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pending Template  IPS Problem Status Observation

Id 2.16.840.1.113883. Effective Date 2017‑03‑29
Status pending Under pre-publication review Version Label STU1
Name IPSProblemStatusObservation Display Name IPS Problem Status Observation
Description 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.
Context Parent nodes of template element with id 2.16.840.1.113883.
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 5 templates, Uses 0 templates
Used by as Name Version
2.16.840.1.113883. Containment pending IPS Problem Entry (STU1) 2017‑02‑15
2.16.840.1.113883. link pending IPS Problem Concern Entry (STU1) 2017‑02‑15
2.16.840.1.113883. link pending IPS Problems Section (STU1) 2017‑02‑15
2.16.840.1.113883. link pending International Patient Summary (STU1) 2017‑04‑11
2.16.840.1.113883. link pending IPS History of Past Illness Section (STU1) 2017‑04‑12
Relationship Adaptation: template (2013‑12‑20)
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883."/>  <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>
Item DT Card Conf Description Label
cs 0 … 1 F OBS
cs 0 … 1 F EVN
II 1 … 1 M (IPSdotsion)
uid 1 … 1 F 2.16.840.1.113883.
CD.IPS 1 … 1 R

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

CONF 0 … 1 F 33999-4
0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
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.

TEL 1 … 1 M (IPSdotsion)
1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
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.

CONF 1 … 1 F completed
CE.IPS 1 … 1 R The value element contains the clinical status. (IPSdotsion)
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.24 IPS Condition Status Code (DYNAMIC)