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Template IPS Allergies and Intolerances Section 2016‑11‑11

Id2.16.840.1.113883.10.22.3.2Effective Date2016‑11‑11
Statuspending Under pre-publication reviewVersion LabelSTU1
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-dataelement-9draft Allergies and Intolerances draft CEN/TC 251 prEN 17269
hl7ips-dataelement-183draft Description draft CEN/TC 251 prEN 17269
hl7ips-dataelement-28draft Allergy or Intolerance list draft CEN/TC 251 prEN 17269
Used by / Uses
Used by 1 transaction and 7 templates, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.13.4.2Transactiondraft IPS Created2017‑04‑07 11:10:54
2.16.840.1.113883.2.51.10.12Containmentactive XeH Hospital Discharge Report (1.0)2021‑09‑10 14:49:32
2.16.840.1.113883.2.51.10.13Containmentactive XeH RD Patient Summary (1.0)2021‑09‑10 14:50:49
2.16.840.1.113883.3.1937.99.61.67.10.8Containmentdraft XeH Hospital Discharge Report (0.1)2020‑10‑02 15:17:28
2.16.840.1.113883.3.1937.99.61.67.10.11Containmentdraft XeH RD Patient Summary (wip)2020‑10‑24 18:26:41
2.16.840.1.113883.10.22.1.1Containmentpending International Patient Summary (STU1)2017‑04‑11
2.16.840.1.113883.10.22.1.1Containmentpending International Patient Summary (TI-2020)2020‑05‑08 12:30:59
2.16.840.1.113883.10.22.1.1Containmentdraft International Patient Summary (2021)2020‑07‑14 16:08:21
Uses as NameVersion
2.16.840.1.113883.10.12.319Containmentactive CDA Informant (Body)DYNAMIC
2.16.840.1.113883.10.22.3.15Containmentdraft IPS Translation Section (2021)DYNAMIC
2.16.840.1.113883.10.22.4.5Containmentpending IPS Allergy and Intolerance Concern (STU1)DYNAMIC
2.16.840.1.113883.10.22.4.14Containmentpending IPS Body Author (STU1)DYNAMIC
RelationshipAdaptation: 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-
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 … 1RIPSSdotsnces
 
target
hl7ips-dataelement-9draft Allergies and Intolerances draft CEN/TC 251 prEN 17269
@classCode
cs0 … 1FDOCSECT
hl7:templateId
II1 … 1MIPSSdotsnces
@root
uid1 … 1F2.16.840.1.113883.10.22.3.2
hl7:id
II0 … *RIPSSdotsnces
hl7:code
CE.IPS1 … 1MIPSSdotsnces
@code
CONF1 … 1F48765-2
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:title
ST1 … 1MIPSSdotsnces
hl7:text
SD.TEXT1 … 1MSection textIPSSdotsnces
 
target
hl7ips-dataelement-183draft Description draft CEN/TC 251 prEN 17269
hl7:author
0 … *Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)IPSSdotsnces
hl7:informant
0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)IPSSdotsnces
hl7:entry
1 … *MContains 2.16.840.1.113883.10.22.4.5 IPS Allergy and Intolerance Concern (DYNAMIC)IPSSdotsnces
 
target
hl7ips-dataelement-28draft Allergy or Intolerance list draft CEN/TC 251 prEN 17269
@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)
@contextConductionInd
bl0 … 1Ftrue
hl7:component
0 … *Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)IPSSdotsnces