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Template Problem Status 2019‑06‑20

Id	2.16.840.1.113883.10.20.22.4.6 ref ccda-	Effective Date	2019‑06‑20
Status	Draft	Version Label	2.1
Name	ProblemStatus	Display Name	Problem Status
Description	The Problem Status records whether the indicated problem is active, inactive, or resolved.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.6
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Relationship	Adaptation: template 2.16.840.1.113883.10.20.22.4.6 Problem Status (2014‑06‑09) ref ccda- Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07) ref ad1bbr- Version: template 2.16.840.1.113883.10.20.22.4.6 Problem Status (2013‑01‑31) ref ccda-
Expand AllCollapse All Item DT Card Conf Description Label cda:observation R Probatus @classCode cs 1 … 1 F OBS CONF7357   SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-7357). @moodCode cs 1 … 1 F EVN CONF7358   SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-7358). cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:81-7359) such that it CONF7359 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.6 CONF0518   SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.6" (CONF:81-10518). cda:code CD 1 … 1 M SHALL contain exactly one [1..1] code (CONF:81-19162). CONF9162 @code CONF 1 … 1 F 33999-4 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-7364). CONF7364 @code CONF 1 … 1 F completed cda:value CD 1 … 1 M SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem Status urn:oid:2.16.840.1.113883.3.88.12.80.68 DYNAMIC (CONF:1098-7365). CONF7322   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.68 HITSP Problem Status (DYNAMIC)

Template Problem Status 2014‑06‑09

Id	2.16.840.1.113883.10.20.22.4.6 ref ccda-	Effective Date	2014‑06‑09
Status	Draft	Version Label	2.1-OLD
Name	ProblemStatus	Display Name	Problem Status
Description	The Problem Status records whether the indicated problem is active, inactive, or resolved.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.6
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 10 transactions and 53 templates, Uses 0 templates Used by as Name Version 2.16.840.1.113883.3.1937.99.3.4.29 Transaction Progress Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.21 Transaction Care Plan (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.28 Transaction Procedure Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.23 Transaction Continuity of Care Document (CCD) (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.30 Transaction Referral Note (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.27 Transaction Operative Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.31 Transaction Transfer Summary (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.26 Transaction History and Physical (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.25 Transaction Discharge Summary (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.22 Transaction Consultation Note (V3) 2015‑08‑01 1.2.276.0.76.3.1.135.8.10.3 Encounters Section (entries optional) (V3) (2.1) 2015‑12‑02 12:45:07 1.3.6.1.4.1.12559.11.22.3.10.4 Containment Problem Observation Cardiac (V3) (2.1) 2017‑01‑30 19:44:19 1.3.6.1.4.1.19376.1.4.1.4.29 Containment Problem Observation - Complication - Cardiac (1.0) 2017‑02‑21 21:08:31 1.3.6.1.4.1.19376.1.4.1.4.37 Containment Problem Observation Medical History - Cardiac (1.0) 2017‑03‑22 18:27:59 2.16.840.1.113883.2.9.10.1.6.67 VPS Encounter post Dimissione 2017‑05‑25 17:49:03 2.16.840.1.113883.3.1937.99.61.18.10.12 Encounter Diagnosis (V3) (2.1) 2021‑02‑26 17:06:47 2.16.840.1.113883.3.1937.99.61.18.10.13 Containment Problem Observation (V3) (2.1) 2021‑02‑26 17:08:21 2.16.840.1.113883.3.1937.99.61.20.10.7 Encounters Section (entries required) (V3) (2.1) 2015‑11‑03 08:56:18 2.16.840.1.113883.3.1937.99.61.20.10.10 Problem Section (entries required) (V3) (2.1) 2015‑11‑03 08:58:40 2.16.840.1.113883.3.1937.99.61.21.10.64 Complications (V3) (2.1) 2020‑07‑08 21:07:44 2.16.840.1.113883.3.1937.99.61.26.10.59 Containment Problem Observation (V3) (2.1) 2019‑03‑09 13:22:49 2.16.840.1.113883.3.1937.99.61.26.10.60 Problem Concern Act (V3) (2.1) 2019‑03‑09 13:32:50 2.16.840.1.113883.3.1937.99.61.28.10.3 CDA de Consulta (1) 2017‑04‑22 23:20:01 2.16.840.1.113883.3.1937.99.61.67.10.24 XeH Alert Act 2021‑04‑20 10:00:04 2.16.840.1.113883.3.1937.99.61.67.10.25 XeH Risk Concern Act 2021‑04‑20 10:06:56 2.16.840.1.113883.10.20.21.2.3 Interventions Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.2 Continuity of Care Document (CCD) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.3 History and Physical (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.4 Consultation Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.6 Procedure Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.7 Operative Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.8 Discharge Summary (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.9 Progress Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.13 Transfer Summary (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.14 Referral Note (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.15 Care Plan (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.5 Problem Section (entries optional) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.5.1 Problem Section (entries required) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.20 Past Medical History (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.22 Encounters Section (entries optional) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.22.1 Encounters Section (entries required) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.24 Discharge Diagnosis Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.28 Procedure Findings Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.34 Preoperative Diagnosis Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.36 Postprocedure Diagnosis Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.37 Complications Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.37.2 BC CDA Complications Section (V3) (2.1) 2017‑03‑29 12:32:13 2.16.840.1.113883.10.20.22.2.43 Admission Diagnosis Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.58 Health Concerns Section (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.101 BC CDA Referral Note (V2) (2.1) 2019‑04‑06 02:03:17 2.16.840.1.113883.10.20.22.4.3 Problem Concern Act (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.4 Containment Problem Observation (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.33 Hospital Discharge Diagnosis (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.34 Hospital Admission Diagnosis (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.49 Encounter Activity (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.51 Postprocedure Diagnosis (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.65 Preoperative Diagnosis (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.79 Deceased Observation (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.131 Intervention Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.132 Health Concern Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.136 Risk Concern Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.146 Planned Intervention Act (V2) (2.1) 2015‑08‑01
Relationship	Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07) ref ad1bbr- Version: template 2.16.840.1.113883.10.20.22.4.6 Problem Status (2013‑01‑31) ref ccda-
Expand AllCollapse All Item DT Card Conf Description Label cda:observation R Probatus @classCode cs 1 … 1 F OBS CONF7357   SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-7357). @moodCode cs 1 … 1 F EVN CONF7358   SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-7358). cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:81-7359) such that it CONF7359 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.6 CONF0518   SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.6" (CONF:81-10518). cda:code CD 1 … 1 M SHALL contain exactly one [1..1] code (CONF:81-19162). CONF9162 @code CONF 1 … 1 F 33999-4 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-7364). CONF7364 @code CONF 1 … 1 F completed cda:value CE 1 … 1 M SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem Status urn:oid:2.16.840.1.113883.3.88.12.80.68 DYNAMIC (CONF:1098-7365). CONF7322   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.68 HITSP Problem Status (DYNAMIC)

