Template

Show index

Template Problem Observation 2017‑09‑12 18:21:27

Id2.16.756.5.30.1.1.10.4.67Effective Date2017‑09‑12 18:21:27
Statusdraft DraftVersion Label2017
NameProblemObservationDisplay NameProblem Observation
DescriptionProblem Diagnose Information
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.4.67
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 3 concepts
IdNameData Set
cdachresp-dataelement-488draft Ersteller Diagnose draft  1
cdachresp-dataelement-290draft Diagnose (ICD-10) draft  1
cdachresp-dataelement-291draft Diagnose-Art draft  1
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as NameVersion
2.16.756.5.30.1.1.10.4.68Containmentpending Problem Concern Entry (2017)2017‑09‑12 20:40:11
Uses as NameVersion
2.16.756.5.30.1.1.10.9.14Includedraft Narrative Text Reference (2021)DYNAMIC
RelationshipSpecialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (2016‑09‑26 09:50:55)
ref
IHE-PCC-

Specialization: template 2.16.840.1.113883.10.20.1.28 Problem observation (DYNAMIC)
ref
ccd1-
Example
Example
<observation classCode="OBS" moodCode="EVN" negationInd="false">
  <templateId root="2.16.756.5.30.1.1.10.4.67"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>  <templateId root="2.16.840.1.113883.10.20.1.28"/>  <id root="AD092C2A-813D-4EAA-83F1-EB53DB2F16F0"/>  <code code="2931005" codeSystem="2.16.840.1.113883.6.96" displayName="Verdachtsdiagnose"/>  <text>
    <reference value="#diagnose1"/>  </text>
  <statusCode code="completed"/>  <effectiveTime>
    <low value="20161210112500.0000+0100"/>  </effectiveTime>
  <value xsi:type="CD" code="I21.0" codeSystem="2.16.756.5.30.1.126.3.2" displayName="ST elevation (STEMI) myocardial infarction of anterior wall"/>  <author>
    <functionCode code="309343006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Physician">
      <translation code="309343006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Physician"/>    </functionCode>
    <time value="20161210112500.0000+0100"/>    <assignedAuthor>
      <!-- cdachresp-dataelement-281 -->
      <id root="2.51.1.3" extension="7601000028105"/>    </assignedAuthor>
  </author>
</observation>
ItemDTCardConfDescriptionLabel
hl7:observation
RProbdotstion
@moodCode
cs1 … 1FEVN
@classCode
cs1 … 1FOBS
@negationInd
bl1 … 1Ffalse
hl7:templateId
II1 … 1MProbdotstion
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.67
hl7:templateId
II1 … 1RProbdotstion
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.5
hl7:templateId
II1 … 1RProbdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.28
hl7:id
II1 … 1MProbdotstion
hl7:code
CD1 … 1RProbdotstion
 
target
cdachresp-dataelement-291draft Diagnose-Art draft  1
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.24 IVR valueset diagnosis type (.143.11.16) (DYNAMIC)
Included1 … 1 from 2.16.756.5.30.1.1.10.9.14 Narrative Text Reference (DYNAMIC)
The reference to the text in the narrative section of the section MUST be specified.
hl7:text
ED1 … 1MCDA‑CH V2
hl7:reference
TEL1 … 1MThe 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 … 1RReference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
 Schematron assertrolered error 
 teststarts-with(@value,'#') 
 MessageThe @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding 'content' element. 
 Variable letNameidvalue 
 Valuesubstring-after(@value,'#') 
 Schematron assertrolered error 
 testancestor::hl7:structuredBody//*[@ID=$idvalue] 
 MessageNo narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>'). 
hl7:statusCode
CS0 … 1RProbdotstion
@code
CONF0 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1R The low value is the earliest point for which the condition is known to have existed. The high value, when present, indicates the time at which the observation was no longer known to be true. Probdotstion
hl7:value
CD1 … 1RAn ICD-10 code has to be provided Probdotstion
 
target
cdachresp-dataelement-290draft Diagnose (ICD-10) draft  1
@codeSystem
CONF0 … 1F2.16.756.5.30.1.126.3.2
hl7:author
1 … *RProbdotstion
 
target
cdachresp-dataelement-488draft Ersteller Diagnose draft  1
hl7:functionCode
CE1 … 1RProbdotstion
hl7:time
TS.CH.TZ1 … 1R Timestamp of the authorship. Probdotstion
hl7:assignedAuthor
1 … 1RProbdotstion
hl7:id
II1 … *RProbdotstion