Class Problem

This file contains patient specific problems entered by the various providers of service. The PATIENT NAME field (.02) is a
backward pointer to the IHS PATIENT file. This file contains one record for each problem for each patient, therefore, the
KEY field (.01) is duplicated. As of March 17, 1986 the FACILITY must be entered prior to the NUMBER. If the NUMBER is
entered without previously entering the FACILITY the "AA" index is created with no FACILITY pointer.

Attributes
PersonalOrFamilyHistoryIndicatorList class class

This flag is used by the IHS Problem List to indicate if this problem is documented for historical purposes.

«File 44» HospitalLocation clinic clinic

This is the clinic in which this patient is being seen for this problem. The problem list may be screened based on this value, to change one's view of the list.

String codingSystem codingSystem

This field is populated via M code and utilizes incremental/decremental timed locks to the PROBLEM file #9000011 for new problem entries. The Coding System Source Abbreviation (SAB) is programmatically filed in NEW^GMPLSAVE. The Coding System SAB is further validated before storage by utilizing the following ICD API's: $$CSI^ICDEX and $$SAB^ICDEX. This ensures that the correct code version or SAB is getting filed.

ProblemConditionList condition condition

This reflects the current condition of this entry, whether transcribed by a clerk from the paper chart, entered or verifiedby a provider, or marked as removed from the patient's list.

Datetime dateEntered dateEntered

This is the date this problem was entered into this file.

Datetime dateLastModified dateLastModified

This is the last date/time this problem was changed.

Datetime dateOfInterest dateOfInterest

No range limit on date

Datetime dateOfOnset dateOfOnset

This is the approximate date this problem appeared, as precisely as known.

Datetime dateRecorded dateRecorded

This is the date this problem was originally recorded, either online or in the paper chart; it may be the same as, orearlier than, the Date Entered.

Datetime dateResolved dateResolved

This is the date this problem was resolved or inactivated, as precisely as known.

«File 80» ICDDiagnosis diagnosis diagnosis

This is the ICD coded diagnosis of the narrative entered describing this problem.

«File 200» NewPerson enteredBy enteredBy

This is the user who actually entered this problem into this file.

«File 9999999.06» Location facility facility
«File 9000011.803» MappingTargets mappingTargets mappingTargets
«File 9000011.11» NoteFacility noteFacility  noteFacility
Integer number number

This is a number which, together with the Patient (#.02) and Facility (#.06) fields, serves as a unique identifier for thisproblem. Up to 2 decimal places may be used to indicate that a problem is a result of, or related to, anotherproblem.

«File 9000001» PatientIHS patientName patientName

This is the patient for whom this problem has been observed and recorded.

AcuteOrChronicIndicatorList priority priority

This is a flag to indicate how critical this problem is for this patient; problems marked as Acute will be flagged on theProblem List display.

«File 9000011» Problem_ServiceConnection problem_ServiceConnection problem_ServiceConnection
«File 9999999.27» ProviderNarrative providerNarrative providerNarrative
«File 200» NewPerson recordingProvider recordingProvider

This is the provider who first recorded this problem, either on the paper chart or online.

«File 200» NewPerson responsibleProvider responsibleProvider

This is the provider currently responsible for treating this problem.

«File 49» ServiceSection service service

This is the service primarily involved in the treatment of this problem; the DHCP Problem List defaults this field to theservice defined in File #200 for the Recording Provider of this problem, upon entry of the problem. It may later be used tocategorize problems for screening and sorting.

String snomedCtConceptCode snomedCtConceptCode

A clinical idea to which a unique ConceptID has been assigned in SNOMED CT. Each Concept is represented by a row in the Concepts Table.

String snomedCtDesignationCode snomedCtDesignationCode

A single SNOMED Concept may have multiple Designations, where a Designation may be considered an alternate way of expressing the concept. Synonyms, lexical variants, abbreviations are all different types of designations. In many cases, a problem (as reported by the patient) and a finding indicating a problem will share the same concept and concept code (e.g., abdominal pain), but will have different designation codes (i.e., the generic "abdominal pain and "abdominal pain (finding) share the concept code 21522001, but they have the designation codes 36112013 and 750827015 respectively.

SnomedCtToICDMapStatusList snomedCtToICDMapStatus snomedCtToICDMapStatus

This Set of Codes type field helps to track the mapping status of a patient's problem. It is set to PENDING when an unmapped Clinical Finding is selected as a patient's problem. It is updated programmatically to COMPLETE when NTRT deploys a new SNOMED CT to ICD mapping for the problem in question. NOTE: THIS FIELD SHOULD NEVER BE UPDATED BY AN END USER.

