Replacement of references to the HCIM Problem

Reason

Upon acceptance of the revision of the HCIM Problem, in release 2024 the HCIM Problem will disappear. This means that HCIMs currently referring to the HCIM Problem will have to be modified.
The HCIM Problem represented multiple concepts and these have been modelled in separate HCIMs after the revision of the HCIM Problem.

Realisation

The following HCIMs are eligable to replace the reference to the HCIM Problem:

• Condition
• DiagnosticInsight
• HypersensitivityIntolerance
• Reaction
• Symptom

Depending on the nature of the concept of a HCIM currently referring to Problem, replacing the reference to the HCIM Problem requires a reference to one or more of the above HCIMs.
The table below shows, for each HCIM with a current reference to the HCIM Problem, which reference(s) will replace it.

HCIM	Current reference	Replacement reference(s)	Old information model	New information model
Admission	Problem	DiagnosticInsight Reaction Symptom	full-size
AdvanceDirective	Problem	DiagnosticInsight	full-size
Alert	Problem	DiagnosticInsight HypersensitivityIntolerance 1	full-size
CareAgreement	Problem	DiagnosticInsight	full-size
CareTeam	Problem	DiagnosticInsight Symptom	full-size
Encounter	Problem	DiagnosticInsight HypersensitivityIntolerance Reaction Symptom	full-size
EpisodeOfCare	Problem	Condition 2	full-size
FamilyHistory	Problem	DiagnosticInsight HypersensitivityIntolerance	full-size
MedicalDevice	Problem	DiagnosticInsight	full-size
MedicationAgreement	Problem	DiagnosticInsight HypersensitivityIntolerance Reaction Symptom	full-size
MultidisciplinaryTeamMeeting	Problem	DiagnosticInsight Symptom	full-size
NursingIntervention	Problem	DiagnosticInsight Symptom	full-size
NutritionAdvice	Problem	DiagnosticInsight HypersensitivityIntolerance Reaction Symptom	full-size
Procedure	Problem	DiagnosticInsight Symptom	full-size
Signaling	Problem	DiagnosticInsight	full-size	full-size
SkinDisorder	Problem	DiagnosticInsight	full-size
TreatmentObjective	Problem	DiagnosticInsight HypersensitivityIntolerance Symptom	full-size	full-size

Notes

¹  HypersensitivityIntolerance reference should only be used when it is not medication related, as that is what the HCIM SurveillanceDecision is intended for.
²  An EpisodeOfCare relates to a condition that a health professional is following.