International Patient Summary 1.0.0 Release
1.0 - CI Build
International Patient Summary 1.0.0 Release
1.0 - CI Build
International Patient Summary 1.0.0 Release - Local Development build (v1.0). See the Directory of published versions
| Official URL: http://localhost:8877/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.8--20210804085252 | Version: 1.0 | |||
| Draft as of 2021-08-04 | Computable Name: IPSProblemEntry | |||
| Other Identifiers: id: urn:oid:2.16.840.1.113883.10.22.4.8 (use: OFFICIAL) | ||||
This template reflects a discrete observation about a patient’s problem. Because it is a discrete observation, it will have a statusCode of “completed”. The effectiveTime, also referred to as the “biologically relevant time” is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago.
The effectiveTime of the Problem Observation is the definitive indication of whether or not the underlying condition is resolved. If the problem is known to be resolved, then an effectiveTime/high would be present. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of “UNK”.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | S | 0..* | CDAR2.Observation | Base for all types and resources |
  classCode | 0..1 | code | Fixed Value: OBS | |
| moodCode | 1..1 | code | Fixed Value: EVN | |
  Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:primary | S | 1..1 | II | |
  root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.8 | |
 id | S | 0..* | II | |
| code | S | 1..1 | CD | Binding: Problem Type (required): Problem Type |
| text | S | 0..1 | ED | |
 reference | S | 1..1 | TEL | |
 value | 1..1 | uri | ||
| statusCode | S | 1..1 | CS | |
| code | 0..1 | string | Fixed Value: completed | |
| effectiveTime | S | 1..1 | IVL_TS | |
| low | S | 1..1 | TS | |
| high | 0..1 | TS | ||
| value | S | 1..1 | BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | Binding: Absent or Unknown Problems (preferred): Absent or Unknown Problems |
| type | 0..1 | code | XML Namespace: http://www.w3.org/2001/XMLSchema-instance Fixed Value: CD | |
| originalText | S | 0..* | ||
| reference | S | 0..1 | ||
| qualifier | 0..* | |||
| translation | 0..* | |||
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by value:profile | |
 entryRelationship:entryRelationship-1 | SC | 0..1 | EntrySeverity | Base for all types and resources entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) |
  typeCode | 1..1 | code | Fixed Value: SUBJ | |
| inversionInd | 1..1 | boolean | Fixed Value: true | |
| entryRelationship:entryRelationship-2 | SC | 0..1 | IPSCertaintyObservation | Base for all types and resources entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) |
| typeCode | 1..1 | code | Fixed Value: SUBJ | |
| inversionInd | 1..1 | boolean | Fixed Value: true | |
| entryRelationship:entryRelationship-3 | SC | 0..1 | IPSProblemStatusObservation | Base for all types and resources entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) |
| typeCode | 1..1 | code | Fixed Value: REFR | |
| inversionInd | 0..1 | boolean | Fixed Value: false | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code | required | IPSProblemType |
| Observation.value | preferred | IPSNoProbsInfos |
| Id | Grade | Path(s) | Details | Requirements |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) : | |
| entryRelationship-2 | null | Observation.entryRelationship:entryRelationship-2 | contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) : | |
| entryRelationship-3 | null | Observation.entryRelationship:entryRelationship-3 | contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) : |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | S | 0..* | CDAR2.Observation | Base for all types and resources |
| classCode | 0..1 | code | Binding: ActClassObservation (required) Fixed Value: OBS | |
| moodCode | 1..1 | code | Fixed Value: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | S | 1..1 | II | |
| root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.8 | |
| id | S | 0..* | II | |
| code | S | 1..1 | CD | Binding: Problem Type (required): Problem Type |
| text | S | 0..1 | ED | |
| reference | S | 1..1 | TEL | |
| value | 1..1 | uri | ||
| statusCode | S | 1..1 | CS | Binding: ActStatus (required) |
| code | 0..1 | string | Fixed Value: completed | |
| effectiveTime | S | 1..1 | IVL_TS | |
| low | S | 1..1 | TS | |
| high | 0..1 | TS | ||
 value | S | 1..1 | Binding: Absent or Unknown Problems (preferred): Absent or Unknown Problems | |
 value | BL | |||
| value | ED | |||
| value | ED | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| value | RTO_PQ_PQ | |||
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by value:profile |
| entryRelationship:All Slices | Content/Rules for all slices | |||
 typeCode | 1..1 | code | ||
 contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship-1 | SC | 0..1 | EntrySeverity | Base for all types and resources entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) |
| typeCode | 1..1 | code | Fixed Value: SUBJ | |
| inversionInd | 1..1 | boolean | Fixed Value: true | |
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship-2 | SC | 0..1 | IPSCertaintyObservation | Base for all types and resources entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) |
