Id1.3.182.11.10.3.8Effective Date2018‑06‑19 08:54:29
Statusdraft DraftVersion Label
NameIHEHealthStatusObservationDisplay NameeHDSI Health Status Observation Entry
Description
A problem observation may reference a health status observation. This structure is included in the target observation using the element defined in the CDA Schema. The health status observation records information about the current health status of the patient. The example below shows the recording the health status, and is used as the context for the following sections.
ContextPathname /
ClassificationCDA Entry Level Template
Open/ClosedClosed (only defined elements are allowed)
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.3.182.11.10.3.8"/>  <code code="11323-3" displayName="Health Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <text>
    <reference value="#hstatus-2"/>  </text>  <statusCode code="completed"/>  <value xsi:type="CE" code="162467007" codeSystem="2.16.840.1.113883.6.96"/></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
IHEHdotstion
@classCode
cs0 … 1FOBS
@moodCode
cs0 … 1FEVN
hl7:templateId
II1 … 1MIHEHdotstion
@root
uid1 … 1F1.3.182.11.10.3.8
hl7:code
CD1 … 1R

This observation is of health status, as indicated by the <code> element. This element must be present.

IHEHdotstion
@code
CONF0 … 1F11323-3
@codeSystem
0 … 1F2.16.840.1.113883.6.1
@codeSystemName
0 … 1FLOINC
@displayName
0 … 1FHealth Status
hl7:text
ED1 … 1M

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.

IHEHdotstion
hl7:reference
TEL1 … 1MIHEHdotstion
@value
1 … 1RReference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS1 … 1M

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.

IHEHdotstion
@code
cs1 … 1Fcompleted
hl7:value
CE.EPSOS1 … 1RThe element contains the health status. It is always represented using the CE datatype (xsi:type='CE'). It shall contain a code from the following set of values from SNOMED CT.IHEHdotstion
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.30 epSOSResolutionOutcome (DYNAMIC)