ActiveInactiveList status status

This is the current activity status of this problem, whether active or inactive; if more detail is needed, a notation may
be filed with this problem.

Boolean uniqueNewTermRequested uniqueNewTermRequested

Indicates whether the user requested a new term during the process of entering a free text problem. It should only be populated automatically by program code. NOTE: THIS FIELD SHOULD NEVER BE UPDATED BY AN END USER.

String uniqueTermRequestComment uniqueTermRequestComment

Please provide clarification of the new term request. For example, if the requested term is an acronym or abbreviation, the comment field accommodates the fully specified name, etc.

String vhatConceptVuidFuture vhatConceptVuidFuture

VHA Unique ID (VUID) for the VHAT Concept. A unique meaningless integer assigned to a corresponding concept VHA wide. This field is being implemented to allow a more rapidly extensible vocabulary for VA, while international normative standard coding systems continue to evolve more slowly. The precise definition of the concept Polytrauma may prove to be a useful example. Although the term has become common among US Military and VA physicians to describe a seriously injured (i.e., Injury Severity Score (ISS) >= 16) soldier with multiple traumatic injuries, it is not yet available as a coded concept in either SNOMED CT, ICD-9-CM, or ICD-10-CM. Allowing the definition and deployment of VHAT Concept/Designation VUID pairs to identify such problems in advance of their acceptance by the international medical community will help to provide coded, computable documentation in a much more timely manner than waiting for inclusion in SNOMED CT or ICD. When the infrastructure in VA's Enterprise Terminology Server (ETS) & New Term Rapid Turn-around (NTRT) service are ready to deploy VHAT Concepts, this field will allow us to store patient problems encoded with them.

String vhatDesignationVuidFuture vhatDesignationVuidFuture

VHA Unique ID (VUID) for the VHAT Designation. A unique meaningless integer assigned to a corresponding designation VHA wide. VHAT Concept/Designation Code pairs function in a manner identical to that of SNOMED CT Concept/Designation Codes (i.e., they support the unique identification of clinical concepts, along with the many alternative ways in which a given concept may be expressed).


Properties:

Alias
businessRule[]
Classifier Behavior
dateAdded7/2/12
dateModified5/15/15
fileNameProblem
fileNumber9000011
highLevelConcept
informationDomain
Is Abstractfalse
Is Activefalse
Is Leaffalse
KeywordsFile 9000011
modReason
NameProblem
Name Expression
NamespaceClasses
note
originalName
Owned Template Signature
OwnerClasses
Owning Template Parameter
PackageClasses
packageNameProblem List
projectID
Qualified NameHybrid::ProblemList::Classes::Problem
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
Representation
requestedBy
rootClass
StereotypeVistaClassDictionary, ClassDictionary
synonym
Template Parameter
VisibilityPublic

Attribute Details

 class
Public PersonalOrFamilyHistoryIndicatorList class

This flag is used by the IHS Problem List to indicate if this problem is documented for historical purposes.

Constraints:
Properties:

absMaxLength16
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeSET
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameCLASS
fieldNumber.04
fileNumber9000011
formatRule
formatString
generalDescriptionThis flag is used by the IHS Problem List to indicate if this problem is documented for historical purposes.
helpTextIf this problem is historical, indicate if it is Personal or Family history.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
Nameclass
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeaningsPERSONAL HISTORY;FAMILY HISTORY
permissableValuesP;F
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::class
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescriptionVA sites using the DHCP Problem List application will not be prompted for this information.
Template Parameter
TypePersonalOrFamilyHistoryIndicatorList
Upper1
Upper Value(1)
VisibilityPublic


 clinic
Public «File 44» HospitalLocation clinic

This is the clinic in which this patient is being seen for this problem. The problem list may be screened based on this value, to change one's view of the list.

