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active Template  Problem Concern Entry

Id 2.16.756.5.30.1.1.10.4.90
ref
ch-pcc-
Effective Date 2016‑11‑12
Other versions this id:
Status active Active Version Label 2016
Name chpcc_entry_ProblemConcern Display Name Problem Concern Entry
Description
This element describes a problem concern of the patient and indicates the period of time where this concern is active. It contains a set of references to problems related to this concern. In the context of immunization a Problem Concern Entry SHALL be indicated for medical-risks and exposure-risks separately.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.90
Label IHE PCC TF2 Rev.11, 6.3.4.12
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 3 transactions and 10 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
2.16.756.5.30.1.1.10.3.25 Containment active Active Problems 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
2.16.756.5.30.1.1.10.3.25 Containment rejected Active Problems Section - coded (2016) 2016‑11‑11
2.16.756.5.30.1.1.10.3.50 Containment active History Of Past Illness Section - coded (2016) 2016‑11‑12
2.16.756.5.30.1.1.10.3.50 Containment rejected History Of Past Illness Section - coded (2016) 2016‑11‑11
Uses as Name Version
2.16.756.5.30.1.1.10.9.54 Containment active Author Compilation with id, name, addr and telecom (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.97 Containment active Problem Entry (2016) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 eHDSI Problem Concern (DYNAMIC)
ref
epsos-

Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.5.1 IHE Concern Entry (DYNAMIC)
ref
IHE-PCC-

Specialization: template 2.16.840.1.113883.10.20.1.27 Problem act (DYNAMIC)
ref
ccd1-

Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
Example
Example
<act classCode="ACT" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.90"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>  <templateId root="2.16.840.1.113883.10.20.1.27"/>  <code nullFlavor="NA"/>  <text>Komplikationsrisiken</text>  <statusCode code="active"/>  <effectiveTime>
    <low value="20140112"/>    <high nullFlavor="UNK"/>  </effectiveTime>
  <author>
    <!-- template 2.16.756.5.30.1.1.10.9.54 'Author Compilation with id, name, addr and telecom' -->
  </author>
  <entryRelationship typeCode="SUBJ" inversionInd="false">
    <!-- template 2.16.756.5.30.1.1.10.4.97 'Problem Entry' -->
  </entryRelationship>
</act>
Item DT Card Conf Description Label
hl7:act
This element describes a problem concern of the patient and indicates the period of time where this concern is active. It contains a set of references to problems related to this concern. In the context of immunization a Problem Concern Entry SHALL be indicated for medical-risks and exposure-risks separately. IHE PCC TF2 Rev.11, 6.3.4.12
@classCode
cs 1 … 1 F ACT
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.12
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.90
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.12
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.12
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.12
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.27
hl7:id
II 0 … 1 R An ID for this item MAY be filled for traceability. IHE PCC TF2 Rev.11, 6.3.4.12
@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
CE 1 … 1 R IHE PCC TF2 Rev.11, 6.3.4.12
@nullFlavor
cs 1 … 1 F NA
@code
cs 0 NP NP/not present
@codeSystem
oid 0 NP NP/not present
@codeSystemName
st 0 NP NP/not present
@displayName
st 0 NP NP/not present
hl7:text
SD.TEXT 1 … 1 M Description of the concern (free text). Examples: 'Hypertension', 'Medical-Risks', 'Exposure-Risks' IHE PCC TF2 Rev.11, 6.3.4.12
hl7:statusCode
CS 1 … 1
  • active: A concern that is still being tracked.
  • suspended: A concern that is active, but which may be set aside.
  • aborted: A concern that is no longer actively being tracked, but for reasons other than because the problem was resolved.
  • completed: The problem, allergy or medical state has been resolved and the concern no longer needs to be tracked except for historical purposes.
IHE PCC TF2 Rev.11, 6.3.4.12
  CONF
@code shall be "active"
or
@code shall be "suspended"
or
@code shall be "aborted"
or
@code shall be "completed"
hl7:effectiveTime
IVL_TS.CH.TZ 1 … 1 R Indicates the period while the concern was active. IHE PCC TF2 Rev.11, 6.3.4.12
hl7:low
TS.CH.TZ 1 … 1 M Point of time of the first occurance of the concern. IHE PCC TF2 Rev.11, 6.3.4.12
hl7:high
TS.CH.TZ 0 … 1 C Point of time when the concern status is set to 'aborted' or 'completed'. For all other cases the value remains empty. IHE PCC TF2 Rev.11, 6.3.4.12
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, 6.3.4.12
  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.  
hl7:entryRelationship
1 … * R Contains 2.16.756.5.30.1.1.10.4.97 Problem Entry (DYNAMIC) IHE PCC TF2 Rev.11, 6.3.4.12
where [@typeCode='SUBJ']
@typeCode
cs 1 … 1 F SUBJ
@inversionInd
bl 1 … 1 F false