Problem Section (entries optional) (V3)
OID: 2.16.840.1.113883.10.20.22.2.5
LOINCs: #{"11450-4"}
Alias: problems
Entries Required: false
Internal ID: ProblemSectionentriesoptionalV3
Condition to Observation section example.
The main idea that each Condition resource is related to nested Observation in Problems section (i.e. Act.ProblemObservation).
{
"onset" : {
"dateTime" : "2014-03-02T12:45:36-05:00"
},
"category" : [ {
"coding" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
} ]
} ],
"clinicalStatus" : {
"coding" : [ {
"code" : "active",
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
} ]
},
"meta" : {
"profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ]
},
"abatement" : {
"dateTime" : "2014-04-02T12:45:36-05:05"
},
"resourceType" : "Condition",
"recordedDate" : "2014-03-02T12:45:36Z",
"id" : "SOME-STRING",
"recorder" : {
"practitioner" : {
"name" : [ {
"given" : [ "Heartly" ],
"family" : "Sixer",
"use" : "official",
"suffix" : [ "MD" ]
} ],
"address" : [ {
"line" : [ "6666 StreetName St." ],
"use" : null,
"city" : "Silver Spring",
"state" : "MD",
"postalCode" : "20901",
"country" : "US"
} ],
"telecom" : [ {
"system" : "phone",
"value" : "+1(301)666-6666",
"use" : "work"
} ],
"id" : "SOME-STRING",
"resourceType" : "Practitioner"
},
"specialty" : [ {
"text" : "Cardiovascular Disease",
"coding" : [ {
"code" : "207RC0000X",
"display" : "Cardiovascular Disease",
"system" : "http://hl7.org/fhir/ValueSet/provider-taxonomy"
} ]
} ],
"resourceType" : "PractitionerRole",
"id" : "4b309dce-a2a7-576a-4520-98f92c510568"
},
"code" : {
"text" : "Community Acquired Pneumonia",
"coding" : [ {
"code" : "385093006",
"display" : "Community Acquired Pneumonia",
"system" : "http://snomed.info/sct"
} ]
},
"subject" : {
"id" : "patient",
"resourceType" : "Patient"
}
}The section contains an Act.entryRelationship.Observation entry converted from the input Condition resource.
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.5" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.2.5"/>
<code codeSystem="2.16.840.1.113883.6.1"
codeSystemName="http://loinc.org"
displayName="display string"
code="11450-4"/>
<title>Problem Section (entries optional) (V3)</title>
<text>
<table border="1" width="100%">
<caption>Active Problems</caption>
<thead>
<tr>
<th>Problem</th>
<th>Noted Date</th>
<th>Diagnosed Date</th>
</tr>
</thead>
<tbody>
<tr>
<td>Community Acquired Pneumonia</td>
<td>03/02/2014 5:45PM UTC</td>
<td>03/02/2014 12:45PM UTC</td>
</tr>
</tbody>
</table>
<table border="1" width="100%">
<caption>Resolved Problems</caption>
<thead>
<tr>
<th>Problem</th>
<th>Noted Date</th>
<th>Diagnosed Date</th>
<th>Resolved Date</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="4">No records</td>
</tr>
</tbody>
</table>
</text>
<entry>
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
<id root="7df888b6-0268-1e62-ff60-ceb2f2f88630"/>
<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
<statusCode code="active"/>
<effectiveTime>
<low value="20140302124536-0500"/>
<high value="20140402124536-0505"/>
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
<id root="7df888b6-0268-1e62-ff60-ceb2f2f88630"/>
<code xsi:type="CD"
code="55607006"
displayName="Problem"
codeSystemName="SNOMED-CT"
codeSystem="2.16.840.1.113883.6.96">
<translation nullFlavor="UNK"/>
</code>
<statusCode code="completed"/>
<effectiveTime>
<low value="20140302124536-0500"/>
<high value="20140402124536-0505"/>
</effectiveTime>
<value codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Community Acquired Pneumonia"
code="385093006"
xsi:type="CD">
<originalText>Community Acquired Pneumonia</originalText>
</value>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20140302124536-0000"/>
<assignedAuthor>
<id root="4b309dce-a2a7-576a-4520-98f92c510568"/>
<code codeSystem="2.16.840.1.113883.6.101"
codeSystemName="http://hl7.org/fhir/ValueSet/provider-taxonomy"
displayName="Cardiovascular Disease"
code="207RC0000X">
<originalText>Cardiovascular Disease</originalText>
</code>
<addr>
<country>US</country>
<state>MD</state>
<city>Silver Spring</city>
<postalCode>20901</postalCode>
<streetAddressLine>6666 StreetName St.</streetAddressLine>
</addr>
<telecom value="+1(301)666-6666" use="WP"/>
<assignedPerson>
<name use="L">
<given>Heartly</given>
<family>Sixer</family>
