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pending Template  IPS Problem Status Observation

Id 2.16.840.1.113883.10.22.4.20 Effective Date 2017‑03‑29
Status pending Under pre-publication review Version Label STU1
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 (2021) 2024‑08‑04 11:06:03
2.16.840.1.113883.10.22.4.7 link draft IPS Problem Concern Entry (2021) 2021‑08‑04 08:49:27
2.16.840.1.113883.10.22.3.3 link pending IPS Problems Section (STU1) 2017‑02‑15
2.16.840.1.113883.10.22.1.1 link draft International Patient Summary (2021) 2020‑07‑14 16:08:21
2.16.840.1.113883.10.22.3.7 link pending IPS History of Past Illness Section (STU1) 2017‑04‑12
Relationship 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>
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 (LOINC)
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
url 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)