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active Template  eHDSI Reaction Manifestation

Id 1.3.6.1.4.1.12559.11.10.1.3.1.3.44 Effective Date 2022‑01‑05 16:39:39
Status active Active Version Label
Name eHDSIReactionManifestation Display Name eHDSI 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 1.3.6.1.4.1.12559.11.10.1.3.1.3.44
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 1 concept
Id Name Data Set
ehdsi-dataelement-11 draft Severity draft eHDSI Data Set
Used by / Uses
Used by 1 transaction and 9 templates, Uses 1 template
Used by as Name Version
epsos-transactions-12 Transaction draft Return PS of country A 2012‑05‑02
1.3.6.1.4.1.12559.11.10.1.3.1.3.17 Containment active eHDSI Allergies And Intolerances 2022‑03‑01 14:37:02
1.3.6.1.4.1.12559.11.10.1.3.1.3.16 link active eHDSI Allergy And Intolerance Concern 2021‑12‑17 09:36:08
1.3.6.1.4.1.12559.11.10.1.3.1.2.12 link active eHDSI Allergies and Other Adverse Reactions 2021‑12‑17 09:29:01
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link draft eHDSI Patient Summary 2022‑09‑12 13:44:19
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link active eHDSI Patient Summary 2020‑09‑02 10:19:44
1.3.6.1.4.1.12559.11.10.1.3.1.2.12 link retired eHDSI Allergies and Other Adverse Reactions 2020‑09‑02 14:34:55
1.3.6.1.4.1.12559.11.10.1.3.1.3.16 link retired eHDSI Allergy And Intolerance Concern 2020‑09‑03 13:10:28
1.3.6.1.4.1.12559.11.10.1.3.1.3.19 Containment active eHDSI Immunization 2021‑12‑17 11:11:45
1.3.6.1.4.1.12559.11.10.1.3.1.2.15 link active eHDSI Immunizations 2020‑09‑02 14:55:50
Uses as Name Version
1.3.6.1.4.1.12559.11.10.1.3.1.3.8 Containment active eHDSI Severity DYNAMIC
Relationship Version: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.44 (2021‑11‑05 16:00:00)
ref
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Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.44"/>  <id root="" extension=""/>  <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="20220101"/>  </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 1.3.6.1.4.1.12559.11.10.1.3.1.3.8 'eHDSI Severity' (dynamic) -->
  </entryRelationship>
</observation>
Item DT Card Conf Description Label
hl7:observation
R (eHDdotsion)
@classCode
cs 1 … 1 F OBS
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M eHDSI Reaction Manifestation (eHDdotsion)
@root
uid 1 … 1 F 1.3.6.1.4.1.12559.11.10.1.3.1.3.44
hl7:id
II 0 … * R (eHDdotsion)
hl7:code
CD.EPSOS (extensible) 1 … 1 R

This element describes the type of condition this observation is referring to.

(eHDdotsion)
  CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.23 eHDSICodeProb (DYNAMIC)
hl7:text
ED 1 … 1 M

The <text> element is required and 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.

(eHDdotsion)
hl7:reference
TEL 1 … 1 M (eHDdotsion)
@value
1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS 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'.

(eHDdotsion)
@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.

(eHDdotsion)
  Constraint If the condition is known to be resolved, then the effectiveTime/high would be present.
hl7:low
IVXB_TS 1 … 1 R The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active (eHDdotsion)
hl7:high
IVXB_TS 0 … 1 C The effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK" (eHDdotsion)
hl7:value
CD.EPSOS (extensible) 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.

(eHDdotsion)
  CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (DYNAMIC)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.11 eHDSIReactionAllergy (DYNAMIC)
hl7:originalText
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.

(eHDdotsion)
hl7:reference
0 … 1 R The URI given in the value attribute of the element points to an element in the narrative content that contains the manifestation. (eHDdotsion)
  Example <reference value="#reaction_manifestation_as_text"/>
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 1.3.6.1.4.1.12559.11.10.1.3.1.3.8 eHDSI Severity (DYNAMIC)
(eHDdotsion)
 
target
ehdsi-dataelement-11 draft Severity draft eHDSI Data Set
@typeCode
cs 1 … 1 F SUBJ
@inversionInd
bl 1 … 1 F true