| typeCode | 1..1 | code | Fixed Value: SUBJ | |
| inversionInd | 1..1 | boolean | Fixed Value: true | |
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship-3 | SC | 0..1 | IPSProblemStatusObservation | Base for all types and resources entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) |
| typeCode | 1..1 | code | Fixed Value: REFR | |
| inversionInd | 0..1 | boolean | Fixed Value: false | |
| contextConductionInd | 1..1 | boolean | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.code | required | IPSProblemType |
| Observation.statusCode | required | ActStatus |
| Observation.value | preferred | IPSNoProbsInfos |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) : | |
| entryRelationship-2 | null | Observation.entryRelationship:entryRelationship-2 | contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) : | |
| entryRelationship-3 | null | Observation.entryRelationship:entryRelationship-3 | contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) : | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship-1, Observation.entryRelationship:entryRelationship-2, Observation.entryRelationship:entryRelationship-3 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.templateId:primary.nullFlavor | required | NullFlavor |
| Observation.code | required | IPSProblemType |
| Observation.text.nullFlavor | required | NullFlavor |
| Observation.text.compression | required | CompressionAlgorithm |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
| Observation.text.reference.nullFlavor | required | NullFlavor |
| Observation.text.reference.use | required | AddressUse |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.nullFlavor | required | NullFlavor |
| Observation.effectiveTime.nullFlavor | required | NullFlavor |
| Observation.priorityCode | extensible | ActPriority |
| Observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.value | preferred | IPSNoProbsInfos |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | extensible | ObservationMethod |
| Observation.subject.typeCode | required | Fixed Value: SBJ |
| Observation.subject.contextControlCode | required | Fixed Value: OP |
| Observation.subject.awarenessCode | extensible | TargetAwareness |
| Observation.informant.typeCode | required | Fixed Value: INF |
| Observation.informant.contextControlCode | required | Fixed Value: OP |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) : | |
| entryRelationship-2 | null | Observation.entryRelationship:entryRelationship-2 | contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) : | |
| entryRelationship-3 | null | Observation.entryRelationship:entryRelationship-3 | contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) : | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship-1, Observation.entryRelationship:entryRelationship-2, Observation.entryRelationship:entryRelationship-3 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 8 elements (7 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | S | 0..* | CDAR2.Observation | Base for all types and resources |
| classCode | 0..1 | code | Fixed Value: OBS | |
| moodCode | 1..1 | code | Fixed Value: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | S | 1..1 | II | |
| root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.8 | |
| id | S | 0..* | II | |
| code | S | 1..1 | CD | Binding: Problem Type (required): Problem Type |
| text | S | 0..1 | ED | |
| reference | S | 1..1 | TEL | |
| value | 1..1 | uri | ||
| statusCode | S | 1..1 | CS | |
| code | 0..1 | string | Fixed Value: completed | |
| effectiveTime | S | 1..1 | IVL_TS | |
| low | S | 1..1 | TS | |
| high | 0..1 | TS | ||
| value | S | 1..1 | BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | Binding: Absent or Unknown Problems (preferred): Absent or Unknown Problems |
| type | 0..1 | code | XML Namespace: http://www.w3.org/2001/XMLSchema-instance Fixed Value: CD | |
| originalText | S | 0..* | ||
| reference | S | 0..1 | ||
| qualifier | 0..* | |||
| translation | 0..* | |||
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by value:profile | |
| entryRelationship:entryRelationship-1 | SC | 0..1 | EntrySeverity | Base for all types and resources entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) |
| typeCode | 1..1 | code | Fixed Value: SUBJ | |
| inversionInd | 1..1 | boolean | Fixed Value: true | |
| entryRelationship:entryRelationship-2 | SC | 0..1 | IPSCertaintyObservation | Base for all types and resources entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) |
| typeCode | 1..1 | code | Fixed Value: SUBJ | |
| inversionInd | 1..1 | boolean | Fixed Value: true | |
| entryRelationship:entryRelationship-3 | SC | 0..1 | IPSProblemStatusObservation | Base for all types and resources entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) |
| typeCode | 1..1 | code | Fixed Value: REFR | |
| inversionInd | 0..1 | boolean | Fixed Value: false | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code | required | IPSProblemType |
| Observation.value | preferred | IPSNoProbsInfos |
| Id | Grade | Path(s) | Details | Requirements |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) : | |
