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# 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 | 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 | Dataset
--- | --- | ---
ehdsi-dataelement-11 | Severity | eHDSI Data Set
Used by / Uses |
Used by 1 transaction and 13 templates, Uses 1 template
Used by | as | Name | Version
--- | --- | --- | ---
epsos-transactions-12 | Transaction | Return PS of country A | 2012‑05‑02
1.3.6.1.4.1.12559.11.10.1.3.1.3.17 | Containment | eHDSI Allergies And Intolerances | 2024‑04‑11 14:17:42
1.3.6.1.4.1.12559.11.10.1.3.1.3.16 |  | eHDSI Allergy And Intolerance Concern | 2025‑05‑06 12:34:58
1.3.6.1.4.1.12559.11.10.1.3.1.2.12 |  | 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 |  | eHDSI Patient Summary | 2024‑04‑19 10:03:32
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | eHDSI Patient Summary | 2022‑09‑12 13:44:19
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | eHDSI Patient Summary | 2020‑09‑02 10:19:44
1.3.6.1.4.1.12559.11.10.1.3.1.2.12 |  | 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 |  | eHDSI Allergy And Intolerance Concern | 2021‑12‑17 09:36:08
1.3.6.1.4.1.12559.11.10.1.3.1.3.16 |  | eHDSI Allergy And Intolerance Concern | 2020‑09‑03 13:10:28
1.3.6.1.4.1.12559.11.10.1.3.1.3.17 | Containment | eHDSI Allergies And Intolerances | 2022‑03‑01 14:37:02
1.3.6.1.4.1.12559.11.10.1.3.1.3.19 | Containment | eHDSI Immunization | 2024‑01‑26 13:34:38
1.3.6.1.4.1.12559.11.10.1.3.1.2.15 |  | eHDSI Immunizations | 2020‑09‑02 14:55:50
1.3.6.1.4.1.12559.11.10.1.3.1.3.19 | Containment | eHDSI Immunization | 2021‑12‑17 11:11:45
Uses | as | Name | Version
1.3.6.1.4.1.12559.11.10.1.3.1.3.8 | Containment | 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)
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 |  |
@classCode | cs | 1 … 1 | F | OBS
@moodCode | cs | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | M | eHDSI Reaction Manifestation |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.12559.11.10.1.3.1.3.44
hl7:id | II | 0 … * | R |  |
hl7:code | CD.EPSOS (extensible) | 1 … 1 | R | This element describes the type of condition this observation is referring to. |
| 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. |
hl7:reference | TEL | 1 … 1 | M |  |
@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'. |
@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. |
| 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 |
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" |
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. |
| 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. |
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. |
| 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) |
ehdsi-dataelement-11 | Severity | eHDSI Data Set
@typeCode | cs | 1 … 1 | F | SUBJ
@inversionInd | bl | 1 … 1 | F | true