1.2.40.0.34.11.13.3.13/static-2017-07-13T205144

Id	1.2.40.0.34.11.13.3.13 ref elgabbr-	Gültigkeit	2017‑07‑13 20:51:44 Andere Versionen mit dieser Id: ProblemStatusObservationEntry vom 2017‑07‑13 21:04:49 ProblemStatusObservationEntry vom 2017‑07‑13 21:03:14
Status	Entwurf	Versions-Label	0.1
Name	ProblemStatusObservationEntry	Bezeichnung	Problem Status Observation Entry
Beschreibung Klinischer Status des Problems
Kontext	Elternknoten des Template-Element mit Id 1.2.40.0.34.11.13.3.13
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Beziehung	Adaptation: 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="2.16.840.1.113883.10.20.1.57"/>  <templateId root="2.16.840.1.113883.10.20.1.50"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.1"/>  <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 xsi:type="CE" code=" " codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></observation>
Item DT Kard Konf Beschreibung Label hl7:observation (Pro...try) @classCode cs 0 … 1 F OBS @moodCode cs 0 … 1 F EVN hl7:templateId II 1 … 1 M (Pro...try) @root uid 1 … 1 F 1.2.40.0.34.11.13.3.13 hl7:templateId II 1 … 1 R (Pro...try) @root uid 1 … 1 F 2.16.840.1.113883.10.20.1.57 hl7:templateId II 1 … 1 R (Pro...try) @root uid 1 … 1 F 2.16.840.1.113883.10.20.1.50 hl7:templateId II 1 … 1 R (Pro...try) @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 hl7:code CD 1 … 1 R This observation is of clinical status, as indicated by the <code> element. This element must be present. (Pro...try) @code CONF 0 … 1 F 33999-4 @codeSystem 0 … 1 F 2.16.840.1.113883.6.1 (LOINC) @codeSystemName 0 … 1 F LOINC @displayName 0 … 1 F Status hl7:text ED 1 … 1 M 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. (Pro...try) hl7:reference TEL 1 … 1 M (Pro...try) @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. (Pro...try) @code CONF 1 … 1 F completed hl7:value CE.EPSOS 1 … 1 R The <value> 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. (Pro...try)   CONF Der Wert von @code muss gewählt werden aus dem Value Set 1.3.6.1.4.1.12559.11.10.1.3.1.42.15 epSOSStatusCode (DYNAMIC)