RiskConcernActV2

Template Risk Concern Act (V2) 2015‑08‑01

2.16.840.1.113883.10.20.22.4.136

Effective Date

2015‑08‑01

Status

Draft

Version Label

2.1

Name

RiskConcernActV2

Display Name

Risk Concern Act (V2)

Description

This template represents a risk concern. It is a wrapper for a single risk concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). A Risk Concern Act represents a health concern that is a risk. A risk is a clinical or socioeconomic condition that the patient does not currently have, but the probability of developing that condition rises to the level of concern such that an intervention and/or monitoring is needed.

Context

Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.136

Classification

CDA Entry Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 1 transaction and 2 templates, Uses 32 templates

Used by	as	Name	Version
2.16.840.1.113883.3.1937.99.3.4.21	Transaction	Care Plan (V2)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.15		Care Plan (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.2.58	Containment	Health Concerns Section (V2) (2.1)	2015‑08‑01
Uses	as	Name	Version
2.16.840.1.113883.10.20.15.3.8	Containment	Pregnancy Observation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.1	Containment	Result Organizer (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.2	Containment	Result Observation (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.3	Containment	Problem Concern Act (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.4	Containment	Problem Observation (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.7	Containment	Allergy - Intolerance Observation (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.9	Containment	Reaction Observation (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.27	Containment	Vital Sign Observation (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.34	Containment	Hospital Admission Diagnosis (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.38	Containment	Social History Observation (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.45	Containment	Family History Organizer (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.51	Containment	Postprocedure Diagnosis (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.65	Containment	Preoperative Diagnosis (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.67	Containment	Functional Status Observation (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.69	Containment	Assessment Scale Observation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.72	Containment	Caregiver Characteristics (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.74	Containment	Mental Status Observation (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.78	Containment	Smoking Status - Meaningful Use (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.80	Containment	Encounter Diagnosis (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.85	Containment	Tobacco Use (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.109	Containment	Characteristics of Home Environment (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.111	Containment	Cultural and Religious Observation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.114	Containment	Longitudinal Care Wound Observation (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.115	Containment	External Document Reference (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.119	Containment	Author Participation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.122	Containment	Entry Reference (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.124	Containment	Nutritional Status Observation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.127	Containment	Sensory Status (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.128	Containment	Self-Care Activities (ADL and IADL) (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.138	Containment	Nutrition Assessment (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.143	Containment	Priority Preference (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.24.3.90	Containment	Substance or Device Allergy - Intolerance Observation (V2) (2.1)	2014‑06‑09

Relationship

Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)

ref

ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.136 Risk Concern Act (V2) (DYNAMIC)

