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active Template  IHE Severity Entry

Id 1.3.6.1.4.1.19376.1.5.3.1.4.1
ref
IHE-PCC-
 		Effective Date 2013‑12‑20
Status active Active 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 4 templates, Uses 0 templates
Used by as Name Version
2.16.756.5.30.1.1.10.4.106 Containment draft Problem Entry (2018) 2017‑09‑15 08:59:41
2.16.756.5.30.1.1.10.4.105 link draft Problem Concern Entry (2018) 2017‑09‑15 08:35:10
2.16.756.5.30.1.1.10.3.59 link draft Active Problems Section - coded (2018) 2017‑09‑13 19:41:44
2.16.756.5.30.1.1.10.1.11 link draft Social-medical care plan V2 (2018) 2017‑08‑24 18:00:03
Relationship Specialization: template 2.16.840.1.113883.10.20.1.55 (DYNAMIC)
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"