Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Health Status Observation

[Observation: templateId 1.3.6.1.4.1.19376.1.5.3.1.4.1.2]

The health status observation records information about the current health status of the patient.

  1. SHALL conform to CCD Problem Health Status Observation template (templateId: 2.16.840.1.113883.10.20.1.51)
  2. SHALL contain exactly one [1..1] text
  3. SHALL contain exactly one [1..1] value, which SHALL be selected from ValueSet HealthStatusValue STATIC
  4. The 'text' elements SHALL contain a 'reference' element pointing to the narrative where the severity is recorded, rather than duplicate text to avoid ambiguity.
    • [OCL]: not self.text.reference.oclIsUndefined()

Health Status Observation example

<?xml version="1.0" encoding="UTF-8"?>
<observation xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd" classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.1.57"/>
  <templateId root="2.16.840.1.113883.10.20.1.51"/>
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.2"/>
  <id root="1474313946"/>
  <code code="11323-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health status"/>
  <text/>
  <statusCode code="completed"/>
  <effectiveTime>
    <low value="2011"/>
    <high value="2011"/>
  </effectiveTime>
</observation>