extension shall contain the template ID"CSAB_RM-NPfITUK10.sourceOf1".

[1..1] [M] pertinentIdentifiedProblemChoice (IdentifiedProblemChoice)

Link to a Clinical Statement which is to be identified as a Problem.

IdentifiedProblemChoice

Choice of ActRefs to Clinical Statements.

Used by: Problem

[1..1] either : PersonalPreference

Reference to PersonalPreference

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : Finding

Reference to Finding

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : SocialContext

Reference to SocialContext

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : FamilyHistory

Reference to FamilyHistory

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : Diagnosis

Reference to Diagnosis

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : Medication

Reference to Medication

[1..1] [M] classCode ( CS{CNE : SBADM} ) ){ Fixed = "SBADM"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : RQO} ){ Fixed = "RQO"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : MedicationAdministration

Reference to MedicationAdministration

[1..1] [M] classCode ( CS{CNE : SBADM} ) ){ Fixed = "SBADM"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : AllergiesAndAdverseReactionsDE

Reference to AllergiesAndAdverseReactionsDE

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : AllergiesAndAdverseReactionsIdent

Reference to AllergiesAndAdverseReactionsIdent

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : RiskToPerson

Reference to RiskToPerson

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : RiskToPatient

Reference to RiskToPatient

[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : Investigation

Reference to Investigation

[1..1] [M] classCode ( CS{CNE : PROC} ) ){ Fixed = "PROC"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : Service

Reference to Service

[1..1] [M] classCode ( CS{CNE : PCPR} ) ){ Fixed = "PCPR"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : ProvisionOfAdviceAndInformation

Reference to ProvisionOfAdviceAndInformation

[1..1] [M] classCode ( CS{CNE : INFRM} ) ){ Fixed = "INFRM"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : AdministrativeProcedure

Reference to AdministrativeProcedure

[1..1] [M] classCode ( CS{CNE : ACT} ) ){ Fixed = "ACT"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : Treatment

Reference to Treatment

[1..1] [M] classCode ( CS{CNE : PROC} ) ){ Fixed = "PROC"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})

TemplateText

[1..1] [M] id ( II )

TemplateText

... or ... : CareEvent

Reference to CareEvent

[1..1] [M] classCode ( CS{CNE : ENC} ) ){ Fixed = "ENC"}

TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})

TemplateText

[1..1] [M] id ( II )

TemplateText


UKCT_RM144038UK02

Problem		This CMET is used to represent a Problem and Issue. A Problem and Issue is created by Creating a condition node and relating this to the clinical statement which is the Problem and Issue. This will, usually but not always, be a Diagnosis or a Clinical Observation and Finding.

	Used by:

[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="CNOD" }		Indicates that this is a Condition Node.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }		Indicates that this is an Event.

[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="181301000000103" }		A SNOMED CT code taken from the vocabulary shown. The Coded Plain Flavour of Code Value (CV) data type shall be used to carry this information as follows: The code attribute shall contain a code from the relevant vocabulary The code System attribute shall contain the OID for SnomedCT The display text shall carry a description associated with the code in SnomedCT Default Text

[1..1] [R] effectiveTime (IVL<TS>)		The effective date carries the start and end date/time of the care event. The start date/time is required and the end date/time is optional. The date range shall be carried as follows: If both a start date and an end date are present the Date or Time Interval Complete datatype shall be used: The low attribute shall contain the start date The high attribute shall contain the end date. If only a start date is present the Date or Time Interval After datatype shall be used: The low attribute shall contain the start date.

[1..1] [M] id (II)		This is a unique identifier for this instance of a Problem. The Identifier Global data type flavour is used to carry the identifiers follows: The root attribute shall contain a DCE UUID.

[1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="active" }		The status of the Problem. The Coded Only data type flavour is used to carry this information as follows: The code attribute will contain a one of the following codes from the Act Status vocabulary: normal nullified active completed.

[0..1] author		Refers to the person who is the author of the act. Constraint: This author is only required if the author or author time is different from the inherited author.


