This class contains a history of updates to the Health Concern record, and relates the Health Concern record to various encounters over time.

A type of Health Concern that arises from the patient's occupation or place of employment.

"Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed." - HL7 FHIR, Condition.evidence

Identifies the Accident, Injury, or Exposure that caused the Health Concern.

A type of Health Concern that embodies a risk that the patient may be particularly susceptible to a given disease due to the fact that a relative of the patient had experienced the condition. For example, if a female patient's mother had breast cancer, then the patient may have a higher risk of breast cancer. While this class is generally used for conditions to which the patient may be genetically pre-disposed, such as breast cancer, and therefore will generally reference blood relatives, it may also be used to document environmental risks that the patient shares with extended family members.

This class represents what has historically been called a "problem" in a "problem list", but it broader than the notion of a problem. A Health Concern is anything that a clinician wishes to track about the Patient, including items which the patient might not consider to be a "problem", such as the fact that the patient smokes. The concern may evolve over time, perhaps first being listed as a symptom or a group of symptoms, then a provisional diagnosis, then an actual diagnosis, then it may be resolved or go into remission. Note that Health Concerns can be linked to each other, so one Concern might be the symptom, another Concern might be the named condition or diagnosis which is the cause of the symptom. In this case, the two Concerns would be linked together with a causes/caused by relationship. The community has had difficulty naming this concept, as the distinction between observations and conditions is artificial and unreproducible, and the word "problem" does not always apply. FHIR calls this concept a Condition. CIMI calls it an Assertion. In the end it is an observation, or a collection of observations that may change over time. "This class is used to track a patient's health concern observed by various providers at various points in time and locations. The name and nature of the concern is derived from the first health concern observation made, which could be an indication of a negative assertion for an health concern, if necessary (e.g. not a diabetic)." - HL7 v3. "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern." - HL7 FHIR, Condition "Clinical Assertions assert the existence of clinical conditions, diseases, symptoms, etc. in the patient." - HL7 CIMI, Assertion

This class provides a list of a patient's "health concerns", otherwise known as "problems". Such a list is traditionally called a "problem list". This list is made up of entries, some of which may have been collected from other provider organizations.

An entry in a patient's "problem list". This class allows for entries to be prioritized, and potentially de-duplicated if multiple entries are received from different sources.

"Risks may represent clinically significant potential concerns to the patient’s health. They are captured in order to monitor and mitigate the manifestation of a future concern. Risks may be raised based on clinical evidences or they may capture a provider’s judgment." - HL7 Care Plan Domain Analysis Model.

"Indicates the category of caregiver with responsibility for managing this specific problem (e.g., care team, nursing, medicine, respiratory therapy, occupational therapy, dietary, etc.)." - HL7 Version 2.8, PRB-11

A Role played by a person who is related to the Patient wherein a Heatlh Concern of that related person is also considered a potential concern of the Patient. This class contains demographic information about the related person. This information is of a nature that may be stored in a Person table if the related person is known to the system (in which case that data may be derived or populated from such a person table), but it is more often the case that the related person is not known by the system, so the demographic information is stored here in the role.

Subjective information that addresses occupational and recreational aspects of the patient's personal life that have the potential to be clinically significant such as sexual history, smoking history and alcohol consumption.

"Clinical stage or grade of a condition. May include formal severity assessments." - HL7 FHIR, Condition.stage