2.16.840.1.113883.10.22.4.25

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Template EntrySeverity

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.

Actual version

Id2.16.840.1.113883.10.22.4.25Effective Date2017‑04‑07
StatusKorange.png Under pre-publication reviewVersion LabelSTU1
NameEntrySeverityDisplay NameIPS 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.22.4.25
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 3 concepts
IdNameData Set
hl7ips-data​element-128Kyellow.png Severity Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-136Kyellow.png Severity Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-194Kyellow.png Severity Kyellow.png CEN/TC 251 prEN 17269
RelationshipAdaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.1 eHDSI Severity (DYNAMIC)
ref
epsos-
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>
ItemDTCardConfDescriptionLabel
hl7:observation
R(Ent...ity)
 
Target.png
hl7ips-data​element-128Kyellow.png Severity Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-194Kyellow.png Severity Kyellow.png CEN/TC 251 prEN 17269
Treetree.png@classCode
cs0 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(Ent...ity)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.25
Treetree.pnghl7:id
II0 … *R(Ent...ity)
Treetree.pnghl7:code
CD1 … 1R(Ent...ity)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20386 SeverityObservationCode (DYNAMIC)
Treetree.pnghl7:text
ED0 … 1RIf present, the <text> element shall contain a <reference> element pointing to the narrative where the severity is recorded</reference></text>(Ent...ity)
Treeblank.pngTreetree.pnghl7:reference
TEL1 … 1M(Ent...ity)
Treeblank.pngTreeblank.pngTreetree.png@value
url1 … 1RReference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
Treetree.pnghl7:statusCode
CS1 … 1M(Ent...ity)
Treeblank.pngTreetree.png@code
CONF1 … 1Fcompleted
Treetree.pnghl7:value
CD.IPS (preferred)1 … 1R

The <value> element contains the level of severity.

(Ent...ity)
 
Target.png
hl7ips-data​element-136Kyellow.png Severity Kyellow.png 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)


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