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Template IHE Severity Entry 2013‑12‑20

Id1.3.6.1.4.1.19376.1.5.3.1.4.1
ref
IHE-PCC-
Effective Date2013‑12‑20
Statusactive ActiveVersion Label2014
NameIHESeverityEntryDisplay NameIHE 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.

ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.1
Label6.3.4.3
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 3 concepts
IdNameData Set
epsos-dataelement-302draft Problem Severity draft epSOS Data Set
ref
epsos-
epsos-dataelement-301draft Problem Severity draft epSOS Data Set
ref
epsos-
epsos-dataelement-304draft Allergy Severity draft epSOS Data Set
ref
epsos-
RelationshipSpecialization: template 2.16.840.1.113883.10.20.1.55 Severity observation (DYNAMIC)
ref
ccd1-
ItemDTCardConfDescriptionLabel
hl7:observation
M6.3.4.3
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1M6.3.4.3
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.1
hl7:templateId
II1 … 1M6.3.4.3
@root
uid1 … 1F2.16.840.1.113883.10.20.1.55
hl7:code
CD1 … 1M

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

6.3.4.3
@code
CONF1 … 1FSEV
@codeSystem
1 … 1F2.16.840.1.113883.5.4
hl7:text
ED1 … 1M

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
TEL1 … 1M6.3.4.3
hl7:statusCode
CS1 … 1R

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
CONF0 … 1Fcompleted
@codeSystem
0 … 1F2.16.840.1.113883.5.14
hl7:value
CD0 … *R6.3.4.3
 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"