Difference between revisions of "2.16.840.1.113883.10.22.4.20/static-2017-03-29T000000"

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Revision as of 10:52, 15 December 2017

Id2.16.840.1.113883.10.22.4.20Effective Date valid from 2017‑03‑29
StatusKyellow.png DraftVersion Label
NameIPSProblemStatusObservationDisplay NameIPS Problem Status Observation
DescriptionThis 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 2.16.840.1.113883.10.22.4.20
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 5 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.10.22.4.8ContainmentKyellow.png IPS Problem Entry2017‑02‑15
2.16.840.1.113883.10.22.4.7Link.pngKyellow.png IPS Problem Concern Entry2017‑02‑15
2.16.840.1.113883.10.22.3.3Link.pngKyellow.png IPS Problems Section2017‑02‑15
2.16.840.1.113883.10.22.1.1Link.pngKyellow.png International Patient Summary2017‑04‑11
2.16.840.1.113883.10.22.3.7Link.pngKyellow.png IPS History of Past Illness Section2017‑04‑12
RelationshipAdaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 (2013‑12‑20)
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
(IPS...ion)
Treetree.png@classCode
cs0 … 1FOBS
Treetree.png@moodCode
cs0 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(IPS...ion)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.20
Treetree.pnghl7:code
CD.IPS1 … 1R

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

(IPS...ion)
Treeblank.pngTreetree.png@code
CONF0 … 1F33999-4
Treeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
Treetree.pnghl7:text
ED0 … 1R

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.

(IPS...ion)
Treeblank.pngTreetree.pnghl7:reference
TEL1 … 1M(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.png@value
1 … 1RReference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
Treetree.pnghl7:statusCode
CS1 … 1M

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.

(IPS...ion)
Treeblank.pngTreetree.png@code
CONF1 … 1Fcompleted
Treetree.pnghl7:value
CE.IPS1 … 1RThe value element contains the clinical status.(IPS...ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.24 IPS Condition Status Code (DYNAMIC)