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Template Alert status observation 2007‑04‑01

Id2.16.840.1.113883.10.20.1.39
ref
ccd1-
Effective Date2007‑04‑01
Statuspending Under pre-publication reviewVersion Label
NameAlertStatusObservationDisplay NameAlert status observation
Description

5.1 “Type” and “Status” values

The template identifier for a status observation is 2.16.840.1.113883.10.20.1.57.

ASTM CCR defines restricted Type and Status value sets to further define observations in many of the CCR sections. While the value sets differ between sections, the XML representation is constant. Those constraints that are constant across all the sections are defined here, and are then further specialized in the sections above.

A complete mapping between all ASTM CCR Type and Status values and their corresponding RIM (potentially coupled with SNOMED CT, LOINC, etc) representations is beyond the scope of this specification, and is a work item for a subsequent version. ASTM CCR Type values are represented as value sets, which can be conveyed in the code attribute of the various RIM classes (e.g. a value from the ProblemTypeCode value set can be conveyed in Observation.code). Where possible, ASTM CCR Status values have been mapped to HL7 ActStatus values, in which case they are conveyed in the statusCode attribute of the various RIM classes. Where the mapping is complex and incomplete, ASTM CCR Status values can be communicated as related status observations.

Often times, the Type or Status is implied by the codes used to characterize the observation (e.g. an observation of “Do Not Resuscitate” implies an Advance Directive Type “Resuscitation Status”), and/or by values asserted in other RIM attributes (e.g. an Observation.negationInd of “true” implies a Problem Status “Ruled out”). In no case should an ASTM CCR Type or Status value conflict with semantics carried in other RIM attributes.

CONF-508: A status observation (templateId 2.16.840.1.113883.10.20.1.57) SHALL be represented with Observation.
CONF-509: A status observation SHALL be the target of an entryRelationship whose value for “entryRelationship / @typeCode” SHALL be “REFR” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC.
CONF-510: The value for “Observation / @classCode” in a status observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC.
CONF-511: The value for “Observation / @moodCode” in a status observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.
CONF-512: A status observation SHALL contain exactly one Observation / code.
CONF-513: The value for “Observation / code” in a status observation SHALL be “33999-4” “Status” 2.16.840.1.113883.6.1 LOINC STATIC.
CONF-514: A status observation SHALL contain exactly one Observation / statusCode.
CONF-515: The value for “Observation / statusCode” in a status observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC.
CONF-516: A status observation SHALL contain exactly one Observation / value, which SHALL be of datatype “CE”.
CONF-517: A status observation SHALL NOT contain any additional Observation attributes.
CONF-518: A status observation SHALL NOT contain any Observation participants.
CONF-519: A status observation SHALL NOT be the source of any Observation relationships.

ContextParent nodes of template element with id 2.16.840.1.113883.10.20.1.39
ClassificationCDA Entry Level Template
Open/ClosedClosed (only defined elements are allowed)
Used by / Uses
Used by 1 transaction and 22 templates, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.777.4.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.777.4.10.50linkpending Procedure activity (act)2007‑04‑01
2.16.840.1.113883.3.1937.777.4.10.51linkpending Procedure activity (observation)2007‑04‑01
2.16.840.1.113883.3.1937.777.4.10.52linkpending Procedure activity (procedure)2007‑04‑01
2.16.840.1.113883.10.20.1linkpending CCD v1.0 Templates Root2007‑04‑01
2.16.840.1.113883.10.20.1.2linkpending Alerts section2007‑04‑01
2.16.840.1.113883.10.20.1.5linkpending Functional status section2007‑04‑01
2.16.840.1.113883.10.20.1.6linkpending Immunization section2007‑04‑01
2.16.840.1.113883.10.20.1.7linkpending Medical equipment section2007‑04‑01
2.16.840.1.113883.10.20.1.8linkpending Medication section2007‑04‑01
2.16.840.1.113883.10.20.1.11linkpending Problem section2007‑04‑01
2.16.840.1.113883.10.20.1.12linkpending Procedures section2007‑04‑01
2.16.840.1.113883.10.20.1.14linkpending Results section2007‑04‑01
2.16.840.1.113883.10.20.1.15linkpending Social history section2007‑04‑01
2.16.840.1.113883.10.20.1.16linkpending Vital signs section2007‑04‑01
2.16.840.1.113883.10.20.1.18linkpending Alert observation2007‑04‑01
2.16.840.1.113883.10.20.1.24linkpending Medication activity2007‑04‑01
2.16.840.1.113883.10.20.1.27linkpending Problem act2007‑04‑01
2.16.840.1.113883.10.20.1.32linkpending Result organizer2007‑04‑01
2.16.840.1.113883.10.20.1.33linkpending Social history observation2007‑04‑01
2.16.840.1.113883.10.20.1.35linkpending Vital signs organizer2007‑04‑01
2.16.840.1.113883.10.20.1.41linkpending Episode observation2007‑04‑01
2.16.840.1.113883.10.20.1.54linkpending Reaction observation2007‑04‑01
Uses as NameVersion
2.16.840.1.113883.10.20.1.40Containmentpending CommentDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:observation
CONF‑508 / CONF‑517 / CONF‑518 / CONF‑519
@classCode
cs0 … 1 CONF‑510
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑511
@negationInd
bl0 … 1 
 Schematron assertrolered error 
 testparent::hl7:entryRelationship[@typeCode='REFR'] 
 MessageCONF-509: A status observation SHALL be the target of an entryRelationship whose value for “entryRelationship / @typeCode” SHALL be “REFR” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. 
hl7:templateId
II1 … 1CONF‑508 / CONF‑517 / CONF‑518 / CONF‑519
@root
uid1 … 1F2.16.840.1.113883.10.20.1.39
hl7:code
CD1 … 1MCONF‑512 / CONF‑513
@code
CONF1 … 1F33999-4
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FStatus
hl7:statusCode
CS1 … 1MCONF‑514 / CONF‑515
@code
CONF1 … 1Fcompleted
hl7:value
CE1 … 1

CONF-164: The value for “Observation / value” in a problem status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.13 ProblemStatusCode STATIC 20061017.

CONF‑516 / CONF‑272
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.3 AlertStatusCode (2006‑10‑17)
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502