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

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Revision as of 09:34, 25 July 2018

Id2.16.840.1.113883.10.22.3.2Effective Date2016‑11‑11
Other versions this id:
    StatusKyellow.png DraftVersion Label
    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-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
    hl7ips-data​element-183Kyellow.png Description Kyellow.png CEN/TC 251 prEN 17269
    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 Summary2017‑04‑11
    Uses as NameVersion
    2.16.840.1.113883.10.22.4.14ContainmentKyellow.png IPS Body AuthorDYNAMIC
    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 ConcernDYNAMIC
    2.16.840.1.113883.10.22.3.15ContainmentKyellow.png IPS Translation SectionDYNAMIC
    RelationshipAdaptation: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
    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
    <cda:section>
      <cda:templateId root="2.16.840.1.113883.10.22.3.2"/>  <cda:id root="1.2.3.999" extension="--example only--"/>  <cda:code code="48765-2" codeSystem="2.16.840.1.113883.6.1" displayName="Allergies and adverse reactions"/>  <cda:title>Allergies and Intolerances</cda:title>  <cda:text>
        <!-- Textual description of the Allergies and Intolerances -->
      </cda:text>
      <cda:entry>
        <cda:act classCode="ACT" moodCode="EVN">
          <cda:templateId root="2.16.840.1.113883.10.22.4.5"/>      <cda:id root="1.2.3.999" extension="__example only__"/>      <cda:code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>      <cda:statusCode code="active"/>      <cda:effectiveTime>
            <cda:low nullFlavor="NA"/>      </cda:effectiveTime>
          <cda:entryRelationship typeCode="SUBJ" inversionInd="false">
            <cda:observation classCode="OBS" moodCode="EVN">
              <cda:templateId root="2.16.840.1.113883.10.22.4.1"/>          <cda:code code="OINT" displayName="Allergy or Intolerance" codeSystem="2.16.840.1.113883.5.4"/>          <cda:statusCode code="completed"/>          <cda:effectiveTime>
                <cda:low nullFlavor="NA"/>          </cda:effectiveTime>
              <cda:value code="no-allergy-info" displayName="No information about allergies" codeSystem="2.16.840.1.113883.5.1150.1"/>        </cda:observation>
          </cda:entryRelationship>
        </cda:act>
      </cda:entry>
    </cda: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 (Logical Observation Identifier Names and Codes)
    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
    Treetree.pnghl7:author
    0 … *Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)(IPS...ces)
    Treeblank.png where [hl7:assignedAuthor]
    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)
    Treeblank.png where [hl7:act [hl7:code [(@code = 'CONC' and @codeSystem = '2.16.840.1.113883.5.6')]]]
     
    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)
    Treeblank.png where [hl7:section]