Transfer of Care R4 Hackathon Implementation Guide

This guidance is under active development by NHS England and content may be added or updated on a regular basis.

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

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