Template 2.16.840.1.113883.10.22.4.25

Template IPS Severity Observation

Id 2.16.840.1.113883.10.22.4.25 Effective Date 2017‑04‑07

Status Draft Version Label

Name EntrySeverity Display Name IPS Severity Observation

Description

This clinical statement represents the subjective assessment of the severity of the condition as evaluated by the clinician.

The Severity Observation can be associated with a Reaction Observation.
When the Severity Observation is associated with a Reaction Observation it characterizes a reaction. A person may manifest many symptoms in a reaction to a single substance, and each reaction to the substance can be represented. However, each reaction observation can have only one severity observation associated with it. For example, someone may have a rash reaction observation as well as an itching reaction observation, but each can have only one level of severity.

Context Parent nodes of template element with id 2.16.840.1.113883.10.22.4.25

Classification CDA Entry Level Template

Open/Closed Open (other than defined elements are allowed)

Associated with

Associated with 3 concepts

Id	Name	Data Set
hl7ips-dataelement-128	Severity	CEN/TC 251 prEN 17269
hl7ips-dataelement-136	Severity	CEN/TC 251 prEN 17269
hl7ips-dataelement-194	Severity	CEN/TC 251 prEN 17269

Used by / Uses

Used by 0 transactions and 9 templates, Uses 0 templates

Used by	as	Name	Version
2.16.840.1.113883.10.22.4.6	Containment	IPS Reaction Manifestation	2016‑11‑15
2.16.840.1.113883.10.22.4.1		IPS Allergy or Intolerance	2016‑11‑10
2.16.840.1.113883.10.22.4.5		IPS Allergy and Intolerance Concern	2016‑11‑11
2.16.840.1.113883.10.22.3.2		IPS Allergies and Intolerances Section	2016‑11‑11
2.16.840.1.113883.10.22.1.1		International Patient Summary	2017‑04‑11
2.16.840.1.113883.10.22.4.8	Containment	IPS Problem Entry	2017‑02‑15
2.16.840.1.113883.10.22.4.7		IPS Problem Concern Entry	2017‑02‑15
2.16.840.1.113883.10.22.3.3		IPS Problems Section	2017‑02‑15
2.16.840.1.113883.10.22.3.7		IPS History of Past Illness Section	2017‑04‑12

Relationship Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.1 (DYNAMIC)

Example

<observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.22.4.25"/> <id root="1.2.3.999" extension="__example only__"/> <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4"/> <text> <reference value="#example"/> </text> <statusCode code="completed"/> <value code="255604002" displayName="Mild" codeSystem="2.16.840.1.113883.6.96"/></observation>

Item DT Card Conf Description Label

hl7:observation R (Entity)


hl7ips-dataelement-128	Severity	CEN/TC 251 prEN 17269
hl7ips-dataelement-194	Severity	CEN/TC 251 prEN 17269

@classCode cs 0 … 1 F OBS

@moodCode cs 1 … 1 F EVN

hl7:templateId II 1 … 1 M (Entity)

@root uid 1 … 1 F 2.16.840.1.113883.10.22.4.25

hl7:id II 0 … * R (Entity)

hl7:code CD 1 … 1 R (Entity)

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20386 SeverityObservationCode (DYNAMIC)

hl7:text ED 0 … 1 R If present, the element shall contain a element pointing to the narrative where the severity is recorded (Entity)

hl7:reference TEL 1 … 1 M (Entity)

@value 1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

hl7:statusCode CS 1 … 1 M (Entity)

@code CONF 1 … 1 F completed

hl7:value

CD.IPS (preferred)

1 … 1

The <value> element contains the level of severity.

(Ent

ity)


	hl7ips-dataelement-136	Severity	CEN/TC 251 prEN 17269

CONF

The value of @code comes preferably from value set 2.16.840.1.113883.11.22.18 Problem Severity (DYNAMIC)

Template IPS Severity Observation