# Logical Record Architecture for Health and Social Care
## Discharge Summary Release 0.02

Contents
The content of this release is not comprehensive and is not fully validated and must not be used in live system implementations.
# ELEMENT Domain Model: GenericProblemAndIssue
An ELEMENT to represent the needs or related requirements to be resolved or noted, and are perceived as a problem or issue by a patient, carer or a Care Professional1. Problems and Issues do not progress; they will either be resolved or closed. Problems and Issues differ from Diagnoses in this respect. Diagnoses progress as the understanding of them increases. 1 NPFIT-NCR-DES-0135.07 NHS Care Record Elements ## Attributes
Name | Data type | Occurs | Description | Value Constraints
--- | --- | --- | --- | ---
name | SC | 1..1 | The name, expressed as a coded value or as plain text, specifies the clinical or administrative concept to which this EHR node corresponds, as labelled in the EHR system in which it was first committed. |
value
Literal value(s): FINDING_OBSERVATION_ELEMENT
rc_id | II | 1..1 | The globally-unique identifier by which this node in the EHR hierarchy is referenced in the EHR system to which the data were first committed. This identifier shall be retained by the EHR Recipient and re-used whenever this RECORD_COMPONENT is subsequently included in another EHR_EXTRACT. |
meaning | CD.CV.SCT | 1..1 | The standardised clinical or administrative concept to which the name attribute has been mapped. In archetyped systems it will correspond to the archetype node name. In non-archetyped systems it might be a coded term from an appropriate terminology system. |
code
Semantic expression constraint
synthesised | BL | 1..1 | This attribute value shall be TRUE if this RECORD_COMPONENT has been created in order to comply with this standard , but this point in the EHR hierarchy has no corresponding node in the EHR from which it was extracted. |
value
Default value: false
obs_time | IVL_TS | 0..1 | The date and time, or interval, at which the ITEM actually occurred or was true, if different from the session time of the COMPOSITION. |
value | ANY | 1..1 | An ELEMENT has a single DATA_VALUE containing the value, unless this is indicated as absent by a null_flavour attribute. |
nullFlavor
Literal value(s): NA
## COMPONENT RELATIONSHIPS ### Subject of relationships
Name | Object of relationship | Occurs | Dependency
--- | --- | --- | ---
HasRecordRole | ProblemAndIssueTag | 0..* | INDEPENDENT
IsClinicalContextOf | GenericAdmissionEvent | 0..* | INDEPENDENT
HasAnnotation | Text | 0..* | INDEPENDENT
IsMotivationOf | GenericAdmissionEvent | 0..* | INDEPENDENT
IsMotivationOf | GenericProcedure | 0..* | INDEPENDENT
IsAssociationOf | GenericFindingObservation | 0..* | INDEPENDENT
HasClinicalContext | DiagnosisName | 0..* | INDEPENDENT
HasClinicalContext | GenericFindingObservation | 0..* | INDEPENDENT
HasClinicalContext | GenericProcedure | 0..* | INDEPENDENT
HasAssociation | RisksExpectationsOrGoals | 0..* | INDEPENDENT
IsIndicationOf | ProductOrSubstanceRelatedActivity | 0..* | INDEPENDENT
### Object of relationships
Name | Subject of relationship | Occurs | Dependency
--- | --- | --- | ---
HasClinicalContext | GenericAdmissionEvent | 0..* | INDEPENDENT
HasIndication | GenericAdmissionEvent | 0..* | INDEPENDENT
IsClinicalContextOf | DiagnosisName | 0..* | INDEPENDENT
IsClinicalContextOf | GenericFindingObservation | 0..* | INDEPENDENT
IsAssociationOf | RisksExpectationsOrGoals | 0..* | INDEPENDENT
HasIndication | GenericProcedure | 0..* | INDEPENDENT
HasIndication | ProductOrSubstanceRelatedActivity | 0..* | INDEPENDENT
## Item of ENTRY Domain Models ### GenericAdmissionEvent ### GenericFinding ### GenericProblemAndIssue ### GenericProcedure ### ProductOrSubstanceRelatedActivity ### GenericDischargeEvent ### RisksExpectationsAndGoals ### Diagnosis ## Reference Model Type ## FINDING_OBSERVATION_ELEMENT