ProblemEntry

Template Problem Entry 2009‑12‑04

1.3.6.1.4.1.19376.1.5.3.1.4.5

ref

iheptv-

Effective Date

2009‑12‑04

Status

In Review

Version Label

Name

ProblemEntry

Display Name

Problem Entry

Description

This section makes use of the linking, severity, clinical status and comment content specifications defined elsewhere in the technical framework. In HL7 RIM parlance, observations about a problem, complaint, symptom, finding, diagnosis, or functional limitation of a patient is the event (moodCode='EVN') of observing (<observation classCode='OBS'>) that problem. The <value> of the observation comes from a controlled vocabulary representing such things. The <code> contained within the <observation> describes the method of determination from yet another controlled vocabulary. An example appears below in the figure below.

See also IHE PCC Wiki Content

Context

Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.5

Classification

CDA Entry Level Template

Open/Closed

Open (other than defined elements are allowed)

Relationship

Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)

ref

ad1bbr-

Example

<observation classCode="OBS" moodCode="EVN" negationInd="false|true">
  <templateId root="2.16.840.1.113883.10.20.1.28"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>  <id root=" " extension=" "/>  <code code=" " displayName=" " codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>  <text>
    <reference value=" "/>  </text>  <statusCode code="completed"/>  <effectiveTime>
    <low value=" "/>    <high value=" "/>  </effectiveTime>  <value xsi:type="CD" code=" " codeSystem=" " displayName=" " codeSystemName=" ">
    <originalText>
      <reference value=" "/>    </originalText>  </value>  
  
  
</observation>

No elements, attributes, includes, or choices in this template definition.

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Template Problem Entry 2009‑12‑04