Id2.16.840.1.113883.3.1937.99.61.30.10.56Effective Date2020‑10‑08 16:08:13
Statusdraft DraftVersion Label0.1
NamePCProblemStatusObservationDisplay NameProblem Status Observation (harmonized)
Description
C-CDA
The Problem Status records the clinical status attributed to the problem

IPS
This subordinated observation used by the problem observation records information about the current status of a condition, for example, whether it is active, in remission, resolved, et cetera.


ContextParent nodes of template element with id 2.16.840.1.113883.3.1937.99.61.30.10.56
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.61.30.10.53Containmentdraft Problem Observation (harmonized) (0.1)2020‑04‑13 12:21:40
RelationshipGeneralization: template 2.16.840.1.113883.10.22.4.20 IPS Problem Status Observation (2017‑03‑29)
ref
hl7ips-

Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 IHE Problem Status Observation (2013‑12‑20)
ref
IHE-PCC-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.22.4.20"/>  <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>  <text>
    <reference value="#example"/>  </text>  <statusCode code="completed"/>  <value code="active" displayName="Active" codeSystem="2.16.840.1.113883.4.642.3.155"/></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
PCPrdotstion
@classCode
cs0 … 1FOBS
 C-CDA
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7357).

IPS
optional
@moodCode
cs0 … 1FEVN
 C-CDA
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7358).

IPS 
optional
hl7:templateId
II1 … 1MC-CDA
SHALL contain exactly one [1..1] templateId (CONF:1198-7359) such that it a. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.6" (CONF:1198-10518). b. SHALL contain exactly one [1..1] @extension="2019-06-20" (CONF:1198-32961).
PCPrdotstion
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.30.10.56
hl7:code
CD.IPS1 … 1R

IPS = C-CDA

C-CDA
SHALL contain exactly one [1..1] code (CONF:1198-19162). a. This code SHALL contain exactly one [1..1] @code="33999-4" Status (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:1198-19163).

IPS
This observation is of clinical status, as indicated by the <code> element. This element must be present.

PCPrdotstion
@code
CONF0 … 1F33999-4
@codeSystem
0 … 1F2.16.840.1.113883.6.1
hl7:text
ED0 … 1R

C-CDA
Not explicitly specified

IPS
The <text> element is required and points to the text describing the problem being recorded; including 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. [Text to be fixed it is not required]

PCPrdotstion
hl7:reference
TEL1 … 1MPCPrdotstion
@value
1 … 1RReference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS1 … 1M

IPS = C-CDA

C-CDA
SHALL contain exactly one [1..1] statusCode (CONF:1198-7364).
a. This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19113).

IPS
The code attribute of <statusCode> for all clinical status observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed.

PCPrdotstion
@code
CONF1 … 1Fcompleted
hl7:value
CE.IPS1 … 1RC-CDA
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:1198-7365).

The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.68 Problem Status (DYNAMIC)

IPS
The value element contains the clinical status.
Code from value set: 2.16.840.1.113883.11.22.24 IPS Condition Status Code (Dynamic)
PCPrdotstion