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2.16.840.1.113883.10.22.4.6/static-2016-11-15T000000

Id2.16.840.1.113883.10.22.4.6Effective Date2016‑11‑15
StatusKorange.png Under pre-publication reviewVersion LabelSTU1
NameIPSAdverseReactionMFSTDisplay NameIPS 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.22.4.6
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 2 concepts
IdNameData Set
hl7ips-data​element-193Kyellow.png Manifestation of the reaction Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-194Kyellow.png Severity Kyellow.png CEN/TC 251 prEN 17269
Uses
Uses 1 template
Uses as NameVersion
2.16.840.1.113883.10.22.4.25ContainmentKorange.png IPS Severity Observation (STU1)DYNAMIC
RelationshipAdaptation: 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>
ItemDTCardConfDescriptionLabel
hl7:observation
R(IPS...FST)
Treetree.png@classCode
cs0 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(IPS...FST)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.6
Treetree.pnghl7:id
II0 … *R(IPS...FST)
Treetree.pnghl7:code
CD.IPS1 … 1R
This element describes the type of condition this observation is referring to.
(IPS...FST)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.16 Problem Type (2017‑04‑07)
Treetree.pnghl7:text
ED0 … 1R
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)
Treeblank.pngTreetree.pnghl7:reference
TEL1 … 1M(IPS...FST)
Treeblank.pngTreeblank.pngTreetree.png@value
1 … 1RWhen used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
Treetree.pnghl7:statusCode
CS (required)0 … 1R

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)
Treeblank.pngTreetree.png@code
CONF0 … 1Fcompleted
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1M
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)
Treeblank.pngTreetree.pnghl7:low
IVXB_TS1 … 1RThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.(IPS...FST)
Treeblank.pngTreetree.pnghl7:high
IVXB_TS0 … 1CThe 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.
Treetree.pnghl7:value
CD.IPS (preferred)1 … 1R
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)
 
Target.png
hl7ips-data​element-193Kyellow.png Manifestation of the reaction Kyellow.png CEN/TC 251 prEN 17269
Treeblank.pngTreetree.png@xsi:type
1 … 1FCD
 CONF
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.3 Allergy Reaction (2017‑02‑23)
Treeblank.pngTreetree.pnghl7:originalText
0 … 1R

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)
Treeblank.pngTreeblank.pngTreetree.pnghl7:reference
0 … 1R 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"/>
Treeblank.pngTreetree.pnghl7:translation
CD0 … *(IPS...FST)
Treetree.pnghl7:entryRelationship
0 … 1RSeverity
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)
Treeblank.png where [hl7:observation [hl7:code [concat(@code, @codeSystem) = doc('include/voc-2.16.840.1.113883.1.11.20386-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code, @codeSystem) or @nullFlavor]]]
 
Target.png
hl7ips-data​element-194Kyellow.png Severity Kyellow.png CEN/TC 251 prEN 17269
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSUBJ
Treeblank.pngTreetree.png@inversionInd
bl1 … 1Ftrue