Constraints:
Properties:

absMaxLength30
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypePOINTER
Datatype
dateAdded12/03/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameCLINIC
fieldNumber1.08
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the clinic in which this patient is being seen for this problem. The problem list may be screened based on this value, to change one's view of the list.
helpTextEnter the clinic in which the patient is being seen for this problem.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
Nameclinic
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileNameHOSPITAL LOCATION
pointerFileNumber44
Qualified NameHybrid::ProblemList::Classes::Problem::clinic
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
Type«File 44» HospitalLocation
Upper1
Upper Value(1)
VisibilityPublic


 codingSystem
Public String codingSystem

This field is populated via M code and utilizes incremental/decremental timed locks to the PROBLEM file #9000011 for new problem entries. The Coding System Source Abbreviation (SAB) is programmatically filed in NEW^GMPLSAVE. The Coding System SAB is further validated before storage by utilizing the following ICD API's: $$CSI^ICDEX and $$SAB^ICDEX. This ensures that the correct code version or SAB is getting filed.

Constraints:
Properties:

absMaxLength3
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeFREE TEXT
Datatype
dateAdded05/15/15
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameCODING SYSTEM
fieldNumber80202
fileNumber9000011
formatRule
formatString
generalDescription-
helpTextAnswer must be 3 characters in length.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength3
minLength3
modReason
Multiplicity0..1
NamecodingSystem
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::codingSystem
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescriptionThis field is populated via M code and utilizes incremental/decremental timed locks to the PROBLEM file #9000011 for new problem entries. The Coding System Source Abbreviation (SAB) is programmatically filed in NEW^GMPLSAVE. The Coding System SAB is further validated before storage by utilizing the following ICD API's: $$CSI^ICDEX and $$SAB^ICDEX. This ensures that the correct code version or SAB is getting filed.
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 condition
Public ProblemConditionList condition

This reflects the current condition of this entry, whether transcribed by a clerk from the paper chart, entered or verifiedby a provider, or marked as removed from the patient's list.

Constraints:
Properties:

absMaxLength11
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeSET
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameCONDITION
fieldNumber1.02
fileNumber9000011
formatRule
formatString
generalDescriptionThis reflects the current condition of this entry, whether transcribed by a clerk from the paper chart, entered or verified by a provider, or marked as removed from the patient's list.
helpText-
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
Namecondition
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeaningsTRANSCRIBED;PERMANENT;HIDDEN
permissableValuesT;P;H
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::condition
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescriptionThis flag is used internally by the DHCP Problem List; entries having an H in this field have been "deleted" and are maintained for historical use but are generally ignored. If the parameter "Verify Transcribed Entries" is turned on in File #125.99, entries made by a clerk will have a T here, and a flag will appear on the clinician's display of the list. P entries have been entered or verified by a provider.
Template Parameter
TypeProblemConditionList
Upper1
Upper Value(1)
VisibilityPublic


 dateEntered
Public Datetime dateEntered

This is the date this problem was entered into this file.

Constraints:
Properties:

absMaxLength12
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeDATE/TIME
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameDATE ENTERED
fieldNumber.08
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the date this problem was entered into this file.
helpTextTYPE A DATE BETWEEN 1900 AND TODAY
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredTrue
Keywords
Lower1
Lower Value(1)
maxLength-
minLength-
modReason
Multiplicity1
NamedateEntered
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::dateEntered
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeDatetime
Upper1
Upper Value(1)
VisibilityPublic


 dateLastModified
Public Datetime dateLastModified

This is the last date/time this problem was changed.

Constraints:
Properties:

absMaxLength12
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeDATE/TIME
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameDATE LAST MODIFIED
fieldNumber.03
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the last date/time this problem was changed.
helpTextTYPE A DATE BETWEEN 1900 AND TODAY
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredTrue
Keywords
Lower1
Lower Value(1)
maxLength-
minLength-
modReason
Multiplicity1
NamedateLastModified
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::dateLastModified
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeDatetime
Upper1
Upper Value(1)
VisibilityPublic


 dateOfInterest
Public Datetime dateOfInterest

No range limit on date

Constraints:
Properties:

absMaxLength12
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeDATE/TIME
Datatype
dateAdded05/15/15
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameDATE OF INTEREST
fieldNumber80201
fileNumber9000011
formatRule
formatString
generalDescription-
helpText(No range limit on date)
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NamedateOfInterest
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::dateOfInterest
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeDatetime
Upper1
Upper Value(1)
VisibilityPublic


 dateOfOnset
Public Datetime dateOfOnset

This is the approximate date this problem appeared, as precisely as known.

Constraints:
Properties:

absMaxLength12
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeDATE/TIME
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameDATE OF ONSET
fieldNumber.13
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the approximate date this problem appeared, as precisely as known.
helpTextTYPE A DATE BETWEEN 1880 AND TODAY
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NamedateOfOnset
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::dateOfOnset
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeDatetime
Upper1
Upper Value(1)
VisibilityPublic


 dateRecorded
Public Datetime dateRecorded

This is the date this problem was originally recorded, either online or in the paper chart; it may be the same as, orearlier than, the Date Entered.

