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| Id | 2.16.840.1.113883.10.22.4.20 | Gültigkeit ab | 2017‑03‑29 |
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| Status | Unter Revision vor der Publikation | Versions-Label | STU1 |
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| Name | IPSProblemStatusObservation | Bezeichnung | IPS Problem Status Observation |
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| 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. |
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| Kontext | Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.20 |
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| Klassifikation | CDA Entry Level Template |
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| Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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| Beziehung | Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.4.1.1 IHE Problem Status Observation (2013‑12‑20) ref IHE-PCC- |
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| 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> |
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| Item | DT | Kard | Konf | Beschreibung | Label |
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| | | | | |  | @classCode
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| cs | 0 … 1 | F | OBS |  | @moodCode
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| cs | 0 … 1 | F | EVN |  | hl7:templateId
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| II | 1 … 1 | M | | |  |  | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.20 |  | hl7:code
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| CD.IPS | 1 … 1 | R | This observation is of clinical status, as indicated by the <code> element. This element must be present. | |  |  | @code
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| CONF | 0 … 1 | F | 33999-4 |  |  | @codeSystem
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| 0 … 1 | F | 2.16.840.1.113883.6.1 (LOINC) |  | hl7:text
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| ED | 0 … 1 | R | 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
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| TEL | 1 … 1 | M | | | | url | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 |  | hl7:statusCode
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| 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
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| CONF | 1 … 1 | F | completed |  | hl7:value
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| CE.IPS | 1 … 1 | R | 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) |
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