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Template Allergy / Intolerance Observation 2014‑06‑09

Id1.2.276.0.76.10.4066Gültigkeit ab2014‑06‑09
Statusretired ObsoletVersions-Label
NameAllergyintoleranceobservationBezeichnungAllergy / Intolerance Observation
KontextElternknoten des Template-Element mit Id 1.2.276.0.76.10.4066
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit
Assoziiert mit 2 Konzepte
IdNameDatensatz
aktin-dataelement2015(1)-31final Allergie final Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-31final Allergie final Basismodul-Datensatz v2015.2-b
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-

Adaptation: Template 2.16.840.1.113883.10.20.22.4.7 (2014‑06‑09)
Beispiel
Antibiotika-Allergie bekannt seit 2010
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4066"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4adc1020-7b14-11db-9fe1-0800200c9a66"/>  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <effectiveTime>
    <low value="2010"/>  </effectiveTime>  <value xsi:type="CV" code="419199007" displayName="Adverse reaction (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>  <participant typeCode="CSM">
    <participantRole classCode="MANU">
      <playingEntity classCode="MMAT">
        <code code="281647001" codeSystem="2.16.840.1.113883.6.96" displayName="Antimicrobial substance (substance)">
          <originalText>
            <reference value="#alg-1"/>          </originalText>        </code>      </playingEntity>    </participantRole>  </participant></observation>
Beispiel
Keine Kontrastmittel-Allergie/Unverträglichkeit bekannt (negationInd=true)
<observation classCode="OBS" moodCode="EVN" negationInd="true">
  <templateId root="1.2.276.0.76.10.4066"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4adc1020-7b14-11db-9fe1-0800200c9a66"/>  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <effectiveTime nullFlavor="NA"/>  <value xsi:type="CV" code="281647001" displayName="Adverse reaction (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>  <participant typeCode="CSM">
    <participantRole classCode="MANU">
      <playingEntity classCode="MMAT">
        <code code="385420005" codeSystem="2.16.840.1.113883.6.96" displayName="Contrast media (substance)">
          <originalText>
            <reference value="#alg-2"/>          </originalText>        </code>      </playingEntity>    </participantRole>  </participant></observation>
Beispiel
Sonstige Allergie: Hühnereiweiss (Der Freitext steht im zugehörigen Section.text, hier referenziert durch #alg-4)
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4066"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4adc1020-7b14-11db-9fe1-0800200c9a66"/>  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <effectiveTime nullFlavor="NA"/>  <value xsi:type="CV" code="281647001" displayName="Adverse reaction (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>  <participant typeCode="CSM">
    <participantRole classCode="MANU">
      <playingEntity classCode="MMAT">
        <code nullFlavor="OTH">
          <originalText>
            <reference value="#alg-4"/>          </originalText>        </code>      </playingEntity>    </participantRole>  </participant></observation>
Beispiel
Keine Allergie/Unverträglichkeit bekannt (negationInd=true)
<observation classCode="OBS" moodCode="EVN" negationInd="true">
  <templateId root="1.2.276.0.76.10.4066"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4adc1020-7b14-11db-9fe1-0800200c9a66"/>  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <!-- N/A - author/time records when this assertion was made -->
  <effectiveTime nullFlavor="NA"/>  <value xsi:type="CV" code="419199007" displayName="Adverse reaction (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></observation>
ItemDTKardKonfBeschreibungLabel
hl7:observation
Alledotstion
 
target
aktin-dataelement2015(1)-31final Allergie final Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-31final Allergie final Basismodul-Datensatz v2015.2-b
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
@negationInd
bl0 … 1 
hl7:templateId
II1 … 1MAlledotstion
@root
uid1 … 1F1.2.276.0.76.10.4066
hl7:id
II1 … *MAlledotstion
hl7:code
CV1 … 1MAlledotstion
@code
CONF1 … 1FASSERTION
@codeSystem
1 … 1F2.16.840.1.113883.5.4
hl7:statusCode
CS1 … 1MAlledotstion
hl7:effectiveTime
IVL_TS1 … 1RAlledotstion
hl7:low
TS0 … 1RAlledotstion
hl7:high
TS0 … 1RAlledotstion
hl7:value
CV1 … 1MAlledotstion
@code
CONF1 … 1F281647001
@codeSystem
1 … 1F2.16.840.1.113883.6.96
hl7:participant
0 … 1RAlledotstion
@typeCode
cs1 … 1FCSM
hl7:participantRole
1 … 1MAlledotstion
@classCode
cs1 … 1FMANU
hl7:playingEntity
1 … 1MAlledotstion
@classCode
cs1 … 1FMMAT
hl7:code
CE1 … 1RAlledotstion
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.52 Allergy / intolerance substances (2015‑03‑26)