| Item | DT | Kard | Konf | Beschreibung | Label |
|---|
| | | |  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 |
Entwurf