Constraints:
Properties:

absMaxLength12
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeDATE/TIME
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameDATE RECORDED
fieldNumber1.09
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the date this problem was originally recorded, either online or in the paper chart; it may be the same as, or earlier than, the Date Entered.
helpTextEnter the date this problem was first recorded, as precisely as known.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NamedateRecorded
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::dateRecorded
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeDatetime
Upper1
Upper Value(1)
VisibilityPublic


 dateResolved
Public Datetime dateResolved

This is the date this problem was resolved or inactivated, as precisely as known.

Constraints:
Properties:

absMaxLength12
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeDATE/TIME
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameDATE RESOLVED
fieldNumber1.07
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the date this problem was resolved or inactivated, as precisely as known.
helpTextEnter the date this problem became resolved or inactive, as precisely as known.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NamedateResolved
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::dateResolved
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeDatetime
Upper1
Upper Value(1)
VisibilityPublic


 diagnosis
Public «File 80» ICDDiagnosis  diagnosis

This is the ICD coded diagnosis of the narrative entered describing this problem.

Constraints:
Properties:

absMaxLength7
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypePOINTER
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameDIAGNOSIS
fieldNumber.01
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the ICD coded diagnosis of the narrative entered describing this problem.
helpTextEnter the ICD Code for this problem.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredTrue
Keywords
Lower1
Lower Value(1)
maxLength-
minLength-
modReason
Multiplicity1
Namediagnosis
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileNameICD DIAGNOSIS
pointerFileNumber80
Qualified NameHybrid::ProblemList::Classes::Problem::diagnosis
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescriptionThe DHCP Problem List application derives its entries from a lookup into the Clinical Lexicon Utility rather than the ICD Diagnosis file. If the term selected from the CLU is not coded to ICD, then code 799.99 "Other Unknown or Unspecified Cause, NEC" will be used here in order to be able to create a new entry. This field may later be edited.
Template Parameter
Type«File 80» ICDDiagnosis
Upper1
Upper Value(1)
VisibilityPublic


 enteredBy
Public «File 200» NewPerson enteredBy

This is the user who actually entered this problem into this file.

Constraints:
Properties:

absMaxLength35
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypePOINTER
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameENTERED BY
fieldNumber1.03
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the user who actually entered this problem into this file.
helpTextEnter the name of the current user.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NameenteredBy
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileNameNEW PERSON
pointerFileNumber200
Qualified NameHybrid::ProblemList::Classes::Problem::enteredBy
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
Type«File 200» NewPerson
Upper1
Upper Value(1)
VisibilityPublic


 facility
Public «File 9999999.06» Location facility
Constraints:
Properties:

AggregationNone
Alias
Association«VistaAssociationDictionary» (facility:Location)
Association End
businessRule[]
Class«File 9000011» Problem
Datatype
dateAdded
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
formatRule
formatString
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isNullableFalse
Keywords
Lower1
Lower Value(1)
modReason
Multiplicity1
Namefacility
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
Qualified NameHybrid::ProblemList::Classes::Problem::facility
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary
synonym
Template Parameter
Type«File 9999999.06» Location
Upper1
Upper Value(1)
VisibilityPublic


 mappingTargets
Public «File 9000011.803» MappingTargets mappingTargets
Constraints:
Properties:

AggregationNone
Alias
Association«VistaAssociationDictionary» (mappingTargets:MappingTargets)
Association End
businessRule[]
Class«File 9000011» Problem
Datatype
dateAdded
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
formatRule
formatString
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isNullableFalse
Keywords
Lower0
Lower Value(0)
modReason
Multiplicity*
NamemappingTargets
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
Qualified NameHybrid::ProblemList::Classes::Problem::mappingTargets
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary
synonym
Template Parameter
Type«File 9000011.803» MappingTargets
Upper*
Upper Value(*)
VisibilityPublic


 noteFacility
Public «File 9000011.11» NoteFacility noteFacility 
Constraints:
Properties:

AggregationNone
Alias
Association«VistaAssociationDictionary» (noteFacility :NoteFacility)
Association End
businessRule[]
Class«File 9000011» Problem
Datatype
dateAdded
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
formatRule
formatString
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isNullableFalse
Keywords
Lower0
Lower Value(0)
modReason
Multiplicity*
NamenoteFacility
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
Qualified NameHybrid::ProblemList::Classes::Problem::noteFacility
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary
synonym
Template Parameter
Type«File 9000011.11» NoteFacility
Upper*
Upper Value(*)
VisibilityPublic


 number
Public Integer number

This is a number which, together with the Patient (#.02) and Facility (#.06) fields, serves as a unique identifier for thisproblem. Up to 2 decimal places may be used to indicate that a problem is a result of, or related to, anotherproblem.

