2.16.840.1.113883.10.22.4.6/static-2016-11-15T000000

Id	2.16.840.1.113883.10.22.4.6	Effective Date	2016‑11‑15 Other versions this id:
Status	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-data​element-193  Manifestation of the reaction  CEN/TC 251 prEN 17269 hl7ips-data​element-194  Severity  CEN/TC 251 prEN 17269
Uses	Uses 1 template Uses as Name Version 2.16.840.1.113883.10.22.4.25 Containment 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>
Item DT Card Conf Description Label hl7:observation R (IPS...FST) @classCode cs 0 … 1 F OBS @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M (IPS...FST) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.6 hl7:id II 0 … * R (IPS...FST) hl7:code 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 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. (IPS...FST) hl7:reference TEL 1 … 1 M (IPS...FST) @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'. (IPS...FST) @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. (IPS...FST) hl7:low IVXB_TS 1 … 1 R The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. (IPS...FST) 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". (IPS...FST)   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. (IPS...FST)   hl7ips-data​element-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 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. (IPS...FST) 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. (IPS...FST)   Example <reference value="#AdvReaction_1"/> hl7:translation CD 0 … * (IPS...FST) 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) (IPS...FST) 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]]]   hl7ips-data​element-194  Severity  CEN/TC 251 prEN 17269 @typeCode cs 1 … 1 F SUBJ @inversionInd bl 1 … 1 F true