| entryRelationship-2 | null | Observation.entryRelationship:entryRelationship-2 | contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) : | |
| entryRelationship-3 | null | Observation.entryRelationship:entryRelationship-3 | contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) : |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | S | 0..* | CDAR2.Observation | Base for all types and resources |
| classCode | 0..1 | code | Binding: ActClassObservation (required) Fixed Value: OBS | |
| moodCode | 1..1 | code | Fixed Value: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | S | 1..1 | II | |
| root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.8 | |
| id | S | 0..* | II | |
| code | S | 1..1 | CD | Binding: Problem Type (required): Problem Type |
| text | S | 0..1 | ED | |
| reference | S | 1..1 | TEL | |
| value | 1..1 | uri | ||
| statusCode | S | 1..1 | CS | Binding: ActStatus (required) |
| code | 0..1 | string | Fixed Value: completed | |
| effectiveTime | S | 1..1 | IVL_TS | |
| low | S | 1..1 | TS | |
| high | 0..1 | TS | ||
| value | S | 1..1 | Binding: Absent or Unknown Problems (preferred): Absent or Unknown Problems | |
| value | BL | |||
| value | ED | |||
| value | ED | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| value | RTO_PQ_PQ | |||
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by value:profile |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| typeCode | 1..1 | code | ||
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship-1 | SC | 0..1 | EntrySeverity | Base for all types and resources entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) |
| typeCode | 1..1 | code | Fixed Value: SUBJ | |
| inversionInd | 1..1 | boolean | Fixed Value: true | |
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship-2 | SC | 0..1 | IPSCertaintyObservation | Base for all types and resources entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) |
| typeCode | 1..1 | code | Fixed Value: SUBJ | |
| inversionInd | 1..1 | boolean | Fixed Value: true | |
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship-3 | SC | 0..1 | IPSProblemStatusObservation | Base for all types and resources entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) |
| typeCode | 1..1 | code | Fixed Value: REFR | |
| inversionInd | 0..1 | boolean | Fixed Value: false | |
| contextConductionInd | 1..1 | boolean | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.code | required | IPSProblemType |
| Observation.statusCode | required | ActStatus |
| Observation.value | preferred | IPSNoProbsInfos |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) : | |
| entryRelationship-2 | null | Observation.entryRelationship:entryRelationship-2 | contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) : | |
| entryRelationship-3 | null | Observation.entryRelationship:entryRelationship-3 | contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) : | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship-1, Observation.entryRelationship:entryRelationship-2, Observation.entryRelationship:entryRelationship-3 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
Snapshot View
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.templateId:primary.nullFlavor | required | NullFlavor |
| Observation.code | required | IPSProblemType |
| Observation.text.nullFlavor | required | NullFlavor |
| Observation.text.compression | required | CompressionAlgorithm |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
| Observation.text.reference.nullFlavor | required | NullFlavor |
| Observation.text.reference.use | required | AddressUse |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.nullFlavor | required | NullFlavor |
| Observation.effectiveTime.nullFlavor | required | NullFlavor |
| Observation.priorityCode | extensible | ActPriority |
| Observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.value | preferred | IPSNoProbsInfos |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | extensible | ObservationMethod |
| Observation.subject.typeCode | required | Fixed Value: SBJ |
| Observation.subject.contextControlCode | required | Fixed Value: OP |
| Observation.subject.awarenessCode | extensible | TargetAwareness |
| Observation.informant.typeCode | required | Fixed Value: INF |
| Observation.informant.contextControlCode | required | Fixed Value: OP |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) : | |
| entryRelationship-2 | null | Observation.entryRelationship:entryRelationship-2 | contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) : | |
| entryRelationship-3 | null | Observation.entryRelationship:entryRelationship-3 | contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) : | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship-1, Observation.entryRelationship:entryRelationship-2, Observation.entryRelationship:entryRelationship-3 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 8 elements (7 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ Health Level Seven. Package hl7.cda.uv.ips#1.0 based on FHIR 5.0.0-ballot. Generated 2023-01-12
Links: Table of Contents |
QA Report
| Version History 
|
|
Propose a change
