| Section code | Section name | TPP | EMIS | Vision | Microtest |
|---|---|---|---|---|---|
| PRB | Problems and Issues | Yes | Yes | Yes | Yes |
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:
Section title
The section title MUST be “Problems and Issues”.
Date filter
A date filter is applicable for the ‘Problems and Issues’ section.
Section content banner
Provider message describing at a summary level how they have populated this section.
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 title
The subsection title MUST be “Active Problems and Issues”.
Subsection content banner
Provider message describing at a summary level how they have populated this subsection.
Table columns
Providers must return all the columns as described in the table below, sorted by Start Date descending:
| Order | Name | Description | Value details |
|---|---|---|---|
Start Date |
The start date of the problem | dd-Mmm-yyyy |
|
Entry |
A short human readable title for the problem | free-text |
|
Significance |
The significance of the problem (i.e. Major or Minor) | free-text |
|
Details |
Longer human readable details for the problem | free-text |
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 title
The subsection title MUST be “Inactive Problems and Issues”.
Subsection content banner
Provider message describing at a summary level how they have populated this subsection.
Table columns
Providers must return all the columns as described in the table below, sorted by End Date descending:
| Order | Name | Description | Value details |
|---|---|---|---|
Start Date |
The start date of the problem | dd-Mmm-yyyy |
|
End Date |
The end date of the problem | dd-Mmm-yyyy |
|
Entry |
A short human-readable title for the problem | free-text |
|
Significance |
The significance of the problem (that is, Major or Minor) | free-text |
|
Details |
Longer human readable details for the problem | free-text |
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
<div>
<h1>Problems and Issues</h1>
<div class="gptransfer-banner">
<p>
<!-- GP transfer banner -->
</p>
</div>
<div class="content-banner">
<p>
<!-- Content banner -->
</p>
</div>
<div>
<h2>Active Problems and Issues</h2>
<div class="content-banner">
<p>
<!-- Content banner -->
</p>
</div>
<div class="date-banner">
<p>
<!-- Date banner -->
</p>
</div>
<div class="exclusion-banner">
<p>
<!-- Exclusion banner -->
</p>
</div>
<table id="prb-tab-act">
<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 class="date-column">{{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 class="content-banner">
<p>
<!-- Content banner -->
</p>
</div>
<div class="date-banner">
<p>
<!-- Date banner -->
</p>
</div>
<div class="exclusion-banner">
<p>
<!-- Exclusion banner -->
</p>
</div>
<table id="prb-tab-inact">
<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 class="date-column">{{problemissue.startdate}}</td>
<td class="date-column">{{problemissue.enddate}}</td>
<td>{{problemissue.entry}}</td>
<td>{{problemissue.significance}}</td>
<td>{{problemissue.details}}</td>
</tr>
</tbody>
</table>
</div>
</div>
Example view
See the Pen Problems by gp_connect (@tford70) on CodePen.
