Id2.16.840.1.113883.3.1818.10.3.15Effective Date2017‑04‑03 05:02:09
Statusdraft DraftVersion Label
NameBCProblemListObservationDisplay NameBC Problem List Observation
Description

The Problem List Observation template defines the format for an unstructured list of problems that a clinician has noted in the patient’s chart.

Problem Type

An entry in the Problem List may be categorized by Problem Types (e.g. diagnosis, findings, functional limitations etc.) The Problem Type is specified in the <code> element using a sub-set of SNOMED CT® values. If the source EMR does not support problem observation types, then a nullFlavor of “NI” should be sent in the <code> element. If the destination EMR does not support problem observation types, then it should capture the problem type as a text. 

ContextParent nodes of template element with id 2.16.840.1.113883.3.1818.10.3.15
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 8 templates
Used by as NameVersion
2.16.840.1.113883.3.1818.10.2.17.1Containmentdraft BC CDA E2E Medical History with Entries2017‑04‑03 06:26:26
2.16.840.1.113883.3.1818.10.2.21.1Containmentdraft BC CDA E2E Problem List with Entries2017‑04‑03 06:46:55
Uses as NameVersion
2.16.840.1.113883.3.1818.10.4.3Containmentdraft BC Comment ObservationDYNAMIC
2.16.840.1.113883.3.1818.10.4.12Containmentdraft BC Lifestage ObservationDYNAMIC
2.16.840.1.113883.3.1818.10.4.18Containmentdraft BC Outcome ObservationDYNAMIC
2.16.840.1.113883.3.1818.10.4.28Containmentdraft BC Secondary Code (ICD-9)DYNAMIC
2.16.840.1.113883.3.1818.10.4.32Containmentdraft BC Unbound ObservationDYNAMIC
2.16.840.1.113883.3.1937.777.17.10.2Containmentdraft BC CDA Author (Body)DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.4Containmentdraft BC Date ObservationDYNAMIC
2.16.840.1.113883.3.1937.777.17.10.78Containmentdraft BC Symptom ObservationDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:observation
1 … 1RCONF‑1086
@classCode
cs1 … 1FOBSCONF‑4556
@moodCode
cs1 … 1FEVNCONF‑4557
hl7:templateId
II1 … 1MCONF‑1086
@root
uid1 … 1F2.16.840.1.113883.3.1818.10.3.15
hl7:templateId
II1 … 1RCONF‑1086
@root
uid1 … 1F2.16.840.1.113883.10.12.303
hl7:id
II0 … *CONF‑1087
hl7:code
CD1 … 1RCONF‑1088
 Constraint

  1. SHALL be selected from ValueSet ProblemType 2.16.840.1.113883.3.88.12.3221.7.2 STATIC [CONF:1088]. 

hl7:text
ED0 … 1RCONF‑4354
 Constraint

SHALL be populated when neither the Diagnosis Code code nor the Diagnosis Classification Code are provided and SHALL be used to identify the diagnosis as a free-text diagnosis; MAY be included when the diagnosis is coded if the sending system captures a free text diagnosis name in addition to the displayName associated with the code [CONF:4354.43]. 

hl7:statusCode
CS0 … 1RCONF‑1091
 Constraint

SHALL be selected from ValueSet x_ActStatusActiveComplete 2.16.840.1.113883.1.11.19890 STATIC [CONF:1091] such that it,

i) SHALL be constrained to either Active or Completed status codes [CONF:1091.34]. 

hl7:effectiveTime
IVL_TS0 … 1RCONF‑1089
hl7:low
IVXB_TS1 … 1MCONFdots9.50
hl7:high
IVXB_TS0 … 1CONFdots9.50
hl7:value
CD1 … 1RCONF‑1090
 Constraint

  1. SHALL be selected from ValueSet DiagnosisValuePrimary 2.16.840.1.113883.2.20.3.40 DYNAMIC [CONF:1090]. 

hl7:author
0 … 1RContains 2.16.840.1.113883.3.1937.777.17.10.2 BC CDA Author (Body) (DYNAMIC)CONF‑1092
hl7:entryRelationship
1 … 1RContains 2.16.840.1.113883.3.1818.10.4.28 BC Secondary Code (ICD-9) (DYNAMIC)CONF‑1093
@typeCode
cs1 … 1FCOMPCONF‑1404
@contextConductionInd
bl1 … 1RCONF‑1405
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.3.1937.777.17.10.4 BC Date Observation (DYNAMIC)CONF‑1094
@typeCode
cs1 … 1FSUBJCONF‑1330
@contextConductionInd
bl1 … 1RCONF‑1331
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.3.1818.10.4.3 BC Comment Observation (DYNAMIC)CONF‑1095
@typeCode
cs1 … 1FSUBJCONF‑1318
@contextConductionInd
bl1 … 1RCONF‑1319
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.3.1937.777.17.10.78 BC Symptom Observation (DYNAMIC)CONF‑1096
@typeCode
cs1 … 1FCOMPCONF‑4355
hl7:entryRelationship
0 … *RContains 2.16.840.1.113883.3.1818.10.4.32 BC Unbound Observation (DYNAMIC)CONF‑1097 Diagnosis Modifers
@typeCode
cs1 … 1FSUBJCONF‑1374
@contextConductionInd
bl1 … 1RCONF‑1375
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.3.1818.10.4.12 BC Lifestage Observation (DYNAMIC)CONF‑1098
@typeCode
cs1 … 1FSUBJCONF‑1383
@contextConductionInd
bl1 … 1RCONF‑1384
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.3.1818.10.4.18 BC Outcome Observation (DYNAMIC)CONF‑1099
@typeCode
cs1 … 1FCOMPCONF‑1100