Id2.16.840.1.113883.10.20.22.4.70Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NamePressureUlcerObservationDisplay NamePressure Ulcer Observation
Description
The pressure ulcer observation contains details about the pressure ulcer such as the stage of the ulcer, location, and dimensions. If the pressure ulcer is a diagnosis, you may find this on the problem list. An example of how this would appear is in the Problem Section.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.70
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 6 transactions and 8 templates, Uses 0 templates
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
2.16.840.1.113883.3.1937.99.3.4.5Transactionfinal Procedure Note (US Realm – Release 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
2.16.840.1.113883.10.20.2.10Containmentdraft Physical Exam Section (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
2.16.840.1.113883.10.20.22.1.6linkdraft Procedure 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
2.16.840.1.113883.10.20.22.2.14Containmentdraft Functional Status Section (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:observation
Presdotstion
@classCode
cs1 … 1FOBSconfdots4383
@moodCode
cs1 … 1FEVNconfdots4384
@negationInd
bl0 … 1 confdots4385
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:14387) such that itconfdots4387
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.70confdots4388
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:14389).confdots4389
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:14759).confdots4759
@code
CONF1 … 1FASSERTION
@codeSystem
1 … 1F2.16.840.1.113883.5.4
cda:text
0 … 1RSHOULD contain zero or one [0..1] text (CONF:14391).confdots4391
cda:reference
0 … 1RThe text, if present, SHOULD contain zero or one [0..1] reference (CONF:14392).

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) 		confdots4392
@value
1 … 1Rconfdots5585
 Schematron assertrolered error 
 testnot(@value) or starts-with(@value, '#') 
 MessageThis 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
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:14394).confdots4394
@code
CONF1 … 1Fcompleted
cda:effectiveTime
IVL_TS1 … 1SHALL contain exactly one [1..1] effectiveTime (CONF:14395).confdots4395
cda:value
CD1 … 1SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Pressure Ulcer Stage 2.16.840.1.113883.11.20.9.35 STATIC (CONF:14396).

If the stage unknown or the SNOMED code is unknown, @nullFlavor SHOULD be “UNK”. If the code is something other than SNOMED, @nullFlavor SHOULD be “OTH” and the other code SHOULD be placed in the translation element 		confdots4396
@nullFlavor
cs0 … 1 confdots4397
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.20.9.35 Pressure Ulcer Stage (DYNAMIC)
cda:targetSiteCode
0 … *RSHOULD contain zero or more [0..*] targetSiteCode (CONF:14797).confdots4797
@code
1 … 1Rconfdots4798
cda:qualifier
0 … 1RThe targetSiteCode, if present, SHOULD contain zero or one [0..1] qualifier (CONF:14799).confdots4799
cda:name
1 … 1MThe qualifier, if present, SHALL contain exactly one [1..1] name (CONF:14800).confdots4800
@code
0 … 1F272741003confdots4801
@code
CONF1 … 1F272741003
@codeSystem
1 … 1F2.16.840.1.113883.6.96
cda:value
1 … 1The qualifier, if present, SHALL contain exactly one [1..1] value (CONF:14802).confdots4802
@code
0 … 1 confdots4803
cda:entryRelationship
0 … 1RSHOULD contain zero or one [0..1] entryRelationship (CONF:14410) such that itconfdots4410
where [cda:observation/cda:code/@code='401238003']
@typeCode
cs1 … 1FCOMPconfdots4411
cda:observation
1 … 1MSHALL contain exactly one [1..1] observation (CONF:14619).confdots4619
@classCode
cs1 … 1FOBSconfdots4685
@moodCode
cs1 … 1FEVNconfdots4686
cda:code
CD1 … 1MThis observation SHALL contain exactly one [1..1] code (CONF:14620).confdots4620
@code
CONF1 … 1F401238003
@codeSystem
1 … 1F2.16.840.1.113883.6.96
cda:value
PQ1 … 1RThis observation SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:14622).confdots4622
cda:entryRelationship
0 … 1RSHOULD contain zero or one [0..1] entryRelationship (CONF:14601) such that itconfdots4601
where [cda:observation/cda:code/@code='401239006']
@typeCode
cs1 … 1FCOMPconfdots4602
cda:observation
1 … 1MSHALL contain exactly one [1..1] observation (CONF:14623).confdots4623
@classCode
cs1 … 1FOBSconfdots4687
@moodCode
cs1 … 1FEVNconfdots4688
cda:code
CD1 … 1MThis observation SHALL contain exactly one [1..1] code (CONF:14624).confdots4624
@code
CONF1 … 1F401239006
@codeSystem
1 … 1F2.16.840.1.113883.6.96
cda:value
PQ1 … 1RThis observation SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:14626).confdots4626
cda:entryRelationship
0 … 1RSHOULD contain zero or one [0..1] entryRelationship (CONF:14605) such that itconfdots4605
@typeCode
cs1 … 1FCOMPconfdots4606
cda:observation
1 … 1MSHALL contain exactly one [1..1] observation (CONF:14627).confdots4627
@classCode
cs1 … 1FOBSconfdots4689
@moodCode
cs1 … 1FEVNconfdots4690
cda:code
CD1 … 1MThis observation SHALL contain exactly one [1..1] code (CONF:14628).confdots4628
@code
CONF1 … 1F425094009
@codeSystem
1 … 1F2.16.840.1.113883.6.96
cda:value
PQ1 … 1RThis observation SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:14630).confdots4630