Constraints:
Properties:

absMaxLength6
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeNUMERIC
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameNMBR
fieldNumber.07
fileNumber9000011
formatRule
formatString
generalDescriptionThis is a number which, together with the Patient (#.02) and Facility (#.06) fields, serves as a unique identifier for this problem. Up to 2 decimal places may be used to indicate that a problem is a result of, or related to, another problem.
helpTextTYPE A NUMBER BETWEEN 1 AND 999.99
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredTrue
Keywords
Lower1
Lower Value(1)
maxLength-
minLength-
modReason
Multiplicity1
Namenumber
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::number
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeInteger
Upper1
Upper Value(1)
VisibilityPublic


 patientName
Public «File 9000001» PatientIHS  patientName

This is the patient for whom this problem has been observed and recorded.

Constraints:
Properties:

absMaxLength30
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypePOINTER
Datatype
dateAdded12/03/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNamePATIENT NAME
fieldNumber.02
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the patient for whom this problem has been observed and recorded.
helpTextEnter the name of the patient for whom this problem has been observed.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredTrue
Keywords
Lower1
Lower Value(1)
maxLength-
minLength-
modReason
Multiplicity1
NamepatientName
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileNamePATIENT/IHS
pointerFileNumber9000001
Qualified NameHybrid::ProblemList::Classes::Problem::patientName
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
Type«File 9000001» PatientIHS
Upper1
Upper Value(1)
VisibilityPublic


 priority
Public AcuteOrChronicIndicatorList priority

This is a flag to indicate how critical this problem is for this patient; problems marked as Acute will be flagged on theProblem List display.

Constraints:
Properties:

absMaxLength7
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeSET
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNamePRIORITY
fieldNumber1.14
fileNumber9000011
formatRule
formatString
generalDescriptionThis is a flag to indicate how critical this problem is for this patient; problems marked as Acute will be flagged on the Problem List display.
helpTextYou may further refine the status of this problem by assigning it a priority.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
Namepriority
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeaningsACUTE;CHRONIC
permissableValuesA;C
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::priority
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeAcuteOrChronicIndicatorList
Upper1
Upper Value(1)
VisibilityPublic


 problem_ServiceConnection
Public «File 9000011» Problem_ServiceConnection problem_ServiceConnection
Constraints:
Properties:

AggregationComposite
Alias
Association(problem_ServiceConnection:Problem_ServiceConnection)
Association End
businessRule[]
Class«File 9000011» Problem
Datatype
dateAdded
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
formatRule
formatString
Is Compositetrue
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isNullableFalse
Keywords
Lower1
Lower Value(1)
modReason
Multiplicity1
Nameproblem_ServiceConnection
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
Qualified NameHybrid::ProblemList::Classes::Problem::problem_ServiceConnection
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary
synonym
Template Parameter
Type«File 9000011» Problem_ServiceConnection
Upper1
Upper Value(1)
VisibilityPublic


 providerNarrative
Public «File 9999999.27» ProviderNarrative providerNarrative
Constraints:
Properties:

AggregationNone
Alias
Association«VistaAssociationDictionary» (providerNarrative:ProviderNarrative)
Association End
businessRule[]
Class«File 9000011» Problem
Datatype
dateAdded
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
formatRule
formatString
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isNullableFalse
Keywords
Lower1
Lower Value(1)
modReason
Multiplicity1
NameproviderNarrative
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
Qualified NameHybrid::ProblemList::Classes::Problem::providerNarrative
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary
synonym
Template Parameter
Type«File 9999999.27» ProviderNarrative
Upper1
Upper Value(1)
VisibilityPublic


 recordingProvider
Public «File 200» NewPerson recordingProvider

This is the provider who first recorded this problem, either on the paper chart or online.