Template Problem Status 2013‑01‑31

Id	2.16.840.1.113883.10.20.22.4.6 ref ccda-	Effective Date	2013‑01‑31
Status	Draft	Version Label	1.1
Name	ProblemStatus	Display Name	Problem Status
Description	The Problem Status records whether the indicated problem is active, inactive, or resolved.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.6
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 7 transactions and 32 templates, Uses 0 templates Used by as Name Version 2.16.840.1.113883.3.1937.99.3.4.4 Transaction Progress Note (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.3 Transaction Discharge Summary (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.5 Transaction Procedure Note (US Realm – Release 1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.2 Transaction Consultation Notes (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.1 Transaction Continuity of Care Document (CCD) (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.6 Transaction Operative Note (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.7 Transaction History and Physical (H and P) (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.61.41.10.4 Discharge Summary (1.1) 2018‑02‑19 15:30:38 2.16.840.1.113883.10.20.6.1.2.1 Findings Section (1.1) 2016‑12‑15 05:09:17 2.16.840.1.113883.10.20.22.1.2 Continuity of Care Document (CCD) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.3 History and Physical (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.4 Consultation Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.6 Procedure Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.7 Operative Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.8 Discharge Summary (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.9 Progress Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.2 Encounters Section (entries optional) (1.1) 2016‑10‑09 02:21:23 2.16.840.1.113883.10.20.22.2.5 Problem Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.5.1 Problem Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.20 History of Past Illness Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.22 Encounters Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.22.1 Encounters Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.24 Hospital Discharge Diagnosis Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.28 Procedure Findings Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.32 Complications (OpNote) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.34 Preoperative Diagnosis Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.36 Postprocedure Diagnosis Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.37 Complications Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.37 Complications Section (1.1) 2016‑10‑09 02:01:42 2.16.840.1.113883.10.20.22.2.43 Hospital Admission Diagnosis Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.3 Problem Concern Act (Condition) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.4 Containment Problem Observation (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.33 Hospital Discharge Diagnosis (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.34 Hospital Admission Diagnosis (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.49 Encounter Activities (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.51 Postprocedure Diagnosis (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.65 Preoperative Diagnosis (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.79 Deceased Observation (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (1.1) 2013‑01‑31
Expand AllCollapse All Item DT Card Conf Description Label cda:observation Probatus @classCode cs 1 … 1 F OBS conf‑7357 @moodCode cs 1 … 1 F EVN conf‑7358 cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:7359) such that it conf‑7359 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.6 conf0518 cda:code CD 1 … 1 M SHALL contain exactly one [1..1] code (CONF:19162). conf9162 @code CONF 1 … 1 F 33999-4 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 cda:text 0 … 1 R SHOULD contain zero or one [0..1] text (CONF:7362). conf‑7362 cda:reference 0 … 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15593). This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) conf5593 @value 1 … 1 R conf5594   Schematron assert role  error     test not(@value) or starts-with(@value, '#')     Message This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)   cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:7364). conf‑7364 @code CONF 1 … 1 F completed cda:value CD 1 … 1 SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem Status 2.16.840.1.113883.3.88.12.80.68 DYNAMIC (CONF:7365). conf‑7365   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.68 HITSP Problem Status (DYNAMIC)