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cancelled Template  IHE Health Status Observation

Id 1.3.6.1.4.1.19376.1.5.3.1.4.1.2
ref
ch-pcc-
 		Effective Date 2019‑10‑16 17:28:13
Status cancelled Cancelled Version Label 2014
Name IHEHealthStatusObservation Display Name IHE Health Status Observation
Description
A problem observation may reference a health status observation. This structure is included in the target observation using the element defined in the CDA Schema. The health status observation records information about the current health status of the patient. The example below shows the recording the health status, and is used as the context for the following sections.
Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.1.2
Label 6.3.4.5
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 0 templates
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
Relationship Version: template 1.3.6.1.4.1.19376.1.5.3.1.4.1.2 Entry Health Status Observation (2013‑12‑20)
ref
epsos-

Specialization: template 2.16.840.1.113883.10.20.1.51 Problem healthstatus observation (DYNAMIC)
ref
ccd1-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.1.51"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.2"/>  <code code="11323-3" displayName="Health Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <text>
    <reference value="#hstatus-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
 		6.3.4.5
hl7:templateId
 		II 1 … 1 M 6.3.4.5
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.20.1.51
hl7:templateId
 		II 1 … 1 M 6.3.4.5
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.1.2
hl7:code
 		CD 1 … 1 M

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

6.3.4.5
@code
 		CONF 1 … 1 F 11323-3
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 		1 … 1 F LOINC
@displayName
 		1 … 1 F Health Status
hl7:text
 		ED 1 … 1 M

The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

6.3.4.5
hl7:reference
 		TEL 1 … 1 M 6.3.4.5
hl7:statusCode
 		CS 1 … 1 R

The code attribute of <statusCode> for all clinical status observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed.

6.3.4.5
@code
 		CONF 0 … 1 F completed
@codeSystem
 		0 … 1 F 2.16.840.1.113883.5.14 (ActStatus)
hl7:value
 		CE 1 … 1 M The element contains the health 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. 6.3.4.5