1. Entry
     Reaction Manifestation (1.2.40.0.34.6.0.11.3.34)
    1. notype
       Narrative Text Reference (1.2.40.0.34.6.0.11.9.1)
    2. notype
       Original Text Reference (1.2.40.0.34.6.0.11.9.2)
    3. Entry
       Severity Observation (1.2.40.0.34.6.0.11.3.38)
      1. notype
         Narrative Text Reference (1.2.40.0.34.6.0.11.9.1)