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draft Template  Allergies and other Adverse Reactions Section - plain text

Id 2.16.756.5.30.1.1.10.3.60 Effective Date 2017‑09‑13 19:48:47
Status draft Draft Version Label 2018
Name cdachsmcp_section_AllergiesOtherAdverseReactionsPlainText Display Name Allergies and other Adverse Reactions Section - plain text
Description
The allergies 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.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.60
Label CDA‑CH‑SMCP
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 2 concepts
Id Name Data Set
cdachsmcp-dataelement-182 draft Field 16.5 (Allergies connues) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-195 cancelled Field 16.5.2 (Précision Allergies connues) draft DMST v3.1 - Etat de Vaud 7.8 updated
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as Name Version
2.16.756.5.30.1.1.10.1.11 Containment draft Social-medical care plan V2 (2018) 2017‑08‑24 18:00:03
Relationship Specialization: template 2.16.756.5.30.1.1.10.3.6 Allergies and other Adverse Reactions Section - plain text (DYNAMIC)
ref
ch-pcc-

Generalization: template 2.16.840.1.113883.10.20.1.2 Alerts section (DYNAMIC)
ref
ccd1-

Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.3.13 Section Allergies and Other Adverse Reactions (2013‑12‑20)
ref
epsos-
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.60"/>  <templateId root="2.16.756.5.30.1.1.10.3.6"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.13"/>  <templateId root="2.16.840.1.113883.10.20.1.2"/>  <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergies and adverse reactions Document"/>  <title>Allergies et autres réactions indésirables</title>  <text>Narrative text</text></section>
Item DT Card Conf Description Label
hl7:section
 1 … 1 M CDA-dotsSMCP
 
target
cdachsmcp-dataelement-182 draft Field 16.5 (Allergies connues) draft DMST v3.1 - Etat de Vaud 7.8 updated
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.60
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.6
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.13
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.840.1.113883.10.20.1.2
hl7:code
 CE 1 … 1 M Fixed, machine readable code of this section. CDA-dotsSMCP
@code
 CONF 1 … 1 F 48765-2
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 1 … 1 F LOINC
@displayName
 1 … 1 F Allergies and adverse reactions Document
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Allergien und Unverträglichkeiten'
  • [fr]: 'Allergies et autres réactions indésirables'
  • [en]: 'Allergies and other Adverse Reactions'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Allergien und Unverträglichkeiten')  
  Message The German title must read 'Allergien und Unverträglichkeiten'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Allergies et autres réactions indésirables')  
  Message The French title must read 'Allergies et autres réactions indésirablese'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Allergies and other Adverse Reactions')  
  Message The English title must read 'Allergies and other Adverse Reactions'  
hl7:text
 SD.TEXT 1 … 1 M Human readable text of this section. CDA-dotsSMCP
 
target
cdachsmcp-dataelement-195 cancelled Field 16.5.2 (Précision Allergies connues) draft DMST v3.1 - Etat de Vaud 7.8 updated