Problem

The SHR Problem domain contains basic definitions used to capture information about problems, concerns, complaints, and disorders.

Abatement

The end, remission or resolution. C1880019

Value:  GeneralizedTemporalContext A generalized indicator of a dateTime or an age when an event happened.

AcademicProblem [Entry]

A problem with learning or behavior in a learning environment. C0000873

Based On Problem

Value:  CodeableConcept from TBD A set of codes drawn from different coding systems, representing the same concept.
BodySite not used Location on or in the body.
ProblemCategory 0 or more A categorization of the problem using common clinical categories.
NonOccurrenceModifier optional When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
GeneralizedLikelihood optional Quantitative or qualitative measure of likelihood.
SupportingEvidenceQuality optional An assessment of the quality and/or quantity of the source information that supports judgment.
ClinicalStatus required A flag indicating whether the problem is active or inactive, recurring, in remission, or resolved.
IncludeOnProblemList optional Whether or not to include this problem on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or problem was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
Severity optional Degree of severity of a symptom, disorder, or problem.
Criticality optional A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
GradeOrStage optional The stage or grade of a disease.
Manifestation 0 or more A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.

Asplenia [Entry]

Congenital absence of spleen. C0600031

Based On Problem

Value:  CodeableConcept is 93030006 A set of codes drawn from different coding systems, representing the same concept.
ProblemCategory 0 or more A categorization of the problem using common clinical categories.
NonOccurrenceModifier optional When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
GeneralizedLikelihood optional Quantitative or qualitative measure of likelihood.
SupportingEvidenceQuality optional An assessment of the quality and/or quantity of the source information that supports judgment.
ClinicalStatus required A flag indicating whether the problem is active or inactive, recurring, in remission, or resolved.
IncludeOnProblemList optional Whether or not to include this problem on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or problem was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
BodySite 0 or more Location on or in the body.
Severity optional Degree of severity of a symptom, disorder, or problem.
Criticality optional A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
GradeOrStage optional The stage or grade of a disease.
Manifestation 0 or more A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.

ClinicalStatus

A flag indicating whether the problem is active or inactive, recurring, in remission, or resolved.

Value:  code from http://hl7.org/fhir/ValueSet/condition-clinical

Criticality

A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. Criticality (C3858539)

Value:  code from http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality

GradeOrStage

The stage or grade of a disease. C0699749

Value:  CodeableConcept from GradeOrStageVS A set of codes drawn from different coding systems, representing the same concept.

IncludeOnProblemList

Whether or not to include this problem on the subject's current problem list.

Value:  boolean

Injury [Entry]

Damage inflicted on the body by an external force. C3263722

Based On Problem

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.
Setting optional Description of the place or type of surroundings where something is positioned or where an event takes place.
Location optional A position, site, or point in space where something can be found.
ProblemCategory 0 or more A categorization of the problem using common clinical categories.
NonOccurrenceModifier optional When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
GeneralizedLikelihood optional Quantitative or qualitative measure of likelihood.
SupportingEvidenceQuality optional An assessment of the quality and/or quantity of the source information that supports judgment.
ClinicalStatus required A flag indicating whether the problem is active or inactive, recurring, in remission, or resolved.
IncludeOnProblemList optional Whether or not to include this problem on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or problem was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
BodySite 0 or more Location on or in the body.
Severity optional Degree of severity of a symptom, disorder, or problem.
Criticality optional A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
GradeOrStage optional The stage or grade of a disease.
Manifestation 0 or more A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.

