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ref Template  Allergies and other Adverse Reactions Section - coded

Id 2.16.756.5.30.1.1.10.3.51
ref
ch-pcc-
Effective Date 2016‑11‑11
Status pending Under pre-publication review Version Label 2016
Name chpcc_section_AllergiesOtherAdverseReactionsCoded Display Name Allergies and other Adverse Reactions Section - coded
Description

Chapter (CDA Body Section) containing allergies and other adverse reactions according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section MAY contain allergies and intolerances of a patient. The section MUST contain at least one Allergy and Intolerance Entry. In case of no allergy or intolerance, one of the 'special case' codes MUST be used.

In the context of immunzations, the substances against which the patient reacts SHOULD be recorded. It is possible to record substances in vaccines or other substances (e.g. egg-protein).

Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.51
Label IHE PCC TF2 Rev.11, 6.3.3.2.11
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.1.17 Containment pending Immunization Recommendation Request (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.18 Containment pending Immunization Recommendation Response (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.19 Containment pending Vaccination Record (2018) 2018‑04‑19
Uses as Name Version
2.16.756.5.30.1.1.10.4.91 Containment pending Allergies and Intolerances Concern Entry (2016) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.3.13 (DYNAMIC)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.51"/>  <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, ADVERSE REACTIONS, ALERTS"/>  <title>Allergies and Other Adverse Reactions</title>  <text>
    <!-- Narrative Text -->
  </text>
  <entry typeCode="DRIV">
    <!-- template 2.16.756.5.30.1.1.10.4.91 'Allergies and Intolerances Concern Entry' -->
  </entry>
</section>
Item DT Card Conf Description Label
hl7:section

Chapter (CDA Body Section) containing allergies and other adverse reactions according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section MAY contain allergies and intolerances of a patient. The section MUST contain at least one Allergy and Intolerance Entry. In case of no allergy or intolerance, one of the 'special case' codes MUST be used.

In the context of immunzations, the substances against which the patient reacts SHOULD be recorded. It is possible to record substances in vaccines or other substances (e.g. egg-protein).

IHE PCC TF2 Rev.11, 6.3.3.2.11
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.2.11
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.3.51
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.2.11
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.13
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.2.11
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.2
hl7:id
II 0 … * R An ID for this section MAY be filled for traceability. IHE PCC TF2 Rev.11, 6.3.3.2.11
@root
uid 1 … 1 R MUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
@extension
st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
CE 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.2.11
@code
st 1 … 1 F 48765-2
@codeSystem
oid 1 … 1 F 2.16.840.1.113883.6.1
@codeSystemName
st 1 … 1 F LOINC
@displayName
st 1 … 1 F ALLERGIES, ADVERSE REACTIONS, ALERTS
hl7:title
ST 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.2.11
  CONF
element content shall be "Allergies and Other Adverse Reactions"
-or-
element content shall be "Allergien und Unverträglichkeiten"
-or-
element content shall be "Allergies et autres réactions indésirables"
-or-
element content shall be "Allergie e altre reazioni avverse"
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Allergies and Other Adverse Reactions')  
  Message The English title MUST read 'Allergien und Unverträglichkeiten'  
  Schematron assert role red error  
  test not($languageCode='de') or (text()='Allergien und Unverträglichkeiten')  
  Message The German title must MUST read 'Allergien und Unverträglichkeiten'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Allergies et autres réactions indésirables')  
  Message The French title MUST read 'Allergies et autres réactions indésirables'  
  Schematron assert role red error  
  test not($languageCode='it') or (text()='Allergie e altre reazioni avverse')  
  Message The Italian title MUST read 'Allergie e altre reazioni avverse'  
hl7:text
SD.TEXT 1 … 1 M The narrative text for this section. IHE PCC TF2 Rev.11, 6.3.3.2.11
hl7:entry
1 … * M The narrative text in the text element of the section MUST be generated automatically from the information in this entry.
Contains 2.16.756.5.30.1.1.10.4.91 Allergies and Intolerances Concern Entry (DYNAMIC)
IHE PCC TF2 Rev.11, 6.3.3.2.11
treeblank where [@typeCode='DRIV'] [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.91'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.3'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1'] and hl7:templateId [@root='2.16.840.1.113883.10.20.1.27']]]
@typeCode
cs 1 … 1 F DRIV