2.16.840.1.113883.10.22.3.2/static-2024-08-04T100736

Id	2.16.840.1.113883.10.22.3.2	Gültigkeit ab	2024‑08‑04 10:07:36
Status	Entwurf	Versions-Label	STU2
Name	IPSSectionAllergiesOrIntolerances	Bezeichnung	IPS Allergies and Intolerances Section
Beschreibung 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.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.3.2
Klassifikation	CDA Section level template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit	Assoziiert mit 3 Konzepte Id Name Datensatz hl7ips-data​element-183  Description  CEN/TC 251 prEN 17269 hl7ips-data​element-28  Allergy or Intolerance list  CEN/TC 251 prEN 17269 hl7ips-data​element-9  Allergies and Intolerances  CEN/TC 251 prEN 17269
Benutzt	Benutzt 4 Templates Benutzt als Name Version 2.16.840.1.113883.10.22.4.14 Inklusion 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
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.22.3.2 IPS Allergies and Intolerances Section (2016‑11‑11) ref hl7ips- 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-
Beispiel	Beispiel <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>
Beispiel	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>
Item DT Kard Konf Beschreibung Label hl7:section 1 … 1 R   hl7ips-data​element-9  Allergies and Intolerances  CEN/TC 251 prEN 17269 @classCode cs 0 … 1 F DOCSECT hl7:templateId II 1 … 1 M @root uid 1 … 1 F 2.16.840.1.113883.10.22.3.2 hl7:id II 0 … * R hl7:code CE.IPS 1 … 1 M @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 hl7:text SD.TEXT 1 … 1 M Section text   hl7ips-data​element-183  Description  CEN/TC 251 prEN 17269 Eingefügt 0 … * von 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) hl7:author 0 … * hl7:templateId II 1 … 1 M @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.14 hl7:time TS.IPS.TZ 1 … 1 R hl7:assignedAuthor 1 … 1 M hl7:id II 1 … * R hl7:code 0 … 1 R Auswahl 0 … 1 Elemente in der Auswahl: hl7:assigned​Person hl7:assigned​Authoring​Device hl7:assigned​Person 0 … 1 C @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document   Beispiel <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R hl7:given 1 … * R hl7:assigned​Authoring​Device 0 … 1 C   Beispiel <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">   <softwareName displayName="Turriano"/></assignedAuthoringDevice> Eingefügt von 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) @classCode cs 0 … 1 F DEV @determiner​Code cs 0 … 1 F INSTANCE hl7:code CE 0 … 1 hl7:manufacturer​Model​Name SC 0 … 1 hl7:softwareName SC 0 … 1 hl7:represented​Organization 0 … 1 hl7:id II 0 … * hl7:name 0 … * hl7:telecom TEL 0 … * hl7:addr AD 0 … * hl7:informant 0 … * Beinhaltet 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) hl7:entry 1 … * M Beinhaltet 2.16.840.1.113883.10.22.4.5 IPS Allergy and Intolerance Concern (DYNAMIC)   hl7ips-data​element-28  Allergy or Intolerance list  CEN/TC 251 prEN 17269 @typeCode cs 1 … 1 R   CONF Der Wert von @typeCode MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC) @context​Conduction​Ind bl 0 … 1 F true hl7:component 0 … * Beinhaltet 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)