1.3.6.1.4.1.19376.1.3.1.1.2

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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 Case Identification 1.3.6.1.4.1.19376.1.3.1.1.2

Case Identification, when present, SHALL be recorded as an <observation> in an <entryRelationship> under the Notification Organizer as demonstrated in the figure below. Case Identification SHALL be present when dictated by local case 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 Case Identification

Specification
Case Identification Example
<ClinicalDocument>
  ...
  <component typeCode="COMP">
    <structuredBody classCode="DOCBODY" moodCode="EVN">
      <component typeCode="COMP">
        <section classCode="DOCSECT">
          <templateId eroot="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 root="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"/>
                      <id extension="SALM_83747" root="1.3.6.1.4.1.19376.1.3.4"/>
                      <code="416341003" codeSystem="2.16.840.1.113883.6.96 codeSystemName="SNOMED-CT" 
                            displayName="Case Started">
                      <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="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="CASE" moodCode="EVN">

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

<templateId root="1.3.6.1.4.1.19376.1.3.1.1.2"/>

The <templateId> element identifies this <observation> as the Case Identification. The templateId SHALL be recorded as shown above, root="1.3.6.1.4.1.19376.1.3.1.1.2".

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

The Case Identification Observation id SHALL be present.

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

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

<statusCode code=" "/>

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 A status of obsolete means the Case Identifier Observation has been replaced by a newer Case Identifier Observation (following it) in this revision of the report.

<effectiveTime value=" "/>

The Case Identifier Observation MAY contain a relevant time.

<value/>

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