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pending Template  Reaction Observation

Template 2.16.840.1.113883.10.20.22.4.9 - ReactionObservation
Id 2.16.840.1.113883.10.20.22.4.9
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 2.16.840.1.113883.10.20.22.4.9
Open/Closed Open (other than defined elements are allowed)
Description 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.
Used by / Uses
Used by / Uses 110 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.4.16 Containment 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
2.16.840.1.113883.10.20.22.1.3 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
2.16.840.1.113883.10.20.22.1.9 link ProgressNote Progress Note 2013‑01‑31
2.16.840.1.113883.10.20.22.2.1.1 link MedicationsSectionentriesrequired Medications Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.2 link ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 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
2.16.840.1.113883.10.20.22.1.8 link DischargeSummary Discharge Summary 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
2.16.840.1.113883.10.20.22.4.9 link ReactionObservation Reaction Observation 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
2.16.840.1.113883.10.20.22.4.7 link 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
2.16.840.1.113883.10.20.22.2.6.1 link AllergiesSectionentriesrequired Allergies 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
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
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.8 Containment SeverityObservation DYNAMIC
Item DT Card Conf Description Label
cda:observation
(ReactionObservation)
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:7323) such that it conf‑7323
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.9
treetree cda:id
1 .. 1 M SHALL contain exactly one [1..1] id (CONF:7329). conf‑7329
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:16851). conf‑16851
treetree cda:text
0 .. 1 R SHOULD contain zero or one [0..1] text (CONF:7330). conf‑7330
treeblank treetree cda:reference
0 .. 1 R 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)
conf‑15917
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:7328). conf‑7328
treeblank treetree @code
1 .. 1 F completed
treetree cda:effectiveTime
0 .. 1 R SHOULD contain zero or one [0..1] effectiveTime (CONF:7332). conf‑7332
treeblank treetree cda:low
0 .. 1 R The effectiveTime, if present, SHOULD contain zero or one [0..1] low (CONF:7333). conf‑7333
treeblank treetree cda:high
0 .. 1 R The effectiveTime, if present, SHOULD contain zero or one [0..1] high (CONF:7334). conf‑7334
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 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:7335). conf‑7335
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.7.4 Problem (DYNAMIC)
treetree cda:entryRelationship
where
[cda:procedure [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.14']]
0 .. * conf‑7337
treeblank treetree @typeCode
1 .. 1 F RSON
treeblank treetree @inversionInd
1 .. 1 F true
  Contains 2.16.840.1.113883.10.20.22.4.14 Procedure Activity Procedure (DYNAMIC)
treetree cda:entryRelationship
where
[cda:substanceAdministration [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.16']]
0 .. * conf‑7340
treeblank treetree @typeCode
1 .. 1 F RSON
treeblank treetree @inversionInd
1 .. 1 F true
  Contains 2.16.840.1.113883.10.20.22.4.16 Medication Activity (DYNAMIC)
treetree cda:entryRelationship
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.8']]
0 .. 1 conf‑7580
treeblank treetree @typeCode
1 .. 1 F SUBJ
treeblank treetree @inversionInd
1 .. 1 F true
  Contains 2.16.840.1.113883.10.20.22.4.8 Severity Observation (DYNAMIC)