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draft Template  IPS Problem Status Observation

Id 2.16.840.1.113883.10.22.4.20 Effective Date 2017‑03‑29
Status draft Draft Version Label
Name IPSProblemStatusObservation Display Name IPS Problem Status Observation
Description 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.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.4.20
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 5 templates, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.10.22.4.8 Containment draft IPS Problem Entry 2017‑02‑15
2.16.840.1.113883.10.22.4.7 link draft IPS Problem Concern Entry 2017‑02‑15
2.16.840.1.113883.10.22.3.3 link draft IPS Problems Section 2017‑02‑15
2.16.840.1.113883.10.22.1.1 link draft International Patient Summary 2017‑04‑11
2.16.840.1.113883.10.22.3.7 link draft IPS History of Past Illness Section 2017‑04‑12
Relationship Adaptation: 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>
Item DT Card Conf Description Label
hl7:observation
 (IPSdotsion)
@classCode
 cs 0 … 1 F OBS
@moodCode
 cs 0 … 1 F EVN
hl7:templateId
 II 1 … 1 M (IPSdotsion)
@root
 uid 1 … 1 F 2.16.840.1.113883.10.22.4.20
hl7:code
 CD.IPS 1 … 1 R

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

(IPSdotsion)
@code
 CONF 0 … 1 F 33999-4
@codeSystem
 0 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
hl7:text
 ED 0 … 1 R

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.

(IPSdotsion)
hl7:reference
 TEL 1 … 1 M (IPSdotsion)
@value
 1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
 CS 1 … 1 M

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.

(IPSdotsion)
@code
 CONF 1 … 1 F completed
hl7:value
 CE.IPS 1 … 1 R The value element contains the clinical status. (IPSdotsion)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.24 IPS Condition Status Code (DYNAMIC)