hl7:observation
|
|
|
|
Problem as structured entry (e.g. syptom, complaint, diagnosis etc.) |
IHE PCC TF2 Rev.11, 6.3.4.14 |
@classCode
|
cs |
1 … 1 |
F |
OBS |
@moodCode
|
cs |
1 … 1 |
F |
EVN |
@negationInd
|
bl |
1 … 1 |
R |
This value remains usually 'false'. If there is an observation that the problem has
not occured, this value can be set 'true'. This is a small but important difference
to the situation where the problem has not been observed (and therefore no problem
has been recorded).
|
hl7:templateId
|
II |
1 … 1 |
|
|
IHE PCC TF2 Rev.11, 6.3.4.14 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.4.97 |
hl7:templateId
|
II |
1 … 1 |
|
|
IHE PCC TF2 Rev.11, 6.3.4.14 |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.4.5 |
hl7:templateId
|
II |
1 … 1 |
|
|
IHE PCC TF2 Rev.11, 6.3.4.14 |
@root
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.20.1.28 |
hl7:id
|
II |
0 … 1 |
R |
An ID for this item MAY be filled for traceability. |
IHE PCC TF2 Rev.11, 6.3.4.14 |
@root
|
uid |
1 … 1 |
R |
MUST contain the OID of the system that issued the ID. OIDs of code systems, which
are published in the public OID registry for the Swiss health care system (oid.refdata.ch)
are REQUIRED. Others are NOT ALLOWED.
|
@extension
|
st |
0 … 1 |
|
Contains the ID itself. The ID MUST be unique within the system that issued the ID. |
hl7:code
|
CD |
1 … 1 |
M |
The problem type code. |
IHE PCC TF2 Rev.11, 6.3.4.14 |
@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 |
|
| |
Constraint |
For eVACDOC complication or exposure risks, the code 55607006 (problem) MUST be used. |
| |
CONF |
|
| 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
|
CS |
1 … 1 |
M |
The statusCode shall be set to 'completed' for all problems.
|
IHE PCC TF2 Rev.11, 6.3.4.14 |
| |
CONF |
|
hl7:effectiveTime
|
IVL_TS.CH.TZ |
1 … 1 |
R |
Indicates the time interval over which the problem is known to be true. |
IHE PCC TF2 Rev.11, 6.3.4.14 |
hl7:low
|
TS.CH.TZ |
1 … 1 |
R |
Point of time of the first occurance of the problem. |
IHE PCC TF2 Rev.11, 6.3.4.14 |
hl7:high
|
TS.CH.TZ |
0 … 1 |
C |
Point of time when the problem was solved. For all other cases this value remains
empty.
|
IHE PCC TF2 Rev.11, 6.3.4.14 |
hl7:value
|
CD |
0 … * |
|
This value can be either a coded value or uncoded text. The type is always xsi:type='CD'.
For coded values the attributes code, codeSystem, codeSystemName and displayName MUST
be present. For uncoded values, the nullFlavor='NAV' attribute and the originalText
element MUST be present.
The following value sets are allowed:
- CHOP: 2.16.756.5.30.1.126.3.1
- ICD-10: 2.16.756.5.30.1.126.3.2
- ICPC-2: 2.16.840.1.113883.6.139
- VVK-EDI: 2.16.756.5.30.1.127.3.1.20080401.1
- SNOMED CT: 2.16.840.1.113883.6.96
- Swiss Vaccination Plan Complication Risks: 2.16.756.5.30.1.127.3.3.1
- Swiss Vaccination Plan Exposure Risks: 2.16.756.5.30.1.127.3.3.2
The SNOMED CT code 160245001, 'No current problems or disability (situation)' MAY
be used to indicate that the patient doesn't currently suffer on any problem.
For special cases a code from the value set 'Special Case Problems' SHALL be used.
|
IHE PCC TF2 Rev.11, 6.3.4.14 |
@nullFlavor
|
st |
0 … 1 |
F |
NAV |
@code
|
cs |
0 … 1 |
|
|
@codeSystem
|
oid |
0 … 1 |
|
|
@codeSystemName
|
st |
0 … 1 |
|
|
@displayName
|
st |
0 … 1 |
|
|
| |
CONF |
| @codeSystem shall be "2.16.756.5.30.1.126.3.1" |
| or |
| @codeSystem shall be "2.16.756.5.30.1.126.3.2" |
| or |
| @codeSystem shall be "2.16.840.1.113883.6.139" |
| or |
| @codeSystem shall be "2.16.756.5.30.1.127.3.1.20080401.1" |
| or |
| @codeSystem shall be "2.16.840.1.113883.6.96" |
| or |
| The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.72 Swiss Vaccination Plan Complication Risks (DYNAMIC)
|
| or |
| The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.73 Swiss Vaccination Plan Exposure Risks (DYNAMIC)
|
| or |
| The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.74 Special Case Problems (DYNAMIC)
|
| or |
| The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.75 Illnesses undergone for immunization (DYNAMIC)
|
|
| |
Schematron assert |
role |
error
|
|
| |
test |
(@code and @codeSystem) or (@nullFlavor='NAV') |
|
| |
Message |
Either a code with its code system or nullFlavor='NAV' is required. |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
not(@nullFlavor) or (hl7:originalText) |
|
| |
Message |
Other problems description MUST be declared in the originalText element in case of
nullFlavor. |
|
| Included |
0 … 1 |
C |
from 2.16.756.5.30.1.1.10.9.49 Original 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:originalText
|
ED |
0 … 1 |
C |
|
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"/>'). |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
parent::*/text()=ancestor::hl7:structuredBody//*[@ID=$idvalue]/text() |
|
| |
Message |
The originalText content MUST be identical to the narrative text for this reference. |
|
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, 6.3.4.14 |
 |
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]] |
|
|
Template Problem Entry
Under pre-publication review
Narrative Text Reference (2017)