Id2.16.840.1.113883.10.20.22.4.3Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameProblemConcernActConditionDisplay NameProblem Concern Act (Condition)
Description
Observations of problems or other clinical statements captured at a point in time are wrapped in a ""Concern"" act, which represents the ongoing process tracked over time. This allows for binding related observations of problems. For example, the observation of ""Acute MI"" in 2004 can be related to the observation of ""History of MI"" in 2006 because they are the same concern. The conformance statements in this section define an outer ""problem act"" (representing the ""Concern"") that can contain a nested ""problem observation"" or other nested clinical statements.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.3
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 5 transactions and 7 templates, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.4Transactionfinal Progress Note (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.3Transactionfinal Discharge Summary (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.2Transactionfinal Consultation Notes (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.7Transactionfinal History and Physical (H and P) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.5Containmentdraft Problem Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.5.1Containmentdraft Problem Section (entries required) (1.1)2013‑01‑31
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.4Containmentdraft Problem Observation (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:act
Probdotstion
@classCode
cs1 … 1FACTconf‑9024
@moodCode
cs1 … 1FEVNconf‑9025
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:16772) such that itconfdots6772
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.3confdots6773
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:9026).conf‑9026
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:9027).conf‑9027
@code
CONF1 … 1FCONC
@codeSystem
1 … 1F2.16.840.1.113883.5.6
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode, which SHALL be selected from ValueSet ProblemAct statusCode 2.16.840.1.113883.11.20.9.19 STATIC 2011-09-09 (CONF:9029).conf‑9029
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.20.9.19 ProblemActStatusCode (DYNAMIC)
cda:effectiveTime
1 … 1MSHALL contain exactly one [1..1] effectiveTime (CONF:9030).conf‑9030
cda:low
1 … 1This effectiveTime SHALL contain exactly one [1..1] low (CONF:9032).conf‑9032
cda:high
0 … 1RThis effectiveTime SHOULD contain zero or one [0..1] high (CONF:9033).conf‑9033
cda:entryRelationship
1 … *MContains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (2013‑01‑31)conf‑9034
@typeCode
cs1 … 1FSUBJconf‑9035