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retired 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
Other versions this id:
Status retired Retired 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 draft Allergy draft epSOS Data Set
Used by / Uses
Used by 0 transactions and 0 templates, Uses 1 template
Uses as Name Version
1.3.6.1.4.1.19376.1.5.3.1.4.5.3 Containment retired eHDSI Allergy And Intolerance Concern DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.20.1.2 Alerts section (DYNAMIC)
ref
ccd1-
Example
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>
    <!-- ... -->
    <!-- Required Allergies and Intolerances Concern element -->
    <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.3"/>    <!-- ... -->
  </entry></section>
Item DT Card Conf Description Label
hl7:section
 		1 … 1 M
 
target
epsos-dataelement-58 draft Allergy draft epSOS Data Set
@classCode
 		cs 0 … 1 F DOCSECT
hl7:templateId
 		II.EPSOS 1 … 1 M CCD 3.8
@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
@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
hl7:code
 		CE.EPSOS 1 … 1 M Allergies, adverse reactions, alerts
@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
hl7:text
 		SD.TEXT 1 … 1 M Section text
hl7:entry
 		0 … * R Contains 1.3.6.1.4.1.19376.1.5.3.1.4.5.3 eHDSI Allergy And Intolerance Concern (DYNAMIC)