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Consolidated CDA (Sequoia) - Templates
 
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Severity Observation (V2)
Issues (3)
Change Request Status = Closed (ccda-issue-74): Erratum-834 Update purpose statement
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2017-09-28 02:35:41: Tracking by Lisa Nelson
Assignment2017-09-18 15:44:17: Assigned To Lisa Nelson by Lisa Nelson
Tracking / Status = Open 2017-09-18 15:44:16: Tracking by Lisa Nelson
Description
Finding:

-Update purpose statement 

Suggestion:

-Prior Purpose
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.
- Purpose after update

-This clinical statement represents the gravity of the reaction. The Severity Observation characterizes the Reaction Observation. 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.

Note the severity observation is no longer recommended for use with the Allergy and Intolerance Observation. The Criticality Observation is preferred for characterizing the Allergy and Intolerance.

Further explanation:
Update Purpose statement.

Change Request Status = Closed (ccda-issue-75): Erratum-835 Update Severity Value Set
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2017-10-16 23:00:42: Tracking by Lisa Nelson
Assignment2017-09-28 15:25:13: Assigned To Didi Davis by Lisa Nelson
Tracking / Status = Open 2017-09-28 02:48:48: Tracking by Lisa Nelson
Description
Need Training on Value Set updates.
Assignment2017-09-18 15:47:08: Assigned To Lisa Nelson by Lisa Nelson
Tracking / Status = Open 2017-09-18 15:47:07: Tracking by Lisa Nelson
Description
Finding:

-Update problem severity table to reaction severity table, and update the SNOMED CT codes 

Suggestion:

-Prior Conformance

Value Set: Problem Severity urn:oid:2.16.840.1.113883.3.88.12.3221.6.8

This is a description of the level of the severity of the problem.

CURRENT SNOMED CT CODES:

1.Mild – 255604002 

2.Mild to moderate – 371923003 

3.Moderate – 6736007 

4.Moderate to severe – 371924009 

5.Severe – 24484000 

6.Fatal – 399166001


-Conformance After Update

Value Set: Reaction Severity urn:oid:2.16.840.1.113883.3.88.12.3221.6.8

This is a description of the level of the severity of the reaction.

CURRENT SNOMED CT CODES:                                                                                        1.Mild – 255604002 

2Moderate – 6736007 

3.Severe – 24484000 

Further explanation:

- Search for value set: 2.16.840.1.113883.3.88.12.3221.6.8

Change Request Status = Closed (ccda-issue-114): Erratum-1269 Update template purpose
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2017-09-30 19:25:24: Tracking by Lisa Nelson
Description
This change seemed to have been made already.
Assignment2017-09-22 03:38:16: Assigned To Lisa Nelson by Lisa Nelson
Tracking / Status = Open 2017-09-22 03:38:15: Tracking by Lisa Nelson
Description
Finding:

-Update template purpose to make clear that this is intended for the reaction, and that criticality is the proper observation at the allergy level.

Suggestion:

-Prior 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.

-Description After Update

This clinical statement represents the gravity of the reaction. The Severity Observation characterizes the Reaction Observation. 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.

Note the severity observation is no longer recommended for use with the Allergy and Intolerance Observation. The Criticality Observation is preferred for characterizing the Allergy and Intolerance.

Further explanation:

-

 
 
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