Gives information about the Presenting complaint or issue section

Presenting complaint or issue Section Content

The Presenting complaint or issue section carries information about the details used. PRSB Elements should be formatted as subheadings in any HTML sent.

PRESENTING COMPLAINT OR ISSUES          
Data Item Description Cardinality Values Mandatory/required/ optional FHIR Target
Presenting complaint or issue The health problem or issue experienced by the patient resulting in their attendance. This may include disease state, medical condition, response and reactions to therapies. Eg, blackout, dizziness, chest pain, follow up from admission, falls, a specific procedure, investigation or treatment. 0 TO MANY Free text —- coded text (SNOMED drop down as search entry) Required Composition.section.text
Symptom Duration Additional notes on symptom duration from the referring organisation referral that may be relevant to the consultation. Supports the medical history     Mandatory Composition.section.text Condition.Onset[x].string

Example Section

<!--<xml>-->
<!--Presenting complaint or issue-->
	<section>
		<title value="Presenting complaint or issue"/>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="886891000000102"/>
				<display value="Presenting complaints or issues"/>
			</coding>
		</code>
		<text>
			<status value="additional"/>
			<div xmlns="http://www.w3.org/1999/xhtml">
			<table width="100%">
				<tbody>
				<tr>
					<th>Presenting complaint or issue</th>
					<td>The health problem or issue experienced by the patient resulting in their attendance. This may include disease state, medical condition, response and reactions to therapies. Eg, blackout, dizziness, chest pain, follow up from admission, falls, a specific procedure, investigation or treatment.</td>
				</tr>
				</tbody>
			</table>
			</div>
		</text>
	</section>
<!--</xml>-->
Tags: fhir