Constraints:
Properties:

absMaxLength35
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypePOINTER
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameRECORDING PROVIDER
fieldNumber1.04
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the provider who first recorded this problem, either on the paper chart or online.
helpTextEnter the name of the provider who first recorded this data.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NamerecordingProvider
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileNameNEW PERSON
pointerFileNumber200
Qualified NameHybrid::ProblemList::Classes::Problem::recordingProvider
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
Type«File 200» NewPerson
Upper1
Upper Value(1)
VisibilityPublic


 responsibleProvider
Public «File 200» NewPerson responsibleProvider

This is the provider currently responsible for treating this problem.

Constraints:
Properties:

absMaxLength35
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypePOINTER
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameRESPONSIBLE PROVIDER
fieldNumber1.05
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the provider currently responsible for treating this problem.
helpTextEnter the name of the local provider treating this problem.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NameresponsibleProvider
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileNameNEW PERSON
pointerFileNumber200
Qualified NameHybrid::ProblemList::Classes::Problem::responsibleProvider
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
Type«File 200» NewPerson
Upper1
Upper Value(1)
VisibilityPublic


 service
Public «File 49» ServiceSection service

This is the service primarily involved in the treatment of this problem; the DHCP Problem List defaults this field to theservice defined in File #200 for the Recording Provider of this problem, upon entry of the problem. It may later be used tocategorize problems for screening and sorting.

Constraints:
Properties:

absMaxLength30
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypePOINTER
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameSERVICE
fieldNumber1.06
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the service primarily involved in the treatment of this problem; the DHCP Problem List defaults this field to the service defined in File #200 for the Recording Provider of this problem, upon entry of the problem. It may later be used to categorize problems for screening and sorting.
helpTextEnter the service to be associated with this problem.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
Nameservice
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileNameSERVICE/SECTION
pointerFileNumber49
Qualified NameHybrid::ProblemList::Classes::Problem::service
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
Type«File 49» ServiceSection
Upper1
Upper Value(1)
VisibilityPublic


 snomedCtConceptCode
Public String snomedCtConceptCode

A clinical idea to which a unique ConceptID has been assigned in SNOMED CT. Each Concept is represented by a row in the Concepts Table.

Constraints:
Properties:

absMaxLength40
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeFREE TEXT
Datatype
dateAdded03/21/14
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameSNOMED CT CONCEPT CODE
fieldNumber80001
fileNumber9000011
formatRule
formatString
generalDescriptionA clinical idea to which a unique ConceptID has been assigned in SNOMED CT. Each Concept is represented by a row in the Concepts Table.
helpTextAnswer must be 1-40 numeric characters in length.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength40
minLength1
modReason
Multiplicity0..1
NamesnomedCtConceptCode
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::snomedCtConceptCode
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescriptionNOTE: This field is filed programmatically. The user should never be directly prompted for it.
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 snomedCtDesignationCode
Public String snomedCtDesignationCode

A single SNOMED Concept may have multiple Designations, where a Designation may be considered an alternate way of expressing the concept. Synonyms, lexical variants, abbreviations are all different types of designations. In many cases, a problem (as reported by the patient) and a finding indicating a problem will share the same concept and concept code (e.g., abdominal pain), but will have different designation codes (i.e., the generic "abdominal pain and "abdominal pain (finding) share the concept code 21522001, but they have the designation codes 36112013 and 750827015 respectively.

Constraints:
Properties:

absMaxLength40
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeFREE TEXT
Datatype
dateAdded03/21/14
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameSNOMED CT DESIGNATION CODE
fieldNumber80002
fileNumber9000011
formatRule
formatString
generalDescriptionA single SNOMED Concept may have multiple Designations, where a Designation may be considered an alternate way of expressing the concept. Synonyms, lexical variants, abbreviations are all different types of designations. In many cases, a problem (as reported by the patient) and a finding indicating a problem will share the same concept and concept code (e.g., abdominal pain), but will have different designation codes (i.e., the generic "abdominal pain and "abdominal pain (finding) share the concept code 21522001, but they have the designation codes 36112013 and 750827015 respectively.
helpTextAnswer must be 1-40 numeric characters in length.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength40
minLength1
modReason
Multiplicity0..1
NamesnomedCtDesignationCode
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::snomedCtDesignationCode
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescriptionNOTE: This field is filed programmatically. The user should never be directly prompted for it.
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 snomedCtToICDMapStatus
Public SnomedCtToICDMapStatusList snomedCtToICDMapStatus

This Set of Codes type field helps to track the mapping status of a patient's problem. It is set to PENDING when an unmapped Clinical Finding is selected as a patient's problem. It is updated programmatically to COMPLETE when NTRT deploys a new SNOMED CT to ICD mapping for the problem in question. NOTE: THIS FIELD SHOULD NEVER BE UPDATED BY AN END USER.

