Template

Show index

Template Problem 2013‑12‑20

Id1.3.6.1.4.1.19376.1.5.3.1.4.5
ref
epsos-
Effective Date2013‑12‑20
Statusdraft DraftVersion Label
NameEntryProblemDisplay NameProblem
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.

Parent Template

This template is compatible with the ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.28

ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.5
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 6 concepts
IdNameData Set
epsos-dataelement-86draft Onset Time draft epSOS Data Set
ref
epsos-
epsos-dataelement-226draft End date draft epSOS Data Set
ref
epsos-
epsos-dataelement-174draft End date draft epSOS Data Set
ref
epsos-
epsos-dataelement-85draft Problem/diagnosis Id (Code) draft epSOS Data Set
ref
epsos-
epsos-dataelement-225draft Onset Time draft epSOS Data Set
ref
epsos-
epsos-dataelement-224draft Problem/diagnosis Id (Code) draft epSOS Data Set
ref
epsos-
RelationshipSpecialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC)
ref
ch-pcc-
Example
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>
  <!-- zero or one <entryRelationship typeCode='REFR' inversionInd='false'> elements identifying the health status of concern -->
  <!-- zero or one <entryRelationship typeCode='REFR' inversionInd='false'> elements containing clinical status -->
  <!-- zero to many <entryRelationship typeCode='REFR' inversionInd='true'> elements containing comments -->
</observation>
ItemDTCardConfDescriptionLabel
hl7:observation
R

The basic pattern for reporting a problem uses the CDA <observation> element, setting the classCode='OBS' to represent that this is an observation of a problem, and the moodCode='EVN', to represent that this is an observation that has in fact taken place. The negationInd attribute, if true, specifies that the problem indicated was observed to not have occurred (which is subtly but importantly different from having not been observed).

The value of negationInd should not normally be set to true. Instead, to record that there is "no prior history of chicken pox", one would use a coded value indicated exactly that. However, it is not always possible to record problems in this manner, especially if using a controlled vocabulary that does not supply pre-coordinated negations, or which do not allow the negation to be recorded with post-coordinated coded terminology.

Entrdotsblem
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
@negationInd
bl0 … 1 
hl7:templateId
II1 … 1REntrdotsblem
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.5
hl7:templateId
II1 … 1REntrdotsblem
@root
uid1 … 1F2.16.840.1.113883.10.20.1.28
hl7:id
II1 … 1M

The specific observation being recorded must have an identifier (<id>) that shall be provided for tracking purposes. If the source EMR does not or cannot supply an intrinsic identifier, then a GUID shall be provided as the root, with no extension (e.g., <id root='CE1215CD-69EC-4C7B-805F-569233C5E159'/>). While CDA allows for more than one identifier element to be provided, this profile requires that only one be used.

Entrdotsblem
hl7:code
CD.EPSOS (extensible)1 … 1R

The <code> describes the process of establishing a problem. The code element should be used, as the process of determining the value is important to clinicians (e.g., a diagnosis is a more advanced statement than a symptom). The recommended vocabulary for describing problems is Value set epSOSCodeProb, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.23. This value set is required in epSOS when used within the Problem Concern Entry 1.3.6.1.4.1.19376.1.5.3.1.4.5.2

Entrdotsblem
 CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.23 (DYNAMIC)
hl7:text
ED1 … 1M

The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

Entrdotsblem
hl7:reference
TEL1 … 1MEntrdotsblem
@value
1 … 1RReference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS0 … 1R

A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.

Entrdotsblem
@code
CONF0 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1R

The <effectiveTime> of this <observation> is the time interval over which the <observation> is known to be true. The <low> and <high> values should be no more precise than known, but as precise as possible.

While CDA allows for multiple mechanisms to record this time interval (e.g. by low and high values, low and width, high and width, or centre point and width), we are constraining Medical summaries to use only the low/high form.

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. Thus, the implication is made that if the <high> value is specified, that the observation was no longer seen after this time, and it thus represents the date of resolution of the problem.

Similarly, the <low> value may seem to represent onset of the problem. Neither of these statements is necessarily precise, as the <low> and <high> values may represent only an approximation of the true onset and resolution (respectively) times. For example, it may be the case that onset occurred prior to the <low> value, but no observation may have been possible before that time to discern whether the condition existed prior to that time.

The <low> value should normally be present. There are exceptions, such as for the case where the patient may be able to report that they had chicken pox, but are unsure when. In this case, the <effectiveTime> element shall have a <low> element with a nullFlavor attribute set to 'UNK'. The <high> value need not be present when the observation is about a state of the patient that is unlikely to change (e.g., the diagnosis of an incurable disease).

