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cancelled Template  IHE Problem Status Observation

Id 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 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 draft Pharmaceutical Advice document 2018‑04‑04 15:36:35
cdachemed-transaction-7 Transaction draft Medication List document 2018‑04‑04 15:37:19
1.3.6.1.4.1.19376.1.5.3.1.4.5 Containment pending IHE Problem Entry (2016) 2016‑11‑12
1.3.6.1.4.1.19376.1.5.3.1.4.6 link pending IHE Allergies And Intolerances Entry (2016) 2016‑11‑12
2.16.756.5.30.1.1.10.4.81 link pending Pharmaceutical Advice Concern Entry Content Module (2017) 2016‑01‑11 11:13:04
2.16.756.5.30.1.1.10.4.44 link pending Pharmaceutical Advice Item Entry Content Module (2020) 2016‑06‑25
2.16.756.5.30.1.1.10.3.12 link pending Pharmaceutical Advice Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.6 link pending Pharmaceutical Advice document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.3.44 link pending Medication List Section Content Module (2017) 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 link pending 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 active 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
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.1.57"/>  <templateId root="2.16.840.1.113883.10.20.1.50"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.1"/>  <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <text>
    <reference value="#cstatus-2"/>  </text>  <statusCode code="completed"/>  <value xsi:type="CE" code=" " codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></observation>
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
 		CD 1 … 1 M

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 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 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