If you have an issue with this template then please raise an issue in Simplifier against this IG by using the 'Propose a Change' link in the footer
Presenting complaints or issues
The Presenting complaints or issues section carries information about the complaints or issues experienced by the patient. PRSB Elements should be formatted as subheadings in any HTML sent.
Section | Description | Card. | MRO* | FHIR Target and Guidance |
---|---|---|---|---|
Presenting complaints or issues | The description of the health problems and issues experienced by the patient resulting in their attendance. | 1 only | M | Carried in the CodeableConcept of Composition.section.code FHIR element. ValueSet UKCoreCompositionSectionCode |
PRSB Element | Description | Card. | MRO* | FHIR Target and Guidance |
Presenting complaints or issue | The list and description of the health problems and issues experienced by the patient resulting in the attendance. This may include disease state, medical condition, response and reaction to therapies, e.g. blackout, dizziness, chest pain, follow-up from admission, falls, a specific procedure, investigation or treatment. | 1 only | M | Only ONE (chief complaint) sent as per the ECDS Emergency Care Chief Complaint code set (SNOMED CT).Text and if available a SNOMED CT concept carried in the CodeableConcept of the Condition.code FHIR element. |
* M=Mandatory R=Required O=Optional |
Example Presenting Complaints or Issues Section
This section is not used in the Hackathon examples. Refer to other sections for example. The section text / section.code (ValueSet UKCoreCompositionSectionCode) and any linked coded resources applicable to the section would differ.
Example Coded Resources
TBC - potentially a UKCore-List of UKCore-Condition