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ref Template  Problem Status Observation

Id 2.16.756.5.30.1.1.10.4.100
ref
ch-pcc-
 		Effective Date 2016‑11‑11
Status pending Under pre-publication review Version Label 2016
Name chpcc_entry_ProblemStatusObservation Display Name Problem Status Observation
Description Any problem or allergy observation may reference a problem status observation.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.100
Label IHE PCC TF2 Rev.11, 6.3.4.4
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 6 templates, Uses 2 templates
Used by as Name Version
2.16.756.5.30.1.1.10.4.98 Containment pending Allergy Or Intolerance Entry (2016) 2016‑11‑11
2.16.756.5.30.1.1.10.4.91 link pending Allergies and Intolerances Concern Entry (2016) 2016‑11‑11
2.16.756.5.30.1.1.10.3.51 link pending Allergies and other Adverse Reactions Section - coded (2016) 2016‑11‑11
2.16.756.5.30.1.1.10.1.17 link pending Immunization Recommendation Request (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.18 link pending Immunization Recommendation Response (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.19 link pending Vaccination Record (2018) 2018‑04‑19
Uses as Name Version
2.16.756.5.30.1.1.10.9.14 Include active Narrative Text Reference (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.48 Containment active Author Compilation with name (2017) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 (DYNAMIC)
Specialization: template 2.16.840.1.113883.10.20.1.57 (DYNAMIC)
Specialization: template 2.16.840.1.113883.10.20.1.50 (DYNAMIC)
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.100"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.1"/>  <templateId root="2.16.840.1.113883.10.20.1.57"/>  <templateId root="2.16.840.1.113883.10.20.1.50"/>  <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/>  <text>
    <reference value="#cstatus-2"/>  </text>  <statusCode code="completed"/>  <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active"/></observation>
Item DT Card Conf Description Label
hl7:observation
 Any problem or allergy observation may reference a problem status observation. IHE PCC TF2 Rev.11, 6.3.4.4
hl7:templateId
 II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.4.100
hl7:templateId
 II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.1.1
hl7:templateId
 II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@root
 uid 1 … 1 F 2.16.840.1.113883.10.20.1.57
hl7:templateId
 II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@root
 uid 1 … 1 F 2.16.840.1.113883.10.20.1.50
hl7:code
 CD 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.4
@code
 cs 1 … 1 F 33999-4
@codeSystem
 oid 1 … 1 F 2.16.840.1.113883.6.1
@codeSystemName
 st 1 … 1 F LOINC
@displayName
 st 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 problem status observations.

 IHE PCC TF2 Rev.11, 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. IHE PCC TF2 Rev.11, 6.3.4.4
@code
 cs 1 … 1 R
@codeSystem
 oid 1 … 1 F 2.16.840.1.113883.6.96
@codeSystemName
 st 1 … 1 F SNOMED CT
@displayName
 st 1 … 1 R
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.2 ProblemStatusObservation_value (2016‑09‑26 13:58:58)
hl7:author
 0 … * This MAY be used to indicate who has documented the observation. This information supersedes any information recorded at higher level.
Contains 2.16.756.5.30.1.1.10.9.48 Author Compilation with name (DYNAMIC) 		IHE PCC TF2 Rev.11, 6.3.4.4
treeblank where [hl7:functionCode [concat(@code,@codeSystem)=doc('include/voc-2.16.756.5.30.1.127.3.10.1.1.3-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code,@codeSystem) or @nullFlavor]]