1.2.40.0.34.6.0.11.3.6/static-2019-01-18T095900

Id	1.2.40.0.34.6.0.11.3.6	Gültigkeit	2019‑01‑18 09:59:00
Status	Entwurf	Versions-Label	2019
Name	elga_entry_Problem	Anzeigename	Problem Entry
Beschreibung	Problem Entry TODO deutsch
Kontext	Elternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.3.6
Label	IHE PCC TF2 Rev.11, 6.3.4.14
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Beziehung	Spezialisierung: Template 1.3.6.1.4.1.19376.1.5.3.1.4.5 Problem (DYNAMIC) ref epsos- Spezialisierung: Template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07) ref ad1bbr-
Beispiel	Komplikationsrisiko eVACDOC <observation classCode="OBS" moodCode="EVN" negationInd="false">   <templateId root="2.16.756.5.30.1.1.10.4.97"/>  <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"/>  <code code="55607006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Problem">     <originalText>       <reference value="#pe-11"/>    </originalText>  </code>  <text>     <reference value="#pe-12"/>  </text>  <statusCode code="completed"/>  <effectiveTime>     <low value="20140112"/>  </effectiveTime>  <value xsi:type="CD" code="114004" codeSystem="2.16.756.5.30.1.127.3.3.1" codeSystemName="Swiss Vaccination Plan Complication Risks" displayName="Schweres Asthma: bei verlängerter oder häufiger Behandlung mit oralen Steroiden"/></observation>
Beispiel	Durchgemachte Krankheit <observation classCode="OBS" moodCode="EVN" negationInd="false">   <templateId root="2.16.756.5.30.1.1.10.4.97"/>  <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"/>  <id root="2.999" extension="9759b180"/>  <code code="55607006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Problem">     <originalText>       <reference value="#hipi11"/>    </originalText>  </code>  <text>     <reference value="#hipi12"/>  </text>  <statusCode code="completed"/>  <effectiveTime>     <low value="20121214"/>    <high value="20121221"/>  </effectiveTime>  <value xsi:type="CD" code="38907003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Chicken pox"/></observation>
Item DT Kard Konf Beschreibung Label hl7:observation Problem as structured entry (e.g. syptom, complaint, diagnosis etc.) IHE PCC TF2 Rev.11, 6.3.4.14 @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F EVN @negationInd bl 1 … 1 R This value remains usually 'false'. If there is an observation that the problem has not occured, this value can be set 'true'. This is a small but important difference to the situation where the problem has not been observed (and therefore no problem has been recorded). hl7:templateId II 1 … 1 IHE PCC TF2 Rev.11, 6.3.4.14 @root uid 1 … 1 F 2.16.756.5.30.1.1.10.4.97 hl7:templateId II 1 … 1 IHE PCC TF2 Rev.11, 6.3.4.14 @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.5 hl7:templateId II 1 … 1 IHE PCC TF2 Rev.11, 6.3.4.14 @root uid 1 … 1 F 2.16.840.1.113883.10.20.1.28 hl7:id II 0 … 1 R An ID for this item MAY be filled for traceability. IHE PCC TF2 Rev.11, 6.3.4.14 @root uid 1 … 1 R MUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED. @extension st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID. hl7:code CD 1 … 1 M The problem type code. IHE PCC TF2 Rev.11, 6.3.4.14 @code cs 1 … 1 R @codeSystem oid 1 … 1 F 2.16.840.1.113883.6.96 @codeSystemName st 1 … 1 F SNOMED CT @displayName st 1 … 1 R   Constraint For eVACDOC complication or exposure risks, the code 55607006 (problem) MUST be used.   CONF Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.20.14 ProblemTypeCode (DYNAMIC) Eingefügt 1 … 1 von 2.16.756.5.30.1.1.10.9.14 (DYNAMIC) The human-readable text MUST be generated automatically from the structured information of this element. The text element MUST contain the reference to the corresponding text in the human readable part, ONLY.   Inklusion Fehler: Kann das Template "2.16.756.5.30.1.1.10.9.14" (DYNAMIC) nicht finden hl7:statusCode CS 1 … 1 M The statusCode shall be set to 'completed' for all problems. IHE PCC TF2 Rev.11, 6.3.4.14   CONF Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.20025 ActStatusCompleted (DYNAMIC) hl7:effectiveTime IVL_TS.CH.TZ 1 … 1 R Indicates the time interval over which the problem is known to be true. IHE PCC TF2 Rev.11, 6.3.4.14 hl7:low TS.CH.TZ 1 … 1 R Point of time of the first occurance of the problem. IHE PCC TF2 Rev.11, 6.3.4.14 hl7:high TS.CH.TZ 0 … 1 C Point of time when the problem was solved. For all other cases this value remains empty. IHE PCC TF2 Rev.11, 6.3.4.14 hl7:value CD 0 … * This value can be either a coded value or uncoded text. The type is always xsi:type='CD'. For coded values the attributes code, codeSystem, codeSystemName and displayName MUST be present. For uncoded values, the nullFlavor='NAV' attribute and the originalText element MUST be present. The following value sets are allowed: CHOP: 2.16.756.5.30.1.126.3.1 ICD-10: 2.16.756.5.30.1.126.3.2 ICPC-2: 2.16.840.1.113883.6.139 VVK-EDI: 2.16.756.5.30.1.127.3.1.20080401.1 SNOMED CT: 2.16.840.1.113883.6.96 Swiss Vaccination Plan Complication Risks: 2.16.756.5.30.1.127.3.3.1 Swiss Vaccination Plan Exposure Risks: 2.16.756.5.30.1.127.3.3.2 The SNOMED CT code 160245001, 'No current problems or disability (situation)' MAY be used to indicate that the patient doesn't currently suffer on any problem. For special cases a code from the value set 'Special Case Problems' SHALL be used. IHE PCC TF2 Rev.11, 6.3.4.14 @nullFlavor st 0 … 1 F NAV @code cs 0 … 1   @codeSystem oid 0 … 1   @codeSystemName st 0 … 1   @displayName st 0 … 1     CONF @codeSystem muss "2.16.756.5.30.1.126.3.1" sein oder @codeSystem muss "2.16.756.5.30.1.126.3.2" sein oder @codeSystem muss "2.16.840.1.113883.6.139" sein oder @codeSystem muss "2.16.756.5.30.1.127.3.1.20080401.1" sein oder @codeSystem muss "2.16.840.1.113883.6.96" sein oder Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.1.11.72 (DYNAMIC) oder Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.1.11.73 (DYNAMIC) oder Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.1.11.74 (DYNAMIC) oder Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.1.11.75 (DYNAMIC)   Schematron assert role  error     test (@code and @codeSystem) or (@nullFlavor='NAV')     Meldung Either a code with its code system or nullFlavor='NAV' is required.     Schematron assert role  error     test not(@nullFlavor) or (hl7:originalText)     Meldung Other problems description MUST be declared in the originalText element in case of nullFlavor.   Eingefügt 0 … 1 C von 2.16.756.5.30.1.1.10.9.49 (DYNAMIC) The human-readable text MUST be generated automatically from the structured information of this element. The text element MUST contain the reference to the corresponding text in the human readable part, ONLY.   Inklusion Fehler: Kann das Template "2.16.756.5.30.1.1.10.9.49" (DYNAMIC) nicht finden hl7:author 0 … * This MAY be used to indicate who has documented the observation. This information supersedes any information recorded at higher level. Beinhaltet Fehler: Kann das Template "2.16.756.5.30.1.1.10.9.48" (DYNAMIC) nicht finden IHE PCC TF2 Rev.11, 6.3.4.14