Template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 - IHEProblemStatusObservation

Template IHE Problem Status Observation

1.3.6.1.4.1.19376.1.5.3.1.4.1.1

ref

ch-pcc-

Effective Date

2019‑10‑16 17:29:32

Status Cancelled Version Label 2016

Name IHEProblemStatusObservation Display Name IHE Problem Status Observation

Description

Any problem or allergy observation may reference a problem status observation. This structure is included in the target observation using the <entryRelationship> element defined in the CDA Schema. The clinical status observation records information about the current status of the problem or allergy, for example, whether it is active, in remission, resolved, et cetera. The example below shows the recording of clinical status of a condition or allergy, and is used as the context for the following sections.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.1.1

Label 6.3.4.4

Classification CDA Entry Level Template

Open/Closed Open (other than defined elements are allowed)

Used by / Uses

Used by 2 transactions and 8 templates, Uses 1 template

Used by	as	Name	Version
cdachemed-transaction-6	Transaction	Pharmaceutical Advice document	2018‑04‑04 15:36:35
cdachemed-transaction-7	Transaction	Medication List document	2018‑04‑04 15:37:19
1.3.6.1.4.1.19376.1.5.3.1.4.5	Containment	IHE Problem Entry (2014)	2019‑10‑16 17:12:43
1.3.6.1.4.1.19376.1.5.3.1.4.6		IHE Allergies And Intolerances Entry (2014)	2019‑10‑16 17:13:11
2.16.756.5.30.1.1.10.4.81		Pharmaceutical Advice Concern Entry Content Module (2017)	2016‑01‑11 11:13:04
2.16.756.5.30.1.1.10.4.44		Pharmaceutical Advice Item Entry Content Module (2020)	2016‑06‑25
2.16.756.5.30.1.1.10.3.12		Pharmaceutical Advice Section Content Module (2017)	2016‑06‑06
2.16.756.5.30.1.1.10.1.6		Pharmaceutical Advice document (2020)	2016‑05‑21
2.16.756.5.30.1.1.10.3.44		Medication List Section Content Module (2017)	2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13		Medication List document (2020)	2018‑01‑22 15:17:26
Uses	as	Name	Version
2.16.756.5.30.1.1.10.9.14	Include	Narrative Text Reference (2017)	DYNAMIC

Relationship

Version: template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 Entry Problem Status Observation (2013‑12‑20)

ref

epsos-

Specialization: template 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)

ref

ccd1-

Specialization: template 2.16.840.1.113883.10.20.1.57 Status observation (DYNAMIC)

ref

ccd1-

Example

Item DT Card Conf Description Label

hl7:observation 6.3.4.4

@classCode cs 1 … 1 F OBS

@moodCode cs 1 … 1 F EVN

hl7:templateId II 1 … 1 M 6.3.4.4

@root uid 1 … 1 F 2.16.840.1.113883.10.20.1.57

hl7:templateId II 1 … 1 M 6.3.4.4

@root uid 1 … 1 F 2.16.840.1.113883.10.20.1.50

hl7:templateId II 1 … 1 M 6.3.4.4

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.1.1

hl7:code

1 … 1

This observation is of clinical status, as indicated by the <code> element. This element must be present.

6.3.4.4

@code CONF 1 … 1 F 33999-4

@codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)

@codeSystemName 1 … 1 F LOINC

@displayName 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 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 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

1 … 1

The statusCode shall be set to 'completed' for all targets of immunization series.

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. 6.3.4.4

Template IHE Problem Status Observation