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draft Template  IHE Severity Entry

Id 1.3.6.1.4.1.19376.1.5.3.1.4.1
ref
ch-pcc-
 		Effective Date 2019‑10‑16 16:16:39
Status draft Draft Version Label 2014
Name IHESeverityEntry Display Name IHE Severity Entry
Description

Any condition or allergy may be the subject of a severity observation. This structure is included in the target act using the <entryRelationship> element defined in the CDA Schema.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.1
Label 6.3.4.3
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 8 templates, Uses 0 templates
Used by as Name Version
1.3.6.1.4.1.19376.1.5.3.1.4.5 Containment draft IHE Problem Entry (2014) 2019‑10‑16 17:12:43
1.3.6.1.4.1.19376.1.5.3.1.4.6 link draft IHE Allergies And Intolerances Entry (2014) 2019‑10‑16 17:13:11
2.16.756.5.30.1.1.10.4.81 link pending Pharmaceutical Advice Concern Entry Content Module (2017) 2016‑01‑11 11:13:04
2.16.756.5.30.1.1.10.4.44 link pending Pharmaceutical Advice Item Entry Content Module (2017) 2016‑06‑25
2.16.756.5.30.1.1.10.3.12 link pending Pharmaceutical Advice Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.6 link pending Pharmaceutical Advice document (2017) 2016‑05‑21
2.16.756.5.30.1.1.10.3.44 link pending Medication List Section Content Module (2017) 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 link pending Medication List document (2017) 2018‑01‑22 15:17:26
Relationship Version: template 1.3.6.1.4.1.19376.1.5.3.1.4.1 Severity (2013‑12‑20)
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epsos-

Specialization: template 2.16.840.1.113883.10.20.1.55 Severity observation (DYNAMIC)
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ccd1-
Item DT Card Conf Description Label
hl7:observation
 M 6.3.4.3
@classCode
 cs 1 … 1 F OBS
@moodCode
 cs 1 … 1 F EVN
hl7:templateId
 II 1 … 1 M 6.3.4.3
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.1
hl7:templateId
 II 1 … 1 M 6.3.4.3
@root
 uid 1 … 1 F 2.16.840.1.113883.10.20.1.55
hl7:code
 CD 1 … 1 M

This observation is of severity, as indicated by the <code> element listed above. This element is required.

6.3.4.3
@code
 CONF 1 … 1 F SEV
@codeSystem
 1 … 1 F 2.16.840.1.113883.5.4 (Act Code)
hl7:text
 ED 1 … 1 M

The <observation> element shall contain a <text> element. The <text> element shall contain a <reference> element pointing to the narrative where the severity is recorded,

6.3.4.3
hl7:reference
 TEL 1 … 1 M 6.3.4.3
hl7:statusCode
 CS 1 … 1 R

The code attribute of <statusCode> for all severity observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed.

6.3.4.3
@code
 CONF 0 … 1 F completed
@codeSystem
 0 … 1 F 2.16.840.1.113883.5.14 (ActStatus)
hl7:value
 CD 0 … * R 6.3.4.3
  CONF
@code shall be "L"
@codeSystem shall be "2.16.840.1.113883.5.1063"
or
@code shall be "H"
@codeSystem shall be "2.16.840.1.113883.5.1063"
or
@code shall be "M"
@codeSystem shall be "2.16.840.1.113883.5.1063"