Data Dictionary for Problem

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P
1	Transaction	Data Element							SNOMED		Common Dictionary		Status	notes
2		Name	Short Label	Description	Data Type	Required	Repeats	ValueSet	Code	Relationship	Code	Relationship
3	(submit/retrieve a problem)	BusinessIdentifier	Unique Business identifier for the problem	The unique identifier of the problem in the system. A problem can be identified in several systems, so thie element repeats	Identifier	Y	Y						OK?	VIDIS will have just one identifier, but other systems may have one identifier too; it would be bad for exchanging and managing the careset if it must haveone and only one identifier.	It is not guaranteed that there will be a consistent/persistent logical/business requirement. This is highly desired to be consistent, but may not be guaranteed	Decision: We will document that at least one identifier is needed, and we will capture in the narrative that there will be a "shared" identifier, and other identifiers. Having multiple identifiers allows cross-reference.
4	(submit/retrieve a problem)	Identifier.value	The actual value of the identifier	The actual value of the identifier, for example a UUID	The actual value of the identifier	Y	N
5	(submit/retrieve a problem)	Identifier.system	The namespace or type of identifier		string	Y	N
6	(submit/retrieve a problem)	Identifier.timestamp	The time when the identifier was declared valid	The timestamp of the identifier. This can be, for example, when the record of the problem was created or last updated	datetime	n	n
7	(submit/retrieve a problem)	RecordedDateTime	Date of entry or last update? of entry	To validate - do we want to deviate from FHIR in the actual element?	datetime	n	n							To validate - do we want to deviate from FHIR in the actual element?
8	(submit/retrieve a problem)	Recorder	The professional that entered the data into the system or last updated?	To Validate - also last updated? Does this also include the person that validated the information?	Reference/Identifier	y	n							To Validate - also last updated? Does this also include the person that validated the information? Do we have Patients as reporters? and Devices?	To Do: Capture the use cases to describe the variation, and justify the variations
9	(submit/retrieve a problem)	Asserter	The person who provided the information			n	n							Can we agree on roles "asserter" vs "recorder" and meaning
10	(submit/retrieve a problem)	Patient	The patient		Reference/Identifier	y	n
11	(submit/retrieve a problem)	Cause				n	y
12	(submit/retrieve a problem)	Cause.procedure	The procedure(s) that originated the problem		Reference/Identifier									that originated? Or that are thought of having originated?
13	(submit/retrieve a problem)	Cause.medication	The medication line(s) that originated the problem		Reference/Identifier
14	(submit/retrieve a problem)	Cause.condition/problem?	The condition/problem(s) that originated the problem		Reference/Identifier									Original in FR was "le probleme a l'origine du probleme"
15		Cause.other?			Reference/Identifier									To bring to business - we should have other causes
16	(submit/retrieve a problem)	category	A categorization or classification of the problem			n	y
17	(submit/retrieve a problem)	code	The code of the problem	Required but can be free text.		y	n	VSProblemCode
18	(submit/retrieve a problem)	certitude					n	VSProblemVerificationStatus
19	(submit/retrieve a problem)	clinicalStatus	The clinical status of the problem	The clinical status of the problem (active, inactive, resolved,...) the clinical status evolves over time and should be in line with the active/remission periods.	Coded (Required)		n	VSProblemClinicalStatus
20	(submit/retrieve a problem)	DiseaseCourse					n	VSProblemDiseaseCourse
21	(submit/retrieve a problem)	symptoms				N	Y
22	(submit/retrieve a problem)	severity						VSProblemSeverity
23	(submit/retrieve a problem)	BodyLocation						VSBodySite
24	(submit/retrieve a problem)	BodyLocation.Laterality						VsLaterality
25	(submit/retrieve a problem)	Onset
26	(submit/retrieve a problem)	Abatement
27	(submit/retrieve a problem)	Note
28	(submit/retrieve a problem)	evidence?
29	(submit/retrieve a problem)
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