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Template Problem Status Observation 2016‑11‑12

Id2.16.756.5.30.1.1.10.4.100
ref
ch-pcc-
Effective Date2016‑11‑12
Statusactive ActiveVersion Label2016
Namechpcc_entry_ProblemStatusObservationDisplay NameProblem Status Observation
DescriptionAny problem or allergy observation may reference a problem status observation.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.4.100
LabelIHE PCC TF2 Rev.11, 6.3.4.4
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 2 templates
Used by as NameVersion
2.16.756.5.30.1.1.10.3.51linkactive Allergies and other Adverse Reactions Section - coded (2016)2016‑11‑12
2.16.756.5.30.1.1.10.4.91linkactive Allergies and Intolerances Concern Entry (2016)2016‑11‑12
2.16.756.5.30.1.1.10.4.98Containmentactive Allergy Or Intolerance Entry (2016)2016‑11‑12
Uses as NameVersion
2.16.756.5.30.1.1.10.9.14Includedraft Narrative Text Reference (2021)DYNAMIC
2.16.756.5.30.1.1.10.9.54Containmentactive Author Compilation with id, name, addr and telecom (2020)DYNAMIC
RelationshipSpecialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 Entry Problem Status Observation (DYNAMIC)
ref
epsos-

Specialization: template 2.16.840.1.113883.10.20.1.57 Status observation (DYNAMIC)
ref
ccd1-

Specialization: template 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)
ref
ccd1-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.100"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.1"/>  <templateId root="2.16.840.1.113883.10.20.1.57"/>  <templateId root="2.16.840.1.113883.10.20.1.50"/>  <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/>  <text>
    <reference value="#cstatus-2"/>  </text>
  <statusCode code="completed"/>  <value type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active"/>  <author>
    <!-- template 2.16.756.5.30.1.1.10.9.54 'Author Compilation with id, name, addr and telecom' -->
  </author>
</observation>
ItemDTCardConfDescriptionLabel
hl7:observation
Any problem or allergy observation may reference a problem status observation.IHE PCC TF2 Rev.11, 6.3.4.4
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.4.4
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.100
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.4.4
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.1.1
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.4.4
@root
uid1 … 1F2.16.840.1.113883.10.20.1.57
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.4.4
@root
uid1 … 1F2.16.840.1.113883.10.20.1.50
hl7:id
II1 … 1MEach observation SHALL have an identifier.IHE PCC TF2 Rev.11, 6.3.4.4
@root
uid1 … 1RMUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
@extension
st0 … 1 Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
CD1 … 1MIHE PCC TF2 Rev.11, 6.3.4.4
@code
cs1 … 1F33999-4
@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
@codeSystemName
st1 … 1FLOINC
@displayName
st1 … 1FStatus
Included1 … 1 from 2.16.756.5.30.1.1.10.9.14 Narrative Text Reference (DYNAMIC)
The human-readable text MUST be generated automatically from the structured information of this element. The text element MUST contain the reference to the corresponding text in the human readable part, ONLY.
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
CS1 … 1M

The statusCode shall be set to 'completed' for all problem status observations.

IHE PCC TF2 Rev.11, 6.3.4.4
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20025 ActStatusCompleted (DYNAMIC)
hl7:value
CE1 … 1MThe element contains the clinical 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.IHE PCC TF2 Rev.11, 6.3.4.4
@code
cs1 … 1R
@codeSystem
oid1 … 1F2.16.840.1.113883.6.96
@codeSystemName
st1 … 1FSNOMED CT
@displayName
st1 … 1R
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.2 ProblemStatusObservation_value (2016‑09‑26 13:58:58)
hl7:author
0 … *CThe author of the statement SHALL be specified either here or in one of the ancestors.
Contains 2.16.756.5.30.1.1.10.9.54 Author Compilation with id, name, addr and telecom (DYNAMIC)
IHE PCC TF2 Rev.11, 6.3.4.4
 Schematron assertrolered error 
 test(hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]] or ancestor::*/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) 
 MessageThe author of the statement SHALL be specified either here or in one of the ancestors. It shall contain the time, id, name, addr and telecom elements as specified in IHE PCC TF Vol. 2, section 6.3.4.1 Authors and Informants. 
 Schematron assertroleyellow info 
 test(not(hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) and ancestor::hl7:section/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) 
 MessageThe author of the statement is specified by the ancestor section. 
 Schematron assertroleyellow info 
 test(not(hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]] or ancestor::hl7:section/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) and ancestor::hl7:ClinicalDocument/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) 
 MessageThe author of the statement is specified by the author in the document header.