Id1.3.6.1.4.1.12559.11.10.1.3.1.3.15Effective Date2020‑09‑03 12:59:44
Statusactive ActiveVersion Label
NameeHDSIProblemConcernDisplay NameeHDSI Problem Concern
Description

This entry is a specialization of the Concern Entry, wherein the subject of the concern is focused on a problem. Elements shown in the example below in gray are explained in the Concern Entry.

The parent of this template is Concern Entry. This template is compatible with the ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.2.

ContextParent nodes of template element with id 1.3.6.1.4.1.12559.11.10.1.3.1.3.15
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 6 concepts
IdNameData Set
ehdsi-dataelement-76draft Onset Date draft eHDSI Data Set
ehdsi-dataelement-75draft End Date draft eHDSI Data Set
ehdsi-dataelement-44draft Problem/Diagnosis description draft eHDSI Data Set
ehdsi-dataelement-42draft Onset date draft eHDSI Data Set
ehdsi-dataelement-78draft Problem description draft eHDSI Data Set
ehdsi-dataelement-80draft Healthcare alert description draft eHDSI Data Set
Used by / Uses
Used by 0 transactions and 3 templates, Uses 1 template
Used by as NameVersion
1.3.6.1.4.1.12559.11.10.1.3.1.2.9Containmentretired eHDSI Active Problems2020‑09‑02 13:55:25
1.3.6.1.4.1.12559.11.10.1.3.1.2.9Containmentactive eHDSI Active Problems2022‑04‑19 15:33:54
1.3.6.1.4.1.12559.11.10.1.3.1.2.10Containmentactive eHDSI History Of Past Illness2020‑09‑02 14:07:10
Uses as NameVersion
1.3.6.1.4.1.12559.11.10.1.3.1.3.7Containmentactive eHDSI ProblemDYNAMIC
RelationshipAdaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 eHDSI Problem Concern (DYNAMIC)
Example
Example
<act classCode="ACT" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.15"/>  <templateId root="2.16.840.1.113883.10.20.1.27"/>  <id root=" " extension=" "/>  <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>  <statusCode code="active|suspended|aborted|completed"/>  <effectiveTime>
    <low value=" "/>    <high value=" "/>  </effectiveTime>  <!-- 1..* entry relationships identifying problems of concern -->
  <entryRelationship type="SUBJ">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.7"/>      <!-- ... -->
    </observation>  </entryRelationship>  <!-- optional entry relationship providing more information about the concern -->
  <entryRelationship type="REFR"/></act>
Example
No information available
<act classCode="ACT" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.15"/>  <templateId root="2.16.840.1.113883.10.20.1.27"/>  <id root="2.999.4.1" extension="__example only__"/>  <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>  <statusCode code="active"/>  <entryRelationship inversionInd="false" typeCode="SUBJ">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.7"/>      <id root="2.999.4.1.1" extension="__example only__"/>      <code code="404684003" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical finding" codeSystemName="SNOMED CT"/>      <text>
        <reference value="#Problems_None"/>      </text>      <value code="no-problem-info" displayName="No information about problems" codeSystem="2.16.840.1.113883.5.1150.1" codeSystemName="IPS Absent and Unknown Data" xsi:type="CD"/>    </observation>  </entryRelationship></act>
Example
Known absence
<act classCode="ACT" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.15"/>  <templateId root="2.16.840.1.113883.10.20.1.27"/>  <id root="2.999.4.1" extension="__example only__"/>  <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>  <statusCode code="active"/>  <entryRelationship inversionInd="false" typeCode="SUBJ">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.7"/>      <id root="2.999.4.1.1" extension="__example only__"/>      <code code="404684003" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical finding" codeSystemName="SNOMED CT"/>      <text>
        <reference value="#Problems_None"/>      </text>      <value code="no-known-problems" displayName="No known problems" codeSystem="2.16.840.1.113883.5.1150.1" codeSystemName="IPS Absent and Unknown Data" xsi:type="CD"/>    </observation>  </entryRelationship></act>
ItemDTCardConfDescriptionLabel
hl7:act
ReHDSdotscern
 
target
ehdsi-dataelement-80draft Healthcare alert description draft eHDSI Data Set
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1M