Manifestation

A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain. C1457887

Based On CodeableConceptObservation

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.
ObservationCode from ManifestationVS required A term from a controlled vocabulary that defines the data element (the question, not the answer) as specifically as possible. The specific code should always align with the concept of the element, but may be more specific. For example, the concept associated with medications is code for 'medication used', but the ObservationCode is the code for the particular medication used. For tests, ObservationCode identifies the specific test being performed, and for observations, the specific question being asked.
Severity optional Degree of severity of a symptom, disorder, or problem.
BodySite optional Location on or in the body.
ObservationCategory 0 or more A categorization of the observation according to how the observation was collected or its clinical area.
ObservationReason optional The reason for making the observation.
ObservationNonOccurrenceModifier optional True if the observation did not occcur, e.g., if a test was not performed or the assessment was not done, when it might otherwise be expected.
ObservationStatus required A qualifier describing the stage or administrative state of the observation. If not given, it is assumed the status is final.
ObservationQualifier 0 or more A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar.
ObservationMethod optional The method of the observation, for example, the specific imaging technical or assessment vehicle.
ClinicallyRelevantTime optional The time or time period that the observation addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium).
Participant 0 or more A statement about an actor who did (or did not) participate in a certain task or activity. Unlike a HealthcareInvolvement which continues over period of time, the participant is associated with doing or not doing a specific task, such admitting a patient, performing a procedure, or taking a measurement.
Setting 0 or more Description of the place or type of surroundings where something is positioned or where an event takes place.
Location 0 or more A position, site, or point in space where something can be found.

MentalHealthProblem [Entry]

A problem relating to a person’s psychological and emotional well-being. C1446377

Based On Problem

Value:  CodeableConcept from DSMVS A set of codes drawn from different coding systems, representing the same concept.
ProblemCategory 0 or more A categorization of the problem using common clinical categories.
NonOccurrenceModifier optional When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
GeneralizedLikelihood optional Quantitative or qualitative measure of likelihood.
SupportingEvidenceQuality optional An assessment of the quality and/or quantity of the source information that supports judgment.
ClinicalStatus required A flag indicating whether the problem is active or inactive, recurring, in remission, or resolved.
IncludeOnProblemList optional Whether or not to include this problem on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or problem was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
BodySite 0 or more Location on or in the body.
Severity optional Degree of severity of a symptom, disorder, or problem.
Criticality optional A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
GradeOrStage optional The stage or grade of a disease.
Manifestation 0 or more A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.

Onset

The beginning or first appearance of a mental or physical disorder. C0277793

Value:  GeneralizedTemporalContext A generalized indicator of a dateTime or an age when an event happened.

Preexisting

If the problem or condition existed before the current episode of care.

Value:  boolean

Problem [Entry]

A statement about a disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, or trouble. May be used to state the existence or non-existence of a problem. C0033213

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.
ProblemCategory 0 or more A categorization of the problem using common clinical categories.
NonOccurrenceModifier optional When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
GeneralizedLikelihood optional Quantitative or qualitative measure of likelihood.
SupportingEvidenceQuality optional An assessment of the quality and/or quantity of the source information that supports judgment.
ClinicalStatus required A flag indicating whether the problem is active or inactive, recurring, in remission, or resolved.
IncludeOnProblemList optional Whether or not to include this problem on the subject's current problem list.
Onset optional The beginning or first appearance of a mental or physical disorder.
WhenClinicallyRecognized optional The time at which a condition or problem was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Abatement optional The end, remission or resolution.
BodySite 0 or more Location on or in the body.
Severity optional Degree of severity of a symptom, disorder, or problem.
Criticality optional A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
GradeOrStage optional The stage or grade of a disease.
Manifestation 0 or more A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.

ProblemCategory

A categorization of the problem using common clinical categories.

Value:  CodeableConcept from ProblemCategoryVS A set of codes drawn from different coding systems, representing the same concept.

Severity

Degree of severity of a symptom, disorder, or problem. C0392364

Value:  CodeableConcept from http://hl7.org/fhir/ValueSet/condition-severity A set of codes drawn from different coding systems, representing the same concept.

SupportingEvidenceQuality

An assessment of the quality and/or quantity of the source information that supports judgment.

Value:  CodeableConcept from EvidenceQualityVS A set of codes drawn from different coding systems, representing the same concept.

WhenClinicallyRecognized

The time at which a condition or problem was first identified in a healthcare context.

Value:  GeneralizedTemporalContext A generalized indicator of a dateTime or an age when an event happened.