Difference between revisions of "2.16.840.1.113883.10.22.3.2/static-2024-08-04T100736"

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<div>At a minimum, it should list currently active and any relevant historical allergies and adverse reactions.</div>
 
<div>At a minimum, it should list currently active and any relevant historical allergies and adverse reactions.</div>
 
<div>If no information about allergies is available, or if no allergies are known this should be clearly documented in the section.<br /><br />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.<br /></div>
 
<div>If no information about allergies is available, or if no allergies are known this should be clearly documented in the section.<br /><br />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.<br /></div>
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Latest revision as of 05:11, 28 August 2024

Id2.16.840.1.113883.10.22.3.2Effective Date2024‑08‑04 10:07:36
Other versions this id:
  • Kblank.png IPSSectionAllergiesOrIntolerances as of 2016‑11‑11
StatusKyellow.png DraftVersion LabelSTU2
NameIPSSectionAllergiesOrIntolerancesDisplay NameIPS 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.22.3.2
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 3 concepts
IdNameData Set
hl7ips-data​element-183Kyellow.png Description Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-28Kyellow.png Allergy or Intolerance list Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-9Kyellow.png Allergies and Intolerances Kyellow.png CEN/TC 251 prEN 17269
Uses
Uses 4 templates
Uses as NameVersion
2.16.840.1.113883.10.22.4.14IncludeKorange.png IPS Body Author (STU1)DYNAMIC
2.16.840.1.113883.10.12.319ContainmentKgreen.png CDA Informant (Body)DYNAMIC
2.16.840.1.113883.10.22.4.5ContainmentKyellow.png IPS Allergy and Intolerance Concern (STU2)DYNAMIC
2.16.840.1.113883.10.22.3.15ContainmentKyellow.png IPS Translation Section (2021)DYNAMIC
RelationshipSpecialization: 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
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>
      <!-- Textual description of the Allergies and Intolerances -->
    </text>    <author>
      <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
    </author>    <informant>
      <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (dynamic) -->
    </informant>    <entry typeCode="COMP" contextConductionInd="true">
      <!-- template 2.16.840.1.113883.10.22.4.5 'IPS Allergy and Intolerance Concern' (dynamic) -->
    </entry>    <component>
      <!-- template 2.16.840.1.113883.10.22.3.15 'IPS Translation Section' (dynamic) -->
    </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>
    <!-- Textual description of the Allergies and Intolerances -->
  </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>
ItemDTCardConfDescriptionLabel
hl7:section
1 … 1R(IPS...ces)
 
Target.png
hl7ips-data​element-9Kyellow.png Allergies and Intolerances Kyellow.png CEN/TC 251 prEN 17269
Treetree.png@classCode
cs0 … 1FDOCSECT
Treetree.pnghl7:templateId
II1 … 1M(IPS...ces)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.3.2
Treetree.pnghl7:id
II0 … *R(IPS...ces)
Treetree.pnghl7:code
CE.IPS1 … 1M(IPS...ces)
Treeblank.pngTreetree.png@code
CONF1 … 1F48765-2
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (LOINC)
Treetree.pnghl7:title
ST1 … 1M(IPS...ces)
Treetree.pnghl7:text
SD.TEXT1 … 1MSection text(IPS...ces)
 
Target.png
hl7ips-data​element-183Kyellow.png Description Kyellow.png CEN/TC 251 prEN 17269
Included0 … * from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
Treetree.pnghl7:author
0 … *(IPS...ces)
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1M(IPS...ces)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.14
Treeblank.pngTreetree.pnghl7:time
TS.IPS.TZ1 … 1R(IPS...ces)
Treeblank.pngTreetree.pnghl7:assignedAuthor
1 … 1M(IPS...ces)
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R(IPS...ces)
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
0 … 1R(IPS...ces)
Choice0 … 1Elements to choose from:
  • hl7:assigned​Person
  • hl7:assigned​Authoring​Device
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
0 … 1C(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … *RName of the person (e.g. the Healthcare Professional)  authoring this document(IPS...ces)
 Example<name>
  <given>John</given>  <family>Español Smith</family></name>
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:family
1 … *R(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:given
1 … *R(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Authoring​Device
0 … 1C(IPS...ces)
 Example<assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
  <softwareName displayName="Turriano"/></assignedAuthoringDevice>
Included from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FDEV
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
CE0 … 1(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:manufacturer​Model​Name
SC0 … 1(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:softwareName
SC0 … 1(IPS...ces)
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
0 … *(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(IPS...ces)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *(IPS...ces)
Treetree.pnghl7:informant
0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)(IPS...ces)
Treetree.pnghl7:entry
1 … *MContains 2.16.840.1.113883.10.22.4.5 IPS Allergy and Intolerance Concern (DYNAMIC)(IPS...ces)
 
Target.png
hl7ips-data​element-28Kyellow.png Allergy or Intolerance list Kyellow.png CEN/TC 251 prEN 17269
Treeblank.pngTreetree.png@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
Treeblank.pngTreetree.png@context​Conduction​Ind
bl0 … 1Ftrue
Treetree.pnghl7:component
0 … *Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)(IPS...ces)
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