1.3.6.1.4.1.19376.1.3.1.1.3

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Development Only

The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif Outbreak Identification 1.3.6.1.4.1.19376.1.3.1.1.3

Outbreak Identification, when present, SHALL be recorded as an <observation> in an <entryRelationship> under the Notification Organizer as demonstrated in the figure below. Outbreak Identification SHALL be present when dictated by local outbreak identification reporting requirements.


The figure below shows how the information for this element is coded, and further constraints are provided in the following sections.


Uses

See Templates using Outbreak Identification

Specification
Outbreak Identification Example 
<ClinicalDocument>
  ...
  <component typeCode="COMP">
    <structuredBody classCode="DOCBODY" moodCode="EVN">
      <component typeCode="COMP">
        <section classCode="DOCSECT">
          <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>
          <code code="18725-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MICROBIOLOGY STUDIES"/>
          <entry typeCode="DRIV">
            <templateId root="1.3.6.1.4.1.19376.1.3.1"/>
            <text/>
            <act classCode="ACT" moodCode="EVN">
              <entryRelationship typeCode="COMP">
                <organizer classCode="CLUSTER" moodCode="EVN">
                  <templateId root="1.3.6.1.4.1.19376.1.3.1.1"/>
                  <statusCode code="completed"/>
                  <component>
                    <observation classCode="COND" moodCode="EVN">
                      <templateId eroot="1.3.6.1.4.1.19376.1.3.1.1.1"/>
                      ...
                    </observation>
                  </component>
                  <component>
                    <observation classCode="CASE" moodCode="EVN">
                      <templateId root="1.3.6.1.4.1.19376.1.3.1.1.2"/>
                      ...
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OUTB" moodCode="EVN">
                      <templateId root="1.3.6.1.4.1.19376.1.3.1.1.3"/>
                      <id extension="SALM_SPINACH459" root="1.3.6.1.4.1.19376.1.3.4"/>
                      <code="416534008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Outbreak">
                      <statusCode code="completed"/>
                      <effectiveTime value="20080421000000.0000-0400"/>
                      <value xsi:type="CE" code="79153007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                             displayName="Salmonella tennessee 6,7,14;z29;1,2,7">
                    </observation>
                  </component>
                </organizer>
              </entryRelationship>
            </act>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>
          <code code="18725-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MICROBIOLOGY STUDIES"/>
          <title>Laboratory Microbiology Results</title>
          <text/>
          <entry typeCode="DRIV">
            <templateId root="1.3.6.1.4.1.19376.1.3"/>
            <act classCode="ACT" moodCode="EVN">
              ...
            </act>
          </entry>
        </section>
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>


<observation classCode="OUTB" moodCode="EVN">

The Outbreak Identification Observation SHALL be recorded as shown above, classCode "OUTB" and moodCode "EVN".

<templateId root="1.3.6.1.4.1.19376.1.3.1.1.3"/>

The <templateId> element identifies this <observation> as the Outbreak Identification. The templateId SHALL be recorded as shown above, root="1.3.6.1.4.1.19376.1.3.1.1.3".

<id extension=" " root=" "/>

The Outbreak Identification Observation id SHALL be present.

The Outbreak Identifier Observation SHALL contain a unique public health code.

<statusCode code=" "/>

The Outbreak Identifier Observation statusCode SHALL be either "completed", "aborted", or "obsolete". A status of completed means the patient has been associated with the given outbreak. A status of aborted means the patient was associated with the outbreak in error. A status of obsolete means the Outbreak Identifier Observation has been replaced by a newer Outbreak Identifier Observation (following it) in this revision of the report.

<effectiveTime value=" "/>

The Outbreak Identifier Observation MAY contain a relevant time.

<value/>

The Outbreak Identifier Observation value SHALL specify the specific public health notifiable condition. Eg, Salmonella, Rabies, Bacillus anthracis.

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