Back To Index  <<  Back To Templates

pending Template  Health Status Observation

Template 2.16.840.1.113883.10.20.22.4.5 - HealthStatusObservation
Id 2.16.840.1.113883.10.20.22.4.5
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 2.16.840.1.113883.10.20.22.4.5
Open/Closed Closed (only defined elements are allowed)
Description The Health Status Observation records information about the current health status of the patient.
Used by / Uses
Used by / Uses 39 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.4.4 Containment ProblemObservation Problem Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.2.20 link HistoryofPastIllnessSection History of Past Illness Section 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
2.16.840.1.113883.10.20.22.1.6 link ProcedureNote Procedure Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.8 link DischargeSummary Discharge Summary 2013‑01‑31
2.16.840.1.113883.10.20.22.2.28 link ProcedureFindingsSection Procedure Findings Section 2013‑01‑31
2.16.840.1.113883.10.20.22.1.7 link OperativeNote Operative Note 2013‑01‑31
2.16.840.1.113883.10.20.22.2.32 link ComplicationsOpNote Complications (OpNote) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.37 link ComplicationsSection Complications Section 2013‑01‑31
2.16.840.1.113883.10.20.22.4.3 link ProblemConcernActCondition Problem Concern Act (Condition) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.5 link ProblemSectionentriesoptional Problem Section (entries optional) 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 link 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
2.16.840.1.113883.10.20.22.4.33 link HospitalDischargeDiagnosis Hospital Discharge Diagnosis 2013‑01‑31
2.16.840.1.113883.10.20.22.2.24 link HospitalDischargeDiagnosisSection Hospital Discharge Diagnosis Section 2013‑01‑31
2.16.840.1.113883.10.20.22.4.34 link HospitalAdmissionDiagnosis Hospital Admission Diagnosis 2013‑01‑31
2.16.840.1.113883.10.20.22.2.43 link HospitalAdmissionDiagnosisSection Hospital Admission Diagnosis Section 2013‑01‑31
2.16.840.1.113883.10.20.22.4.51 link PostprocedureDiagnosis Postprocedure Diagnosis 2013‑01‑31
2.16.840.1.113883.10.20.22.2.36 link PostprocedureDiagnosisSection Postprocedure Diagnosis Section 2013‑01‑31
2.16.840.1.113883.10.20.22.4.65 link PreoperativeDiagnosis Preoperative Diagnosis 2013‑01‑31
2.16.840.1.113883.10.20.22.2.34 link PreoperativeDiagnosisSection Preoperative Diagnosis Section 2013‑01‑31
2.16.840.1.113883.10.20.22.4.79 link DeceasedObservation Deceased Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.4.80 link EncounterDiagnosis Encounter Diagnosis 2013‑01‑31
2.16.840.1.113883.10.20.22.4.49 link EncounterActivities Encounter Activities 2013‑01‑31
2.16.840.1.113883.10.20.22.2.22 link EncountersSectionentriesoptional Encounters Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.22.1 link EncountersSectionentriesrequired Encounters Section (entries required) 2013‑01‑31
Item DT Card Conf Description Label
cda:observation
(HealthStatusObservation)
treetree @classCode
1 .. 1 F OBS
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:16756) such that it conf‑16756
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.5
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:19143). conf‑19143
treeblank treetree @code
1 .. 1 F 11323-3
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:text
0 .. 1 R SHOULD contain zero or one [0..1] text (CONF:9270). conf‑9270
treeblank treetree cda:reference
0 .. 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15529).

SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)
conf‑15529
treeblank treeblank treetree @value
0 .. 1  
  Schematron assert role red error
  test count(cda:text/cda:reference[@value])=0 or starts-with(cda:text/cda:reference/@value, '#')
  Message SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)
treetree cda:statusCode
1 .. 1 M SHALL contain exactly one [1..1] statusCode (CONF:9074). conf‑9074
treeblank treetree @code
1 .. 1 F completed
treetree cda:value
CD 1 .. 1 M SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet HealthStatus 2.16.840.1.113883.1.11.20.12 DYNAMIC (CONF:9075). conf‑9075
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.12 HealthStatus (DYNAMIC)