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Problems

Information about a condition, diagnosis, or other event, situation, issue, or clinical concept that is documented.

Data Element

Applicable Standard(s)

Problems
  • USCDI v1 - SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2019 Release
  • Draft USCDI v2 - SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release

Data Element

Applicable Standard(s)

Date of Diagnosis
Date of Resolution
Problems
  • USCDI v1 - SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2019 Release
  • Draft USCDI v2 - SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release

Data Element

Disease Trend

Comment

We request that ONC clarify…

We request that ONC clarify whether this includes symptoms, like pain, numbness, shortness of breath on exertion, or functional problems like unable to climb stairs, difficulty toileting, etc.?

Suggest renaming Problems class to Conditions

MedMorph suggests that the Problems class be renamed to Condition to align with US Core.  Conditions may not always be on the Problem List, they could be included in the Medical History. Conditions may reside in various areas of EHRs and there may not be a date associated with the condition.

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