Id2.16.840.1.113883.10.20.22.4.9
ref
ccda-
Gültigkeit ab2013‑01‑31
Statusdraft EntwurfVersions-Label1.1
NameReactionObservationBezeichnungReaction Observation
Beschreibung
en-US This clinical statement represents an undesired symptom, finding, etc., due to an administered or exposed substance. A reaction can be defined with respect to its severity, and can have been treated by one or more interventions.
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.9
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 7 Transactions und 32 Templates, Benutzt 3 Templates
Benutzt von als NameVersion
2.16.840.1.113883.3.1937.99.3.4.4Transaktionfinal en-US Progress Note (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.3Transaktionfinal en-US Discharge Summary (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.5Transaktionfinal en-US Procedure Note (US Realm – Release 1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.2Transaktionfinal en-US Consultation Notes (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.1Transaktionfinal en-US Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.6Transaktionfinal en-US Operative Note (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.7Transaktionfinal en-US History and Physical (H and P) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.61.26.10.52linkdraft Procedure Activity Procedure (1.1)2019‑03‑06 11:55:46
2.16.840.1.113883.3.1937.99.61.41.10.4linkdraft Discharge Summary (1.1)2018‑02‑19 15:30:38
2.16.840.1.113883.3.1937.777.24.10.14Containmentdraft Medication Activity (1.1)2019‑01‑16 10:56:33
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.6linkdraft Procedure Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.7linkdraft Operative Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.1linkdraft Medications Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.1.1linkdraft Medications Section (entries required) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.2linkdraft Immunizations Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.2.1linkdraft Immunizations Section (entries required) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.6linkdraft Allergies Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.6.1linkdraft Allergies Section (entries required) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.7linkdraft Procedures Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.7.1linkdraft Procedures Section (entries required) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.11linkdraft Hospital Discharge Medications Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.11.1linkdraft Hospital Discharge Medications Section (entries required) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.25linkdraft Anesthesia Section (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.38linkdraft Medications Administered Section (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.44linkdraft Hospital Admission Medications Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.7Containmentdraft Allergy - Intolerance Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.9linkdraft Reaction Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.12linkdraft Procedure Activity Act (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.13linkdraft Procedure Activity Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.30linkdraft Allergy Problem Act (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.35linkdraft Discharge Medication (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.36linkdraft Admission Medication (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.52Containmentdraft Immunization Activity (1.1)2013‑01‑31
2.16.840.1.113883.10.20.24.3.90Containmentdraft Substance or Device Allergy - Intolerance Observation (1.1)2013‑01‑31
Benutzt als NameVersion
2.16.840.1.113883.10.20.22.4.8Containmentdraft Severity Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.14Containmentdraft Procedure Activity Procedure (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.16Containmentdraft Medication Activity (1.1)2013‑01‑31
ItemDTKardKonfBeschreibungLabel
cda:observation
Reacdotstion
@classCode
cs1 … 1FOBSconf‑7325
@moodCode
cs1 … 1FEVNconf‑7326
cda:templateId
II1 … 1Men-US SHALL contain exactly one [1..1] templateId (CONF:7323) such that itconf‑7323
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.9confdots0523
cda:id
II1 … *Ren-US SHALL contain exactly one [1..1] id (CONF:7329).conf‑7329
cda:code
CD1 … 1Ren-US SHALL contain exactly one [1..1] code (CONF:16851).confdots6851
cda:text
0 … 1Ren-US SHOULD contain zero or one [0..1] text (CONF:7330).conf‑7330
cda:reference
0 … 1Ren-US The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15917).

This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)		confdots5917
@value
0 … 1 confdots5918
 Schematron assertrolered error 
 testnot(@value) or starts-with(@value, '#') 
 MeldungThis reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) 
cda:statusCode
CS1 … 1Men-US SHALL contain exactly one [1..1] statusCode (CONF:7328).conf‑7328
@code
CONF1 … 1Fcompleted
cda:effectiveTime
IVL_TS0 … 1Ren-US SHOULD contain zero or one [0..1] effectiveTime (CONF:7332).conf‑7332
cda:low
0 … 1Ren-US The effectiveTime, if present, SHOULD contain zero or one [0..1] low (CONF:7333).conf‑7333
cda:high
0 … 1Ren-US The effectiveTime, if present, SHOULD contain zero or one [0..1] high (CONF:7334).conf‑7334
cda:value
CD1 … 1Ren-US SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:7335).conf‑7335
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 Problem (DYNAMIC)
cda:entryRelationship
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.14 Procedure Activity Procedure (2013‑01‑31)conf‑7337
@typeCode
cs1 … 1FRSONconf‑7338
@inversionInd
bl1 … 1Ftrueconf‑7343
cda:entryRelationship
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.16 Medication Activity (2013‑01‑31)conf‑7340
@typeCode
cs1 … 1FRSONconf‑7341
@inversionInd
bl1 … 1Ftrueconf‑7344
cda:entryRelationship
0 … 1Beinhaltet 2.16.840.1.113883.10.20.22.4.8 Severity Observation (2013‑01‑31)conf‑7580
@typeCode
cs1 … 1FSUBJconf‑7581
@inversionInd
bl1 … 1Ftrueconfdots0375