Entrdotsblem
 
target
epsos-dataelement-86draft Onset Time draft epSOS Data Set
ref
epsos-
epsos-dataelement-226draft End date draft epSOS Data Set
ref
epsos-
epsos-dataelement-174draft End date draft epSOS Data Set
ref
epsos-
epsos-dataelement-225draft Onset Time draft epSOS Data Set
ref
epsos-
hl7:value
CD.EPSOS (extensible)1 … 1R

The <value> is the condition that was found. This element is required. While the value may be a coded or an un-coded string, the type is always a coded value (xsi:type='CD'). If coded, the code and codeSystem attributes shall be present.

The Value Set used is epSOSIllnessesandDisorders, with the OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.5.

The value set to be used when this template is specialized for describing adverse reaction is epSOSReactionAllergy.

In cases where information about a problem or allergy is unknown or where there are no problems or allergies, an entry shall use codes from epSOSUnknownInformation, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.17.

Entrdotsblem
 
target
epsos-dataelement-85draft Problem/diagnosis Id (Code) draft epSOS Data Set
ref
epsos-
epsos-dataelement-224draft Problem/diagnosis Id (Code) draft epSOS Data Set
ref
epsos-
 CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.11 (DYNAMIC)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.5 (DYNAMIC)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.17 (DYNAMIC)
hl7:originalText
R

The <originalText> element within the <code> element described above is used as follows: the <value> contains a <reference> to the <originalText> in order to link the coded value to the problem narrative text (minus any dates, comments, et cetera). The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

Entrdotsblem
hl7:reference
0 … 1R The URI given in the value attribute of the element points to an element in the narrative content that contains the complete text describing the medication. In a CDA document, the URI given in the value attribute of the element points to an element in the narrative content that contains the complete text describing the medication. Entrdotsblem
 Example<reference value="#eP_as_text"/>
hl7:entryRelationship
0 … 1R

An optional <entryRelationship> element MAY be present indicating the severity of the problem. If present, this <entryRelationship> element SHALL contain a severity observation conforming to the Severity entry template (1.3.6.1.4.1.19376.1.5.3.1.4.1). The severity codes to be used are epSOSSeverity, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.13.

This shall be represented with the <entryRelationship> element. The typeCode shall be ‘SUBJ’ and inversionInd shall be ‘true’.


Contains 1.3.6.1.4.1.19376.1.5.3.1.4.1 IHE Severity Entry (DYNAMIC)
Entrdotsblem
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue
hl7:entryRelationship
0 … 1R

An optional <entryRelationship> may be present indicating the clinical status of the problem, e.g., resolved, in remission, active. When present, this <entryRelationship> element shall contain a clinical status observation conforming to the Problem Status Observation template (1.3.6.1.4.1.19376.1.5.3.1.4.1.1). The value set to be used is epSOSstatusCode, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.15.

This shall be represented with the <entryRelationship> element. The typeCode shall be ‘REFR’ and inversionInd shall be ‘false’.


Contains 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 IHE Problem Status Observation (DYNAMIC)
Entrdotsblem
@typeCode
cs1 … 1FREFR
@inversionInd
bl0 … 1Ffalse
hl7:entryRelationship
0 … 1R

An optional <entryRelationship> may be present referencing the health status of the patient, e.g., resolved, in remission, active. When present, this <entryRelationship> element shall contain a clinical status observation conforming to the template (1.3.6.1.4.1.19376.1.5.3.1.4.1.2). ). The value set to be used is epSOSResolutionOutcome, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.30. The typeCode shall be ‘REFR’ and inversionInd shall be ‘false’.

This shall be represented with the <entryRelationship> element.


Contains 1.3.6.1.4.1.19376.1.5.3.1.4.1.2 IHE Health Status Observation (DYNAMIC)
Entrdotsblem
@typeCode
cs1 … 1FREFR
@inversionInd
bl0 … 1Ffalse
hl7:entryRelationship
0 … 1R

One or more optional <entryRelationship> elements may be present providing an additional comments (annotations) for the condition. When present, this <entryRelationship> element shall contain a comment observation conforming to the entry template (1.3.6.1.4.1.19376.1.5.3.1.4.2). The typeCode shall be ‘SUBJ’ and inversionInd shall be ‘true’.

This shall be represented with the <entryRelationship> element.


Contains 1.3.6.1.4.1.19376.1.5.3.1.4.2 IHE Comment Entry (DYNAMIC)
Entrdotsblem
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue