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- After the working session with the eHDSI solution provider and Christof Gessner it was considered to remove the dependency from the CCD template 2.16.840.1.1138220.127.116.11.54. This is required by some text in the Allergies reaction observation. There is no formal reason to keep it. The constraint is just in textual form, therefore it is not tested in the validation.According to Christof this is a spurious remains from IHE PCC, where conformance to CCD is requested. But no formal rules can be seen that are not covered by other templates present in
Allergy Reaction Observation.Next this Problem template is also used in the Immunizations and there they also speak about a reaction and there no textual contraint is added to 2.16.840.1.113818.104.22.168.54, so the removal will increase consistency.
- Remove the textual constaint.