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pending Template  IPS Problems Section

Id 2.16.840.1.113883.10.22.3.3 Effective Date 2017‑02‑15
Status pending Under pre-publication review Version Label STU1
Name IPSProblemList Display Name IPS Problems Section
Description
The IPS problem section lists and describes clinical problems or conditions currently being monitored for the patient. This section can record different kinds of  problems as, but not limited to,  chronic diseases (e.g. COPD, diabetes, hypertension); contagious diseases; nutritional problems (e.g. metabolic diseases); and so on.The optional author and informant elements are used, when necessary, to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.3.3
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 3 concepts
Id Name Data Set
hl7ips-dataelement-130 draft Description draft CEN/TC 251 prEN 17269
hl7ips-dataelement-139 draft Problem list draft CEN/TC 251 prEN 17269
hl7ips-dataelement-18 draft Problems draft CEN/TC 251 prEN 17269
Used by / Uses
Used by 0 transactions and 1 template, Uses 4 templates
Used by as Name Version
2.16.840.1.113883.10.22.1.1 Containment draft International Patient Summary (2021) 2020‑07‑14 16:08:21
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Include pending IPS Body Author (STU1) DYNAMIC
2.16.840.1.113883.10.12.319 Containment active CDA Informant (Body) DYNAMIC
2.16.840.1.113883.10.22.4.7 Containment draft IPS Problem Concern Entry (2021) DYNAMIC
2.16.840.1.113883.10.22.3.15 Containment draft IPS Translation Section (2021) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 2.16.840.1.113883.10.20.1.11 Problem section (DYNAMIC)
ref
ccd1-

Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.3.6 Section Active Problems (2013‑12‑20)
ref
epsos-
Example
Example
<section classCode="DOCSECT">
  <templateId root="2.16.840.1.113883.10.22.3.3"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" displayName="Problem List"/>  <title>Active Problems</title>  <text>Narrative text of the Problem List sections</text>  <author>
    <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
  </author>
  <informant>
    <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (dynamic) -->
  </informant>
  <entry typeCode="COMP" contextConductionInd="true">
    <!-- template 2.16.840.1.113883.10.22.4.7 'IPS Problem Concern Entry' (dynamic) -->
  </entry>
  <component>
    <!-- template 2.16.840.1.113883.10.22.3.15 'IPS Translation Section' (dynamic) -->
  </component>
</section>
Item DT Card Conf Description Label
hl7:section
1 … 1 M (IPSdotsist)
 
target
hl7ips-dataelement-18 draft Problems draft CEN/TC 251 prEN 17269
@classCode
cs 0 … 1 F DOCSECT
hl7:templateId
II 1 … 1 M (IPSdotsist)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.3.3
hl7:id
II 0 … * R (IPSdotsist)
hl7:code
CE.IPS 1 … 1 M (IPSdotsist)
@code
CONF 1 … 1 F 11450-4
@codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:title
ST 1 … 1 M (IPSdotsist)
hl7:text
SD.TEXT 1 … 1 M Section text (IPSdotsist)
 
target
hl7ips-dataelement-130 draft Description draft CEN/TC 251 prEN 17269
Included 0 … * from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
hl7:author
0 … * (IPSdotsist)
hl7:templateId
II 1 … 1 M (IPSdotsist)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.4.14
hl7:time
TS.IPS.TZ 1 … 1 R (IPSdotsist)
hl7:assignedAuthor
1 … 1 M (IPSdotsist)
hl7:id
II 1 … * R (IPSdotsist)
hl7:code
0 … 1 R (IPSdotsist)
Choice 0 … 1 Elements to choose from:
  • hl7:assignedPerson
  • hl7:assignedAuthoringDevice
hl7:assignedPerson
0 … 1 C (IPSdotsist)
@classCode
cs 0 … 1 F PSN
@determinerCode
cs 0 … 1 F INSTANCE
hl7:name
PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document (IPSdotsist)
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
1 … * R (IPSdotsist)
hl7:given
1 … * R (IPSdotsist)
hl7:assignedAuthoringDevice
0 … 1 C (IPSdotsist)
  Example <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
  <softwareName displayName="Turriano"/></assignedAuthoringDevice>
Included from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)
@classCode
cs 0 … 1 F DEV
@determinerCode
cs 0 … 1 F INSTANCE
hl7:code
CE 0 … 1 (IPSdotsist)
hl7:manufacturerModelName
SC 0 … 1 (IPSdotsist)
hl7:softwareName
SC 0 … 1 (IPSdotsist)
hl7:representedOrganization
0 … 1 (IPSdotsist)
hl7:id
II 0 … * (IPSdotsist)
hl7:name
0 … * (IPSdotsist)
hl7:telecom
TEL 0 … * (IPSdotsist)
hl7:addr
AD 0 … * (IPSdotsist)
hl7:informant
0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) (IPSdotsist)
hl7:entry
1 … * R Contains 2.16.840.1.113883.10.22.4.7 IPS Problem Concern Entry (DYNAMIC) (IPSdotsist)
 
target
hl7ips-dataelement-139 draft Problem list draft CEN/TC 251 prEN 17269
@typeCode
cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
@contextConductionInd
bl 0 … 1 F true
hl7:component
0 … * Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) (IPSdotsist)