Template

Show index

Template IHE Health Status Observation 2013‑12‑20

Id1.3.6.1.4.1.19376.1.5.3.1.4.1.2
ref
IHE-PCC-
Effective Date2013‑12‑20
Statusactive ActiveVersion Label2014
NameIHEHealthStatusObservationDisplay NameIHE Health Status Observation
Description
A problem observation may reference a health status observation. This structure is included in the target observation using the <entryRelationship> element defined in the CDA Schema. The health status observation records information about the current health status of the patient. The example below shows the recording the health status, and is used as the context for the following sections.
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.1.2
Label6.3.4.5
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 2 concepts
IdNameData Set
epsos-dataelement-227draft Resolution Circumstances draft epSOS Data Set
ref
epsos-
epsos-dataelement-175draft Resolution Circumstances draft epSOS Data Set
ref
epsos-
Used by / Uses
Used by 4 transactions and 28 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.11.4.23Transactiondraft Return MRO2013‑11‑02
2.16.840.1.113883.3.1937.777.11.4.12Transactiondraft Return PS of country A2012‑05‑02
2.16.840.1.113883.3.1937.777.49.4.2Transactiondraft PS created2022‑05‑19 08:45:25
2.16.840.1.113883.3.1937.777.11.4.21Transactiondraft Send HCER to country A2013‑11‑02
1.2.203.24341.11.10.1.1linkdraft CZ-Patient Summary2019‑11‑08 19:31:50
1.2.203.24341.11.10.1.1linkdraft CZ-EU Patient Summary2019‑11‑28 20:23:19
1.3.6.1.4.1.12559.11.10.1.3.1.1.3linkdraft epSOS-Patient Summary2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4linkdraft epSOS-Health Care Encounter Report2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5linkdraft epSOS-Medication Related Overview2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.3.7Containmentretired Problem2019‑04‑15
1.3.6.1.4.1.12559.11.10.1.3.1.3.7Containmentretired Problem2019‑04‑15 08:52:27
1.3.6.1.4.1.12559.11.10.1.3.1.3.7Containmentretired Problem2019‑04‑15 08:52:41
1.3.6.1.4.1.12559.11.10.1.3.1.3.7Containmentretired eHDSI Problem2020‑04‑08 14:11:41
1.3.6.1.4.1.19376.1.5.3.1.3.6linkdraft Section Active Problems2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.8linkdraft Section History of Past Illness2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.13linkdraft Section Allergies and Other Adverse Reactions2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.23linkdraft Section Immunizations2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5Containmentdraft Problem2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5Containmentactive IHE Problem Entry (2014)2016‑09‑26 09:50:55
1.3.6.1.4.1.19376.1.5.3.1.4.5Containmentpending IHE Problem Entry (2016)2016‑11‑12
1.3.6.1.4.1.19376.1.5.3.1.4.5.2linkdraft Problem Concern2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5.3linkdraft Allergy and Intolerance Concern2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.6linkdraft Allergies And Intolerances2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.6linkpending IHE Allergies And Intolerances Entry (2016)2016‑11‑12
1.3.6.1.4.1.19376.1.5.3.1.4.12linkdraft Immunizations2013‑12‑20
1.3.6.1.4.1.19376.1.9.1.1.6linkcancelled IHE Medication Treatment Plan Document Content Module (2017)2018‑01‑17 17:33:23
2.16.756.5.30.1.1.10.1.8linkpending Patient Plan of Care (2013)2013‑10‑04
2.16.756.5.30.1.1.10.3.33linkpending Admission Diagnosis Section - coded (2016)2016‑11‑11
2.16.756.5.30.1.1.10.3.34linkpending Discharge Diagnosis Section - coded (2016)2016‑11‑11
2.16.756.5.30.1.1.10.4.73linkpending Concern Entry (2016)2016‑11‑11
2.16.756.5.30.1.1.10.4.81linkdraft Pharmaceutical Advice Concern Entry Content Module (2017)2016‑01‑11 11:13:04
2.16.756.5.30.1.1.10.4.106Containmentdraft Problem Entry (2018)2017‑09‑15 08:59:41
RelationshipSpecialization: template 2.16.840.1.113883.10.20.1.51 Problem healthstatus observation (DYNAMIC)
ref
ccd1-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.1.51"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.2"/>  <code code="11323-3" displayName="Health Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <text>
    <reference value="#hstatus-2"/>  </text>  <statusCode code="completed"/>  <value xsi:type="CE" code=" " codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
6.3.4.5
hl7:templateId
II1 … 1M6.3.4.5
@root
uid1 … 1F2.16.840.1.113883.10.20.1.51
hl7:templateId
II1 … 1M6.3.4.5
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.1.2
hl7:code
CD1 … 1M

This observation is of health status, as indicated by the <code> element. This element must be present.

6.3.4.5
@code
CONF1 … 1F11323-3
@displayName
1 … 1FHealth Status
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@codeSystemName
1 … 1FLOINC
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.

6.3.4.5
hl7:reference
TEL1 … 1M6.3.4.5
hl7:statusCode
CS1 … 1R

The code attribute of <statusCode> for all clinical status observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed.

6.3.4.5
@code
CONF0 … 1Fcompleted
@codeSystem
0 … 1F2.16.840.1.113883.5.14
hl7:value
CE1 … 1MThe <value> element contains the health status. It is always represented using the CE datatype (xsi:type='CE'). It shall contain a code from the following set of values from SNOMED CT.6.3.4.5
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.3 HealthStatus_value (2016‑09‑26 14:09:34)