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# Template eHDSI Problem Concern

Id | 1.3.6.1.4.1.12559.11.10.1.3.1.3.15 | Effective Date | 2026‑02‑05 15:47:23 Other versions this id: eHDSIProblemConcern as of 2020‑09‑03 12:59:44 eHDSIProblemConcern as of 2020‑04‑16 13:26:35
Status | Active | 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. 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.
Context | Parent nodes of template element with id 1.3.6.1.4.1.12559.11.10.1.3.1.3.15
Classification | CDA Entry Level Template
Open/Closed | Open (other than defined elements are allowed)
Associated with |
Associated with 6 concepts
Id | Name | Dataset
--- | --- | ---
ehdsi-dataelement-44 | Problem/Diagnosis description | eHDSI Data Set
ehdsi-dataelement-55 | Onset date | eHDSI Data Set
ehdsi-dataelement-75 | End Date | eHDSI Data Set
ehdsi-dataelement-76 | Onset Date | eHDSI Data Set
ehdsi-dataelement-78 | Problem description | eHDSI Data Set
ehdsi-dataelement-80 | Healthcare alert description | eHDSI Data Set
Used by / Uses |
Used by 1 transaction and 6 templates, Uses 1 template
Used by | as | Name | Version
--- | --- | --- | ---
epsos-transactions-12 | Transaction | Return PS of country A | 2012‑05‑02
1.3.6.1.4.1.12559.11.10.1.3.1.2.10 | Containment | eHDSI History Of Past Illness | 2020‑09‑02 14:07:10
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | eHDSI Patient Summary | 2024‑04‑19 10:03:32
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | eHDSI Patient Summary | 2022‑09‑12 13:44:19
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | eHDSI Patient Summary | 2020‑09‑02 10:19:44
1.3.6.1.4.1.12559.11.10.1.3.1.2.9 | Containment | eHDSI Active Problems | 2022‑04‑19 15:33:54
1.3.6.1.4.1.12559.11.10.1.3.1.2.9 | Containment | eHDSI Active Problems | 2020‑09‑02 13:55:25
Uses | as | Name | Version
1.3.6.1.4.1.12559.11.10.1.3.1.3.7 | Containment | eHDSI Problem | DYNAMIC
Relationship | Adaptation: 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" 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" type="CD"/> </observation> </entryRelationship></act>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:act |  |  | R |  |
ehdsi-dataelement-80 | Healthcare alert description | eHDSI Data Set
@classCode | cs | 1 … 1 | F | ACT
@moodCode | cs | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | M | eHDSI Problem Concern |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.12559.11.10.1.3.1.3.15
hl7:templateId | II | 0 … 1 | R | IHE Concern Entry (IHE PCC) |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
hl7:templateId | II | 0 … 1 | R | IHE Problem Concern Entry (IHE PCC) |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
hl7:templateId | II | 1 … 1 | M | Problem act (CCD) |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.27
hl7:id | II | 1 … * | R |  |
hl7:code | CD | 1 … 1 | M |  |
@code | CONF | 1 … 1 | F | CONC
@codeSystem | 1 … 1 | F | 2.16.840.1.113883.5.6 (ActClass)
hl7:text | ED | 0 … 1 | R |  |
ehdsi-dataelement-44 | Problem/Diagnosis description | eHDSI Data Set
ehdsi-dataelement-78 | Problem description | eHDSI Data Set
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 | IVXB_TS | 1 … 1 | R | This element asserts when the concern became active. This equates to the time the concern was authored in the patient's chart and the author started tracking this concern. |
ehdsi-dataelement-55 | Onset date | eHDSI Data Set
ehdsi-dataelement-76 | Onset Date | eHDSI Data Set
hl7:high | IVXB_TS | 0 … 1 | C | This element asserts when the clinician deemed there is no longer any need to track the underlying conditions. |
ehdsi-dataelement-75 | End Date | 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) |
@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. |
@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. |
@classCode | cs | 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 | cs | 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 | M | 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. |
@code | CONF | 1 … 1 | F | 48766-0
@codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 (LOINC)
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. |
@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”. |