Back To Index  <<  Back To Templates

pending Template  Severity Observation

Template 2.16.840.1.113883.10.20.22.4.8 - SeverityObservation
Id 2.16.840.1.113883.10.20.22.4.8
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Entry Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.8
Open/Closed Open (other than defined elements are allowed)
Description This clinical statement represents the gravity of the problem, such as allergy or reaction, in terms of its actual or potential impact on the patient. The Severity Observation can be associated with an Allergy - Intolerance Observation, Substance or Device Allergy - Intolerance Observation, Reaction Observation or all. When the Severity Observation is associated directly with an allergy it characterizes the allergy. When the Severity Observation is associated with a Reaction Observation it characterizes a Reaction. A person may manifest many symptoms in a reaction to a single substance, and each reaction to the substance can be represented. However, each reaction observation can have only one severity observation associated with it. For example, someone may have a rash reaction observation as well as an itching reaction observation, but each can have only one level of severity.
Used by / Uses
Used by / Uses 81 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.4.7 Containment Allergy-IntoleranceObservation Allergy - Intolerance Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.4.30 link AllergyProblemAct Allergy Problem Act 2013‑01‑31
2.16.840.1.113883.10.20.22.2.6 link AllergiesSectionentriesoptional Allergies Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.3 link HistoryandPhysical History and Physical 2013‑01‑31
2.16.840.1.113883.10.20.22.1.4 link ConsultationNote Consultation Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.6 link ProcedureNote Procedure Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.8 link DischargeSummary Discharge Summary 2013‑01‑31
2.16.840.1.113883.10.20.22.1.9 link ProgressNote Progress Note 2013‑01‑31
2.16.840.1.113883.10.20.22.2.6.1 link AllergiesSectionentriesrequired Allergies Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.2 link ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
2.16.840.1.113883.10.20.22.4.9 Containment ReactionObservation Reaction Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.4.16 link MedicationActivity Medication Activity 2013‑01‑31
2.16.840.1.113883.10.20.22.2.1 link MedicationsSectionentriesoptional Medications Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.1.1 link MedicationsSectionentriesrequired Medications Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.25 link AnesthesiaSection Anesthesia Section 2013‑01‑31
2.16.840.1.113883.10.20.22.1.7 link OperativeNote Operative Note 2013‑01‑31
2.16.840.1.113883.10.20.22.2.38 link MedicationsAdministeredSection Medications Administered Section 2013‑01‑31
2.16.840.1.113883.10.20.22.4.12 link ProcedureActivityAct Procedure Activity Act 2013‑01‑31
2.16.840.1.113883.10.20.22.2.7 link ProceduresSectionentriesoptional Procedures Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.7.1 link ProceduresSectionentriesrequired Procedures Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.4.13 link ProcedureActivityObservation Procedure Activity Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.4.14 link ProcedureActivityProcedure Procedure Activity Procedure 2013‑01‑31
2.16.840.1.113883.10.20.22.4.35 link DischargeMedication Discharge Medication 2013‑01‑31
2.16.840.1.113883.10.20.22.2.11 link HospitalDischargeMedicationsSectionentriesoptional Hospital Discharge Medications Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.11.1 link HospitalDischargeMedicationsSectionentriesrequired Hospital Discharge Medications Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.4.36 link AdmissionMedication Admission Medication 2013‑01‑31
2.16.840.1.113883.10.20.22.2.44 link HospitalAdmissionMedicationsSectionentriesoptional Hospital Admission Medications Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.4.52 link ImmunizationActivity Immunization Activity 2013‑01‑31
2.16.840.1.113883.10.20.22.2.2 link ImmunizationsSectionentriesoptional Immunizations Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.2.1 link ImmunizationsSectionentriesrequired Immunizations Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.24.3.90 link SubstanceorDeviceAllergy-IntoleranceObservation Substance or Device Allergy - Intolerance Observation 2013‑01‑31
Item DT Card Conf Description Label
cda:observation
(SeverityObservation)
treetree @classCode
1 .. 1 F OBS
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7347) such that it conf‑7347
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.8
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:19168). conf‑19168
treeblank treetree @code
1 .. 1 F SEV
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.5.4 (Act Code)
treetree cda:text
0 .. 1 R SHOULD contain zero or one [0..1] text (CONF:7350). conf‑7350
treeblank treetree cda:reference
0 .. 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15928).

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)
conf‑15928
treeblank treeblank treetree @value
0 .. 1  
  Schematron assert role red error
  test count(cda:text/cda:reference[@value])=0 or starts-with(cda:text/cda:reference/@value, '#')
  Message 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)
treetree cda:statusCode
1 .. 1 M SHALL contain exactly one [1..1] statusCode (CONF:7352). conf‑7352
treeblank treetree @code
1 .. 1 F completed
treetree cda:value
CD 1 .. 1 M SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem Severity 2.16.840.1.113883.3.88.12.3221.6.8 DYNAMIC (CONF:7356). conf‑7356
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.6.8 Problem Severity (DYNAMIC)