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ref Template  BC Problem List Observation

Id 2.16.840.1.113883.3.1818.10.3.15 Effective Date valid from 2017‑04‑03 04:13:49

There are versions of templates with this id:
  • BCProblemListObservation as of 2017‑04‑03 05:02:09
  • BCProblemListObservation as of 2017‑04‑03 04:13:49
Status draft Draft Version Label
Name BCProblemListObservation Display Name BC Problem List Observation
Description

The Problem List Observation template defines the format for an unstructured list of problems that a clinician has noted in the patient’s chart.

Problem Type

An entry in the Problem List may be categorized by Problem Types (e.g. diagnosis, findings, functional limitations etc.) The Problem Type is specified in the <code> element using a sub-set of SNOMED CT® values. If the source EMR does not support problem observation types, then a nullFlavor of “NI” should be sent in the <code> element. If the destination EMR does not support problem observation types, then it should capture the problem type as a text. 

Context Parent nodes of template element with id 2.16.840.1.113883.3.1818.10.3.15
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Item DT Card Conf Description Label
hl7:observation
(BCProblemListObservation)
treetree @moodCode
cs 1 … 1 R
  CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.18943 x_ActMoodDocumentObservation (DYNAMIC)
treetree hl7:templateId
II 1 … 1 M (BCProblemListObservation)
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.3.1818.10.3.15
treetree hl7:templateId
II 1 … 1 R (BCProblemListObservation)
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.10.12.303
treetree hl7:code
CD 1 … 1 R (BCProblemListObservation)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16226 ObservationType (DYNAMIC)