[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="AUT" }		Indicates that this is an author.

[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }		Specifies how this participation contributes to the context of the current act and whether it may be propagated to descendent acts whose association allows such propagation. "O" (Overriding)- the association replaces any context of the same or more specific type that has been conducted from the parent act. "P" (Propagating)- the association is conducted to all child acts where the ActRelationship.contextConductionInd is set to "true".

[1..1] [R] time (TS)		The time at which the author participated.

[1..1] role [CMET: UKCT_MT160018UK01]		A CMET to identify a person on SDS or provides detailed information for a person not registered on SDS.

[1..1] [M] pertinentInformation		Information which is pertinent to the Clinical Statement


[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }		Indicates that this is pertinent information.

[1..1] [M] inversionInd (BL) { Fixed="false" }		Indicates that the meaning of the ActRelationship is not reversed.

[1..1] [M] negationInd (BL) { Fixed="false" }		Indicates if the ActRelationship cannot be negated or not.

[1..1] [M] seperatableInd (BL) { Fixed="false" }		Indicates if the source Act is to be interpreted independently of the target Act.

[1..1] [M] templateId (II) { Default="CSAB_RM-NPfITUK10.sourceOf" }		An identifier of the Act Relationship that categorises clinical data by it's role within the message instance. The IdentifierExternal datatype flavour is used to carry this information as follows: The root attribute shall containthe OID "2.16.840.1.113883.2.1.3.2.4.18.2" The extension shall contain the template ID"CSAB_RM-NPfITUK10.sourceOf1".

[1..1] [M] pertinentIdentifiedProblemChoice (IdentifiedProblemChoice)		Link to a Clinical Statement which is to be identified as a Problem.

IdentifiedProblemChoice		Choice of ActRefs to Clinical Statements.

	Used by: Problem

[1..1] either : PersonalPreference		Reference to PersonalPreference


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : Finding		Reference to Finding


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : SocialContext		Reference to SocialContext


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : FamilyHistory		Reference to FamilyHistory


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : Diagnosis		Reference to Diagnosis


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : Medication		Reference to Medication


[1..1] [M] classCode ( CS{CNE : SBADM} ) ){ Fixed = "SBADM"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : RQO} ){ Fixed = "RQO"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : MedicationAdministration		Reference to MedicationAdministration


[1..1] [M] classCode ( CS{CNE : SBADM} ) ){ Fixed = "SBADM"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : AllergiesAndAdverseReactionsDE		Reference to AllergiesAndAdverseReactionsDE


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : AllergiesAndAdverseReactionsIdent		Reference to AllergiesAndAdverseReactionsIdent


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : RiskToPerson		Reference to RiskToPerson


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : RiskToPatient		Reference to RiskToPatient


[1..1] [M] classCode ( CS{CNE : OBS} ) ){ Fixed = "OBS"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : Investigation		Reference to Investigation


[1..1] [M] classCode ( CS{CNE : PROC} ) ){ Fixed = "PROC"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : Service		Reference to Service


[1..1] [M] classCode ( CS{CNE : PCPR} ) ){ Fixed = "PCPR"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : ProvisionOfAdviceAndInformation		Reference to ProvisionOfAdviceAndInformation


[1..1] [M] classCode ( CS{CNE : INFRM} ) ){ Fixed = "INFRM"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : EVN} ){ Fixed = "EVN"}		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : AdministrativeProcedure		Reference to AdministrativeProcedure


[1..1] [M] classCode ( CS{CNE : ACT} ) ){ Fixed = "ACT"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : Treatment		Reference to Treatment


[1..1] [M] classCode ( CS{CNE : PROC} ) ){ Fixed = "PROC"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})		TemplateText

[1..1] [M] id ( II )		TemplateText

... or ... : CareEvent		Reference to CareEvent


[1..1] [M] classCode ( CS{CNE : ENC} ) ){ Fixed = "ENC"}		TemplateText

[1..1] [M] moodCode ( CS{CNE : x_ActMoodIntentEvent})		TemplateText

[1..1] [M] id ( II )		TemplateText