| Item | DT | Card | Conf | Description | Label |
|---|
| | | R | | IPSP...ntry |
 | @classCode
|
| cs | 0 … 1 | F | OBS |
| @moodCode
|
| cs | 1 … 1 | F | EVN |
| hl7:templateId
|
| II | 1 … 1 | M | | IPSP...ntry |
 | | @root
|
| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.8 |
| hl7:id
|
| II | 0 … * | R | | IPSP...ntry |
| hl7:code
|
| CD.IPS | 1 … 1 | R | This element describes the type of condition this observation is referring to. | IPSP...ntry |
| | CONF | | The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.16 Problem Type (DYNAMIC) |
|
| | Example | <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem"/> |
| hl7:text
|
| ED | 0 … 1 | R | The <text> element if present 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. | IPSP...ntry |
| | Example | <text>
<reference value="#problem-1"/></text> |
| | hl7:reference
|
| TEL | 1 … 1 | M | | IPSP...ntry |
| | 1 … 1 | R | When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 |
| hl7:statusCode
|
| CS | 1 … 1 | M | A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'. | IPSP...ntry |
| | @code
|
| CONF | 1 … 1 | F | completed |
| hl7:effectiveTime
|
| IVL_TS | 1 … 1 | M | <div>The effectiveTime, also referred to as the “biologically relevant time” is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago.</div>
<div>The <low> and <high> values should be no more precise than known, but as precise as possible.<br clear="none"/>
</div> | IPSP...ntry |
| | Example | Known onset date (active condition) <effectiveTime>
<low value="20100507"/></effectiveTime> |
| | Example | Unknown onset date (active condition) <effectiveTime>
<low nullFlavor="UNK"/></effectiveTime> |
| | Example | Unknown resolution date <effectiveTime>
<low value="2010"/> <high nullFlavor="UNK"/></effectiveTime> |
| | Example | Known resolution date <effectiveTime>
<low value="201007"/> <high value="201703"/></effectiveTime> |
| | hl7:low
|
| IVXB_TS | 1 … 1 | R | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | IPSP...ntry |
| | hl7:high
|
| IVXB_TS | 0 … 1 | C | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition e became biologically resolved.<br clear="none"/>If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK". | IPSP...ntry |
| | Constraint | If this condition is known to be resolved, then the effectiveTime/high would be present. <br clear="none"/> |
| hl7:value
|
| CD.IPS (preferred) | 1 … 1 | M | The <value> is the condition that was found. <br clear="none"/>It may a coded or an un-coded string, but its type is always coded.<br clear="none"/> The coded form shall be used also to indicate known absent conditions or the nonavailability of information about them. | IPSP...ntry |
| | @xsi:type
|
| | 0 … 1 | F | CD |
| | CONF | | The value of @code comes preferably from value set 2.16.840.1.113883.11.22.5 CORE Problem List Disorders (DYNAMIC) | | or | | The value of @code comes preferably from value set 2.16.840.1.113883.11.22.17 Absent or Unknown Problems (DYNAMIC) |
|
| | Example | Multiple Coding <value code="302231008" displayName="Salmonella infection" codeSystem="2.16.840.1.113883.6.96">
<translate code="A02.9" displayName="Infezioni da Salmonella non specificate" codeSystem="2.16.840.1.113883.6.3"/></value> |
| | Example | Local code not mappable in the reference terminology <value nullFlavor="OTH">
<translate code="12345" displayName="Not in the reference value set" codeSystem="1.2.3.999" codeSystemName="--example only--"/></value> |
| | Example | Textual Information <value nullFlavor="NI">
<originalText>
<reference value="#value_as_text"/> </originalText></value> |
| | Example | Known absent problems <value code="160245001" displayName="No current problems or disability" codeSystem="2.16.840.1.113883.6.96"/> |
| | hl7:originalText
|
| | | R | <p>The <originalText> element within the <code> element described above is used as follows: the <value> contains a <reference> to the <originalText> in order to link the coded value to the problem narrative text (minus 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. </p> | IPSP...ntry |
| | 0 … 1 | R | The URI given in the value attribute of the <reference> element points to an element in the narrative content that contains the complete text describing the medication. In a CDA document, the URI given in the value attribute of the <reference> element points to an element in the narrative content that contains the complete text describing the medication. | IPSP...ntry |
| | Example | <reference value="#value_as_text"/> |
| | hl7:translation
|
| CD.IPS | 0 … * | | The translation element may be used to transmit a set of other concept descriptors, using for example ICD-10 or other international or jurisdictional code systems. | IPSP...ntry |
| | hl7:qualifier
|
| CR | 0 … * | | | IPSP...ntry |
| hl7:entryRelationship
|
| | 0 … 1 | R | <b>Severity</b> <br clear="none"/>The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician.
Contains 2.16.840.1.113883.10.22.4.25 IPS Severity Observation (DYNAMIC) | IPSP...ntry |
| where [hl7:observation [hl7:code [concat(@code,@codeSystem)=doc('include/voc-2.16.840.1.113883.1.11.20386-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code,@codeSystem) or @nullFlavor]]] |
| |
| | @typeCode
|
| cs | 1 … 1 | F | SUBJ |
| | @inversionInd
|
| bl | 1 … 1 | F | true |
| hl7:entryRelationship
|
| | 0 … 1 | R | <b> Certainty or Verification Status </b> <br clear="none"/>The contained entry describes the certainty associated with a condition.
Contains 2.16.840.1.113883.10.22.4.19 IPS Certainty Observation (DYNAMIC) | IPSP...ntry |
| where [hl7:observation [hl7:code [(@code='66455-7' and @codeSystem='2.16.840.1.113883.6.1')]]] |
| |
| | @typeCode
|
| cs | 1 … 1 | F | SUBJ |
| | @inversionInd
|
| bl | 1 … 1 | F | true |
| hl7:entryRelationship
|
| | 0 … 1 | R | <b>Status of the Problem</b>  <br clear="none"/>The contained entry describes the current status of the condition, for example, whether it is active, in remission, resolved, and so on ...
Contains 2.16.840.1.113883.10.22.4.20 IPS Problem Status Observation (2017‑03‑29) | IPSP...ntry |
| where [hl7:observation [hl7:code [(@code='33999-4' and @codeSystem='2.16.840.1.113883.6.1') or @nullFlavor]]] |
| |
| | @typeCode
|
| cs | 1 … 1 | F | REFR |
| | @inversionInd
|
| bl | 0 … 1 | F | false |
Draft
