1.3.6.1.4.1.19376.1.3.1.1.1

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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 Notifiable Condition 1.3.6.1.4.1.19376.1.3.1.1.1

Notifiable Condition, when present, SHALL be recorded as an <observation> in an <entryRelationship> under the Notification Organizer as demonstrated in the figure below. Notifiable Condition SHALL be present when dictated by local public health 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 Notifiable Condition

Specification
Notifiable Condition 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"/>
          <text/>
          <entry typeCode="DRIV">
            <templateId root="1.3.6.1.4.1.19376.1.3.1"/>
            <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 root="1.3.6.1.4.1.19376.1.3.1.1.1"/>
                      <id extension="SALM" root="1.3.6.1.4.1.19376.1.3.4"/>
                      <code code="170516003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                            displayName="Notification of Disease">
                        <qualifier>
                          <name code="246087005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                                displayName="Source of Specimen"/>
                          <value code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                                 displayName="Patient"/>
                        </qualifier>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime value="20080408000000.0000-0400"/>
                      <value xsi:type="CE" code="27268008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                             displayName="Salmonella"/>
                    </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"/>
                      ...
                    </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="COND" moodCode="EVN">

The Notifiable Condition Observation SHALL be recorded as shown above, classCode "COND" and moodCode "EVN".

<templateId root="1.3.6.1.4.1.19376.1.3.1.1.1"/>

The <templateId> element identifies this <observation> as the Notifiable Condition. The templateId SHALL be recorded as shown above, root="1.3.6.1.4.1.19376.1.3.1.1.1".

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

The Notifiable Condition Observation id MAY be present.

<code code=" " codeSystem=" " codeSystemName=" " displayName=" "/>

The Notifiable Condition Observation SHALL contain a unique public health code.

<qualifier/>

The Notifiable Condition Observation qualifier SHALL identify the source of the notifiable condition. Eg, Patient, Food, Animal.

<statusCode code=" "/>

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

<effectiveTime value=" "/>

The Case Identifier Observation MAY contain a relevant time.

<value/>

The Notifiable Condition Observation value SHALL specify the specific public health notifiable condition. This value SHALL be type "CE". Eg, Salmonella (27268008 SNOMED-CT), Rabies (59881000 SNOMED-CT), Bacillus anthracis (21927003 SNOMED-CT).