Constraints:
Properties:

absMaxLength9
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeSET
Datatype
dateAdded03/21/14
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameSNOMED CT-TO-ICD MAP STATUS
fieldNumber80005
fileNumber9000011
formatRule
formatString
generalDescriptionThis Set of Codes type field helps to track the mapping status of a patient's problem. It is set to PENDING when an unmapped Clinical Finding is selected as a patient's problem. It is updated programmatically to COMPLETE when NTRT deploys a new SNOMED CT to ICD mapping for the problem in question. NOTE: THIS FIELD SHOULD NEVER BE UPDATED BY AN END USER.
helpTextSet by program to reflect mapping status of a finding.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NamesnomedCtToICDMapStatus
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeaningsN/A;PENDING;COMPLETED
permissableValues0;1;2
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::snomedCtToICDMapStatus
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeSnomedCtToICDMapStatusList
Upper1
Upper Value(1)
VisibilityPublic


 status
Public ActiveInactiveList status

This is the current activity status of this problem, whether active or inactive; if more detail is needed, a notation may
be filed with this problem.

Constraints:
Properties:

absMaxLength8
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeSET
Datatype
dateAdded07/02/12
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameSTATUS
fieldNumber.12
fileNumber9000011
formatRule
formatString
generalDescriptionThis is the current activity status of this problem, whether active or inactive; if more detail is needed, a notation may be filed with this problem.
helpTextEnter the current status of this problem, active or inactive.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredTrue
Keywords
Lower1
Lower Value(1)
maxLength-
minLength-
modReason
Multiplicity1
Namestatus
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeaningsACTIVE;INACTIVE
permissableValuesA;I
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::status
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeVistaAttributeDictionary, AttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeActiveInactiveList
Upper1
Upper Value(1)
VisibilityPublic


 uniqueNewTermRequested
Public Boolean uniqueNewTermRequested

Indicates whether the user requested a new term during the process of entering a free text problem. It should only be populated automatically by program code. NOTE: THIS FIELD SHOULD NEVER BE UPDATED BY AN END USER.

Constraints:
Properties:

absMaxLength5
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeSET
Datatype
dateAdded03/21/14
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameUNIQUE NEW TERM REQUESTED
fieldNumber80101
fileNumber9000011
formatRule
formatString
generalDescriptionIndicates whether the user requested a new term during the process of entering a free text problem. It should only be populated automatically by program code. NOTE: THIS FIELD SHOULD NEVER BE UPDATED BY AN END USER.
helpTextIndicate whether a New Term was requested (NTRT).
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength-
minLength-
modReason
Multiplicity0..1
NameuniqueNewTermRequested
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeaningsFalse;True
permissableValues0;1
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::uniqueNewTermRequested
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescriptionIf the new term is accepted by Standards & Terminology Service, the term will be deployed by the NTRT process, thereby helping to continuously improve the quality of the vocabulary for documenting patient problems.
Template Parameter
TypeBoolean
Upper1
Upper Value(1)
VisibilityPublic


 uniqueTermRequestComment
Public String uniqueTermRequestComment

Please provide clarification of the new term request. For example, if the requested term is an acronym or abbreviation, the comment field accommodates the fully specified name, etc.

Constraints:
Properties:

absMaxLength80
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeFREE TEXT
Datatype
dateAdded03/21/14
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameUNIQUE TERM REQUEST COMMENT
fieldNumber80102
fileNumber9000011
formatRule
formatString
generalDescriptionPlease provide clarification of the new term request. For example, if the requested term is an acronym or abbreviation, the comment field accommodates the fully specified name, etc.
helpTextAnswer must be 2-80 characters in length.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength80
minLength2
modReason
Multiplicity0..1
NameuniqueTermRequestComment
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::uniqueTermRequestComment
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescription-
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 vhatConceptVuidFuture
Public String vhatConceptVuidFuture

