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Template CZ Allergy And Intolerance Concern 2020‑06‑24 10:34:15

Id1.2.203.24341.11.10.4.2Effective Date2020‑06‑24 10:34:15
Statusdraft DraftVersion Label
NameCZAllergyAndIntoleranceConcernDisplay NameCZ Allergy And Intolerance Concern
Description
This entry is an adaptation of the eHDSI Allergy and Intolerance Concern Entry, wherein the subject of the concern is focused on an allergy or intolerance.

This entry shall contain one or more allergy or intolerance entries that conform to the CZ Allergy and Intolerance Entry Content Module as. This shall be represented with the <entryRelationship> element. The typeCode shall be ‘SUBJ’ and inversionInd shall be ‘false’.



ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as NameVersion
1.2.203.24341.11.10.3.1Containmentdraft CZ Allergies and Other Adverse Reactions2020‑06‑23 16:11:31
Uses as NameVersion
1.2.203.24341.11.10.4.3Containmentdraft CZ Allergies And IntolerancesDYNAMIC
RelationshipAdaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.5.3 eHDSI Allergy And Intolerance Concern (2020‑04‑16 12:30:31)
ref
epsos-
Example
Example
<act classCode="ACT" moodCode="EVN">
  <templateId root="1.2.203.24341.11.10.4.2"/>  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.16"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>  <statusCode code="active|suspended|aborted|completed"/>  <effectiveTime>
    <low value=" "/>    <high value=" "/>  </effectiveTime>
  <!-- 1..* entry relationships identifying allergies of concern -->
  <entryRelationship typeCode="SUBJ">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.2.203.24341.11.10.4.3"/>      <!-- ... -->
    </observation>
  </entryRelationship>
  <!-- optional entry relationship providing more information about the concern -->
  <entryRelationship type="REFR">
    <!-- ... -->
  </entryRelationship>
</act>
Example
No information available
<act classCode="ACT" moodCode="EVN">
  <templateId root="1.2.203.24341.11.10.4.2"/>  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.16"/>  <templateId root="2.16.840.1.113883.10.20.1.27"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.3"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>  <statusCode code="active"/>  <effectiveTime>
    <low nullFlavor="NA"/>  </effectiveTime>
  <entryRelationship typeCode="SUBJ" inversionInd="false">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.2.203.24341.11.10.4.3"/>      <code code="419199007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Alergie na látku"/>      <statusCode code="completed"/>      <effectiveTime>
        <low nullFlavor="NA"/>      </effectiveTime>
      <value code="no-allergy-info" displayName="Žádné informace o alergiích" codeSystem="2.16.840.1.113883.5.1150.1"/>    </observation>
  </entryRelationship>
</act>
Example
Known absence
<act classCode="ACT" moodCode="EVN">
  <templateId root="1.2.203.24341.11.10.4.2"/>  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.16"/>  <templateId root="2.16.840.1.113883.10.20.1.27"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.3"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>  <statusCode code="active"/>  <effectiveTime>
    <low nullFlavor="NA"/>  </effectiveTime>
  <entryRelationship typeCode="SUBJ" inversionInd="false">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.2.203.24341.11.10.4.3"/>      <code code="419199007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Alergie na látku"/>      <statusCode code="completed"/>      <effectiveTime>
        <low nullFlavor="NA"/>      </effectiveTime>
      <value code="no-known-allergies" displayName="Žádné známé alergie" codeSystem="2.16.840.1.113883.5.1150.1"/>    </observation>
  </entryRelationship>
</act>
ItemDTCardConfDescriptionLabel
hl7:act
0 … *RCZAldotscern
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:templateId
II.EPSOS1 … 1RCZ Allergy And Intolerance ConcernCZAldotscern
@root
uid1 … 1F1.2.203.24341.11.10.4.2
hl7:templateId
II.EPSOS0 … 1ReHDSI Allergy And Intolerance ConcernCZAldotscern
@root
uid1 … 1F1.3.6.1.4.1.12559.11.10.1.3.1.3.16
hl7:templateId
II.EPSOS0 … 1RIHE Concern Entry (IHE PCC)CZAldotscern
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.5.1
hl7:templateId
II.EPSOS0 … 1RIHE Allergy and Intolerance Concern Entry (IHE PCC)
CZAldotscern
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.5.3
hl7:templateId
II.EPSOS0 … 1RProblem act (CCD)
CZAldotscern
@root
uid1 … 1F2.16.840.1.113883.10.20.1.27
hl7:id
II.EPSOS0 … *RCZAldotscern
hl7:code
CD1 … 1MCZAldotscern
@code
CONF1 … 1FCONC
@codeSystem
1 … 1F2.16.840.1.113883.5.6
hl7:statusCode
CS0 … 1R(cs-CZ)

Dokud je sledovaný stav předmětem zájmu autora (tj. Pokud alergie, ať už je aktivní nebo vyřešená, je stále předmětem sledování), je statusCode = "active“.

V případě, že se lékař domnívá, že již není třeba daný stav sledovat, pak je obava (concern) neaktivní a stavový kód je nastaven na "completed“.

CZAldotscern
 CONF
@code shall be "active"
or
@code shall be "suspended"
or
@code shall be "aborted"
or
@code shall be "completed"
hl7:effectiveTime
IVL_TS0 … 1RCZAldotscern
hl7:low
IVXB_TS1 … 1RThis element asserts when the concern became active. This equates to the time the concern was authored in the patient's chart and the author started tracking this concern. CZAldotscern
hl7:high
IVXB_TS0 … 1CThis element asserts when the clinician deemed there is no longer any need to track the underlying conditions. CZAldotscern
hl7:entryRelationship
1 … *R This entry shall contain one or more allergy or intolerance entries that conform to the Allergy and Intolerance Entry Content Module. This shall be represented with the element. The typeCode shall be ‘SUBJ’ and inversionInd shall be ‘false’
Contains 1.2.203.24341.11.10.4.3 CZ Allergies And Intolerances (DYNAMIC)
CZAldotscern
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ffalse