2.16.840.1.113883.10.22.4.25/static-2017-04-07T000000

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 Data Set hl7ips-data​element-128  Severity  CEN/TC 251 prEN 17269 hl7ips-data​element-136  Severity  CEN/TC 251 prEN 17269 hl7ips-data​element-194  Severity  CEN/TC 251 prEN 17269
Relationship	Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.1 IHE Severity Entry (DYNAMIC) ref ch-pcc-
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 (Ent...ity)   hl7ips-data​element-128  Severity  CEN/TC 251 prEN 17269 hl7ips-data​element-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 (Ent...ity) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.25 hl7:id II 0 … * R (Ent...ity) hl7:code CD 1 … 1 R (Ent...ity)   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 <text> element shall contain a <reference> element pointing to the narrative where the severity is recorded</reference></text> (Ent...ity) hl7:reference TEL 1 … 1 M (Ent...ity) @value 1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 hl7:statusCode CS 1 … 1 M (Ent...ity) @code CONF 1 … 1 F completed hl7:value CD.IPS (preferred) 1 … 1 R The <value> element contains the level of severity. (Ent...ity)   hl7ips-data​element-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)