International Patient Summary (IPS)
1.1.0-ballot - CI Build

International Patient Summary (IPS), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-IPS/ and changes regularly. See the Directory of published versions

Logical Model: IPS Problem Concern Entry

Official URL: http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.7--20210804084927 Version: 1.1.0-ballot
Draft as of 2021-08-04 Computable Name: IPSProblemConcernEntry
Other Identifiers: OID:2.16.840.1.113883.10.22.4.7 (use: official, )

This template reflects an ongoing concern on behalf of the provider that placed the concern on a patient’s problem list.  The purpose of the concern act is that of supporting the tracking of a problem or a condition.

There are different kinds of status that could be related to a condition:

  • The status of the concern (active, inactive,..) 

  • The status of the condition (e.g. active, inactive, resolved,..) 

  • The confirmation status [clinical workflow status, certainty] (e.g. confirmed, likely, unlikely,…) 

Not all of them can be represented in a CDA using the statusCode elements of the concern (ACT) and observation (condition). 

So long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “active”. Only when the underlying conditions are no longer of concern is the statusCode set to “completed”. 

The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, the clinician may remain concerned about a prior heart attack). The effectiveTime/low of the Problem Concern Act asserts when the concern became active. This equates to the time the concern was authored in the patient’s chart.  The effectiveTime/high asserts when the concern become inactive, and it is present if the statusCode of the concern act is “completed”.

A Problem Concern Act can contain many Problem Observations.

The many Problem Observations nested under a Problem Concern Act reflect the change in the clinical understanding of a condition over time. For instance, a Concern may initially contain a Problem Observation of “chest pain”:

  • Problem Concern 1

— Problem Observation: Chest Pain

Later, a new Problem Observation of “esophagitis” will be added, reflecting a better understanding of the nature of the chest pain. The later problem observation will have a more recent author time stamp.

  • Problem Concern 1

— Problem Observation (author/time Jan 3, 2012): Chest Pain

— Problem Observation (author/time Jan 6, 2012): Esophagitis

Many systems display the nested Problem Observation with the most recent author time stamp, and provide a mechanism for viewing prior observations.

Usage:

Formal Views of Template Content

Description of Template, Differentials, Snapshots and how the different presentations work.

This structure is derived from Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act S 0..* Act XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.7
... @classCode 1..1 code Fixed Value: ACT
... @moodCode 1..1 code Fixed Value: EVN
... code S 1..1 CD
.... @code 1..1 code Fixed Value: CONC
.... @codeSystem 1..1 string Fixed Value: 2.16.840.1.113883.5.6
... statusCode S 1..1 CS Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete

... effectiveTime S 1..1 IVL_TS
.... low S 1..1 IVXB_TS
.... high 0..1 IVXB_TS
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 1..* EntryRelationship entryRelationship-1: contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
..... @typeCode 1..1 code Fixed Value: SUBJ
..... @inversionInd 0..1 boolean Fixed Value: false
..... Slices for observation Content/Rules for all slices
...... observation:entryRelationship-1 S 1..1 IPSProblemEntry Base for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Act.statusCoderequiredXActStatusActiveComplete
http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullAct.entryRelationship:entryRelationship-1contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
:
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act S 0..* Act XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.7
... @classCode 1..1 code Binding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1 code Binding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... code S 1..1 CD Binding: v3 Code System ActCode (example)
.... @code 1..1 code Fixed Value: CONC
.... @codeSystem 1..1 string Fixed Value: 2.16.840.1.113883.5.6
... statusCode S 1..1 CS Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete

... effectiveTime S 1..1 IVL_TS
.... low S 1..1 IVXB_TS
.... high 0..1 IVXB_TS
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 1..* EntryRelationship entryRelationship-1: contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 0..1 boolean Fixed Value: false
..... Slices for observation Content/Rules for all slices
...... observation:entryRelationship-1 S 1..1 IPSProblemEntry Base for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Act.classCoderequiredFixed Value: ACT
http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0
Act.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0
Act.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Act.statusCoderequiredXActStatusActiveComplete
http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete
Act.entryRelationship:entryRelationship-1.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullAct.entryRelationship:entryRelationship-1contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
:
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act S 0..* Act XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId 0..1 II
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st
.... templateId:primary S 1..1 II
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.7
..... @extension 0..1 st
... @classCode 1..1 code Binding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1 code Binding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1 bl
... id S 0..* II
... code S 1..1 CD Binding: v3 Code System ActCode (example)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 1..1 code Fixed Value: CONC
.... @codeSystem 1..1 string Fixed Value: 2.16.840.1.113883.5.6
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... text 0..1 ED
... statusCode S 1..1 CS Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete

... effectiveTime S 1..1 IVL_TS
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @value 0..1 ts Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
.... @operator 0..1 cs Binding: CDASetOperator (required)
.... low S 1..1 IVXB_TS
.... center 0..1 TS
.... width 0..1 PQ
.... high 0..1 IVXB_TS
... priorityCode 0..1 CE Binding: ActPriority (example)
... languageCode 0..1 CS Binding: AllLanguages (required)
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 1..* EntryRelationship entryRelationship-1: contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 0..1 boolean Fixed Value: false
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 Act
..... encounter 0..1 Encounter
..... Slices for observation Content/Rules for all slices
...... observation:entryRelationship-1 S 1..1 IPSProblemEntry Base for all types and resources
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Act.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.templateId:primary.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.classCoderequiredFixed Value: ACT
http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0
Act.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0
Act.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Act.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.statusCoderequiredXActStatusActiveComplete
http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete
Act.effectiveTime.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.effectiveTime.operatorrequiredCDASetOperator
http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Act.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Act.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
Act.entryRelationship:entryRelationship-1.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.entryRelationship:entryRelationship-1.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.entryRelationship:entryRelationship-1.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullAct.entryRelationship:entryRelationship-1contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
:

This structure is derived from Act

Summary

Mandatory: 15 elements
Must-Support: 8 elements
Fixed: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Act.templateId
  • The element 1 is sliced based on the value of Act.entryRelationship

Differential View

This structure is derived from Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act S 0..* Act XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.7
... @classCode 1..1 code Fixed Value: ACT
... @moodCode 1..1 code Fixed Value: EVN
... code S 1..1 CD
.... @code 1..1 code Fixed Value: CONC
.... @codeSystem 1..1 string Fixed Value: 2.16.840.1.113883.5.6
... statusCode S 1..1 CS Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete

... effectiveTime S 1..1 IVL_TS
.... low S 1..1 IVXB_TS
.... high 0..1 IVXB_TS
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 1..* EntryRelationship entryRelationship-1: contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
..... @typeCode 1..1 code Fixed Value: SUBJ
..... @inversionInd 0..1 boolean Fixed Value: false
..... Slices for observation Content/Rules for all slices
...... observation:entryRelationship-1 S 1..1 IPSProblemEntry Base for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Act.statusCoderequiredXActStatusActiveComplete
http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullAct.entryRelationship:entryRelationship-1contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
:

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act S 0..* Act XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.7
... @classCode 1..1 code Binding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1 code Binding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... code S 1..1 CD Binding: v3 Code System ActCode (example)
.... @code 1..1 code Fixed Value: CONC
.... @codeSystem 1..1 string Fixed Value: 2.16.840.1.113883.5.6
... statusCode S 1..1 CS Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete

... effectiveTime S 1..1 IVL_TS
.... low S 1..1 IVXB_TS
.... high 0..1 IVXB_TS
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 1..* EntryRelationship entryRelationship-1: contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 0..1 boolean Fixed Value: false
..... Slices for observation Content/Rules for all slices
...... observation:entryRelationship-1 S 1..1 IPSProblemEntry Base for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Act.classCoderequiredFixed Value: ACT
http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0
Act.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0
Act.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Act.statusCoderequiredXActStatusActiveComplete
http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete
Act.entryRelationship:entryRelationship-1.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullAct.entryRelationship:entryRelationship-1contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
:

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act S 0..* Act XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId 0..1 II
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st
.... templateId:primary S 1..1 II
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.7
..... @extension 0..1 st
... @classCode 1..1 code Binding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1 code Binding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1 bl
... id S 0..* II
... code S 1..1 CD Binding: v3 Code System ActCode (example)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 1..1 code Fixed Value: CONC
.... @codeSystem 1..1 string Fixed Value: 2.16.840.1.113883.5.6
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... text 0..1 ED
... statusCode S 1..1 CS Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete

... effectiveTime S 1..1 IVL_TS
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @value 0..1 ts Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
.... @operator 0..1 cs Binding: CDASetOperator (required)
.... low S 1..1 IVXB_TS
.... center 0..1 TS
.... width 0..1 PQ
.... high 0..1 IVXB_TS
... priorityCode 0..1 CE Binding: ActPriority (example)
... languageCode 0..1 CS Binding: AllLanguages (required)
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 1..* EntryRelationship entryRelationship-1: contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 0..1 boolean Fixed Value: false
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 Act
..... encounter 0..1 Encounter
..... Slices for observation Content/Rules for all slices
...... observation:entryRelationship-1 S 1..1 IPSProblemEntry Base for all types and resources
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Act.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.templateId:primary.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.classCoderequiredFixed Value: ACT
http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0
Act.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0
Act.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Act.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.statusCoderequiredXActStatusActiveComplete
http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete
Act.effectiveTime.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.effectiveTime.operatorrequiredCDASetOperator
http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Act.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Act.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
Act.entryRelationship:entryRelationship-1.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.entryRelationship:entryRelationship-1.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Act.entryRelationship:entryRelationship-1.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullAct.entryRelationship:entryRelationship-1contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)
:

This structure is derived from Act

Summary

Mandatory: 15 elements
Must-Support: 8 elements
Fixed: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Act.templateId
  • The element 1 is sliced based on the value of Act.entryRelationship

 

Other representations of profile: CSV, Excel