Health Concerns Link to Problems Section with linkHTML

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Example metadata last updated 2017-12-11 19:21:12.493000 UTC

Approval Status: Approved

  • Approval Status: Approved
  • Example Task Force: 12/15/15
  • SDWG: 2/11/2016
  • SDWG C-CDA R2.1 Upgrade: 2/2/2017

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ONC Certification

Comments:

  • This is an example of how to link a concern to a problem in the problem list section with linkHTML.

Custodian: Brett Marquard, brett@riverrockassociates.com (GitHub: brettmarquard)

Full sample: Empty CCD

Example: download example view on GitHub

<component>
    <section>
        <!-- Health Concerns Section (V2) -->
        <templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/>
        <templateId root="2.16.840.1.113883.10.20.22.2.58"/>
        <code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
        <title>Health Concerns Section</title>
        <text>
            <table border="1" width="100%">
                <thead>
                    <tr>
                        <th>Health Concern</th>
                        <th>Date</th>
                        <th>Related Problem</th>
                    </tr>
                </thead>
                <tbody>
                    <tr ID="Concern1">
                        <td ID="Concern1Issue1">Patient is concerned about being contagious and infecting roommate.</td>
                        <td>Concern from 03/02/2014</td>
                        <!-- Providing this as a link to the related problem in problem list is an option using base CDA implementation guidance. -->
                        <td><linkHtml href="#Problem1">Community Acquired Pneumonia</linkHtml></td>
                    </tr>
                </tbody>
            </table>
        </text>
        <entry>
            <!-- Health Concern Act -->
            <act classCode="ACT" moodCode="EVN">
                <templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/>
                <templateId root="2.16.840.1.113883.10.20.22.4.132"/>
                <id root="63c5e137-3024-46cc-951f-885ec69d9030"/>
                <code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/>
                <!-- This Health Concern has a statusCode of active because it is an active concern -->
                <statusCode code="active"/>
                <!-- The effective time is the date that the Health Concern started being followed - 
							 this does not necessarily correlate to the onset date of the contained health issues-->
                <effectiveTime value="20140302"/>
                <entryRelationship typeCode="REFR">
                    <observation classCode="OBS" moodCode="EVN">
                        <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="59c5ca3e-662f-4e33-943f-2777ebc6227e"/>
                        <code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="55607006" displayName="Problem">
                            <translation codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="75326-9" displayName="Problem"/>
                        </code>
                        <text>
                            <reference value="#Concern1" />
                        </text>
                        <statusCode code="completed"/>
                        <effectiveTime>
                            <low value="20140302"/>
                        </effectiveTime>
                        <value xsi:type="ED">
                            <reference value="#Concern1Issue1" />
                        </value>						
                    </observation>
                </entryRelationship>
                <!-- Health Concern Problem: Community Acquired Pneumonia -->
                <!-- This Entry Reference refers to a problem observation present in Problem List that the Health Concern is related to-->
                <entryRelationship typeCode="REFR">
                    <act classCode="ACT" moodCode="EVN">
                        <templateId root="2.16.840.1.113883.10.20.22.4.122"/>
                        <!-- This ID equals the ID of the Community Acquired Pneumonia problem -->
                        <id root="49c5ca3e-662f-4e33-948f-2777ebc6727e" />
                        <!-- The code is nulled to "NP" Not Present" -->
                        <code nullFlavor="NP"/>
                        <statusCode code="completed" />
                    </act>
                </entryRelationship>
            </act>
        </entry>
    </section>
</component>
<component> 
    <section>
        <!-- Located elsewhere in the document -->
        <!-- Taken directly (changed observation/id) from prior example https://github.com/brettmarquard/HL7-C-CDA-Task-Force-Examples/blob/master/Problem_List_Active_Problem.xml -->
        <templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
        <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
        <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" displayName="Problem List"/>
        <title>Problem List</title>
        <text>
            <table>
                <thead>
                    <tr>
                        <th>Name</th>
                        <th>Dates</th>
                        <th>Status</th>
                    </tr>
                </thead>
                <tbody>
                    <tr ID="Problem1">
                        <td>Community Acquired Pneumonia</td>
                        <td>
                            <content>Onset: 02/27/2014</content>
                        </td>
                        <td>Active</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" />
                <!-- Since this is an active problem, the concern status is active. -->
                <!-- While clinicians can track resolved problems, generally active problems will have active concern status and resolved concerns will be completed -->
                <statusCode code="active" />
                <effectiveTime>
                    <!-- This equates to the time the concern was authored in the patient's chart. This may frequently be an EHR timestamp-->
                    <low value="20140302124536+0500" />
                </effectiveTime>
                <entryRelationship typeCode="SUBJ">
                    <observation classCode="OBS" moodCode="EVN">
                        <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="49c5ca3e-662f-4e33-948f-2777ebc6727e"/>
                        <code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="55607006" displayName="Problem">
                            <translation codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="75326-9" displayName="Problem"/>
                        </code>
                        <text>
                            <reference value="#Problem1" />
                        </text>
                        <statusCode code="completed"/>
                        <effectiveTime>
                            <!-- This represents the date of biological onset. -->
                            <low value="20140227"/>
                        </effectiveTime>
                        <!-- This is a SNOMED code as the primary vocabulary for problem lists-->
                        <value xsi:type="CD" code="385093006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Community Acquired Pneumonia"/>							
                    </observation>
                </entryRelationship>
            </act>
        </entry>
    </section>
</component>
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