Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
Open/Closed
Open (other than defined elements are allowed)
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.
Parent Template
The parent of this template is Concern Entry. This template is compatible with the
ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.27
This entry has a template identifier of 1.3.6.1.4.1.19376.1.5.3.1.4.5.2, and is a
subtype of the Concern Entry, and so must also conform to that specification, with
the template identifier of 1.3.6.1.4.1.19376.1.5.3.1.4.5.1. These elements are required
and shall be recorded exactly as shown.
The <low> element shall be present, The <high> element shall be present for concerns
in the completed or aborted state, and shall not be present otherwise.
(EntryProblemConcern)
hl7:entryRelationship where [hl7:observation [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.5' and hl7:templateId/@root='2.16.840.1.113883.10.20.1.28']]
1 .. *
R
This entry shall contain one or more problem entries that conform to the Problem Entry
template 1.3.6.1.4.1.19376.1.5.3.1.4.5. 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 severity entry template (1.3.6.1.4.1.19376.1.5.3.1.4.1). The severity codes
to be used are epSOSSeverity, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.13.
optional 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.
CONF‑524 / CONF‑525
@typeCode
1 .. 1
F
REFR
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.
CONF‑524 / CONF‑525
@classCode
0 .. 1
F
OBS
The value for “Observation / @classCode” in a source of information observation SHALL
be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC.
@moodCode
0 .. 1
F
EVN
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
CD
1 .. 1
R
A 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.
CONF‑530 / CONF‑531
@code
1 .. 1
F
48766-0
@codeSystem
1 .. 1
F
2.16.840.1.113883.6.1 (LOINC)
@displayName
1 .. 1
F
Information source
hl7:statusCode
1 .. 1
R
A 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.
CONF‑528 / CONF‑529
@code
1 .. 1
F
completed
hl7:value
1 .. 1
M
A 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”.
Template Problem Concern