eHDSI Problem Concern

eHDSdotscern
@root
uid1 … 1F1.3.6.1.4.1.12559.11.10.1.3.1.3.15
hl7:templateId
II0 … 1RIHE Concern Entry (IHE PCC)eHDSdotscern
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.5.1
hl7:templateId
II0 … 1RIHE Problem Concern Entry (IHE PCC)eHDSdotscern
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.5.2
hl7:templateId
II1 … 1MProblem act (CCD)eHDSdotscern
@root
uid1 … 1F2.16.840.1.113883.10.20.1.27
hl7:id
II1 … *ReHDSdotscern
hl7:code
CD1 … 1MeHDSdotscern
@code
CONF1 … 1FCONC
@codeSystem
1 … 1F2.16.840.1.113883.5.6
hl7:text
ED0 … 1ReHDSdotscern
 
target
ehdsi-dataelement-44draft Problem/Diagnosis description draft eHDSI Data Set
ehdsi-dataelement-78draft Problem description draft eHDSI Data Set
hl7:reference
TEL1 … 1MeHDSdotscern
@value
1 … 1RReference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS0 … 1ROne of: active|suspended|aborted|completedeHDSdotscern
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.1937.777.11.11.2 ActStatusActiveAbortedSuspendedCompleted (DYNAMIC)
hl7:effectiveTime
IVL_TS0 … 1ReHDSdotscern
hl7:low
1 … 1RProblem onset date.
The element shall be present.		eHDSdotscern
 
target
ehdsi-dataelement-76draft Onset Date draft eHDSI Data Set
ehdsi-dataelement-42draft Onset date draft eHDSI Data Set
hl7:high
0 … 1CProblem end date.
The element shall be present for concerns in the completed or aborted state, and shall not be present otherwise.		eHDSdotscern
 
target
ehdsi-dataelement-75draft End Date draft eHDSI Data Set
hl7:entryRelationship
1 … *R

This entry shall contain one or more problem entries that conform to the Problem Entry template (OID: 1.3.6.1.4.1.12559.11.10.1.3.1.3.7). For CDA this SHALL be represented with the <entryRelationship> element. For HL7 Version 3 Messages, this SHALL be represented as a <subjectOf> element. The typeCode SHALL be ‘SUBJ’ and inversionInd SHALL be ‘false’

Note: every Problem Entry used in this section to identify problem of concern MAY have an <entryRelationship> that will indicate the severity of the problem, conforming to the eHDSI Severity template (OID: 1.3.6.1.4.1.12559.11.10.1.3.1.3.8). The severity codes to be used are eHDSISeverity, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.13.


Contains 1.3.6.1.4.1.12559.11.10.1.3.1.3.7 eHDSI Problem (DYNAMIC)		eHDSdotscern
@typeCode
cs1 … 1FSUBJ
hl7:entryRelationship
0 … *Roptional entry relationship providing more information about the concern. A source of information observation SHALL be the target of an entryRelationship whose value for “entryRelationship / @typeCode” SHALL be “REFR” “Refers to” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. A source of information observation SHALL be represented with Observation.eHDSdotscern
@typeCode
cs1 … 1FREFR
hl7:observation
ASTM CCR requires that all data objects have a stated source (or state explicitly that the source is unknown) so that any data within the summary can be validated. The source of data may be a person, organization, reference to some other data object, etc.eHDSdotscern
@classCode
cs0 … 1FOBS
 The value for “Observation / @classCode” in a source of information observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC.
@moodCode
cs0 … 1FEVN
 The value for “Observation / @moodCode” in a source of information observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.
hl7:code
CD1 … 1MA source of information observation SHALL contain exactly one Observation / code. The value for “Observation / code” in a source of information observation SHALL be “48766-0” “Information source” 2.16.840.1.113883.6.1 LOINC STATIC.eHDSdotscern
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:statusCode
1 … 1RA source of information observation SHALL contain exactly one Observation / statusCode. The value for “Observation / statusCode” in a source of information observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC.eHDSdotscern
@code
CONF0 … 1Fcompleted
hl7:value
1 … 1MA source of information observation SHALL contain exactly one Observation / value. The absence of a known source of information SHALL be explicity asserted by valuing Observation / value in a source of information observation with the text string “Unknown”.eHDSdotscern