Template 1.3.6.1.4.1.19376.1.5.3.1.4.5.2

Template Problem Concern

1.3.6.1.4.1.19376.1.5.3.1.4.5.2

ref

(from repository: epsos-)

Effective Date

valid from 2013‑12‑20

There are versions of templates with this id:

IHEProblemConcernEntry as of 2016‑09‑26 08:50:28
EntryProblemConcern as of 2013‑12‑20
ProblemConcernEntry as of 2009‑12‑04

Status Draft Version Label

Name EntryProblemConcern Display Name Problem Concern

Description

This entry is a specialization of the Concern Entry, wherein the subject of the concern is focused on a problem. Elements shown in the example below in gray are explained in the Concern Entry.

Parent Template

The parent of this template is Concern Entry. This template is compatible with the ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.27

This entry has a template identifier of 1.3.6.1.4.1.19376.1.5.3.1.4.5.2, and is a subtype of the Concern Entry, and so must also conform to that specification, with the template identifier of 1.3.6.1.4.1.19376.1.5.3.1.4.5.1. These elements are required and shall be recorded exactly as shown.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.5.2

Classification CDA Entry Level Template

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

Used by / Uses

Used by 0 transactions and 0 templates, Uses 1 template

Uses	as	Name	Version
1.3.6.1.4.1.19376.1.5.3.1.4.5	Containment	IHE Problem Entry (2014)	DYNAMIC

Example

Item DT Card Conf Description Label

hl7:act R (Entern)

@classCode cs 1 … 1 F ACT

@moodCode cs 1 … 1 F EVN

hl7:templateId II 1 … 1 M (Entern)

@root uid 1 … 1 F 2.16.840.1.113883.10.20.1.27

hl7:templateId II 1 … 1 M (Entern)

@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 (Entern)

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.5.2

hl7:id II 1 … * R (Entern)

hl7:code CD 1 … 1 R Fixed nullFlavor='NA' (Entern)

hl7:text ED 0 … 1 R (Entern)

hl7:reference TEL 1 … 1 M (Entern)

@value 1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

hl7:statusCode CS 0 … 1 R One of: active|suspended|aborted|completed (Entern)

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.3.1937.777.11.11.2 ActStatusActiveAbortedSuspendedCompleted (DYNAMIC)

hl7:effectiveTime IVL_TS 0 … 1 R (Entern)

hl7:low 1 … 1 R The <low> element shall be present. (Entern)

hl7:high 0 … 1 C The <high> element shall be present for concerns in the completed or aborted state, and shall not be present otherwise. (Entern)

hl7:entryRelationship

1 … *

This entry shall contain one or more problem entries that conform to the Problem Entry template 1.3.6.1.4.1.19376.1.5.3.1.4.5. For CDA this SHALL be represented with the <entryRelationship> element. For HL7 Version 3 Messages, this SHALL be represented as a <subjectOf> element. The typeCode SHALL be ‘SUBJ’ and inversionInd SHALL be ‘false’

Note: every Problem Entry used in this section to identify problem of concern MAY have an <entryRelationship> that will indicate the severity of the problem, conforming to the severity entry template (1.3.6.1.4.1.19376.1.5.3.1.4.1). The severity codes to be used are epSOSSeverity, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.13.

Contains 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC)

(Ent

ern)

where [@typeCode='SUBJ'] [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5'] and hl7:templateId [@root='2.16.840.1.113883.10.20.1.28']]]

@typeCode cs 1 … 1 F SUBJ

hl7:entryRelationship 0 … * R optional entry relationship providing more information about the concern. A source of information observation SHALL be the target of an entryRelationship whose value for “entryRelationship / @typeCode” SHALL be “REFR” “Refers to” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. A source of information observation SHALL be represented with Observation. CONF‑524 / CONF‑525

@typeCode cs 1 … 1 F REFR

hl7:observation ASTM CCR requires that all data objects have a stated source (or state explicitly that the source is unknown) so that any data within the summary can be validated. The source of data may be a person, organization, reference to some other data object, etc. CONF‑524 / CONF‑525

@classCode cs 0 … 1 F OBS CONF‑526

The value for “Observation / @classCode” in a source of information observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC.

@moodCode cs 0 … 1 F EVN CONF‑527

The value for “Observation / @moodCode” in a source of information observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.

hl7:code CD 1 … 1 R A source of information observation SHALL contain exactly one Observation / code. The value for “Observation / code” in a source of information observation SHALL be “48766-0” “Information source” 2.16.840.1.113883.6.1 LOINC STATIC. CONF‑530 / CONF‑531

@code CONF 0 … 1 F 48766-0

@codeSystem 0 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)

@displayName 0 … 1 F Information source

hl7:statusCode 1 … 1 R A source of information observation SHALL contain exactly one Observation / statusCode. The value for “Observation / statusCode” in a source of information observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC. CONF‑528 / CONF‑529

@code CONF 0 … 1 F completed

hl7:value 1 … 1 M A source of information observation SHALL contain exactly one Observation / value. The absence of a known source of information SHALL be explicity asserted by valuing Observation / value in a source of information observation with the text string “Unknown”. CONF‑532 / CONF‑533

Template Problem Concern