Item | DT | Card | Conf | Description | Label |
---|
hl7:observation
| | | R | | XeHAosis |
@classCode
| cs | 0 … 1 | F | OBS |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:templateId
| II | 1 … 1 | M | | XeHAosis |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.2.51.10.27 |
hl7:templateId
| II | 1 … 1 | M | | XeHAosis |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.3.1937.99.61.67.10.21 |
hl7:id
| II | 0 … * | R | | XeHAosis |
hl7:code
| CD.IPS | 1 … 1 | R | This element describes the type of condition this observation is referring to. | XeHAosis |
| CONF | @code shall be "8646-2" | @codeSystem shall be "2.16.840.1.113883.6.1" | or | @code shall be "8651-2" | @codeSystem shall be "2.16.840.1.113883.6.1" |
|
| Example | <hl7:code code="8646-2" codeSystem="2.16.840.1.113883.6.1" displayName=""/> |
hl7:text
| ED | 0 … 1 | R | The element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described. | XeHAosis |
| Example | <text> <reference value="#problem-1"/></text> |
hl7:reference
| TEL | 1 … 1 | M | | XeHAosis |
@value
| | 1 … 1 | R | When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 |
hl7:statusCode
| CS | 1 … 1 | M | A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the shall always have code='completed'. | XeHAosis |
@code
| CONF | 1 … 1 | F | completed |
hl7:effectiveTime
| IVL_TS | 1 … 1 | M | The effectiveTime, also referred to as the “biologically relevant time” is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago. The <low> and <high> values should be no more precise than known, but as precise as possible.
| XeHAosis |
| Example | Known onset date (active condition) <effectiveTime> <low value="20100507"/></effectiveTime> |
| Example | Unknown onset date (active condition) <effectiveTime> <low nullFlavor="UNK"/></effectiveTime> |
| Example | Unknown resolution date <effectiveTime> <low value="2010"/> <high nullFlavor="UNK"/></effectiveTime> |
| Example | Known resolution date <effectiveTime> <low value="201007"/> <high value="201703"/></effectiveTime> |
hl7:low
| IVXB_TS | 1 … 1 | R | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | XeHAosis |
hl7:high
| IVXB_TS | 0 … 1 | C | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition e became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK". | XeHAosis |
| Constraint | If this condition is known to be resolved, then the effectiveTime/high would be present.
|
hl7:value
| CD.IPS (preferred) | 1 … 1 | M | The <value> is the condition that was found. It may a coded or an un-coded string, but its type is always coded. The coded form shall be used also to indicate known absent conditions or the nonavailability of information about them. | XeHAosis |
@xsi:type
| | 0 … 1 | F | CD |
| CONF | |
| Example | Multiple Coding <value code="302231008" displayName="Salmonella infection" codeSystem="2.16.840.1.113883.6.96"> <translate code="A02.9" displayName="Infezioni da Salmonella non specificate" codeSystem="2.16.840.1.113883.6.3"/></value> |
| Example | Local code not mappable in the reference terminology <value nullFlavor="OTH"> <translate code="12345" displayName="Not in the reference value set" codeSystem="1.2.3.999" codeSystemName="--example only--"/></value> |
| Example | Textual Information <value nullFlavor="NI"> <originalText> <reference value="#value_as_text"/> </originalText></value> |
| Example | Known absent problems <value code="160245001" displayName="No current problems or disability" codeSystem="2.16.840.1.113883.6.96"/> |
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. | XeHAosis |
hl7:reference
| | 0 … 1 | R | 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. | XeHAosis |
| Example | <reference value="#value_as_text"/> |
hl7:translation
| CD.IPS | 0 … * | | The translation element may be used to transmit a set of other concept descriptors, using for example ICD-10 or other international or jurisdictional code systems. | XeHAosis |
hl7:qualifier
| CR | 0 … * | | | XeHAosis |
hl7:entryRelationship
| | 0 … 1 | | Severity The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician. Contains 2.16.840.1.113883.10.22.4.25 IPS Severity Observation (DYNAMIC) | XeHAosis |
@typeCode
| cs | 1 … 1 | F | SUBJ |
@inversionInd
| bl | 1 … 1 | F | true |
hl7:entryRelationship
| | 0 … 1 | | Certainty or Verification Status The contained entry describes the certainty associated with a condition. Contains 2.16.840.1.113883.10.22.4.19 IPS Certainty Observation (DYNAMIC) | XeHAosis |
@typeCode
| cs | 1 … 1 | F | SUBJ |
@inversionInd
| bl | 1 … 1 | F | true |
hl7:entryRelationship
| | 0 … 1 | | Prognosis The contained entry describes the prognosis associated with this diagnosis. Contains 2.16.840.1.113883.2.51.10.51 XeH Prognosis Observation (DYNAMIC) | XeHAosis |
@typeCode
| cs | 1 … 1 | F | REFR |