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Template Health Status Observation 2013‑01‑31

Id	2.16.840.1.113883.10.20.22.4.5 ref ccda-	Effective Date	2013‑01‑31
Status	Draft	Version Label	1.1
Name	HealthStatusObservation	Display Name	Health Status Observation
Description	The Health Status Observation records information about the current health status of the patient.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.5
Classification	CDA Entry Level Template
Open/Closed	Closed (only defined elements are allowed)
Used by / Uses	Used by 7 transactions and 32 templates, Uses 0 templates Used by as Name Version 2.16.840.1.113883.3.1937.99.3.4.4 Transaction Progress Note (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.3 Transaction Discharge Summary (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.5 Transaction Procedure Note (US Realm – Release 1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.2 Transaction Consultation Notes (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.1 Transaction Continuity of Care Document (CCD) (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.6 Transaction Operative Note (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.7 Transaction History and Physical (H and P) (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.61.41.10.4 Discharge Summary (1.1) 2018‑02‑19 15:30:38 2.16.840.1.113883.10.20.6.1.2.1 Findings Section (1.1) 2016‑12‑15 05:09:17 2.16.840.1.113883.10.20.22.1.2 Continuity of Care Document (CCD) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.3 History and Physical (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.4 Consultation Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.6 Procedure Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.7 Operative Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.8 Discharge Summary (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.9 Progress Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.2 Encounters Section (entries optional) (1.1) 2016‑10‑09 02:21:23 2.16.840.1.113883.10.20.22.2.5 Problem Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.5.1 Problem Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.20 History of Past Illness Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.22 Encounters Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.22.1 Encounters Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.24 Hospital Discharge Diagnosis Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.28 Procedure Findings Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.32 Complications (OpNote) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.34 Preoperative Diagnosis Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.36 Postprocedure Diagnosis Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.37 Complications Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.37 Complications Section (1.1) 2016‑10‑09 02:01:42 2.16.840.1.113883.10.20.22.2.43 Hospital Admission Diagnosis Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.3 Problem Concern Act (Condition) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.4 Containment Problem Observation (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.33 Hospital Discharge Diagnosis (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.34 Hospital Admission Diagnosis (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.49 Encounter Activities (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.51 Postprocedure Diagnosis (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.65 Preoperative Diagnosis (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.79 Deceased Observation (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (1.1) 2013‑01‑31
Expand AllCollapse All Item DT Card Conf Description Label cda:observation Healtion @classCode cs 1 … 1 F OBS conf‑9057 @moodCode cs 1 … 1 F EVN conf‑9072 cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:16756) such that it conf6756 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.5 conf6757 cda:code CD 1 … 1 M SHALL contain exactly one [1..1] code (CONF:19143). conf9143 @code CONF 1 … 1 F 11323-3 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 cda:text 0 … 1 R SHOULD contain zero or one [0..1] text (CONF:9270). conf‑9270 cda:reference 0 … 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15529). SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) conf5529 @value 0 … 1   conf5530   Schematron assert role  error     test not(@value) or starts-with(@value, '#')     Message SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)   cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:9074). conf‑9074 @code CONF 1 … 1 F completed cda:value CD 1 … 1 M SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet HealthStatus 2.16.840.1.113883.1.11.20.12 DYNAMIC (CONF:9075). conf‑9075   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.12 HealthStatus (DYNAMIC)