# Problem Status Observation - Paramedicine Summary Of Care CDA v0.0.1-current

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Problem Status Observation**

## Logical Model: Problem Status Observation 

| | |
| :--- | :--- |
| *Official URL*:https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Status.Observation | *Version*:0.0.1-current |
| Draft as of 2025-11-04 | *Computable Name*:IHE_Problem_Status_Observation |

 
Any problem or allergy observation may reference a problem status observation. This structure is included in the target observation using theelement defined in the CDA Schema. The clinical status observation records information about the current status of the problem or allergy, for example, whether it is active, in remission, resolved, et cetera. The example below shows the recording of clinical status of a condition or allergy, and is used as the context for the following sections. 

**Usages:**

* Use this Logical Model Profile: [Problem Entry](StructureDefinition-IHE.PCC.Problem.Entry.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/ihe.pcc.pscc|current/StructureDefinition/IHE.Problem.Status.Observation)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-IHE.Problem.Status.Observation.csv), [Excel](StructureDefinition-IHE.Problem.Status.Observation.xlsx) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "IHE.Problem.Status.Observation",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
      "valueUri" : "urn:hl7-org:v3"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
      "valueString" : "observation"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
      "valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
      "valueUri" : "cda"
    }
  ],
  "url" : "https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Status.Observation",
  "version" : "0.0.1-current",
  "name" : "IHE_Problem_Status_Observation",
  "title" : "Problem Status Observation",
  "status" : "draft",
  "date" : "2025-11-04T19:19:26+00:00",
  "publisher" : "IHE Patient Care Coordination Technical Committee",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.ihe.net/ihe_domains/patient_care_coordination/"
        }
      ]
    },
    {
      "telecom" : [
        {
          "system" : "email",
          "value" : "pcc@ihe.net"
        }
      ]
    },
    {
      "name" : "IHE Patient Care Coordination Technical Committee",
      "telecom" : [
        {
          "system" : "email",
          "value" : "pcc@ihe.net"
        }
      ]
    }
  ],
  "description" : "Any problem or allergy observation may reference a problem status observation. This structure is included in the target observation using the <entryRelationship> element defined in the CDA Schema. The clinical status observation records information about the current status of the problem or allergy, for example, whether it is active, in remission, resolved, et cetera. The example below shows the recording of clinical status of a condition or allergy, and is used as the context for the following sections.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "fhirVersion" : "5.0.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
  "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "constraint" : [
          {
            "key" : "should-text-ref-value",
            "severity" : "warning",
            "human" : "SHOULD contain text/reference/@value",
            "expression" : "text.reference.value.exists()",
            "source" : "https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Status.Observation"
          }
        ]
      },
      {
        "id" : "Observation.templateId",
        "path" : "Observation.templateId",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "root"
            },
            {
              "type" : "value",
              "path" : "extension"
            }
          ],
          "rules" : "open"
        },
        "min" : 3,
        "mustSupport" : true
      },
      {
        "id" : "Observation.templateId:status-obs",
        "path" : "Observation.templateId",
        "sliceName" : "status-obs",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.templateId:status-obs.root",
        "path" : "Observation.templateId.root",
        "min" : 1,
        "patternString" : "2.16.840.1.113883.10.20.1.57"
      },
      {
        "id" : "Observation.templateId:problem-status-obs",
        "path" : "Observation.templateId",
        "sliceName" : "problem-status-obs",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.templateId:problem-status-obs.root",
        "path" : "Observation.templateId.root",
        "min" : 1,
        "patternString" : "2.16.840.1.113883.10.20.1.50"
      },
      {
        "id" : "Observation.templateId:ihe-problem-status-obs",
        "path" : "Observation.templateId",
        "sliceName" : "ihe-problem-status-obs",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.templateId:ihe-problem-status-obs.root",
        "path" : "Observation.templateId.root",
        "min" : 1,
        "patternString" : "1.3.6.1.4.1.19376.1.5.3.1.4.1.1"
      },
      {
        "id" : "Observation.classCode",
        "path" : "Observation.classCode",
        "comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7357).",
        "fixedCode" : "OBS"
      },
      {
        "id" : "Observation.moodCode",
        "path" : "Observation.moodCode",
        "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7358).",
        "fixedCode" : "EVN"
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "short" : "Diagnosis status",
        "comment" : "This observation is of clinical status, as indicated by the <code> element. This element must be present.",
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.code",
        "path" : "Observation.code.code",
        "min" : 1,
        "patternCode" : "33999-4"
      },
      {
        "id" : "Observation.code.codeSystem",
        "path" : "Observation.code.codeSystem",
        "short" : "LOINC",
        "min" : 1,
        "patternString" : "2.16.840.1.113883.6.1"
      },
      {
        "id" : "Observation.code.displayName",
        "path" : "Observation.code.displayName",
        "patternString" : "Status"
      },
      {
        "id" : "Observation.text",
        "path" : "Observation.text",
        "short" : "The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described."
      },
      {
        "id" : "Observation.text.reference",
        "path" : "Observation.text.reference",
        "min" : 1,
        "constraint" : [
          {
            "key" : "value-starts-octothorpe",
            "severity" : "error",
            "human" : "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
            "expression" : "value.exists() implies value.startsWith('#')",
            "source" : "https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Status.Observation"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.statusCode",
        "path" : "Observation.statusCode",
        "comment" : "The code attribute of <statusCode> for all clinical status observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed.",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.statusCode.code",
        "path" : "Observation.statusCode.code",
        "comment" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19113).",
        "min" : 1,
        "fixedCode" : "completed"
      },
      {
        "id" : "Observation.value",
        "path" : "Observation.value",
        "comment" : "The value of @code SHALL be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.2 ProblemStatusObservation_value (2016‑09‑26 13:58:58)",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://profiles.ihe.net/PCC/PSCc/ValueSet/ProblemStatusObservation.Value.VS"
        }
      }
    ]
  }
}

```
