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active Template  Problem Status Observation

Id 2.16.756.5.30.1.1.10.4.100
ref
ch-pcc-
Effective Date 2016‑11‑12
Other versions this id:
Status active Active Version Label 2016
Name chpcc_entry_ProblemStatusObservation Display Name Problem Status Observation
Description Any problem or allergy observation may reference a problem status observation.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.100
Label IHE PCC TF2 Rev.11, 6.3.4.4
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 3 transactions and 12 templates, Uses 2 templates
Used by as Name Version
cdachvacd-transaction-5 Transaction pending CDA-CH-VACD - Immunization Recommendation Request (2018) 2018‑04‑10 18:08:44
cdachvacd-transaction-6 Transaction pending CDA-CH-VACD - Immunization Recommendation Response (2018) 2018‑04‑10 18:09:59
cdachvacd-transaction-7 Transaction pending CDA-CH-VACD - Vaccination Record (2018) 2018‑04‑10 18:10:49
2.16.756.5.30.1.1.10.4.98 Containment active Allergy Or Intolerance Entry (2016) 2016‑11‑12
2.16.756.5.30.1.1.10.4.91 link active Allergies and Intolerances Concern Entry (2016) 2016‑11‑12
2.16.756.5.30.1.1.10.3.51 link active Allergies and other Adverse Reactions Section - coded (2016) 2016‑11‑12
2.16.756.5.30.1.1.10.1.17 link active Immunization Recommendation Request (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.1.17 link rejected Immunization Recommendation Request (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.18 link active Immunization Recommendation Response (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.1.18 link rejected Immunization Recommendation Response (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.19 link active Vaccination Record (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.1.19 link rejected Vaccination Record (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.3.51 link rejected Allergies and other Adverse Reactions Section - coded (2016) 2016‑11‑11
2.16.756.5.30.1.1.10.4.91 link rejected Allergies and Intolerances Concern Entry (2016) 2016‑11‑11
2.16.756.5.30.1.1.10.4.98 Containment rejected Allergy Or Intolerance Entry (2016) 2016‑11‑11
Uses as Name Version
2.16.756.5.30.1.1.10.9.14 Include active Narrative Text Reference (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.54 Containment active Author Compilation with id, name, addr and telecom (2020) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 eHDSI Problem Status Observation (DYNAMIC)
ref
epsos-

Specialization: template 2.16.840.1.113883.10.20.1.57 Status observation (DYNAMIC)
ref
ccd1-

Specialization: template 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)
ref
ccd1-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.100"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.1"/>  <templateId root="2.16.840.1.113883.10.20.1.57"/>  <templateId root="2.16.840.1.113883.10.20.1.50"/>  <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/>  <text>
    <reference value="#cstatus-2"/>  </text>
  <statusCode code="completed"/>  <value type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active"/>  <author>
    <!-- template 2.16.756.5.30.1.1.10.9.54 'Author Compilation with id, name, addr and telecom' -->
  </author>
</observation>
Item DT Card Conf Description Label
hl7:observation
Any problem or allergy observation may reference a problem status observation. IHE PCC TF2 Rev.11, 6.3.4.4
@classCode
cs 1 … 1 F OBS
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.100
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.1.1
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.57
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.50
hl7:id
II 1 … 1 M Each observation SHALL have an identifier. IHE PCC TF2 Rev.11, 6.3.4.4
@root
uid 1 … 1 R MUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
@extension
st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
CD 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@code
cs 1 … 1 F 33999-4
@codeSystem
oid 1 … 1 F 2.16.840.1.113883.6.1
@codeSystemName
st 1 … 1 F LOINC
@displayName
st 1 … 1 F Status
Included 1 … 1 from 2.16.756.5.30.1.1.10.9.14 Narrative Text Reference (DYNAMIC)
The human-readable text MUST be generated automatically from the structured information of this element. The text element MUST contain the reference to the corresponding text in the human readable part, ONLY.
hl7:text
ED 1 … 1 M CDA‑CH V2
hl7:reference
TEL 1 … 1 M The reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx'] CDA‑CH V2
@value
1 … 1 R Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
  Schematron assert role red error  
  test starts-with(@value,'#')  
  Message The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding <content/> element.  
  Variable let Name idvalue  
  Value substring-after(@value,'#')  
  Schematron assert role red error  
  test ancestor::hl7:structuredBody//*[@ID=$idvalue]  
  Message No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>').  
hl7:statusCode
CS 1 … 1 M

The statusCode shall be set to 'completed' for all problem status observations.

IHE PCC TF2 Rev.11, 6.3.4.4
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20025 ActStatusCompleted (DYNAMIC)
hl7:value
CE 1 … 1 M The element contains the clinical status. It is always represented using the CE datatype (xsi:type='CE'). It shall contain a code from the following set of values from SNOMED CT. IHE PCC TF2 Rev.11, 6.3.4.4
@code
cs 1 … 1 R
@codeSystem
oid 1 … 1 F 2.16.840.1.113883.6.96
@codeSystemName
st 1 … 1 F SNOMED CT
@displayName
st 1 … 1 R
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.2 ProblemStatusObservation_value (2016‑09‑26 13:58:58)
hl7:author
0 … * C The author of the statement SHALL be specified either here or in one of the ancestors.
Contains 2.16.756.5.30.1.1.10.9.54 Author Compilation with id, name, addr and telecom (DYNAMIC)
IHE PCC TF2 Rev.11, 6.3.4.4
  Schematron assert role red error  
  test (hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]] or ancestor::*/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]])  
  Message The author of the statement SHALL be specified either here or in one of the ancestors. It shall contain the time, id, name, addr and telecom elements as specified in IHE PCC TF Vol. 2, section 6.3.4.1 Authors and Informants.  
  Schematron assert role yellow info  
  test (not(hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) and ancestor::hl7:section/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]])  
  Message The author of the statement is specified by the ancestor section.  
  Schematron assert role yellow info  
  test (not(hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]] or ancestor::hl7:section/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) and ancestor::hl7:ClinicalDocument/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]])  
  Message The author of the statement is specified by the author in the document header.