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active Template  eHDSI Allergies and Other Adverse Reactions

Id 1.3.6.1.4.1.12559.11.10.1.3.1.2.12 Effective Date 2020‑09‑02 14:34:55
Other versions this id:
Status active Active Version Label
Name eHDSIAllergiesAndOtherAdverseReactions Display Name eHDSI 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 an adaptation of 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 by the concept “alerts”, hence not enough information could be provided to take a further decision. As eHDSI’s intention is not to duplicate information, this shall not be repeated. Alerts are difficult 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 devices. The section Allergies and Other Adverse Reactions contains the medical alerts as well, based on the severity, and their representation becomes a Country B choice.

Context Parent nodes of template element with id 1.3.6.1.4.1.12559.11.10.1.3.1.2.12
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 1 template, Uses 1 template
Used by as Name Version
epsos-transactions-12 Transaction draft Return PS of country A 2012‑05‑02
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 Containment active eHDSI Patient Summary 2020‑09‑02 10:19:44
Uses as Name Version
1.3.6.1.4.1.12559.11.10.1.3.1.3.16 Containment active eHDSI Allergy And Intolerance Concern DYNAMIC
Relationship Adaptation: template 2.16.840.1.113883.10.20.1.2 (DYNAMIC)
ref
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Example
Example
<section>
  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.2.12"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="48765-2" displayName="Allergies and adverse reactions Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <title>Allergies and Intolerances</title>  <text>
    <!-- Textual description of the Allergies and Intolerances -->
  </text>  <entry>
    <!-- ... -->
    <!-- Required Allergies and Intolerances Concern element -->
    <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.16"/>    <!-- ... -->
  </entry></section>
Item DT Card Conf Description Label
hl7:section
 		1 … 1 M (eHDdotsons)
@classCode
 		cs 0 … 1 F DOCSECT
hl7:templateId
 		II.EPSOS 1 … 1 M eHDSI Allergies and Other Adverse Reactions (eHDdotsons)
@root
 		uid 1 … 1 F 1.3.6.1.4.1.12559.11.10.1.3.1.2.12
hl7:templateId
 		II.EPSOS 0 … 1 R IHE Allergies and Other Adverse Reactions Section (IHE PCC) (eHDdotsons)
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.13
hl7:templateId
 		II.EPSOS 0 … 1 R Alerts section (CCD) (eHDdotsons)
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.20.1.2
hl7:id
 		II.EPSOS 0 … 1 R (eHDdotsons)
hl7:code
 		CE.EPSOS 1 … 1 M Allergies, adverse reactions, alerts (eHDdotsons)
@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 (eHDdotsons)
hl7:text
 		SD.TEXT 1 … 1 M Section text (eHDdotsons)
hl7:entry
 		0 … * R Contains 1.3.6.1.4.1.12559.11.10.1.3.1.3.16 eHDSI Allergy And Intolerance Concern (DYNAMIC) (eHDdotsons)