| Id | 2.16.840.1.113883.10.22.3.2 | Effective Date | 2024‑08‑04 10:07:36Other versions this id:  IPSSectionAllergiesOrIntolerances as of 2016‑11‑11
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| Status |  Draft | Version Label | STU2 |
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| Name | IPSSectionAllergiesOrIntolerances | Display Name | IPS Allergies and Intolerances Section |
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| 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.
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| Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.3.2 |
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| Classification | CDA Section Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| Associated with | | Associated with 3 concepts | | Id | Name | Data Set |
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| 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 |
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| Uses | | Uses 4 templates | | Uses | as | Name | Version |
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| 2.16.840.1.113883.10.22.4.14 | Containment |  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 |
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| 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- |
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| 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> |
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| 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> |
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| Item | DT | Card | Conf | Description | Label |
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| | 1 … 1 | R | | (IPS...ces) | | |  | | hl7ips-dataelement-9 | Allergies and Intolerances | CEN/TC 251 prEN 17269 |
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| cs | 0 … 1 | F | DOCSECT | | hl7:templateId
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| II | 1 … 1 | M | | (IPS...ces) |  | | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.3.2 | | hl7:id
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| II | 0 … * | R | | (IPS...ces) | | hl7:code
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| CE.IPS | 1 … 1 | M | | (IPS...ces) | | | @code
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| CONF | 1 … 1 | F | 48765-2 | | | @codeSystem
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| 1 … 1 | F | 2.16.840.1.113883.6.1 (LOINC) | | hl7:title
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| ST | 1 … 1 | M | | (IPS...ces) | | hl7:text
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| SD.TEXT | 1 … 1 | M | Section text | (IPS...ces) | | | | | hl7ips-dataelement-183 | Description | CEN/TC 251 prEN 17269 |
| | hl7:author
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| | 0 … * | | Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) | (IPS...ces) | | hl7:informant
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| | 0 … * | | Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) | (IPS...ces) | | hl7:entry
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| | 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
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| 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
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| bl | 0 … 1 | F | true | | hl7:component
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| | 0 … * | | Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) | (IPS...ces) |
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Draft
