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# Template eHDSI Problem Concern

Id | 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 | Effective Date | 2020‑04‑16 13:26:35 Other versions this id: eHDSIProblemConcern as of 2026‑02‑05 15:47:23 eHDSIProblemConcern as of 2020‑09‑03 12:59:44 EntryProblemConcern as of 2019‑03‑12 15:36:45 EntryProblemConcern as of 2013‑12‑20
Status | Retired | Version Label |
Name | eHDSIProblemConcern | Display Name | eHDSI 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. 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.
Context | Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
Classification | CDA Entry Level Template
Open/Closed | Open (other than defined elements are allowed)
Used by / Uses |
Used by 3 transactions and 11 templates, Uses 1 template
Used by | as | Name | Version
--- | --- | --- | ---
epsos-transactions-23 | Transaction | Return MRO | 2013‑11‑02
epsos-transactions-21 | Transaction | Send HCER to country A | 2013‑11‑02
epsos-transactions-12 | Transaction | Return PS of country A | 2012‑05‑02
1.3.6.1.4.1.19376.1.5.3.1.3.6 | Containment | eHDSI Active Problems | 2020‑04‑16 11:58:12
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | eHDSI Patient Summary | 2020‑04‑14 13:03:47
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | epSOS-Patient Summary | 2018‑11‑14 10:53:50
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | epSOS-Patient Summary | 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 |  | epSOS-Health Care Encounter Report | 2018‑11‑14 09:02:41
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 |  | epSOS-Health Care Encounter Report | 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5 |  | epSOS-Medication Related Overview | 2018‑11‑14 09:03:13
1.3.6.1.4.1.12559.11.10.1.3.1.1.5 |  | epSOS-Medication Related Overview | 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.6 | Containment | Section Active Problems | 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.8 | Containment | eHDSI History Of Past Illness | 2020‑04‑16 12:17:41
1.3.6.1.4.1.19376.1.5.3.1.3.8 | Containment | Section History of Past Illness | 2013‑12‑20
Uses | as | Name | Version
1.3.6.1.4.1.12559.11.10.1.3.1.3.7 | Containment | eHDSI Problem | DYNAMIC
Relationship | Version: template 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 Problem Concern (2013‑12‑20)
Example |
Example
<act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.27"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/> <id root=" " extension=" "/> <code nullFlavor="NA"/> <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="1.3.6.1.4.1.19376.1.5.3.1.4.5"/> <templateId root="2.16.840.1.113883.10.20.1.28"/> <!-- ... --> </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="2.16.840.1.113883.10.20.1.27"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/> <id extension="493" root="2.4.5.0.2545055583.3.0.14"/> <code nullFlavor="NA"/> <statusCode code="active"/> <entryRelationship inversionInd="false" typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.28"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/> <id extension="493" root="2.4.5.0.2545055583.3.0.14"/> <code code="404684003" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical finding" codeSystemName="SNOMED CT"/> <text> <reference value="#Problems_Unknown"/> </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" type="CD"/> </observation> </entryRelationship></act>
Example |
Known absence
<act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.27"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/> <id extension="493" root="2.4.5.0.2545055583.3.0.14"/> <code nullFlavor="NA"/> <statusCode code="active"/> <entryRelationship inversionInd="false" typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.28"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/> <id extension="493" root="2.4.5.0.2545055583.3.0.14"/> <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" type="CD"/> </observation> </entryRelationship></act>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:act |  |  | R |  |
@classCode | cs | 1 … 1 | F | ACT
@moodCode | cs | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.27
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
hl7:id | II | 1 … * | R |  |
hl7:code | CD | 1 … 1 | R | Fixed nullFlavor='NA' |
hl7:text | ED | 0 … 1 | R |  |
hl7:reference | TEL | 1 … 1 | M |  |
@value |  | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode | CS | 0 … 1 | R | One of: active|suspended|aborted|completed |
| 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_TS | 0 … 1 | R |  |
hl7:low |  | 1 … 1 | R | Problem onset date. The element shall be present. |
hl7:high |  | 0 … 1 | C | Problem end date. The element shall be present for concerns in the completed or aborted state, and shall not be present otherwise. |
hl7:entryRelationship |  | 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. Contains 1.3.6.1.4.1.12559.11.10.1.3.1.3.7 eHDSI Problem (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | SUBJ
hl7:entryRelationship |  | 0 … * | R | 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 | cs | 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 | cs | 0 … 1 | F | OBS | CONF‑526
| The value for “Observation / @classCode” in a source of information observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC.
@moodCode | cs | 0 … 1 | F | EVN | CONF‑527
| 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 | CONF | 0 … 1 | F | 48766-0
@codeSystem | 0 … 1 | F | 2.16.840.1.113883.6.1 (LOINC)
@displayName | 0 … 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 | CONF | 0 … 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”. | CONF‑532 / CONF‑533