Item | DT | Card | Conf | Description | Label |
---|
hl7:observation
| | | | Problem as structured entry (e.g. syptom, complaint, diagnosis etc.) | IHE PCC TF2 Rev.11, 6.3.4.14 |
@classCode
| cs | 1 … 1 | F | OBS |
@moodCode
| cs | 1 … 1 | F | EVN |
@negationInd
| bl | 1 … 1 | R | This value remains usually 'false'. If there is an observation that the problem has not occured, this value can be set 'true'. This is a small but important difference to the situation where the problem has not been observed (and therefore no problem has been recorded). |
hl7:templateId
| II | 1 … 1 | | | IHE PCC TF2 Rev.11, 6.3.4.14 |
@root
| uid | 1 … 1 | F | 2.16.756.5.30.1.1.10.4.97 |
hl7:templateId
| II | 1 … 1 | | | IHE PCC TF2 Rev.11, 6.3.4.14 |
@root
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.5 |
hl7:templateId
| II | 1 … 1 | | | IHE PCC TF2 Rev.11, 6.3.4.14 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.28 |
hl7:id
| II | 1 … * | R | Each observation SHALL have an identifier. | IHE PCC TF2 Rev.11, 6.3.4.14 |
@root
| uid | 1 … 1 | R | MUST 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
| st | 0 … 1 | | Contains the ID itself. The ID MUST be unique within the system that issued the ID. |
hl7:code
| CD | 1 … 1 | M | The problem type code. | IHE PCC TF2 Rev.11, 6.3.4.14 |
@code
| cs | 1 … 1 | R | |
@codeSystem
| oid | 1 … 1 | F | 2.16.840.1.113883.6.96 |
@codeSystemName
| st | 1 … 1 | F | SNOMED CT |
@displayName
| st | 1 … 1 | R | |
| Constraint | For eVACDOC complication or exposure risks, the code 55607006 (problem) MUST be used. |
| CONF | |
Included | 1 … 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. |
| Constraint | For eVACDOC complication or exposure risks, the human-readable text MUST correspond to the corresponding code according to the value set "Complication risks" / "Exposure risks". |
hl7:text
| ED | 1 … 1 | M | | CDA‑CH V2 |
hl7:reference
| TEL | 1 … 1 | M | The 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 … 1 | R | Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element. |
| Schematron assert | role | error | |
| test | starts-with(@value,'#') | |
| Message | The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding 'content' element. | |
| Variable let | Name | idvalue | |
| Value | substring-after(@value,'#') | |
| Schematron assert | role | error | |
| test | ancestor::hl7:structuredBody//*[@ID=$idvalue] | |
| Message | No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>'). | |
hl7:statusCode
| CS | 1 … 1 | M | The statusCode shall be set to 'completed' for all problems. | IHE PCC TF2 Rev.11, 6.3.4.14 |
| CONF | |
hl7:effectiveTime
| IVL_TS.CH.TZ | 1 … 1 | R | Indicates the time interval over which the problem is known to be true. | IHE PCC TF2 Rev.11, 6.3.4.14 |
hl7:low
| TS.CH.TZ | 1 … 1 | R | Point of time of the first occurance of the problem. | IHE PCC TF2 Rev.11, 6.3.4.14 |
hl7:high
| TS.CH.TZ | 0 … 1 | C | Point of time when the problem was solved. For all other cases this value remains empty. | IHE PCC TF2 Rev.11, 6.3.4.14 |
hl7:value
| CD | 0 … * | | This value can be either a coded value or uncoded text. The type is always xsi:type='CD'. For coded values the attributes code, codeSystem, codeSystemName and displayName MUST be present. For uncoded values, the nullFlavor='NAV' attribute and the originalText element MUST be present. The following value sets are allowed: - CHOP: 2.16.756.5.30.1.126.3.1
- ICD-10: 2.16.756.5.30.1.126.3.2
- ICPC-2: 2.16.840.1.113883.6.139
- VVK-EDI: 2.16.756.5.30.1.127.3.1.20080401.1
- SNOMED CT: 2.16.840.1.113883.6.96
- Swiss Vaccination Plan Complication Risks: 2.16.756.5.30.1.127.3.3.1
- Swiss Vaccination Plan Exposure Risks: 2.16.756.5.30.1.127.3.3.2
The SNOMED CT code 160245001, 'No current problems or disability (situation)' MAY be used to indicate that the patient doesn't currently suffer on any problem. For special cases a code from the value set 'Special Case Problems' SHALL be used. | IHE PCC TF2 Rev.11, 6.3.4.14 |
@nullFlavor
| st | 0 … 1 | F | NAV |
@code
| cs | 0 … 1 | | |
@codeSystem
| oid | 0 … 1 | | |
@codeSystemName
| st | 0 … 1 | | |
@displayName
| st | 0 … 1 | | |
| CONF | @codeSystem shall be "2.16.756.5.30.1.126.3.1" | or | @codeSystem shall be "2.16.756.5.30.1.126.3.2" | or | @codeSystem shall be "2.16.840.1.113883.6.139" | or | @codeSystem shall be "2.16.756.5.30.1.127.3.1.20080401.1" | or | @codeSystem shall be "2.16.840.1.113883.6.96" | or | The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.72 Swiss Vaccination Plan Complication Risks (DYNAMIC) | or | The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.73 Swiss Vaccination Plan Exposure Risks (DYNAMIC) | or | The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.74 Special Case Problems (DYNAMIC) | or | The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.75 Illnesses undergone for immunization (DYNAMIC) |
|
| Schematron assert | role | error | |
| test | (@code and @codeSystem) or (@nullFlavor='NAV') | |
| Message | Either a code with its code system or nullFlavor='NAV' is required. | |
| Schematron assert | role | error | |
| test | not(@nullFlavor) or (hl7:originalText) | |
| Message | Other problems description MUST be declared in the originalText element in case of nullFlavor. | |
Included | 0 … 1 | C | from 2.16.756.5.30.1.1.10.9.49 Original 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:originalText
| ED | 0 … 1 | C | | CDA‑CH V2 |
hl7:reference
| TEL | 1 … 1 | M | The 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 … 1 | R | Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element. |
| Schematron assert | role | error | |
| test | starts-with(@value,'#') | |
| Message | The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding 'content' element. | |
| Variable let | Name | idvalue | |
| Value | substring-after(@value,'#') | |
| Schematron assert | role | error | |
| test | ancestor::hl7:structuredBody//*[@ID=$idvalue] | |
| Message | No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>'). | |
| Schematron assert | role | error | |
| test | parent::*/text()=ancestor::hl7:structuredBody//*[@ID=$idvalue]/text() | |
| Message | The originalText content MUST be identical to the narrative text for this reference. | |
hl7:author
| | 0 … * | C | The 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, 6.3.4.14 |
| Schematron assert | role | 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)]]) | |
| Message | The 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 assert | role | 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)]]) | |
| Message | The author of the statement is specified by the ancestor section. | |
| Schematron assert | role | 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 parent::hl7:entryRelationship/parent::hl7:act/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)]]) | |
| Message | The author of the statement is specified by the ancestor problem concern. | |
| Schematron assert | role | 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 parent::hl7:entryRelationship/parent::hl7:act/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)]]) | |
| Message | The author of the statement is specified by the author in the document header. | |