Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Reaction Observation

[Observation: templateId 2.16.840.1.113883.10.20.22.4.9]

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.

  1. SHALL contain exactly one [1..1] templateId ( CONF:7323, CONF:10523 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.9"
  2. SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:7325)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:7326)
  4. SHALL contain exactly one [1..1] id (CONF:7329)
  5. SHALL contain exactly one [1..1] code (CONF:16851)
  6. SHOULD contain zero or one [0..1] text (CONF:7330)
  7. SHALL contain exactly one [1..1] statusCode/@code="completed" (CodeSystem: 2.16.840.1.113883.5.14 ActStatus) (CONF:7328)
  8. SHOULD contain zero or one [0..1] effectiveTime (CONF:7332)
  9. SHALL contain exactly one [1..1] value with data 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)
  10. SHOULD contain zero or one [0..1] entryRelationship (CONF:7580, CONF:7581, CONF:15922)
    1. Contains @typeCode="SUBJ" SUBJ
    2. Contains exactly one [1..1] Severity Observation (templateId: 2.16.840.1.113883.10.20.22.4.8)
  11. MAY contain zero or more [0..*] entryRelationship (CONF:7337, CONF:7338, CONF:15920)
    • This procedure activity is intended to contain information about procedures that were performed in response to an allergy reaction (CONF:16853).

    1. Contains @typeCode="RSON" RSON
    2. Contains exactly one [1..1] Procedure Activity Procedure (templateId: 2.16.840.1.113883.10.20.22.4.14)
  12. MAY contain zero or more [0..*] entryRelationship (CONF:7340, CONF:7341, CONF:15921)
    • This medication activity is intended to contain information about medications that were administered in response to an allergy reaction (CONF:16840)

    1. Contains @typeCode="RSON" RSON
    2. Contains exactly one [1..1] Medication Activity (templateId: 2.16.840.1.113883.10.20.22.4.16)
  13. SHALL satisfy: The value set for this code element has not been specified. Implementers are allowed to use any code system, such as SNOMED CT, a locally determined code, or a nullFlavor (CONF:16852)
  14. text, if present, SHOULD contain zero or one [0..1] reference (CONF:15917)
  15. reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15918)
  16. 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:15919)
  17. effectiveTime, if present, SHOULD contain zero or one [0..1] low (CONF:7333)
  18. effectiveTime, if present, SHOULD contain zero or one [0..1] high (CONF:7334)
  19. entryRelationship with target entry Severity Observation SHALL contain exactly one [1..1] @inversionInd="true" TRUE (CONF:10375)
  20. entryRelationship with target entry ProcedureActivityProcedure SHALL contain exactly one [1..1] @inversionInd="true" True(CONF:7343). (CONF:7343)
  21. entryRelationship with target entry MedicationActivity SHALL contain exactly one [1..1] @inversionInd="true" True. (CONF:7344)

Reaction Observation example

<observation xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="593125449"/>
  <code code="1118688650"/>
  <text>Text Value</text>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <entryRelationship>
    <observation>
      <id root="MDHT" extension="1643244534"/>
      <code code="2127455737"/>
      <text>Text Value</text>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
    </observation>
  </entryRelationship>
  <entryRelationship>
    <procedure>
      <id root="MDHT" extension="1957775001"/>
      <code code="702382347"/>
      <text>Text Value</text>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <specimen>
        <specimenRole/>
      </specimen>
      <performer>
        <assignedEntity/>
      </performer>
      <entryRelationship typeCode="COMP" inversionInd="true">
        <encounter classCode="ENC" moodCode="EVN"/>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1174829689"/>
          <code code="2074777452"/>
          <text>Text Value</text>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <substanceAdministration>
          <id root="MDHT" extension="979970031"/>
          <code code="1236958653"/>
          <text>Text Value</text>
          <effectiveTime value="20130627"/>
          <consumable/>
          <performer/>
          <entryRelationship>
            <supply/>
          </entryRelationship>
          <entryRelationship>
            <observation/>
          </entryRelationship>
          <entryRelationship>
            <act/>
          </entryRelationship>
          <entryRelationship>
            <observation/>
          </entryRelationship>
          <entryRelationship>
            <supply/>
          </entryRelationship>
          <precondition/>
        </substanceAdministration>
      </entryRelationship>
      <entryRelationship>
        <act>
          <id root="MDHT" extension="154247985"/>
          <code code="1113940128"/>
          <text>Text Value</text>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </act>
      </entryRelationship>
    </procedure>
  </entryRelationship>
  <entryRelationship>
    <substanceAdministration>
      <id root="MDHT" extension="911695897"/>
      <code code="1221547045"/>
      <text>Text Value</text>
      <effectiveTime value="20130627"/>
      <consumable>
        <manufacturedProduct/>
      </consumable>
      <performer/>
      <entryRelationship>
        <supply>
          <id root="MDHT" extension="1567384718"/>
          <code code="355292893"/>
          <text>Text Value</text>
          <effectiveTime value="20130627"/>
          <author/>
          <entryRelationship>
            <act/>
          </entryRelationship>
        </supply>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1272640148"/>
          <code code="273233214"/>
          <text>Text Value</text>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
          <entryRelationship>
            <observation/>
          </entryRelationship>
          <entryRelationship>
            <procedure/>
          </entryRelationship>
          <entryRelationship>
            <substanceAdministration/>
          </entryRelationship>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <act>
          <id root="MDHT" extension="377459152"/>
          <code code="42446215"/>
          <text>Text Value</text>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </act>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1550963032"/>
          <code code="1030235066"/>
          <text>Text Value</text>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <supply>
          <id root="MDHT" extension="1584090308"/>
          <code code="1463123288"/>
          <text>Text Value</text>
          <effectiveTime value="20130627"/>
          <performer/>
          <entryRelationship>
            <supply/>
          </entryRelationship>
        </supply>
      </entryRelationship>
      <precondition>
        <criterion/>
      </precondition>
    </substanceAdministration>
  </entryRelationship>
</observation>