Back To Index << Back To Templates

# Template eHDSI Problem Status Observation

Id | 1.3.6.1.4.1.12559.11.10.1.3.1.3.9 | Effective Date | 2022‑07‑22 09:28:01 Other versions this id: eHDSIProblemStatusObservation as of 2021‑12‑17 09:41:27 eHDSIProblemStatusObservation as of 2020‑09‑03 07:57:37 eHDSIProblemStatusObservation as of 2020‑04‑16 12:37:38
Status | Active | Version Label |
Name | eHDSIProblemStatusObservation | Display Name | eHDSI Problem Status Observation
Description
(CCD) Any problem or allergy observation may reference a problem status observation. This structure is included in the target observation using the <entryRelationship> element defined in the CDA Schema. The clinical status observation records information about the current status of the problem or allergy, for example, whether it is active, in remission, resolved, et cetera. The example below shows the recording of clinical status of a condition or allergy, and is used as the context for the following sections. This CCD models a problem status observation as a separate observation from the problem, allergy or medication observation. While this model is different from work presently underway by various organizations (i.e., SNOMED, HL7, TermInfo), it is not wholly incompatible with that work. In that work, qualifiers may be used to identify problem status in the coded condition observation, and a separate clinical status observation is no longer necessary. The use of qualifiers in the problem observation is not precluded by this specification or by CCD. However, to support semantic interoperability between EMR systems using different vocabularies, this specification does require that problem status information also be provided in a separate observation. This ensures that all EMR systems have equal access to the information, regardless of the vocabularies they support.
Context | Parent nodes of template element with id 1.3.6.1.4.1.12559.11.10.1.3.1.3.9
Classification | CDA Entry Level Template
Open/Closed | Open (other than defined elements are allowed)
Associated with |
Associated with 2 concepts
Id | Name | Dataset
--- | --- | ---
ehdsi-dataelement-73 | Problem Status code | eHDSI Data Set
ehdsi-dataelement-74 | Resolution Circumstances | eHDSI Data Set
Used by / Uses |
Used by 3 transactions and 41 templates, Uses 0 templates
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
1.3.6.1.4.1.12559.11.10.1.3.1.3.7 | Containment | eHDSI Problem | 2023‑02‑27 15:25:42
1.3.6.1.4.1.12559.11.10.1.3.1.3.15 |  | eHDSI Problem Concern | 2026‑02‑05 15:47:23
1.3.6.1.4.1.12559.11.10.1.3.1.2.10 |  | 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 |  | eHDSI Active Problems | 2022‑04‑19 15:33:54
1.3.6.1.4.1.12559.11.10.1.3.1.2.9 |  | eHDSI Active Problems | 2020‑09‑02 13:55:25
1.3.6.1.4.1.12559.11.10.1.3.1.3.15 |  | eHDSI Problem Concern | 2020‑09‑03 12:59:44
1.3.6.1.4.1.12559.11.10.1.3.1.3.17 |  | eHDSI Allergies And Intolerances | 2021‑06‑21 10:36:45
1.3.6.1.4.1.12559.11.10.1.3.1.3.17 |  | eHDSI Allergies And Intolerances | 2020‑09‑02 15:26:02
1.3.6.1.4.1.12559.11.10.1.3.1.3.19 |  | eHDSI Immunization | 2020‑09‑03 12:13:36
1.3.6.1.4.1.19376.1.5.3.1.4.12 |  | eHDSI Immunizations | 2020‑04‑16 13:06:27
1.3.6.1.4.1.19376.1.5.3.1.3.23 |  | eHDSI Immunizations | 2020‑04‑16 12:18:30
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
1.3.6.1.4.1.19376.1.5.3.1.3.23 |  | Section Immunizations | 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.12 |  | Immunizations | 2019‑05‑13 12:25:08
1.3.6.1.4.1.19376.1.5.3.1.4.5.2 |  | eHDSI Problem Concern | 2020‑04‑16 13:26:35
1.3.6.1.4.1.19376.1.5.3.1.3.6 |  | eHDSI Active Problems | 2020‑04‑16 11:58:12
1.3.6.1.4.1.19376.1.5.3.1.3.6 |  | Section Active Problems | 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.8 |  | eHDSI History Of Past Illness | 2020‑04‑16 12:17:41
