<!--
    ********************************************************
    
    Verifies IHE PCC Severity Entry: 1.3.6.1.4.1.19376.1.5.3.1.4.1
    - Source: ....schematron\ihe_pcc_all\templates\1.3.6.1.4.1.19376.1.5.3.1.4.1.ent
    -> reports and xhtml added
    -> other little changes for the new schematron rules around ihe_pharm  
    
    Subversion header information:
    $Header$
    
    ********************************************************
-->
<xs:schema xmlns:iso="http://purl.oclc.org/dsdl/schematron"
    xmlns:xhtml="http://www.w3.org/1999/xhtml" xmlns:xi="http://www.w3.org/2001/XInclude"
    xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsl="http://www.w3.org/1999/XSL/Transform"
    >

    <iso:pattern>

        <!-- Version is defined related to the publication date of the IHE PCC profile: 2010-08-30 -->
        <xs:annotation id="version" value="20100830"/>
        <!-- Pattern Documentation -->
        <xhtml:h3 lang="en">IHE PCC - Severity Entry</xhtml:h3>
        <xhtml:p lang="de">Checks wheter the CDA structure is conformant to the IHE PCC - Severity Entry</xhtml:p>

        <iso:rule context="*[cda:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.1']">
            <!-- Rule Documentation -->
            <xhtml:h3 lang="en">IHE PCC - Severity Entry</xhtml:h3>
            <xhtml:p lang="en">Verifies the structure of a IHE PCC - Severity Entry</xhtml:p>

            <iso:let name="test" value="cda:templateId[@root='2.16.840.1.113883.10.20.1.55']"/>
            <iso:assert test="$test">
                <xhtml:p lang="en"> 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the templateId for CCD Severity (2.16.840.1.113883.10.20.1.55) 
                    must be present.
                </xhtml:p>
            </iso:assert>
            <iso:report test="$test">
                <xhtml:p lang="en"> 
                    Successfully tested: 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the templateId for CCD Severity (2.16.840.1.113883.10.20.1.55) 
                    must be present.
                </xhtml:p>
            </iso:report>
            
            <iso:let name="test" value="cda:code[@code='SEV' and 
                @codeSystem='2.16.840.1.113883.5.4']"/>
            <iso:assert test="$test">
                <xhtml:p lang="en"> 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the observation is of Severity, as indicated by the code
                    element. This element is required. The code and codeSystem attributes shall be recorded exactly as indicated.
                </xhtml:p>
            </iso:assert>
            <iso:report test="$test">
                <xhtml:p lang="en"> 
                    Successfully tested: 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the observation is of Severity, as indicated by the code
                    element. This element is required. The code and codeSystem attributes shall be recorded exactly as indicated.
                </xhtml:p>
            </iso:report>
            
            <iso:let name="test" value="cda:text/cda:reference"/>
            <iso:assert test="$test">
                <xhtml:p lang="en"> 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the &lt;observation&gt; element shall contain a 
                    &lt;text&gt; element. For CDA, the &lt;text&gt; elements shall contain a &lt;reference&gt; element pointing
                    to the narrative where the severity is recorded, rather than duplicate text to avoid ambiguity. 
                </xhtml:p>
            </iso:assert>
            <iso:report test="$test">
                <xhtml:p lang="en"> 
                    Successfully tested: 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the &lt;observation&gt; element shall contain a 
                    &lt;text&gt; element. For CDA, the &lt;text&gt; elements shall contain a &lt;reference&gt; element pointing
                    to the narrative where the severity is recorded, rather than duplicate text to avoid ambiguity. 
                </xhtml:p>
            </iso:report>
            
            <iso:let name="test" value="cda:statusCode[@code = 'completed']"/>
            <iso:assert test="$test">
                <xhtml:p lang="en"> 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the code attribute of &lt;statusCode&gt; for all Severity 
                    observations shall be completed. While the &lt;statusCode&gt; element is required in all acts to record the status of 
                    the act, the only sensible value of this element in this context is completed.
                </xhtml:p>
            </iso:assert>
            <iso:report test="$test">
                <xhtml:p lang="en"> 
                    Successfully tested: 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the code attribute of &lt;statusCode&gt; for all Severity 
                    observations shall be completed. While the &lt;statusCode&gt; element is required in all acts to record the status of 
                    the act, the only sensible value of this element in this context is completed.
                </xhtml:p>
            </iso:report>
            
            <iso:let name="test" value="cda:value[@xsi:type='CD'] and
                (((cda:value[@codeSystem='2.16.840.1.113883.5.1063' and
                (@code='H' or @code='M' or @code='L')])
                ) or (
                not(cda:value[@codeSystem])
                ))"/>
            <iso:assert test="$test">
                <xhtml:p lang="en"> 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the &gt;value&lt; element contains the level of severity. 
                    It is always represented using t'he CD datatype (xsi:type='CD'), even though the value may be a coded or uncoded 
                    string. If coded, it should use the HL7 SeverityObservation vocabulary (codeSystem='2.16.840.1.113883.5.1063') 
                    containing three values (H, M, and L), representing high, moderate and low severity depending upon whether the severity 
                    is life threatening, presents noticeable adverse consequences, or is unlikely substantially effect the situation of the
                    subject.  
                </xhtml:p>
            </iso:assert>
            <iso:report test="$test">
                <xhtml:p lang="en"> 
                    Successfully tested: 
                    In IHE PCC Severity (1.3.6.1.4.1.19376.1.5.3.1.4.1), the &gt;value&lt; element contains the level of severity. 
                    It is always represented using t'he CD datatype (xsi:type='CD'), even though the value may be a coded or uncoded 
                    string. If coded, it should use the HL7 SeverityObservation vocabulary (codeSystem='2.16.840.1.113883.5.1063') 
                    containing three values (H, M, and L), representing high, moderate and low severity depending upon whether the severity 
                    is life threatening, presents noticeable adverse consequences, or is unlikely substantially effect the situation of the
                    subject.
                </xhtml:p>
            </iso:report>
            
        </iso:rule>

    </iso:pattern>

</xs:schema>
<!-- EOF -->