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pending Template  Problem Concern Act (Condition)

Template 2.16.840.1.113883.10.20.22.4.3 - ProblemConcernActCondition
Id 2.16.840.1.113883.10.20.22.4.3
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Entry Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.3
Open/Closed Open (other than defined elements are allowed)
Description Observations of problems or other clinical statements captured at a point in time are wrapped in a ""Concern"" act, which represents the ongoing process tracked over time. This allows for binding related observations of problems. For example, the observation of ""Acute MI"" in 2004 can be related to the observation of ""History of MI"" in 2006 because they are the same concern. The conformance statements in this section define an outer ""problem act"" (representing the ""Concern"") that can contain a nested ""problem observation"" or other nested clinical statements.
Used by / Uses
Used by / Uses 8 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.2.5 Containment ProblemSectionentriesoptional Problem Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.3 link HistoryandPhysical History and Physical 2013‑01‑31
2.16.840.1.113883.10.20.22.1.4 link ConsultationNote Consultation Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.8 link DischargeSummary Discharge Summary 2013‑01‑31
2.16.840.1.113883.10.20.22.1.9 link ProgressNote Progress Note 2013‑01‑31
2.16.840.1.113883.10.20.22.2.5.1 Containment ProblemSectionentriesrequired Problem Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.2 link ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.4 Containment ProblemObservation DYNAMIC
Item DT Card Conf Description Label
cda:act
(ProblemConcernActCondition)
treetree @classCode
1 .. 1 F ACT
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:16772) such that it conf‑16772
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.3
treetree cda:id
1 .. * M SHALL contain at least one [1..*] id (CONF:9026). conf‑9026
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:9027). conf‑9027
treeblank treetree @code
1 .. 1 F CONC
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.5.6 (HL7ActClass)
treetree cda:statusCode
1 .. 1 M SHALL contain exactly one [1..1] statusCode, which SHALL be selected from ValueSet ProblemAct statusCode 2.16.840.1.113883.11.20.9.19 STATIC 2011-09-09 (CONF:9029). conf‑9029
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.20.9.19 ProblemAct statusCode (DYNAMIC)
treetree cda:effectiveTime
1 .. 1 M SHALL contain exactly one [1..1] effectiveTime (CONF:9030). conf‑9030
treeblank treetree cda:low
1 .. 1 M This effectiveTime SHALL contain exactly one [1..1] low (CONF:9032). conf‑9032
treeblank treetree cda:high
0 .. 1 R This effectiveTime SHOULD contain zero or one [0..1] high (CONF:9033). conf‑9033
treetree cda:entryRelationship
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.4']]
1 .. * M conf‑9034
treeblank treetree @typeCode
1 .. 1 F SUBJ
  Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (DYNAMIC)