1.3.6.1.4.1.19376.1.5.3.1.3.8 |  | Section History of Past Illness | 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5.2 |  | Problem Concern | 2019‑03‑12 15:36:45
1.3.6.1.4.1.19376.1.5.3.1.4.6 |  | eHDSI Allergies And Intolerances | 2020‑04‑16 12:29:45
1.3.6.1.4.1.19376.1.5.3.1.4.5.3 |  | eHDSI Allergy And Intolerance Concern | 2020‑04‑16 12:30:31
1.3.6.1.4.1.19376.1.5.3.1.3.13 |  | eHDSI Allergies and Other Adverse Reactions | 2020‑04‑16 11:58:56
1.3.6.1.4.1.19376.1.5.3.1.3.13 |  | Section Allergies and Other Adverse Reactions | 2019‑04‑05 14:39:34
1.3.6.1.4.1.19376.1.5.3.1.3.13 |  | Section Allergies and Other Adverse Reactions | 2019‑04‑05 14:39:26
1.3.6.1.4.1.19376.1.5.3.1.3.13 |  | Section Allergies and Other Adverse Reactions | 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5.3 |  | Allergy and Intolerance Concern | 2019‑04‑08 13:59:03
1.3.6.1.4.1.19376.1.5.3.1.4.5.3 |  | Allergy and Intolerance Concern | 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.6 |  | Allergies And Intolerances | 2019‑11‑15 08:41:37
1.3.6.1.4.1.19376.1.5.3.1.4.6 |  | Allergies And Intolerances | 2019‑02‑11 15:08:49
1.3.6.1.4.1.12559.11.10.1.3.1.3.7 | Containment | eHDSI Problem | 2022‑03‑15 15:15:16
1.3.6.1.4.1.12559.11.10.1.3.1.3.7 | Containment | eHDSI Problem | 2020‑09‑02 15:24:28
Relationship | Version: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.9 eHDSI Problem Status Observation (2021‑12‑17 09:41:27) Version: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.9 eHDSI Problem Status Observation (2020‑09‑03 07:57:37) Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 eHDSI Problem Status Observation (DYNAMIC)
Example |
Example
<observation classCode="OBS" moodCode="EVN"> <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.9"/> <templateId root="2.16.840.1.113883.10.20.1.57"/> <templateId root="2.16.840.1.113883.10.20.1.50"/> <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <text> <reference value="#cstatus-2"/> </text> <statusCode code="completed"/> <value type="CE" code=" " codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></observation>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:observation |  |  |  |  |
@classCode | cs | 1 … 1 | F | OBS
@moodCode | cs | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | R | eHDSI Problem Status Observation |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.12559.11.10.1.3.1.3.9
hl7:templateId | II | 0 … 1 | R | IHE Problem Status Observation (IHE PCC) |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.1.1
hl7:templateId | II | 1 … 1 | R | Status observation (CCD) |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.57
hl7:templateId | II | 1 … 1 | R | Problem status observation (CCD) |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.50
hl7:code | CE.EPSOS | 1 … 1 | M | This observation is of clinical status, as indicated by the <code> element. This element must be present. |
@code | CONF | 1 … 1 | F | 33999-4
@codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 (LOINC)
hl7:text | ED | 1 … 1 | M | For Resolved, closed or inactive problems, it describes the reason by which the problem status changed from current to inactive. |
ehdsi-dataelement-74 | Resolution Circumstances | 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 | 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. |
@code | CONF | 1 … 1 | F | completed
hl7:value | CE.EPSOS | 1 … 1 | R | The element contains the clinical status. It is always represented using the CE datatype (xsi:type='CE'). It shall contain a code from the following set of values from SNOMED CT. |
ehdsi-dataelement-73 | Problem Status code | eHDSI Data Set
| CONF |
The value of @code SHALL be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.15 eHDSIStatusCode (DYNAMIC)