1.3.6.1.4.1.19376.1.5.3.1.4.5.1

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Concern Entry 1.3.6.1.4.1.19376.1.5.3.1.4.5.1

This event (moodCode='EVN') represents an act (<act classCode='ACT') of being concerned about a problem (or allergy). The <effectiveTime> element describes the period of concern. The subject of concern is one or more observations about related problems (see section 5.4.4.12) or allergies and intolerances (see section 5.4.4.13). The subject of the concern may also include the current health status of the patient. Additional references can be provided having additional information related to the concern.

Standards

CCD	ASTM/HL7 Continuity of Care Document
CareStruct	HL7 Care Provision Care Structures (DSTU)
ClinStat	ClinStat HL7 Clinical Statement (DRAFT)

Uses

See Templates using Concern Entry

Specification

Concern Entry Example

<act classCode='ACT' moodCode='EVN'> <templateId root='2.16.840.1.113883.10.20.1.27'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1'/> <id root='' extension=''/> <code nullFlavor='NA'/> <statusCode code='active|suspended|aborted|completed'/> <effectiveTime> <low value=''/> <high value=''/> </effectiveTime> <!-- one or more entry relationships identifying problems of concern --> <entryRelationship typeCode='SUBJ'> </entryRelationship> <!-- zero or one entry relationships identifying the health status of concern --> <entryRelationship typeCode='SUBJ'> </entryRelationship> <!-- optional entry relationship providing more information about the concern --> <entryRelationship typeCode='REFR'> </entryRelationship> </act>

<act classCode='ACT' moodCode='EVN'>

All concerns reflect the act of recording (<act classCode='ACT'>) the event (moodCode='EVN') of being concerned about a problem, allergy or other issue about the patient condition.

<templateId root='2.16.840.1.113883.10.20.1.27'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1'/>

These template identifiers indicates this entry conforms to the concern content module. This content module inherits constraints from the HL7 CCD Template for problem acts, and so also includes that template identifier.

<id root=' ' extension=' '/>

This required element identifies the concern.

<code nullFlavor='NA'/>

The code is not applicable to a concern act, and so shall be recorded as shown above.

<statusCode code='active|suspended|aborted|completed'/>

The statusCode associated with any concern must be one of the following values:

Status Code Values

Value	Description
active	A concern that is still being tracked.
suspended	A concern that is active, but which may be set aside. For example, this value might be used to suspend concern about a patient problem after some period of remission, but before assumption that the concern has been resolved.
aborted	A concern that is no longer actively being tracked, but for reasons other than because the problem was resolved. This value might be used to mark a concern as being aborted after a patient leaves care against medical advice.
completed	The problem, allergy or medical state has been resolved and the concern no longer needs to be tracked except for historical purposes.

Note:

A concern in the "active" state represents one for which some ongoing clinical activity is expected, and that no activity is expected in other states. Specific uses of the suspended and aborted states are left to the implementation.

<effectiveTime><low value=' '/><high value=' '/></effectiveTime>

The <effectiveTime> element records the starting and ending times during which the concern was active. The <low> element shall be present. The <high> element shall be present for concerns in the completed or aborted state, and shall not be present otherwise.

<!-- 1..* entry relationships identifying problems of concern -->
<entryRelationship type='SUBJ'>

Each concern is about one or more related problems or allergies. This entry shall contain one or more problem or allergy entries that conform to the specification in section Problem Entry or Allergies and Intolerances.

Note:

The Allergy and Intolerances entry is a refinement of the Problem entry.

<!-- zero or one entry relationships identifying the health status of concern -->
<entryRelationship type='SUBJ'>

Also of concern may be the health status of the patient with respect to the problem and/or allergy described above.