2.16.840.1.113883.10.22.4.20

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1 Template IPSProblemStatusObservation

1.1 Aktuelle Version

Id2.16.840.1.113883.10.22.4.20Gültigkeit ab2017‑03‑29
Status  Unter Revision vor der PublikationVersions-LabelSTU1
NameIPSProblemStatusObservationBezeichnungIPS Problem Status Observation
Beschreibung  This subordinated observation used by the problem observation records information about the current status of a condition, for example, whether it is active, in remission, resolved, et cetera.
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.20
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
BeziehungAdaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 Entry Problem Status Observation (2013‑12‑20)
ref
epsos-
Beispiel
Beispiel
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.22.4.20"/>  <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>  <text>
    <reference value="#example"/>  </text>
  <statusCode code="completed"/>  <value code="active" displayName="Active" codeSystem="2.16.840.1.113883.4.642.3.155"/></observation>
ItemDTKardKonfBeschreibungLabel
hl7:observation
 @classCode
cs0 … 1FOBS
 @moodCode
cs0 … 1FEVN
 hl7:templateId
II1 … 1M
  @root
uid1 … 1F2.16.840.1.113883.10.22.4.20
 hl7:code
CD.IPS1 … 1R 

This observation is of clinical status, as indicated by the <code> element. This element must be present.

  @code
CONF0 … 1F33999-4
  @codeSystem
0 … 1F2.16.840.1.113883.6.1 (LOINC)
 hl7:text
ED0 … 1R 

The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

  hl7:reference
TEL1 … 1M
   @value
url1 … 1R  Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
 hl7:statusCode
CS1 … 1M 

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
CONF1 … 1Fcompleted
 hl7:value
CE.IPS1 … 1R  The value element contains the clinical status.
 CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.24 IPS Condition Status Code (DYNAMIC)


1.2 Zusammenstellung aller Versionen dieses Templates