hl7:observation
|
|
|
R |
|
(IPS…FST) |
@classCode
|
cs |
0 … 1 |
F |
OBS |
@moodCode
|
cs |
1 … 1 |
F |
EVN |
hl7:templateId
|
II |
1 … 1 |
M |
|
(IPS…FST) |
@root
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.22.4.6 |
hl7:id
|
II |
0 … * |
R |
|
(IPS…FST) |
hl7:code
|
CD.IPS |
1 … 1 |
R |
This element describes the type of condition this observation is referring to.
|
(IPS…FST) |
| |
CONF |
|
hl7:text
|
ED |
0 … 1 |
R |
The <text> element if present points to the text describing the problem being recorded;
including any dates, comments, et cetera. The <reference> contains a URI in value
attribute. This URI points to the free text description of the problem in the document
that is being described.
|
(IPS…FST) |
hl7:reference
|
TEL |
1 … 1 |
M |
|
(IPS…FST) |
@value
|
|
1 … 1 |
R |
When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g.
#xxx-1
|
hl7:statusCode
|
CS CNE |
0 … 1 |
R |
A clinical document normally records only those condition observation events that
have been completed, not observations that are in any other state. Therefore, the
<statusCode> shall always have code='completed'.
|
(IPS…FST) |
@code
|
CONF |
1 … 1 |
F |
completed |
hl7:effectiveTime
|
IVL_TS |
1 … 1 |
M |
The effectiveTime, also referred to as the “biologically relevant time” is the time
at which the observation holds for the patient. For a provider seeing a patient in
the clinic today, observing a history of heart attack that occurred five years ago,
the effectiveTime is five years ago.
The <low> and <high> values should be no more precise than known, but as precise as
possible.
|
(IPS…FST) |
hl7:low
|
IVXB_TS |
1 … 1 |
R |
The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically
active.
|
(IPS…FST) |
hl7:high
|
IVXB_TS |
0 … 1 |
C |
The effectiveTime/high (a.k.a. "resolution date") asserts when the condition e became
biologically resolved.
If the date of resolution is not known, then effectiveTime/high will be present with
a nullFlavor of "UNK".
|
(IPS…FST) |
| |
Constraint |
If this condition is known to be resolved, then the effectiveTime/high would be present.
|
hl7:value
|
CD.IPS CWE |
1 … 1 |
R |
The <value> is the condition that was found. While the value may be a coded or an
un-coded string, the type is always a coded value.
If uncoded, it shall contain a <reference> to the <originalText> in the narrative
where the reaction is described.
|
(IPS…FST) |
@xsi:type
|
|
1 … 1 |
F |
CD |
| |
CONF |
|
hl7:originalText
|
|
0 … 1 |
R |
The <originalText> element within the <code> element described above is used as follows:
the <value> contains a <reference> to the <originalText> in order to link the coded
value to the problem narrative text (minus any dates, comments, et cetera). The <reference>
contains a URI in value attribute. This URI points to the free text description of
the problem in the document that is being described.
|
(IPS…FST) |
hl7:reference
|
|
0 … 1 |
R |
The URI given in the value attribute of the <reference> element points to an element
in the narrative content that contains the complete text describing the medication.
In a CDA document, the URI given in the value attribute of the <reference> element
points to an element in the narrative content that contains the complete text describing
the medication.
|
(IPS…FST) |
| |
Example |
<reference value="#AdvReaction_1"/> |
hl7:translation
|
CD |
0 … * |
|
|
(IPS…FST) |
hl7:entryRelationship
|
|
0 … 1 |
R |
Severity
The contained entry describes a subjective assessment of the severity of the condition
as evaluated by the clinician.
Contains 2.16.840.1.113883.10.22.4.25 IPS Severity Observation (DYNAMIC)
|
(IPS…FST) |
 |
where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.10.22.4.25']]] |
|
|
@typeCode
|
cs |
1 … 1 |
F |
SUBJ |
@inversionInd
|
bl |
1 … 1 |
F |
true |
Template IPS Reaction Manifestation
Draft