Item	DT	Card	Conf	Description	Label
cda:act					RiskctV2
@classCode	cs	1 … 1	F	ACT	CONF2220
				SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32220).
@moodCode	cs	1 … 1	F	EVN	CONF2221
				SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1198-32221).
cda:templateId	II	1 … 1	M	C-CDA R1.1 templateId root without an extension	CONF2936
@root	uid	1 … 1	F	2.16.840.1.113883.10.20.22.4.136
cda:templateId	II	1 … 1	M	SHALL contain exactly one [1..1] templateId (CONF:1198-32180) such that it	CONF2180
@root	uid	1 … 1	F	2.16.840.1.113883.10.20.22.4.136	CONF2222
				SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.136" (CONF:1198-32222).
@extension	st	1 … 1	F	2015-08-01	CONF2910
				SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32910).
cda:id	II	1 … *	R	SHALL contain at least one [1..*] id (CONF:1198-32223).	CONF2223
cda:code	CD	1 … 1	M	SHALL contain exactly one [1..1] code (CONF:1198-32305).	CONF2305
@code	CONF	1 … 1	F	281694009
@codeSystem	CONF	1 … 1	F	2.16.840.1.113883.6.96
cda:statusCode	CS	1 … 1	R	SHALL contain exactly one [1..1] statusCode (CONF:1198-32225).	CONF2225
cda:effectiveTime		0 … 1		MAY contain zero or one [0..1] effectiveTime (CONF:1198-32226).	CONF2226
cda:author		0 … *	R	SHOULD contain zero or more [0..] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32300). Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation* (2015‑08‑13)	CONF2300
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (V3) (2015‑08‑01)	CONF2179
where [@typeCode='REFR']
@typeCode	cs	1 … 1	F	REFR	CONF2227
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32227).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.7 Allergy - Intolerance Observation (V2) (2014‑06‑09)	CONF2181
@typeCode	cs	1 … 1	F	REFR	CONF2228
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32228).
cda:entryRelationship		0 … *		The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13)	CONF2182
where [@typeCode='REFR']
@typeCode	cs	1 … 1	F	REFR	CONF2230
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32230).
cda:entryRelationship		0 … *		The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13)	CONF2183
where [@typeCode='COMP']
@typeCode	cs	1 … 1	F	COMP	CONF2232
				SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32232).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.69 Assessment Scale Observation (2015‑08‑13)	CONF2184
@typeCode	cs	1 … 1	F	REFR	CONF2234
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32234).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.74 Mental Status Observation (V3) (2015‑08‑01)	CONF:1198‑32185 / CONF:1198‑32188
@typeCode	cs	1 … 1	F	REFR	CONF:1198‑32236 / CONF:1198‑32242
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32236).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.128 Self-Care Activities (ADL and IADL) (2015‑08‑13)	CONF2186
@typeCode	cs	1 … 1	F	REFR	CONF2238
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32238).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.78 Smoking Status - Meaningful Use (V2) (2014‑06‑09)	CONF2189
@typeCode	cs	1 … 1	F	REFR	CONF2244
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32244).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (V3) (2015‑08‑01)	CONF2190
@typeCode	cs	1 … 1	F	REFR	CONF2246
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32246).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.45 Family History Organizer (V3) (2015‑08‑01)	CONF2191
@typeCode	cs	1 … 1	F	REFR	CONF2248
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers To (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32248).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.67 Functional Status Observation (V2) (2014‑06‑09)	CONF2192
@typeCode	cs	1 … 1	F	REFR	CONF2250
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32250).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.34 Hospital Admission Diagnosis (V3) (2015‑08‑01)	CONF2193
@typeCode	cs	1 … 1	F	REFR	CONF2252
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32252).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.138 Nutrition Assessment (2015‑08‑13)	CONF2195
@typeCode	cs	1 … 1	F	REFR	CONF2256
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32256).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.51 Postprocedure Diagnosis (V3) (2015‑08‑01)	CONF2197
@typeCode	cs	1 … 1	F	REFR	CONF2260
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32260).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.15.3.8 Pregnancy Observation (2015‑08‑13)	CONF2198
@typeCode	cs	1 … 1	F	REFR	CONF2262
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32262).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.65 Preoperative Diagnosis (V3) (2015‑08‑01)	CONF2199
@typeCode	cs	1 … 1	F	REFR	CONF2264
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32264).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2014‑06‑09)	CONF2200
@typeCode	cs	1 … 1	F	REFR	CONF2266
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32266).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.2 Result Observation (V3) (2015‑08‑01)	CONF2201
@typeCode	cs	1 … 1	F	REFR	CONF2268
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32268).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.127 Sensory Status (2015‑08‑13)	CONF2202
@typeCode	cs	1 … 1	F	REFR	CONF2270
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32270).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.38 Social History Observation (V3) (2015‑08‑01)	CONF2203
@typeCode	cs	1 … 1	F	REFR	CONF2272
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32272).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.24.3.90 Substance or Device Allergy - Intolerance Observation (V2) (2014‑06‑09)	CONF2204
@typeCode	cs	1 … 1	F	REFR	CONF2274
				MAY contain zero or one [0..1] typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32274).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.85 Tobacco Use (V2) (2014‑06‑09)	CONF2205
@typeCode	cs	1 … 1	F	REFR	CONF2276
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32276).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.27 Vital Sign Observation (V2) (2014‑06‑09)	CONF2206
@typeCode	cs	1 … 1	F	REFR	CONF2278
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32278).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.114 Longitudinal Care Wound Observation (V2) (2015‑08‑01)	CONF2207
@typeCode	cs	1 … 1	F	REFR	CONF2280
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32280).
cda:entryRelationship		0 … *		The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation. Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (V3) (2015‑08‑01)	CONF2208
where [@typeCode='SPRT']
@typeCode	cs	1 … 1	F	SPRT	CONF2282
				SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32282).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.72 Caregiver Characteristics (2015‑08‑13)	CONF2209
@typeCode	cs	1 … 1	F	REFR	CONF2284
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32284).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.111 Cultural and Religious Observation (2015‑08‑13)	CONF2210
@typeCode	cs	1 … 1	F	REFR	CONF2286
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32286).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.109 Characteristics of Home Environment (2015‑08‑13)	CONF2211
@typeCode	cs	1 … 1	F	REFR	CONF2288
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32288).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.124 Nutritional Status Observation (2015‑08‑13)	CONF2212
@typeCode	cs	1 … 1	F	REFR	CONF2290
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32290).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.1 Result Organizer (V3) (2015‑08‑01)	CONF2213
@typeCode	cs	1 … 1	F	REFR	CONF2292
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32292).
cda:entryRelationship		0 … *		The following entryRelationship represents the priority that the patient puts on the health concern. The following entryRelationship represents the priority that the provider puts on the health concern. Contains 2.16.840.1.113883.10.20.22.4.143 Priority Preference (2015‑08‑13)	CONF:1198‑32214 / CONF:1198‑32215
@typeCode	cs	1 … 1	F	REFR	CONF:1198‑32294 / CONF:1198‑32296
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32294).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.22.4.3 Problem Concern Act (V3) (2015‑08‑01)	CONF2216
@typeCode	cs	1 … 1	F	REFR	CONF2298
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32298).
cda:entryRelationship		0 … *		Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13)	CONF2217
@typeCode	cs	1 … 1	F	REFR	CONF2301
				SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32301).
cda:reference		0 … *		Contains 2.16.840.1.113883.10.20.22.4.115 External Document Reference (2014‑06‑09)	CONF2769
@typeCode	cs	1 … 1	F	REFR	CONF2908
				The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32908).

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Template Risk Concern Act (V2) 2015‑08‑01