Intersection of http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation and http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation

This is the set of resources that conform to both Problem Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation) and Problem Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation).

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1Base for all types and resources
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... nullFlavor 0..1??, ??Binding: ?? (required)
... realmCode 0..*CS
... typeId 0..1II
.... nullFlavor 0..1??, ??Binding: ?? (required)
.... assigningAuthorityName 0..1??, ??
.... displayable 0..1??, ??
.... root 1..1??, ??, ??, ??
.... extension 1..1??, ??
... templateId 1..*II
... classCode 1..1??, ??Binding: ?? (required)
... moodCode 1..1??, ??Binding: ?? (required)
... negationInd 0..1??, ??The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
... code C1..1CDBinding: ?? (preferred)
1198-32950: If code is selected from ValueSet Problem Type (SNOMEDCT) urn:id:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950).
... derivationExpr 0..1ST
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... nullFlavor 0..1??, ??Binding: ?? (required)
.... compression 0..1??, ??Binding: ?? (required)
.... integrityCheck 0..1??, ??
.... integrityCheckAlgorithm 0..1??, ??Binding: ?? (required)
.... language 0..1??, ??
.... mediaType 0..1??, ??Binding: ?? (example)
.... representation 0..1??, ??Binding: ?? (required)
.... xmlText 0..1??, ??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1ED
... statusCode 1..1CSBinding: ?? (required)
.... nullFlavor 0..1??, ??Binding: ?? (required)
.... code 1..1??, ??
.... sdtcValueSet 0..1??, ??
.... sdtcValueSetVersion 0..1??, ??
... effectiveTime 1..1IVL_TSIf the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
.... nullFlavor 0..1??, ??Binding: ?? (required)
.... value 0..1??, ??
.... operator 0..1??, ??Binding: ?? (required)
.... low 1..1IVXB_TSThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
.... center 0..1TS
.... width 0..1PQ
.... high 0..1IVXB_TS(USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved.
... priorityCode 0..1CEBinding: ?? (example)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: ?? (required)
... value 1..1CD(USCDI) SDOH Problems/Health Concerns
Binding: ?? (preferred)
.... nullFlavor 0..1??, ??Binding: ?? (required)
.... code 0..1??, ??A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).
Binding: ?? (example): See additional binding

Additional BindingsPurposeDocumentation
??Preferred Binding
Social Determinant of Health Observations
.... codeSystem 0..1??, ??, ??, ??
.... codeSystemName 0..1??, ??
.... codeSystemVersion 0..1??, ??
.... displayName 0..1??, ??
.... sdtcValueSet 0..1??, ??
.... sdtcValueSetVersion 0..1??, ??
.... originalText 0..1ED
.... qualifier 0..*CRThe observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.
.... translation 0..*CD
... interpretationCode 0..*CEBinding: ?? (required)
... methodCode 0..*CEBinding: ?? (example)
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*??, ??Base for all types and resources
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition
... sdtcPrecondition2 0..*Precondition2
... referenceRange 0..*InfrastructureRoot
.... nullFlavor 0..1??, ??Binding: ?? (required)
.... realmCode 0..*CS
.... typeId 0..1II
..... nullFlavor 0..1??, ??Binding: ?? (required)
..... assigningAuthorityName 0..1??, ??
..... displayable 0..1??, ??
..... root 1..1??, ??, ??, ??
..... extension 1..1??, ??
.... templateId 0..*II
.... typeCode 0..1??, ??Binding: ?? (required)
.... observationRange 1..1ObservationRange
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1

doco Documentation for this format