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Clinical narrative

Any issue that is significant to a patient that impacts their health or wellbeing. It includes disease, surgery and social issues such as bereavement or unemployment.

Purpose

The purpose of this section is to provide information about a patient’s significant problems and issues which will inform, or may have previously informed the clinical decision-making process.

Sections and subsections

Contains two sections:

• Active Problems and Issues
• Inactive Problems and Issues

Date filter

A date filter is only applicable for the Inactive Problems and Issues subsection in the Problems and Issues section. Provider messages for a date filter can be found here.

Section content banner

Provider message(s) describing at a summary level how this section has been populated. Provider content messages can be found here.

Active problems and issues

Clinical narrative

Any active issue that is significant to a patient and affects their health or wellbeing. It includes disease, surgery and social issues such as bereavement or unemployment.

Purpose

The purpose of this section is to provide information about a patient’s current and potentially relevant significant problems and issues which will inform the clinical decision-making process.

Subsection content banner

Provider messages describing at a summary level how they have populated this subsection can be found here:

Table construction requirements

Providers MUST adhere to the table construction requirements listed below:

• table header MUST be “Active Problems and Issues”
• table columns MUST be ordered left-to-right (1..N)
• table content MUST NOT be truncated

Table columns

Providers MUST return all the columns as described in the table below, ordered by Start Date descending:

Inactive problems and issues

Clinical narrative

Any inactive issue that was significant to a patient and affected their health or wellbeing. It includes disease, surgery and social issues such as bereavement or unemployment.

Purpose

The purpose of this section is to provide information about a patient’s previous significant problems and issues which may have informed the clinical decision-making process.

Subsection content banner

Provider messages describing at a summary level how they have populated this subsection can be found here:

Table construction requirements

Providers MUST adhere to the table construction requirements listed below:

• table header MUST be “Inactive Problems and Issues”
• table columns MUST be ordered left-to-right (1..N)
• table content MUST NOT be truncated

Table columns

Providers MUST return all the columns as described in the table below, date descending ordering MUST be applied (End Date SHOULD be the date field used in the sort):

Provider systems not supporting Inactive Problems MUST display a message in the Section Banner to indicate:

• Inactive Problems are not supported as in the HTML Implementation Guide - Not Supported section
• that any Problems and Issues recorded for the Patient are included in the Active Problems and Issues section

Provider systems that do support Inactive Problems, but when no records exist for the requested Patient MUST display the standard HTML Implementation Guide - Supported But Hasn’t Been Recorded message.

HTML view

The following content highlights the expected HTML tags and format providers MUST use when generating the HTML content:

<div>
   <h1>Problems and Issues</h1>
   <div>
      <p>
         <!-- GP transfer banner -->
      </p>
   </div>
   <div>
      <p>
         <!-- Content banner -->
      </p>
   </div>
   <div>
      <h2>Active Problems and Issues</h2>
      <div>
         <p>
            <!-- Content banner -->
         </p>
      </div>
      <div>
         <p>
            <!-- Date banner -->
         </p>
      </div>
      <div>
         <p>
            <!-- Exclusion banner -->
         </p>
      </div>
      <table>
         <thead>
            <tr>
               <th>Start Date</th>
               <th>Entry</th>
               <th>Significance</th>
               <th>Details</th>
            </tr>
         </thead>
         <tbody>
            <tr>
               <!-- the <tr>...</tr> element will repeat for each active problem and issue-->
               <td>{{problemissue.startdate}}</td>
               <td>{{problemissue.entry}}</td>
               <td>{{problemissue.significance}}</td>
               <td>{{problemissue.details}}</td>
            </tr>
         </tbody>
      </table>
   </div>
   <div>
      <h2>Inactive Problems and Issues</h2>
      <div>
         <p>
            <!-- Content banner -->
         </p>
      </div>
      <div>
         <p>
            <!-- Date banner -->
         </p>
      </div>
      <div>
         <p>
            <!-- Exclusion banner -->
         </p>
      </div>
      <table>
         <thead>
            <tr>
               <th>Start Date</th>
               <th>End Date</th>
               <th>Entry</th>
               <th>Significance</th>
               <th>Details</th>
            </tr>
         </thead>
         <tbody>
            <tr>
               <!-- the <tr>...</tr> element will repeat for each inactive problem and issue-->
               <td>{{problemissue.startdate}}</td>
               <td>{{problemissue.enddate}}</td>
               <td>{{problemissue.entry}}</td>
               <td>{{problemissue.significance}}</td>
               <td>{{problemissue.details}}</td>
            </tr>
         </tbody>
      </table>
   </div>
</div>