Revision as of 14:41, 5 January 2021

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Template IPSSectionAllergiesOrIntolerances

This section documents the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy. At a minimum, it should list currently active and any relevant historical allergies and adverse reactions. If no information about allergies is available, or if no allergies are known this should be clearly documented in the section.The optional author and informant elements are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.

Actual version

Id

2.16.840.1.113883.10.22.3.2

Effective Date

2024‑08‑04 10:07:36

Other versions this id:

IPSSectionAllergiesOrIntolerances as of 2016‑11‑11

Status

Draft

Version Label

STU2

Name

IPSSectionAllergiesOrIntolerances

Display Name

IPS Allergies and Intolerances Section

Description

This section documents the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.

At a minimum, it should list currently active and any relevant historical allergies and adverse reactions.

If no information about allergies is available, or if no allergies are known this should be clearly documented in the section.

The optional author and informant elements are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.

Context

Parent nodes of template element with id 2.16.840.1.113883.10.22.3.2

Classification

CDA Section Level Template

Open/Closed

Open (other than defined elements are allowed)

Associated with

Associated with 3 concepts

Id	Name	Data Set
hl7ips-dataelement-183	Description	CEN/TC 251 prEN 17269
hl7ips-dataelement-28	Allergy or Intolerance list	CEN/TC 251 prEN 17269
hl7ips-dataelement-9	Allergies and Intolerances	CEN/TC 251 prEN 17269

Uses

Uses 4 templates

Uses	as	Name	Version
2.16.840.1.113883.10.22.4.14	Include	IPS Body Author (STU1)	DYNAMIC
2.16.840.1.113883.10.12.319	Containment	CDA Informant (Body)	DYNAMIC
2.16.840.1.113883.10.22.4.5	Containment	IPS Allergy and Intolerance Concern (STU2)	DYNAMIC
2.16.840.1.113883.10.22.3.15	Containment	IPS Translation Section (2021)	DYNAMIC

Relationship

Specialization: template 2.16.840.1.113883.10.22.3.2 IPS Allergies and Intolerances Section (2016‑11‑11)
Adaptation: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)

ref

ad1bbr-

Adaptation: template 2.16.840.1.113883.10.20.1.2 Alerts section (DYNAMIC)

ref

ccd1-

Example

<section classCode="DOCSECT">
  <templateId root="2.16.840.1.113883.10.22.3.2"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" displayName="Allergies and adverse reactions">
    <title>Allergies and Intolerances</title>    <text>
      
    </text>    <author>
      
    </author>    <informant>
      
    </informant>    <entry typeCode="COMP" contextConductionInd="true">
      
    </entry>    <component>
      
    </component>  </code></section>

Example

No information available

<hl7:section>
  <hl7:templateId root="2.16.840.1.113883.10.22.3.2"/>  <hl7:id root="1.2.3.999" extension="--example only--"/>  <hl7:code code="48765-2" codeSystem="2.16.840.1.113883.6.1" displayName="Allergies and adverse reactions"/>  <hl7:title>Allergies and Intolerances</hl7:title>  <hl7:text>
    
  </hl7:text>  <hl7:entry>
    <hl7:act classCode="ACT" moodCode="EVN">
      <hl7:templateId root="2.16.840.1.113883.10.22.4.5"/>      <hl7:id root="1.2.3.999" extension="__example only__"/>      <hl7:code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>      <hl7:statusCode code="active"/>      <hl7:effectiveTime>
        <hl7:low nullFlavor="NA"/>      </hl7:effectiveTime>      <hl7:entryRelationship typeCode="SUBJ" inversionInd="false">
        <hl7:observation classCode="OBS" moodCode="EVN">
          <hl7:templateId root="2.16.840.1.113883.10.22.4.1"/>          <hl7:code code="OINT" displayName="Allergy or Intolerance" codeSystem="2.16.840.1.113883.5.4"/>          <hl7:statusCode code="completed"/>          <hl7:effectiveTime>
            <hl7:low nullFlavor="NA"/>          </hl7:effectiveTime>          <hl7:value code="no-allergy-info" displayName="No information about allergies" codeSystem="2.16.840.1.113883.5.1150.1"/>        </hl7:observation>      </hl7:entryRelationship>    </hl7:act>  </hl7:entry></hl7:section>

Item

DT

Card

Conf

Description

Label

hl7:section

1 … 1

R

(IPS...ces)


	hl7ips-dataelement-9	Allergies and Intolerances	CEN/TC 251 prEN 17269

@classCode

cs

0 … 1

F

DOCSECT

hl7:templateId

II

1 … 1

M

(IPS...ces)

