Template 1.3.6.1.4.1.19376.1.5.3.1.3.13 - SectionAllergiesAndOtherAdverseReactions

Template Section Allergies and Other Adverse Reactions

Id 1.3.6.1.4.1.19376.1.5.3.1.3.13 Effective Date valid from 2013‑12‑20

Status Draft Version Label

Name SectionAllergiesAndOtherAdverseReactions Display Name Section Allergies and Other Adverse Reactions

Description

The adverse and other adverse reactions section shall contain a narrative description of the substance intolerances and the associated adverse reactions suffered by the patient. It shall include entries for intolerances and adverse reactions as described in the Entry Content Modules.

The parent of this template is CCD 3.8. This template is compatible with the ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.2

The field "alerts" was originally defined to include all the important and objective medical information that should be highlighted (such as allergies, thrombosis risk, immune deficit …etc). When defining the content only allergies and intolerance to drugs appear to be the common understanding and the easiest to be transferred. A lot of surveys are being made in different countries (not only in Europe) to make a more evidence-based definition of what should represented and should not byt the concept “alerts”, hence not enough information could be provided to take a further decision. As epSOS’s intention is not to duplicate information, this shall not be repeated. Alerts are difiucult to represent since they are contextual. Alerts may be represented as severe or life-threatening allergies or other adverse reactions. Another area are certain selected procedures and implanted devivces. The section Allergies and Other Adverse Reactions contains the medical alerts as well, based on the serverity, and their representation becomes a Country B choice.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.3.13

Classification CDA Section Level Template

Open/Closed Open (other than defined elements are allowed)

Associated with

Associated with 1 concept

Id	Name	Data Set
epsos-dataelement-58	Allergy	epSOS Data Set

Used by / Uses

Used by 0 transactions and 3 templates, Uses 1 template

Used by	as	Name	Version
1.3.6.1.4.1.12559.11.10.1.3.1.1.3	Containment	epSOS-Patient Summary	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4	Containment	epSOS-Health Care Encounter Report	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5	Containment	epSOS-Medication Related Overview	2013‑12‑20
Uses	as	Name	Version
1.3.6.1.4.1.19376.1.5.3.1.4.5.3	Containment	Allergy and Intolerance Concern	DYNAMIC

Relationship Specialization: template 2.16.840.1.113883.10.20.1.2 (DYNAMIC)

Example

<section> <templateId root="2.16.840.1.113883.10.20.1.2"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.13"/> <id root=" " extension=" "/> <code code="48765-2" displayName="Allergies, adverse reactions, alerts" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Allergies and Other Adverse Reactions</title> <text>Text as described above</text> <entry>   <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.3"/>  </entry></section>

There is an open issue with this item:

epsos-issue-205: id cardinality (Open)

Item DT Card Conf Description Label

hl7:section 1 … 1 M (Secons)


	epsos-dataelement-58	Allergy	epSOS Data Set

@classCode cs 0 … 1 F DOCSECT

hl7:templateId II.EPSOS 1 … 1 M CCD 3.8 (Secons)

@root uid 1 … 1 F 2.16.840.1.113883.10.20.1.2

hl7:templateId II.EPSOS 1 … 1 M Allergies and Other Adverse Reactions (Secons)

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.13

hl7:id II.EPSOS 0 … 1 R (Secons)

hl7:code CE.EPSOS 1 … 1 M Allergies, adverse reactions, alerts (Secons)

@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 Allergies and Other Adverse Reactions (Secons)

hl7:text SD.TEXT 1 … 1 M Section text (Secons)

hl7:entry 0 … * R Contains 1.3.6.1.4.1.19376.1.5.3.1.4.5.3 Allergy and Intolerance Concern (DYNAMIC) (Secons)

where [hl7:act [hl7:templateId [@root='2.16.840.1.113883.10.20.1.27'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.3']]]

Template Section Allergies and Other Adverse Reactions