<suffix>MD</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entryRelationship>
</act>
</entry>
</section>sample1
[ {
"onset" : {
"dateTime" : "2014-03-02T12:45:36-05:00"
},
"category" : [ {
"coding" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
} ]
} ],
"clinicalStatus" : {
"coding" : [ {
"code" : "active",
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
} ]
},
"meta" : {
"profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ]
},
"abatement" : {
"dateTime" : "2014-04-02T12:45:36-05:05"
},
"resourceType" : "Condition",
"recordedDate" : "2014-03-02T12:45:36Z",
"id" : "102ca2e9-884c-4523-a2b4-1b6c3469c397",
"recorder" : {
"resourceType" : "PractitionerRole",
"id" : "abfba15e-d567-4173-b522-80e40d8b2321",
"specialty" : [ {
"text" : "Cardiovascular Disease",
"coding" : [ {
"code" : "207RC0000X",
"display" : "Cardiovascular Disease",
"system" : "http://hl7.org/fhir/ValueSet/provider-taxonomy"
} ]
} ],
"practitioner" : {
"name" : [ {
"given" : [ "Heartly" ],
"family" : "Sixer",
"use" : "official",
"suffix" : [ "MD" ]
} ],
"address" : [ {
"line" : [ "6666 StreetName St." ],
"use" : null,
"city" : "Silver Spring",
"state" : "MD",
"postalCode" : "20901",
"country" : "US"
} ],
"telecom" : [ {
"system" : "phone",
"value" : "+1(301)666-6666",
"use" : "work"
} ],
"id" : "86f71898-e94e-469f-8851-00193b48ea85",
"identifier" : [ {
"value" : "66666",
"system" : "http://hl7.org/fhir/sid/us-npi"
} ],
"resourceType" : "Practitioner"
}
},
"code" : {
"text" : "Community Acquired Pneumonia",
"coding" : [ {
"code" : "385093006",
"display" : "Community Acquired Pneumonia",
"system" : "http://snomed.info/sct"
} ]
},
"subject" : {
"id" : "patient",
"resourceType" : "Patient"
}
} ]C-CDA Equivalent:
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.5" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.2.5"/>
<code codeSystem="2.16.840.1.113883.6.1"
codeSystemName="http://loinc.org"
displayName="display string"
code="11450-4"/>
<title>Problem Section (entries optional) (V3)</title>
<text>
<table border="1" width="100%">
<caption>Active Problems</caption>
<thead>
<tr>
<th>Problem</th>
<th>Noted Date</th>
<th>Diagnosed Date</th>
</tr>
</thead>
<tbody>
<tr>
<td>Community Acquired Pneumonia</td>
<td>03/02/2014 5:45PM UTC</td>
<td>03/02/2014 12:45PM UTC</td>
</tr>
</tbody>
</table>
<table border="1" width="100%">
<caption>Resolved Problems</caption>
<thead>
<tr>
<th>Problem</th>
<th>Noted Date</th>
<th>Diagnosed Date</th>
<th>Resolved Date</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="4">No records</td>
</tr>
</tbody>
</table>
</text>
<entry>
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
<id root="102ca2e9-884c-4523-a2b4-1b6c3469c397"/>
<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
<statusCode code="active"/>
<effectiveTime>
<low value="20140302124536-0500"/>
<high value="20140402124536-0505"/>
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
<id root="102ca2e9-884c-4523-a2b4-1b6c3469c397"/>
<code xsi:type="CD"
code="55607006"
displayName="Problem"
codeSystemName="SNOMED-CT"
codeSystem="2.16.840.1.113883.6.96">
<translation nullFlavor="UNK"/>
</code>
<statusCode code="completed"/>
<effectiveTime>
<low value="20140302124536-0500"/>
<high value="20140402124536-0505"/>
</effectiveTime>
<value codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Community Acquired Pneumonia"
code="385093006"
xsi:type="CD">
<originalText>Community Acquired Pneumonia</originalText>
</value>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20140302124536-0000"/>
<assignedAuthor>
<id root="abfba15e-d567-4173-b522-80e40d8b2321"/>
<id extension="66666" root="2.16.840.1.113883.4.6"/>
<code codeSystem="2.16.840.1.113883.6.101"
codeSystemName="http://hl7.org/fhir/ValueSet/provider-taxonomy"
displayName="Cardiovascular Disease"
code="207RC0000X">
<originalText>Cardiovascular Disease</originalText>
</code>
<addr>
<country>US</country>
<state>MD</state>
<city>Silver Spring</city>
<postalCode>20901</postalCode>
<streetAddressLine>6666 StreetName St.</streetAddressLine>
</addr>
<telecom value="+1(301)666-6666" use="WP"/>
<assignedPerson>
<name use="L">
<given>Heartly</given>
<family>Sixer</family>
<suffix>MD</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entryRelationship>
</act>
</entry>
</section>Last updated