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pending Template  IHE Severity Entry

Id 1.3.6.1.4.1.19376.1.5.3.1.4.1
ref
ch-pcc-
Effective Date 2016‑11‑12
Status pending Under pre-publication review Version Label 2016
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 2 transactions and 9 templates, Uses 0 templates
Used by as Name Version
cdachemed-transaction-6 Transaction draft Pharmaceutical Advice document 2018‑04‑04 15:36:35
cdachemed-transaction-7 Transaction draft Medication List document 2018‑04‑04 15:37:19
1.3.6.1.4.1.19376.1.5.3.1.4.5 Containment pending IHE Problem Entry (2016) 2016‑11‑12
1.3.6.1.4.1.19376.1.5.3.1.4.6 link pending IHE Allergies And Intolerances Entry (2016) 2016‑11‑12
2.16.756.5.30.1.1.10.4.81 link draft Pharmaceutical Advice Concern Entry Content Module (2017) 2016‑01‑11 11:13:04
2.16.756.5.30.1.1.10.4.44 link draft Pharmaceutical Advice Item Entry Content Module (2022) 2022‑06‑30 15:10:57
2.16.756.5.30.1.1.10.3.12 link draft Pharmaceutical Advice Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.6 link draft Pharmaceutical Advice document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.3.44 link draft Medication List Section Content Module (2021) 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 link draft Medication List document (2020) 2018‑01‑22 15:17:26
2.16.756.5.30.1.1.10.4.44 link draft Pharmaceutical Advice Item Entry Content Module (2020) 2016‑06‑25
Relationship Version: template 1.3.6.1.4.1.19376.1.5.3.1.4.1 Severity (2013‑12‑20)
ref
epsos-

Specialization: template 2.16.840.1.113883.10.20.1.55 Severity observation (DYNAMIC)
ref
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"