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| | [[Category:Template]] | | [[Category:Template]] |
| | =Template ''IPSAdverseReactionMFST''= | | =Template ''IPSAdverseReactionMFST''= |
| − | ==Description==
| + | |
| − | <p></p> | + | <p>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.</p> |
| | ==Actual version== | | ==Actual version== |
| | {{:{{BASEPAGENAME}}/dynamic}} | | {{:{{BASEPAGENAME}}/dynamic}} |
| | | | |
| | ==List of all versions of this template== | | ==List of all versions of this template== |
| − | * [[2.16.840.1.113883.10.22.4.6/static-2016-11-15T000000|2016-11-15 (Under pre-publication review)]] | + | *[[2.16.840.1.113883.10.22.4.6/static-2016-11-15T000000|2016-11-15 (Under pre-publication review)]] |
| | + | <!--a95b9896f440246fd27aa8c382f9e9ed720fdf79--> |
Revision as of 22:01, 7 July 2020
Template IPSAdverseReactionMFST
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.
Actual version
| Id | 2.16.840.1.113883.10.22.4.6 | Effective Date | 2024‑08‑04 10:18:47Other versions this id:  IPSAdverseReactionMFST as of 2016‑11‑15
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| Status |  Draft | Version Label | STU2 |
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| Name | IPSAdverseReactionMFST | Display Name | IPS Reaction Manifestation |
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| 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. |
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| Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.4.6 |
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| Classification | CDA Entry Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| Associated with | | Associated with 2 concepts | | Id | Name | Data Set |
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| hl7ips-dataelement-193 | Manifestation of the reaction | CEN/TC 251 prEN 17269 | | hl7ips-dataelement-194 | Severity | CEN/TC 251 prEN 17269 |
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| Uses | | Uses 1 template | | Uses | as | Name | Version |
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| 2.16.840.1.113883.10.22.4.25 | Containment |  IPS Severity Observation (STU1) | DYNAMIC |
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| 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- |
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| 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> |
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| Item | DT | Card | Conf | Description | Label |
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| | | R | | (IPS...FST) |  | @classCode
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| cs | 0 … 1 | F | OBS | | @moodCode
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| cs | 1 … 1 | F | EVN | | hl7:templateId
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| II | 1 … 1 | M | | (IPS...FST) |  | | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.6 | | hl7:id
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| II | 0 … * | R | | (IPS...FST) | | hl7:code
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| CD.IPS | 1 … 1 | R | 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 IPS Problem Type (2017‑04‑07) |
| | hl7:text
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| 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.
| (IPS...FST) | | | hl7:reference
|
| TEL | 1 … 1 | M | | (IPS...FST) | | url | 1 … 1 | R | When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 | | hl7:statusCode
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| 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'.
| (IPS...FST) | | | @code
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| CONF | 0 … 1 | F | completed | | hl7:effectiveTime
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| 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.
| (IPS...FST) | | | hl7:low
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| IVXB_TS | 1 … 1 | R | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | (IPS...FST) | | | hl7:high
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| 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". | (IPS...FST) | | | Constraint | If this condition is known to be resolved, then the effectiveTime/high would be present.
| | hl7:value
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| 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.
| (IPS...FST) | | |  | | hl7ips-dataelement-193 | Manifestation of the reaction | CEN/TC 251 prEN 17269 |
| | | @xsi:type
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| | 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
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| | 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.
| (IPS...FST) | | | 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. </reference></reference> | (IPS...FST) | | | Example | <reference value="#AdvReaction_1"/> | | | hl7:translation
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| CD | 0 … * | | | (IPS...FST) | | hl7:entryRelationship
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| | 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) | (IPS...FST) | | | | | hl7ips-dataelement-194 | Severity | CEN/TC 251 prEN 17269 |
| | | @typeCode
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| cs | 1 … 1 | F | SUBJ | | | @inversionInd
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| bl | 1 … 1 | F | true |
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List of all versions of this template
Draft
