Difference between revisions of "2.16.840.1.113883.10.22.3.2/static-2016-11-11T000000"

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Revision as of 20:03, 27 March 2018

Id2.16.840.1.113883.10.22.3.2Effective Date valid from 2016‑11‑11
StatusKyellow.png DraftVersion Label
NameIPSSectionAllergiesOrIntolerancesDisplay NameIPS Allergies and Intolerances Section
Description
<div class="yui-wk-div">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.&#160;</div>

<div class="yui-wk-div">At a minimum, it should list currently active and any relevant historical allergies and adverse reactions.</div> <div class="yui-wk-div">If no information about allergies is available, or if no allergies are known this should be clearly documented in the section.<br clear="none"/>

   <br clear="none"/>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 clear="none"/>
</div>
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)
Used by / Uses
Used by 0 transactions and 1 template, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.10.22.1.1ContainmentKyellow.png International Patient Summary ()2017‑04‑11
Uses as NameVersion
2.16.840.1.113883.10.22.4.14ContainmentKyellow.png IPS Body Author ()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 ()DYNAMIC
2.16.840.1.113883.10.22.3.15ContainmentKyellow.png IPS Translation Section ()DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
(from repository: ad1bbr-)

Adaptation: template 2.16.840.1.113883.10.20.1.2 (DYNAMIC)
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>
</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="X-AoI" displayName="Allergy or Intolerance" codeSystem="2.16.840.1.113883.5.1150.999.1"/>          <hl7:statusCode code="completed"/>          <hl7:effectiveTime>
            <hl7:low nullFlavor="NA"/>          </hl7:effectiveTime>
          <hl7:value code="X-AllergicDispositionNotKnown" displayName="Allergic disposition not known" codeSystem="2.16.840.1.113883.5.1150.999.1"/>        </hl7:observation>
      </hl7:entryRelationship>
    </hl7:act>
  </hl7:entry>
</hl7:section>
ItemDTCardConfDescriptionLabel
hl7:section
1 … 1RIPSS...nces
Treetree.png@classCode
cs0 … 1FDOCSECT
Treetree.pnghl7:templateId
II1 … 1MIPSS...nces
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.3.2
Treetree.pnghl7:id
II0 … *RIPSS...nces
Treetree.pnghl7:code
CE.IPS1 … 1MIPSS...nces
Treeblank.pngTreetree.png@code
CONF1 … 1F48765-2
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
Treetree.pnghl7:title
ST1 … 1MIPSS...nces
Treetree.pnghl7:text
SD.TEXT1 … 1MSection textIPSS...nces
Treetree.pnghl7:author
0 … *Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)IPSS...nces
Treetree.pnghl7:informant
0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)IPSS...nces
Treetree.pnghl7:entry
1 … *MContains 2.16.840.1.113883.10.22.4.5 IPS Allergy and Intolerance Concern (DYNAMIC)IPSS...nces
Treeblank.png where [hl7:act [hl7:code [(@code='CONC' and @codeSystem='2.16.840.1.113883.5.6')]]]
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)IPSS...nces