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pending Template  IPS Reaction Manifestation

Id 2.16.840.1.113883.10.22.4.6 Effective Date 2016‑11‑15
Status pending Under pre-publication review Version Label STU1
Name IPSAdverseReactionMFST Display Name IPS Reaction Manifestation
Description
This clinical statement represents the response to an undesired symptom, finding, etc. due to administered or exposed substance. This reaction may be an undesired symptom, finding, etc. or it could be a desired response to a treatment. A reaction can be defined with respect to its severity, and can have been treated by one or more interventions.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.4.6
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 2 concepts
Id Name Data Set
hl7ips-dataelement-193 draft Manifestation of the reaction draft CEN/TC 251 prEN 17269
hl7ips-dataelement-194 draft Severity draft CEN/TC 251 prEN 17269
Used by / Uses
Used by 0 transactions and 4 templates, Uses 1 template
Used by as Name Version
2.16.840.1.113883.10.22.4.1 Containment pending IPS Allergy or Intolerance (STU1) 2016‑11‑10
2.16.840.1.113883.10.22.4.5 link pending IPS Allergy and Intolerance Concern (STU1) 2016‑11‑11
2.16.840.1.113883.10.22.3.2 link pending IPS Allergies and Intolerances Section (STU1) 2016‑11‑11
2.16.840.1.113883.10.22.1.1 link pending International Patient Summary (STU1) 2017‑04‑11
Uses as Name Version
2.16.840.1.113883.10.22.4.25 Containment pending IPS Severity Observation (STU1) DYNAMIC
Relationship Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.5 (DYNAMIC)
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.22.4.6"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="404684003" displayName="Clinical finding" codeSystem="2.16.840.1.113883.6.96"/>  <text>
    <reference value="#ref1"/>  </text>
  <statusCode code="completed"/>  <effectiveTime>
    <low value="201611"/>  </effectiveTime>
  <value xsi:type="CD" code="1985008" displayName="Vomitus" codeSystem="2.16.840.1.113883.6.96">
    <originalText>
      <reference value="#ref2"/>    </originalText>
  </value>
  <entryRelationship typeCode="SUBJ" inversionInd="true">
    <!-- template 2.16.840.1.113883.10.22.4.25 'IPS Severity Observation' (dynamic) -->
  </entryRelationship>
</observation>
notice There are open issues with this item:
Item DT Card Conf Description Label
hl7:observation
R (IPSdotsFST)
@classCode
cs 0 … 1 F OBS
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M (IPSdotsFST)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.4.6
hl7:id
II 0 … * R (IPSdotsFST)
hl7:code
CD.IPS 1 … 1 R
This element describes the type of condition this observation is referring to.
(IPSdotsFST)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.16 Problem Type (2017‑04‑07)
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.
(IPSdotsFST)
hl7:reference
TEL 1 … 1 M (IPSdotsFST)
@value
1 … 1 R When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS (required) 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'.

(IPSdotsFST)
@code
CONF 0 … 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.
(IPSdotsFST)
hl7:low
IVXB_TS 1 … 1 R The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. (IPSdotsFST)
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".
(IPSdotsFST)
  Constraint If this condition is known to be resolved, then the effectiveTime/high would be present.
hl7:value
CD.IPS (preferred) 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.
(IPSdotsFST)
 
target
hl7ips-dataelement-193 draft Manifestation of the reaction draft CEN/TC 251 prEN 17269
@xsi:type
1 … 1 F CD
  CONF
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.3 Allergy Reaction (2017‑02‑23)
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.

(IPSdotsFST)
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. (IPSdotsFST)
  Example <reference value="#AdvReaction_1"/>
hl7:translation
CD 0 … * (IPSdotsFST)
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)
(IPSdotsFST)
treeblank where [hl7:observation [hl7:templateId [@root = '2.16.840.1.113883.10.22.4.25']]]
 
target
hl7ips-dataelement-194 draft Severity draft CEN/TC 251 prEN 17269
@typeCode
cs 1 … 1 F SUBJ
@inversionInd
bl 1 … 1 F true