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ref Template  Section Allergies and Other Adverse Reactions

Id Effective Date valid from 2013‑12‑20
Status draft Draft Version Label
Name SectionAllergiesAndOtherAdverseReactions Display Name Section Allergies and Other Adverse Reactions

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.

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
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 Containment draft epSOS-Patient Summary 2013‑12‑20 Containment draft epSOS-Health Care Encounter Report 2013‑12‑20 Containment draft epSOS-Medication Related Overview 2013‑12‑20
Uses as Name Version Containment draft Allergy and Intolerance Concern DYNAMIC
Relationship Specialization: template 2.16.840.1.113883. (DYNAMIC)
  <templateId root="2.16.840.1.113883."/>  <templateId root=""/>  <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>
    <!-- ... -->
    <!-- Required Allergies and Intolerances Concern element -->
    <templateId root=""/>    <!-- ... -->
notice There is an open issue with this item:
Item DT Card Conf Description Label
1 … 1 M (Secdotsons)
target epsos-dataelement-58 Allergy epSOS Data Set
cs 0 … 1 F DOCSECT
II.EPSOS 1 … 1 M CCD 3.8 (Secdotsons)
uid 1 … 1 F 2.16.840.1.113883.
II.EPSOS 1 … 1 M Allergies and Other Adverse Reactions (Secdotsons)
uid 1 … 1 F
II.EPSOS 0 … 1 R (Secdotsons)
CE.EPSOS 1 … 1 M Allergies, adverse reactions, alerts (Secdotsons)
CONF 1 … 1 F 48765-2
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
ST 1 … 1 M Allergies and Other Adverse Reactions (Secdotsons)
SD.TEXT 1 … 1 M Section text (Secdotsons)
0 … * R Contains Allergy and Intolerance Concern (DYNAMIC) (Secdotsons)
treeblank where [hl7:act [hl7:templateId [@root='2.16.840.1.113883.'] and hl7:templateId [@root=''] and hl7:templateId [@root='']]]