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# Template IPS Reaction Manifestation

Id | 2.16.840.1.113883.10.22.4.6 | Effective Date | 2024‑08‑04 10:18:47
Status | Draft | Version Label | STU2
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 | Dataset
--- | --- | ---
hl7ips-dataelement-193 | Manifestation of the reaction | CEN/TC 251 prEN 17269
hl7ips-dataelement-194 | Severity | 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 | 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
Uses | as | Name | Version
2.16.840.1.113883.10.22.4.25 | Containment | IPS Severity Observation (STU1) | DYNAMIC
Relationship | Specialization: template 2.16.840.1.113883.10.22.4.6 IPS Reaction Manifestation (2016‑11‑15) Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC) ref ch-pcc-
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> </code></observation>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:observation |  |  | R |  |
@classCode | cs | 0 … 1 | F | OBS
@moodCode | cs | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.6
hl7:id | II | 0 … * | R |  |
hl7:code | CD.IPS | 1 … 1 | R | This element describes the type of condition this observation is referring to. |
| CONF |
The value of @code SHALL be drawn from value set 2.16.840.1.113883.11.22.16 IPS 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. |
hl7:reference | TEL | 1 … 1 | M |  |
@value | url | 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'. |
@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. |
hl7:low | IVXB_TS | 1 … 1 | R | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. |
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". |
| 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. |
hl7ips-dataelement-193 | Manifestation of the reaction | 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 IPS Allergy Reaction (DYNAMIC)
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. |
hl7:reference |  | 0 … 1 | R | The URI given in the value attribute of the 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 element points to an element in the narrative content that contains the complete text describing the medication. |
| Example | <reference value="#AdvReaction_1"/>
hl7:translation | CD | 0 … * |  |  |
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) |
hl7ips-dataelement-194 | Severity | CEN/TC 251 prEN 17269
@typeCode | cs | 1 … 1 | F | SUBJ
@inversionInd | bl | 1 … 1 | F | true