2.16.840.1.113883.10.22.4.6/static-2024-08-04T101847

Id	2.16.840.1.113883.10.22.4.6	Gültigkeit ab	2024‑08‑04 10:18:47
Status	Entwurf	Versions-Label	STU2
Name	IPSAdverseReactionMFST	Bezeichnung	IPS Reaction Manifestation
Beschreibung 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.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.6
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit	Assoziiert mit 2 Konzepte Id Name Datensatz hl7ips-data​element-193  Manifestation of the reaction  CEN/TC 251 prEN 17269 hl7ips-data​element-194  Severity  CEN/TC 251 prEN 17269
Benutzt	Benutzt 1 Template Benutzt als Name Version 2.16.840.1.113883.10.22.4.25 Containment IPS Severity Observation (STU1) DYNAMIC
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.22.4.6 IPS Reaction Manifestation (2016‑11‑15) ref hl7ips- Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC) ref ch-pcc-
Beispiel	Beispiel <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>
Item DT Kard Konf Beschreibung Label hl7:observation R @classCode cs 0 … 1 F OBS @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.6 hl7:id II 0 … * R hl7:code CD.IPS 1 … 1 R This element describes the type of condition this observation is referring to.   CONF Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.16 IPS 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. hl7:reference TEL 1 … 1 M @value url 1 … 1 R When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 hl7:statusCode CS (erforderlich) 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'. @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. hl7:low IVXB_TS 1 … 1 R The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. 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".   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.   hl7ips-data​element-193  Manifestation of the reaction  CEN/TC 251 prEN 17269 @xsi:type 1 … 1 F CD   CONF Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.113883.11.22.3 IPS Allergy Reaction (DYNAMIC) 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. 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. </reference></reference>   Beispiel <reference value="#AdvReaction_1"/> hl7:translation CD 0 … * hl7:entryRelationship 0 … 1 R Severity The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician. Beinhaltet 2.16.840.1.113883.10.22.4.25 IPS Severity Observation (DYNAMIC)   hl7ips-data​element-194  Severity  CEN/TC 251 prEN 17269 @typeCode cs 1 … 1 F SUBJ @inversionInd bl 1 … 1 F true