Template Section Allergies and Other Adverse Reactions
Id
1.3.6.1.4.1.19376.1.5.3.1.3.13
Effective Date
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
<section> <templateIdroot="2.16.840.1.113883.10.20.1.2"/><templateIdroot="1.3.6.1.4.1.19376.1.5.3.1.3.13"/><idroot=""extension=""/><codecode="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> <!-- ... --> <!-- Required Allergies and Intolerances Concern element --> <templateIdroot="1.3.6.1.4.1.19376.1.5.3.1.4.5.3"/><!-- ... --> </entry></section>
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']]]