@root

uid

1 … 1

F

2.16.840.1.113883.10.22.3.2

hl7:id

II

0 … *

R

(IPS...ces)

hl7:code

CE.IPS

1 … 1

M

(IPS...ces)

@code

CONF

1 … 1

F

48765-2

@codeSystem

1 … 1

F

2.16.840.1.113883.6.1 (LOINC)

hl7:title

ST

1 … 1

M

(IPS...ces)

hl7:text

SD.TEXT

1 … 1

M

Section text

(IPS...ces)


	hl7ips-dataelement-183	Description	CEN/TC 251 prEN 17269

Included

0 … *

from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)

hl7:author

0 … *

(IPS...ces)

hl7:templateId

II

1 … 1

M

(IPS...ces)

@root

uid

1 … 1

F

2.16.840.1.113883.10.22.4.14

hl7:time

TS.IPS.TZ

1 … 1

R

(IPS...ces)

hl7:assignedAuthor

1 … 1

M

(IPS...ces)

hl7:id

II

1 … *

R

(IPS...ces)

hl7:code

0 … 1

R

(IPS...ces)

Choice

0 … 1

Elements to choose from:

hl7:assignedPerson
hl7:assignedAuthoringDevice

hl7:assignedPerson

0 … 1

C

(IPS...ces)

@classCode

cs

0 … 1

F

PSN

@determinerCode

cs

0 … 1

F

INSTANCE

hl7:name

PN

1 … *

R

Name of the person (e.g. the Healthcare Professional) authoring this document

(IPS...ces)

Example

<name>
<given>John</given> <family>Español Smith</family></name>

hl7:family

1 … *

R

(IPS...ces)

hl7:given

1 … *

R

(IPS...ces)

hl7:assignedAuthoringDevice

0 … 1

C

(IPS...ces)

Example

Included

from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)

@classCode

cs

0 … 1

F

DEV

@determinerCode

cs

0 … 1

F

INSTANCE

hl7:code

CE

0 … 1

(IPS...ces)

hl7:manufacturerModelName

SC

0 … 1

(IPS...ces)

hl7:softwareName

SC

0 … 1

(IPS...ces)

hl7:representedOrganization

0 … 1

(IPS...ces)

hl7:id

II

0 … *

(IPS...ces)

hl7:name

0 … *

(IPS...ces)

hl7:telecom

TEL

0 … *

(IPS...ces)

hl7:addr

AD

0 … *

(IPS...ces)

hl7:informant

0 … *

Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)

(IPS...ces)

hl7:entry

1 … *

M

Contains 2.16.840.1.113883.10.22.4.5 IPS Allergy and Intolerance Concern (DYNAMIC)

(IPS...ces)


	hl7ips-dataelement-28	Allergy or Intolerance list	CEN/TC 251 prEN 17269

@typeCode

cs

1 … 1

R

CONF

The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)

@contextConductionInd

bl

0 … 1

F

true

hl7:component

0 … *

Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)

(IPS...ces)

List of all versions of this template

2016-11-11 (Under pre-publication review)

@@ Line 5: / Line 5: @@
 =Template ''IPSSectionAllergiesOrIntolerances''=
-<p>This section documents the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy. At a minimum, it should list currently active and any relevant historical allergies and adverse reactions.If no information about allergies is available, or if no allergies are known this should be clearly documented in the section.The optional author and informant elements are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.</p>
+<p>
+                    This section documents the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.
+                    At a minimum, it should list currently active and any relevant historical allergies and adverse reactions.
+                    If no information about allergies is available, or if no allergies are known this should be clearly documented in the section.The optional author and informant elements are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA
+                            header.
+                </p>
 ==Actual version==
 {{:{{BASEPAGENAME}}/dynamic}}
@@ Line 11: / Line 16: @@
 ==List of all versions of this template==
 *[[2.16.840.1.113883.10.22.3.2/static-2016-11-11T000000|2016-11-11 (Under pre-publication review)]]
-<!--6b4baf38aeaee743a404042d34ac6694fa75b7e4-->
+<!--b3c7d503a0a8d27bf3c3e2c7b10580c10ed65fa7-->

Difference between revisions of "2.16.840.1.113883.10.22.3.2"

Revision as of 14:41, 5 January 2021

Template IPSSectionAllergiesOrIntolerances

Actual version

List of all versions of this template

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