Logical Data Model

Logical Data Model (LDM) / Entity / Patient Health Concern

Project:

Patient Health Concern

Appears In:

Care Team LDM Subject Area, Diagnostic Imaging Reporting LDM Subject Area, Patient Health Concern LDM Subject Area, CACDI LDM View, Encounter LDM Subject Area, Procedure LDM Subject Area, Appointment LDM Subject Area, Laboratory Test Result Reporting LDM Subject Area

The patient's reported or diagnosed health concerns.

Attributes
Associations To
Associations From
Constraints

Attribute

Type

Health Concern Code

Codeable Concept

Notes:

A coded concept that specifies an active or historical health-related concern or an issue requiring attention. Value Set: <a href="https://fhir.infoway-inforoute.ca/ValueSet/healthconditioncode">https://fhir.infoway-inforoute.ca/ValueSet/healthconditioncode</a> For primary health care implementation: <a href="https://secure.cihi.ca/estore/productSeries.htm?pc=PCC2180 ">https://secure.cihi.ca/estore/productSeries.htm?pc=PCC2180 </a> Alternate: ICD-9: <a href="https://secure.cihi.ca/estore/productSeries.htm?pc=PCC1940">https://secure.cihi.ca/estore/productSeries.htm?pc=PCC1940</a> ICD-10: <a href="https://secure.cihi.ca/estore/productSeries.htm?pc=PCC1750">https://secure.cihi.ca/estore/productSeries.htm?pc=PCC1750</a>

Patient Health Concern Category Code

Codeable Concept

Notes:

A coded concept that specifies whether the health concern is a problem list item (i.e. chronic condition or illness) or an encounter diagnosis (e.g. cold, skin rash). Value Set: <a href="https://fhir.infoway-inforoute.ca/ValueSet/conditioncategorycodes">https://fhir.infoway-inforoute.ca/ValueSet/conditioncategorycodes</a>

Constraints:
Allow Free Text

Patient Health Concern Onset Date Time

Date Time

Notes:

The estimated or actual date and, if available, time when the health concern started.

Patient Health Concern Resolution Date Time

Date Time

Notes:

The estimated or actual date and, if available, time when the health concern subsided or was resolved.

Patient Health Concern Clinical Status Code

Codeable Concept

Notes:

A coded concept that specifies the current status of the health concern (e.g. active, resolved). Value Set: <a href="https://fhir.infoway-inforoute.ca/ValueSet/conditionclinicalstatuscodes">https://fhir.infoway-inforoute.ca/ValueSet/conditionclinicalstatuscodes </a>

Patient Health Concern Diagnosis Date Time

Date Time

Notes:

The estimated or actual date and, if available, time of diagnosis of the health concern.

Patient Health Concern Verification Status Code

Codeable Concept

Notes:

A coded concept that specifies the verification status of the health concern (e.g. unconfirmed, differential). Value Set: <a href="https://fhir.infoway-inforoute.ca/ValueSet/conditionverificationstatus">https://fhir.infoway-inforoute.ca/ValueSet/conditionverificationstatus</a>

Patient Health Concern Body Site Code

Codeable Concept

Notes:

A coded concept that specifies the anatomical site where the health concern is reported (e.g. right deltoid muscle). Value Set: <a href="https://fhir.infoway-inforoute.ca/ValueSet/anatomicaloracquiredbodystructurecode">https://fhir.infoway-inforoute.ca/ValueSet/anatomicaloracquiredbodystructurecode</a>

Patient Health Concern Severity Code

Codeable Concept

Notes:

A coded concept that specifies the subjective assessment of the severity of the health concern. Value Set: <a href="https://fhir.infoway-inforoute.ca/ValueSet/severitycode">https://fhir.infoway-inforoute.ca/ValueSet/severitycode</a>

Relationship	Target Entity
is	Health Care Service Event Patient Health Concern
recorded by <br/><br/>	Party Role
asserted by Asserter: Individual who is making the condition statement. (FHIR)<br/>	Party Role
is	Appointment Patient Health Concern
is this relationship may not be direct, instead, could be with Care Plan (future)<br/>	Care Team Reason
is	Encounter Patient Health Concern

Relationship	Target Entity
has	Patient
for	Laboratory Test Request
has recorded Health Concern Evidence, <b>Absent Value Set</b>: <br/><a href="../EA4/EA394.htm"><font color="#0000ff"><u>Supporting - Generic Absent Values (Draft).xlsx</u></font></a> <br/><br/><br/><br/>	Health Concern Evidence
to	Related Patient Health Concern
at	Health Concern Stage
is	Procedure Reason
for	Medical Imaging Request
from	Related Patient Health Concern
is	Periprocedure Event

Constraint

Unique key: Patient, Health Concern Code