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Problems and issues

Problems and issues HTML view
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 three 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’.

Date filter

All relevant records MUST be returned.

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    
1 Start Date The start date of the problem dd-Mmm-yyyy
2 Entry A short human readable title for the problem free-text
3 Significance The significance of the problem (meaning, Major or Minor) free-text
4 Details Longer human readable details for the problem free-text

Major inactive problems and issues

Clinical narrative

Any major 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 ‘Major Inactive Problems and Issues’.

Date filter

A date filter is applicable for the ‘Major Inactive Problems and Issues’ subsection.

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    
1 Start Date The start date of the problem dd-Mmm-yyyy
2 End Date The end date of the problem dd-Mmm-yyyy
3 Entry A short human-readable title for the problem free-text
4 Significance The significance of the problem (meaning, Major or Minor) free-text
5 Details Longer human readable details for the problem free-text

Provider systems having 3 levels of significance MUST include inactive problems with the highest and mid-level significance in this subsection. If more than 3 levels of significance, then those equal to or greater than the mid-level significance MUST be included in this subsection. Provider systems MUST NOT include problems without a significance level in this subsection (for example, if significance is not mandatory and has not be recorded).

Provider systems supporting inactive problems but not supporting clearly defined significance levels MUST return all inactive problems in the ‘Other Problems and Issues’ subsection, and MUST:

  • return a subsection content banner to indicate that any inactive problems are included in the ‘Other Problems and Issues’ subsection
  • return an error message in place of the subsection table as detailed in the HTML Implementation Guide - Not Supported section

Systems not supporting inactive problems MUST:

  • return an error message in place of the subsection table as detailed in the HTML Implementation Guide - Not Supported section
  • display a message in the section banner to indicate that any problems and issues recorded for the patient are included in the ‘Active Problems and Issues’ section

Provider systems that support major 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.

Other inactive problems and issues

Clinical narrative

Any other 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 non-major problems and issues which may have informed the clinical decision-making process.

Subsection title

The subsection title MUST be ‘Other Inactive Problems and Issues’.

Date filter

A date filter is applicable for the ‘Other Inactive Problems and Issues’ subsection.

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    
1 Start Date The start date of the problem dd-Mmm-yyyy
2 End Date The end date of the problem dd-Mmm-yyyy
3 Entry A short human-readable title for the problem free-text
4 Significance The significance of the problem free-text
5 Details Longer human readable details for the problem free-text

Provider systems having 3 levels of significance MUST include inactive problems with the lowest level of significance in this subsection. If more than 3 levels of significance, then those less than the mid-level significance must be included in this subsection. Any inactive problems which do not have a significance level MUST be included in this section.

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’ subsection

Provider systems that 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>Major 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-majinact">
         <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 major 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>
      <h2>Other 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-othinact">
         <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 other 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.


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