Pregnancy with Week Gestation

back to homepage

Approval Status

  • Approval Status: Approved
  • Example Task Force: 9/17/2020
  • SDWG: 3/9/2023

Templates

  • C-CDA 2.1 Example: 2.16.840.1.113883.10.20.22.2.6.1:2015-08-01
  • Problem Section: 2.16.840.1.113883.10.20.22.2.5.1:2015-08-01
  • Problem Act: 2.16.840.1.113883.10.20.22.4.3:2015-08-01
  • Problem Observation: 2.16.840.1.113883.10.20.22.4.4:2015-08-01
  • Estimated Date of Delivery: 2.16.840.1.113883.10.20.15.3.1

Validation location:

  • https://site.healthit.gov/sandbox-ccda/ccda-validator

Reference to full CDA sample: https://github.com/jddamore/HL7-Task-Force-Examples/blob/master/C-CDAR2.1/PregnancyinfullC-CDA2.1.xml

Comments

  • This is an example of a patient pregnancy in problem list with information about estimateed delivery date. This is an alternative place to document and share pregancy informatoin in addition to social history and detailed pregnancy sections (see HL7 IG for more on pregancy status here: http://www.hl7.org/implement/standards/productbrief.cfm?productid=494)

Custodian

  • John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)

Keywords

  • problem, pregancy, estimated delivery date

 

Example: download example view on GitHub 

<section>
	<!-- This is an example of patient pregancy documented in problem list -->
	<!-- This information may also be recorded in other sections (e.g. Social History or Pregancy Section) -->
  <!-- This is meant to represent high level information related to a pregnancy, not detailed OB/GYN information -->
	<!-- Other sections may include much more detail, such as dates of prior births, fetal plurality, etc. -->
	<!-- For pregnancy section, refer to IG related to Pregancy Status http://www.hl7.org/implement/standards/product_brief.cfm?product_id=494 -->
	<templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
	<templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
	<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" displayName="Problem List"/>
	<title>Problem List</title>
	<text>
		<table>
			<thead>
				<tr>
					<th>Description</th>
					<th>Dates</th>
					<th>Status</th>
					<th>Additional Detail</th>
				</tr>
			</thead>
			<tbody>
				<tr ID="Problem1">
					<td ID="ProblemDescription1">Pregnancy</td>
					<td>
						<content>Estimated Conception: Jan 3 2020</content>
					</td>
					<td>Active</td>
					<td>Estimated Due Date: Sep 19 2020</td>
				</tr>
			</tbody>
		</table>
	</text>
	<entry>
		<act classCode="ACT" moodCode="EVN">
			<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
			<templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/>
			<id root="102ca2e9-884c-4523-a2b4-1b6c3469c397"/>
			<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
			<statusCode code="active"/>
			<effectiveTime>
				<!-- This equates to the date of when first documented (not date of conception) -->
				<low value="20200310"/>
			</effectiveTime>
			<entryRelationship typeCode="SUBJ">
				<observation classCode="OBS" moodCode="EVN">
					<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
					<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
					<id extension="10241104348" root="1.3.6.1.4.1.22812.4.111.0.4.1.2.1"/>
					<!-- Note a problem cannot be compliant to pregnancy observation template since code@code different SHALL -->
					<code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
						<translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/>
					</code>
					<text>
						<reference value="#Problem1"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime>
						<!-- This represents the date of biological onset, which for pregnancy would be estimated conception date -->
						<low value="20200103"/>
					</effectiveTime>
					<!-- This is a SNOMED code as the primary vocabulary for problem lists-->
					<!-- This SNOMED aligns with pregancy observation value set: 2.16.840.1.113762.1.4.1099.24 -->
					<value xsi:type="CD" code="77386006" displayName="Pregnancy" codeSystem="2.16.840.1.113883.6.96">
						<originalText>
							<reference value="#problem00001"/>
						</originalText>
						<!-- These translation codes provide additional specificity, may be useful in tracking time and billing -->
						<translation code="38039008" displayName="Gestation period, 10 weeks" codeSystem="2.16.840.1.113883.6.96"/>
						<translation code="Z3A.10" displayName="10 weeks gestation of pregnancy" codeSystem="2.16.840.1.113883.6.90"/>
					</value>
					<author>
						<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
						<!-- This equates to the date when last updated by the author-->
						<time value="201903101256-0500"/>
						<assignedAuthor>
							<id extension="66666" root="2.16.840.1.113883.4.6"/>
							<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC" displayName="Allopathic &amp; Osteopathic Physicians; Internal Medicine, Cardiovascular Disease"/>
							<addr>
								<streetAddressLine>6666 StreetName St.</streetAddressLine>
								<city>Silver Spring</city>
								<state>MD</state>
								<postalCode>20901</postalCode>
								<country>US</country>
							</addr>
							<telecom value="tel:+1(301)666-6666" use="WP"/>
							<assignedPerson>
								<name>
									<given>Heartly</given>
									<family>Sixer</family>
									<suffix>MD</suffix>
								</name>
							</assignedPerson>
						</assignedAuthor>
					</author>
					<!-- This is not required but the estimated time of delivery can be shared through structured entryRelationship-->
					<entryRelationship typeCode="REFR">
						<observation classCode="OBS" moodCode="EVN">
							<!-- Template for Estimated Date of Delivery -->
							<templateId root="2.16.840.1.113883.10.20.15.3.1"/>
							<code code="11778-8" codeSystem="2.16.840.1.113883.6.1" displayName="Delivery date Estimated"/>
							<text>
								<reference value="#Problem1Detail"/>
							</text>
							<statusCode code="completed"/>
							<value xsi:type="TS" value="20200919"/>
						</observation>
					</entryRelationship>
				</observation>
			</entryRelationship>
		</act>
	</entry>
</section>

  1. C-CDA Example Search Help

    C-CDA Example Search Results
    This screen displays the results of executing the example search criteria against the existing examples recorded in the example database.

  2. Search Criteria Panel

    This panel allow you to further refine your queries and narrow the results

  3. Text Search Words

    Use this field to enter words related to your search. These words can appear in the title, the comments or as part of a special list of keywords associated with the example. The search words should be entered with spaces separating the items.

  4. Filter by example status

    By selecting the various statuses, the search results can be limited to only the example that are set to the selected status(es). By removing all status selections, the filtering is removed and examples from all statuses will be returned (based on any other filtering).

  5. Select only ONC Certified examples

    These are samples referenced in a government rule or certification companion guide.

  6. Execute the search based on the criteria entered (or retrieve all examples if no criteria specified).

  7. The number of results that match the query parameters can be found here.

  8. Use this link to jump back to the initial page of the application (that lists the sections).

  9. This columns list the names of the examples that match the criteria (and the comment for each example).

  10. This columns lists the area in the C-CDA specification (the specification is broken into distinct topics for the various exchangeable documents, the common header, and the sections that occur within the exchangeable documents) that the example demonstrates.

  11. This columns lists the state of the example in the example verification and approval process.

  12. You can select to download the examples directly or navigate to page with the full detailed description of the example.

  13. Tour Complete

    Return to the C-CDA Example Search Results page.