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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 05:02:09

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)
Used by / Uses
Used by 8 templates, Uses 8 templates
Used by Template id as Name Version
2.16.840.1.113883.3.1818.10.2.17.1 Containment draft BC CDA E2E Medical History with Entries 2017‑04‑03 06:26:26
2.16.840.1.113883.3.1818.10.1.1 link draft BC CDA E2E EMR Conversion 2016‑11‑18 18:04:46
2.16.840.1.113883.3.1818.10.1.2 link draft BC CDA E2E Generic Episodic Document 2017‑04‑04 13:48:26
2.16.840.1.113883.3.1818.10.1.2 link draft BC CDA E2E Generic Episodic Document 2017‑04‑04 13:39:16
2.16.840.1.113883.3.1818.10.1.3 link draft BC CDA E2E Patient Chart Transfer 2017‑04‑04 12:36:54
2.16.840.1.113883.3.1818.10.1.6 link draft BC CDA E2E Structured Referral 2017‑04‑04 15:16:39
2.16.840.1.113883.3.1818.10.1.7 link draft BC CDA E2E Structured Consult Report 2017‑04‑04 13:59:01
2.16.840.1.113883.3.1818.10.2.21.1 Containment draft BC CDA E2E Problem List with Entries 2017‑04‑03 06:46:55
Uses Template id as Name Version
2.16.840.1.113883.3.1937.777.17.10.2 Containment draft BC CDA Author (Body) DYNAMIC
2.16.840.1.113883.3.1818.10.4.28 Containment draft BC Secondary Code (ICD-9) DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.4 Containment draft BC Date Observation DYNAMIC
2.16.840.1.113883.3.1818.10.4.3 Containment draft BC Comment Observation DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.78 Containment draft BC Symptom Observation DYNAMIC
2.16.840.1.113883.3.1818.10.4.32 Containment draft BC Unbound Observation DYNAMIC
2.16.840.1.113883.3.1818.10.4.12 Containment draft BC Lifestage Observation DYNAMIC
2.16.840.1.113883.3.1818.10.4.18 Containment draft BC Outcome Observation DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Item DT Card Conf Description Label
hl7:observation
1 … 1 R CONF‑1086
treetree @classCode
cs 1 … 1 F OBS CONF‑4556
treetree @moodCode
cs 1 … 1 F EVN CONF‑4557
treetree hl7:templateId
II 1 … 1 M CONF‑1086
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.3.1818.10.3.15
treetree hl7:templateId
II 1 … 1 R CONF‑1086
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.10.12.303
treetree hl7:id
II 0 … * CONF‑1087
treetree hl7:code
CD 1 … 1 R CONF‑1088
  Constraint

  1. SHALL be selected from ValueSet ProblemType 2.16.840.1.113883.3.88.12.3221.7.2 STATIC [CONF:1088]. 

treetree hl7:text
ED 0 … 1 R CONF‑4354
  Constraint

SHALL be populated when neither the Diagnosis Code code nor the Diagnosis Classification Code are provided and SHALL be used to identify the diagnosis as a free-text diagnosis; MAY be included when the diagnosis is coded if the sending system captures a free text diagnosis name in addition to the displayName associated with the code [CONF:4354.43]. 

treetree hl7:statusCode
CS 0 … 1 R CONF‑1091
  Constraint

SHALL be selected from ValueSet x_ActStatusActiveComplete 2.16.840.1.113883.1.11.19890 STATIC [CONF:1091] such that it,

i) SHALL be constrained to either Active or Completed status codes [CONF:1091.34]. 
treetree hl7:effectiveTime
IVL_TS 0 … 1 R CONF‑1089
treeblank treetree hl7:low
IVXB_TS 1 … 1 M CONF‑1089.50
treeblank treetree hl7:high
IVXB_TS 0 … 1 CONF‑1089.50
treetree hl7:value
CD 1 … 1 R CONF‑1090
  Constraint

  1. SHALL be selected from ValueSet DiagnosisValuePrimary 2.16.840.1.113883.2.20.3.40 DYNAMIC [CONF:1090]. 

treetree hl7:author
0 … 1 R Contains 2.16.840.1.113883.3.1937.777.17.10.2 BC CDA Author (Body) (DYNAMIC) CONF‑1092
treetree hl7:entryRelationship
1 … 1 R Contains 2.16.840.1.113883.3.1818.10.4.28 BC Secondary Code (ICD-9) (DYNAMIC) CONF‑1093
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.28']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F COMP CONF‑1404
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1405
treetree hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.3.1937.777.17.10.4 BC Date Observation (DYNAMIC) CONF‑1094
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1937.777.17.10.4']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F SUBJ CONF‑1330
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1331
treetree hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.3.1818.10.4.3 BC Comment Observation (DYNAMIC) CONF‑1095
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.3']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F SUBJ CONF‑1318
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1319
treetree hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.3.1937.777.17.10.78 BC Symptom Observation (DYNAMIC) CONF‑1096
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1937.777.17.10.78']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F COMP CONF‑4355
treetree hl7:entryRelationship
0 … * R Contains 2.16.840.1.113883.3.1818.10.4.32 BC Unbound Observation (DYNAMIC) CONF‑1097 Diagnosis Modifers
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.32']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F SUBJ CONF‑1374
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1375
treetree hl7:entryRelationship
0 … 1 Contains 2.16.840.1.113883.3.1818.10.4.12 BC Lifestage Observation (DYNAMIC) CONF‑1098
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.12']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F SUBJ CONF‑1383
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1384
treetree hl7:entryRelationship
0 … 1 Contains 2.16.840.1.113883.3.1818.10.4.18 BC Outcome Observation (DYNAMIC) CONF‑1099
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.18']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F COMP CONF‑1100