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# Template IPS Severity Observation

Id | 2.16.840.1.113883.10.22.4.25 | Effective Date | 2017‑04‑07
Status | Under pre-publication review | Version Label | STU1
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 | Dataset
--- | --- | ---
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 (STU2) | 2024‑08‑04 10:18:47
2.16.840.1.113883.10.22.4.1 |  | IPS Allergy or Intolerance (STU2) | 2024‑08‑04 09:48:50
2.16.840.1.113883.10.22.4.5 |  | IPS Allergy and Intolerance Concern (STU2) | 2024‑08‑04 10:09:24
2.16.840.1.113883.10.22.3.2 |  | IPS Allergies and Intolerances Section (STU2) | 2024‑08‑04 10:07:36
2.16.840.1.113883.10.22.1.2 |  | International Patient Summary (2024) | 2024‑08‑02 13:02:39
2.16.840.1.113883.10.22.4.8 | Containment | IPS Problem Entry (2021) | 2024‑08‑04 11:06:03
2.16.840.1.113883.10.22.4.7 |  | IPS Problem Concern Entry (2021) | 2021‑08‑04 08:49:27
2.16.840.1.113883.10.22.3.3 |  | IPS Problems Section (STU1) | 2017‑02‑15
2.16.840.1.113883.10.22.3.7 |  | IPS History of Past Illness Section (STU1) | 2017‑04‑12
Relationship | Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.1 eHDSI Severity (DYNAMIC) ref epsos-
Example |
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 |  |
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 |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.25
hl7:id | II | 0 … * | R |  |
hl7:code | CD | 1 … 1 | R |  |
| 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 |
hl7:reference | TEL | 1 … 1 | M |  |
@value | url | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode | CS | 1 … 1 | M |  |
@code | CONF | 1 … 1 | F | completed
hl7:value | CD.IPS (preferred) | 1 … 1 | R | The <value> element contains the level of severity. |
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)