No_Known_Problems_Section_20140226.xml

<?xml version="1.0" encoding="UTF-8"?>
<!-- Problem Section -->
<component>
    <section>
        <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/> <!-- Problem Section with Coded Entries Required -->
        <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List"/>
        <title>PROBLEMS</title>
        <text ID="Concern_1">
            Problem Concern:<br/>
            Concern Tracker Start Date: 06/07/2013 16:05:06<br/>
            Concern Tracker End Date: <br/>
            Concern Status: Active<br/>
            <content ID="problems1">No known <content ID="problemType1">problems.</content></content>
        </text>
        <entry typeCode="DRIV">
            <!-- Problem Concern Act -->	
            <act classCode="ACT" moodCode="EVN">
                <templateId root="2.16.840.1.113883.10.20.22.4.3"/>
                <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
                <!-- SDWG supports 48765-2 or CONC in the code element -->
                <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
                <text><reference value="#Concern_1"></reference></text>
                <statusCode code="active"/> <!-- The concern is not active, in terms of there being an active condition to be managed.-->
                <effectiveTime>
                    <low value="20130607160506"/> <!-- Time at which THIS “concern” began being tracked.-->
                </effectiveTime> <!-- status is active so high is not applicable. If high is present it should have nullFlavor of NA-->
                <!-- Optional Author Element-->
                <author>
                    <time value="20130607160506"/>
                    <assignedAuthor>
                        <id extension="66666" root="2.16.840.1.113883.4.6"/>
                        <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
                            displayName="Cardiovascular Disease"/>
                        <addr>
                            <streetAddressLine>6666 StreetName St.</streetAddressLine>
                            <city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
                            <country>US</country>
                        </addr>
                        <telecom value="tel:+1(301)666-6666" use="WP"/>
                        <assignedPerson>
                            <name>
                                <given>Heartly</given>
                                <family>Sixer</family>
                                <suffix>MD</suffix>
                            </name>
                        </assignedPerson>
                    </assignedAuthor>
                </author>
                <entryRelationship typeCode="SUBJ">
                    <observation classCode="OBS" moodCode="EVN" negationInd="true">
                        <!-- Model of Meaning for No Problems -->
                        <!-- This is more consistent with how we did no known allergies. -->
                        <!-- The use of negationInd corresponds with the newer Observation.ValueNegationInd -->
                        <!-- The negationInd = true negates the value element. --> 
                        <!-- problem observation template -->
                        <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
                        <id root="4adc1021-7b14-11db-9fe1-0800200c9a67"/>
                        <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
                        <text><reference value="#problems1"></reference></text>
                        <statusCode code="completed"/>
                        <effectiveTime>
                            <low value="20130607160506"/>
                        </effectiveTime>
                        <!-- The time when this was biologically relevant ie True for the patient. -->
                        <!-- As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. -->
                        <!-- It would be equally valid to have a longer range of time over which this statement was represented as being true. -->
                        <!-- As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. -->
                        
                        <!-- This idea assumes that the value element could come from the Problem value set, or-->
                        <!-- when negationInd was true, is could also come from the ProblemType value set (and code would be ASSERTION). -->
                        <value xsi:type="CD" code="55607006"
                            displayName="Problem"
                            codeSystem="2.16.840.1.113883.6.96"
                            codeSystemName="SNOMED CT">
                            <originalText><reference value="#problemType1"></reference></originalText>
                        </value>
                    </observation>
                </entryRelationship>
            </act>
        </entry>
    </section>
</component>