VHA Unique ID (VUID) for the VHAT Concept. A unique meaningless integer assigned to a corresponding concept VHA wide. This field is being implemented to allow a more rapidly extensible vocabulary for VA, while international normative standard coding systems continue to evolve more slowly. The precise definition of the concept Polytrauma may prove to be a useful example. Although the term has become common among US Military and VA physicians to describe a seriously injured (i.e., Injury Severity Score (ISS) >= 16) soldier with multiple traumatic injuries, it is not yet available as a coded concept in either SNOMED CT, ICD-9-CM, or ICD-10-CM. Allowing the definition and deployment of VHAT Concept/Designation VUID pairs to identify such problems in advance of their acceptance by the international medical community will help to provide coded, computable documentation in a much more timely manner than waiting for inclusion in SNOMED CT or ICD. When the infrastructure in VA's Enterprise Terminology Server (ETS) & New Term Rapid Turn-around (NTRT) service are ready to deploy VHAT Concepts, this field will allow us to store patient problems encoded with them.

Constraints:
Properties:

absMaxLength20
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeFREE TEXT
Datatype
dateAdded03/21/14
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameVHAT CONCEPT VUID (FUTURE)
fieldNumber80003
fileNumber9000011
formatRule
formatString
generalDescriptionVHA Unique ID (VUID) for the VHAT Concept. A unique meaningless integer assigned to a corresponding concept VHA wide. This field is being implemented to allow a more rapidly extensible vocabulary for VA, while international normative standard coding systems continue to evolve more slowly. The precise definition of the concept Polytrauma may prove to be a useful example. Although the term has become common among US Military and VA physicians to describe a seriously injured (i.e., Injury Severity Score (ISS) >= 16) soldier with multiple traumatic injuries, it is not yet available as a coded concept in either SNOMED CT, ICD-9-CM, or ICD-10-CM. Allowing the definition and deployment of VHAT Concept/Designation VUID pairs to identify such problems in advance of their acceptance by the international medical community will help to provide coded, computable documentation in a much more timely manner than waiting for inclusion in SNOMED CT or ICD. When the infrastructure in VA's Enterprise Terminology Server (ETS) & New Term Rapid Turn-around (NTRT) service are ready to deploy VHAT Concepts, this field will allow us to store patient problems encoded with them.
helpTextAnswer must be 1-20 numeric characters in length.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength20
minLength1
modReason
Multiplicity0..1
NamevhatConceptVuidFuture
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::vhatConceptVuidFuture
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescriptionNOTE: This field is filed programmatically. The user should never be directly prompted for it.
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 vhatDesignationVuidFuture
Public String vhatDesignationVuidFuture

VHA Unique ID (VUID) for the VHAT Designation. A unique meaningless integer assigned to a corresponding designation VHA wide. VHAT Concept/Designation Code pairs function in a manner identical to that of SNOMED CT Concept/Designation Codes (i.e., they support the unique identification of clinical concepts, along with the many alternative ways in which a given concept may be expressed).

Constraints:
Properties:

absMaxLength20
AggregationNone
Alias
Association
Association End
businessRule[]
Class«File 9000011» Problem
dataTypeFREE TEXT
Datatype
dateAdded03/21/14
dateModified
Default
Default Value
enumeratedBaseDomain
externalMapLocation
externalMapType
fieldNameVHAT DESIGNATION VUID (FUTURE)
fieldNumber80004
fileNumber9000011
formatRule
formatString
generalDescriptionVHA Unique ID (VUID) for the VHAT Designation. A unique meaningless integer assigned to a corresponding designation VHA wide. VHAT Concept/Designation Code pairs function in a manner identical to that of SNOMED CT Concept/Designation Codes (i.e., they support the unique identification of clinical concepts, along with the many alternative ways in which a given concept may be expressed).
helpTextAnswer must be 1-20 numeric characters in length.
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
isMultipleFalse
isNullableFalse
isRequiredFalse
Keywords
Lower0
Lower Value(0)
maxLength20
minLength1
modReason
Multiplicity0..1
NamevhatDesignationVuidFuture
Name Expression
Namespace«File 9000011» Problem
note
Opposite
originalClass
originalName
Owner«File 9000011» Problem
Owning Association
Owning Template Parameter
permissableValueMeanings-
permissableValues-
pointerFileName-
pointerFileNumber-
Qualified NameHybrid::ProblemList::Classes::Problem::vhatDesignationVuidFuture
referenceDocumentHyperlink[]
referenceDocumentPage[]
referenceDocumentTitle[]
referenceInfo
requestedBy
StereotypeAttributeDictionary, VistaAttributeDictionary
subFileNumber-
synonym
technicalDescriptionNOTE: This field is filed programmatically. The user should never be directly prompted for it.
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic