hl7:observation
|
|
|
|
Allergies or intolerances are a special form of a 'Problem Entry'.
In relation with immunizations, substances in vaccines SHALL be recorded here, using
the WHO ATC Code along with a possible additional egg-protein allergy or a severe
eczema.
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@classCode
|
cs |
1 … 1 |
F |
OBS |
@moodCode
|
cs |
1 … 1 |
F |
EVN |
hl7:templateId
|
II |
1 … 1 |
M |
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.4.98 |
hl7:templateId
|
II |
1 … 1 |
|
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.4.6 |
hl7:templateId
|
II |
1 … 1 |
|
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.4.5 |
hl7:templateId
|
II |
1 … 1 |
|
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@root
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.20.1.28 |
hl7:id
|
II |
0 … 1 |
R |
An ID for this item MAY be filled for traceability. |
IHE PCC TF2 Rev.11, 6.3.4.15 |
@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
|
CD |
1 … 1 |
M |
The allergy or intolerance type code. |
IHE PCC TF2 Rev.11, 6.3.4.15 |
@code
|
cs |
1 … 1 |
R |
|
@codeSystem
|
oid |
1 … 1 |
F |
2.16.840.1.113883.5.4 |
@codeSystemName
|
st |
1 … 1 |
F |
ObservationIntoleranceType |
@displayName
|
st |
1 … 1 |
R |
|
| |
CONF |
|
| Included |
1 … 1 |
|
from 2.16.756.5.30.1.1.10.9.14 Narrative Text Reference (DYNAMIC)
The human-readable text MUST be generated automatically from the structured information
of this element. The text element MUST contain the reference to the corresponding
text in the human readable part, ONLY.
|
hl7:text
|
ED |
1 … 1 |
M |
|
CDA‑CH V2 |
hl7:reference
|
TEL |
1 … 1 |
M |
The reference to the corresponding text in the human readable part must be specified
by reference to content[@ID]: reference[@value='#xxx']
|
CDA‑CH V2 |
@value
|
|
1 … 1 |
R |
Reference to the narrative part of the section in the format '#xxx', where xxx is
the ID of the corresponding
element.
|
| |
Schematron assert |
role |
 error
|
|
| |
test |
starts-with(@value,'#') |
|
| |
Message |
The @value attribute content MUST conform to the format '#xxx', where xxx is the ID
of the corresponding <content/> element. |
|
| |
Variable let |
Name |
idvalue |
|
| |
Value |
substring-after(@value,'#') |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
ancestor::hl7:structuredBody//*[@ID=$idvalue] |
|
| |
Message |
No narrative text found for this reference (no content element within this document
has an ID that corresponds to '<value-of select="$idvalue"/>'). |
|
hl7:statusCode
|
CS |
1 … 1 |
M |
The statusCode shall be set to 'completed' for all allergies and intolerances.
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
| |
CONF |
|
hl7:effectiveTime
|
IVL_TS.CH.TZ |
1 … 1 |
R |
Indicates the time interval over which the allergy or intolerance is known to be true. |
IHE PCC TF2 Rev.11, 6.3.4.15 |
hl7:low
|
TS.CH.TZ |
1 … 1 |
M |
Point of time of the first occurance of the allergy or intolerance. |
IHE PCC TF2 Rev.11, 6.3.4.15 |
hl7:high
|
TS.CH.TZ |
0 … 1 |
C |
Point of time when the allergy or intolerance was no longer valid. For all other cases
this value remains empty.
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
hl7:value
|
CD |
0 … * |
|
This value can be either a coded value or uncoded text. The type is always xsi:type='CD'.
For coded values the attributes code, codeSystem, codeSystemName and displayName MUST
be present. For uncoded values, the nullFlavor='NAV' attribute and the originalText
element MUST be present.
The following value sets are allowed:
- CHOP: 2.16.756.5.30.1.126.3.1
- ICD-10: 2.16.756.5.30.1.126.3.2
- ICPC-2: 2.16.840.1.113883.6.139
- SNOMED CT: 2.16.840.1.113883.6.96
The SNOMED CT code '160245001', No current problems or disability (situation) MAY
be used to indicate that the patient doesn't currently suffer on any problem.
For special cases a code from the value set "Special Case Allergies/Intolerances"
SHALL be used.
In relation to eVACDOC, the value set 'Allergies for eVACDOC' contains the recommended
values.
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@nullFlavor
|
st |
0 … 1 |
F |
NAV |
@code
|
cs |
0 … 1 |
|
|
@codeSystem
|
oid |
0 … 1 |
|
|
@codeSystemName
|
st |
0 … 1 |
|
|
@displayName
|
st |
0 … 1 |
|
|
| |
CONF |
| @codeSystem shall be "2.16.756.5.30.1.126.3.1" |
| or |
| @codeSystem shall be "2.16.756.5.30.1.126.3.2" |
| or |
| @codeSystem shall be "2.16.840.1.113883.6.139" |
| or |
| @codeSystem shall be "2.16.840.1.113883.6.96" |
| or |
| The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.68 Special Case Allergies/Intolerances (DYNAMIC)
|
| or |
| The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.76 Allergies for eVACDOC (DYNAMIC)
|
|
| |
Schematron assert |
role |
error
|
|
| |
test |
(@code and @codeSystem) or (@nullFlavor='NAV') |
|
| |
Message |
Either a code with its code system or nullFlavor='NAV' is required. |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
not(@nullFlavor) or (hl7:originalText) |
|
| |
Message |
Other problems description MUST be declared in the originalText element in case of
nullFlavor. |
|
| Included |
0 … 1 |
C |
from 2.16.756.5.30.1.1.10.9.49 Original Text Reference (DYNAMIC)
The human-readable text MUST be generated automatically from the structured information
of this element. The text element MUST contain the reference to the corresponding
text in the human readable part, ONLY.
|
hl7:originalText
|
ED |
0 … 1 |
C |
|
CDA‑CH V2 |
hl7:reference
|
TEL |
1 … 1 |
M |
The reference to the corresponding text in the human readable part must be specified
by reference to content[@ID]: reference[@value='#xxx']
|
CDA‑CH V2 |
@value
|
|
1 … 1 |
R |
Reference to the narrative part of the section in the format '#xxx', where xxx is
the ID of the corresponding
element.
|
| |
Schematron assert |
role |
error
|
|
| |
test |
starts-with(@value,'#') |
|
| |
Message |
The @value attribute content MUST conform to the format '#xxx', where xxx is the ID
of the corresponding <content/> element. |
|
| |
Variable let |
Name |
idvalue |
|
| |
Value |
substring-after(@value,'#') |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
ancestor::hl7:structuredBody//*[@ID=$idvalue] |
|
| |
Message |
No narrative text found for this reference (no content element within this document
has an ID that corresponds to '<value-of select="$idvalue"/>'). |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
parent::*/text()=ancestor::hl7:structuredBody//*[@ID=$idvalue]/text() |
|
| |
Message |
The originalText content MUST be identical to the narrative text for this reference. |
|
hl7:author
|
|
0 … * |
|
This MAY be used to indicate who has documented the allergy or intolerance. This information
supersedes any information recorded at higher level.
Contains 2.16.756.5.30.1.1.10.9.48 Author Compilation with name (DYNAMIC)
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
 |
where [hl7:functionCode [concat(@code,@codeSystem)=doc('include/voc-2.16.756.5.30.1.127.3.10.1.1.3-DYNAMIC.xml')//valueSet
[1]/conceptList/concept/concat(@code,@codeSystem) or @nullFlavor]] |
|
|
hl7:participant
|
|
1 … * |
R |
This element SHALL indicate the substance which causes the allergy or intolerance. |
IHE PCC TF2 Rev.11, 6.3.4.15 |
@typeCode
|
cs |
1 … 1 |
F |
CSM |
hl7:participantRole
|
|
|
|
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@classCode
|
cs |
1 … 1 |
F |
MANU |
hl7:playingEntity
|
|
1 … 1 |
M |
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@classCode
|
cs |
1 … 1 |
F |
MMAT |
hl7:code
|
CD |
1 … 1 |
R |
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
@nullFlavor
|
st |
0 … 1 |
F |
NAV |
@code
|
cs |
0 … 1 |
|
|
@codeSystem
|
oid |
0 … 1 |
F |
2.16.840.1.113883.6.73 |
@codeSystemName
|
st |
0 … 1 |
F |
WHO ATC |
@displayName
|
st |
0 … 1 |
|
|
| |
Schematron assert |
role |
error
|
|
| |
test |
(@code and @codeSystem) or (@nullFlavor='NAV') |
|
| |
Message |
Either a code with its code system or nullFlavor='NAV' is required. |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
not(@nullFlavor) or (hl7:originalText) |
|
| |
Message |
Other allergies or intolerances description MUST be declared in the originalText element
in case of nullFlavor. |
|
| Included |
0 … 1 |
C |
from 2.16.756.5.30.1.1.10.9.49 Original Text Reference (DYNAMIC)
The human-readable text MUST be generated automatically from the structured information
of this element. The text element MUST contain the reference to the corresponding
text in the human readable part, ONLY.
|
hl7:originalText
|
ED |
0 … 1 |
C |
|
CDA‑CH V2 |
hl7:reference
|
TEL |
1 … 1 |
M |
The reference to the corresponding text in the human readable part must be specified
by reference to content[@ID]: reference[@value='#xxx']
|
CDA‑CH V2 |
@value
|
|
1 … 1 |
R |
Reference to the narrative part of the section in the format '#xxx', where xxx is
the ID of the corresponding
element.
|
| |
Schematron assert |
role |
error
|
|
| |
test |
starts-with(@value,'#') |
|
| |
Message |
The @value attribute content MUST conform to the format '#xxx', where xxx is the ID
of the corresponding <content/> element. |
|
| |
Variable let |
Name |
idvalue |
|
| |
Value |
substring-after(@value,'#') |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
ancestor::hl7:structuredBody//*[@ID=$idvalue] |
|
| |
Message |
No narrative text found for this reference (no content element within this document
has an ID that corresponds to '<value-of select="$idvalue"/>'). |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
parent::*/text()=ancestor::hl7:structuredBody//*[@ID=$idvalue]/text() |
|
| |
Message |
The originalText content MUST be identical to the narrative text for this reference. |
|
hl7:name
|
ST |
0 … 1 |
|
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
hl7:entryRelationship
|
|
0 … * |
|
Reactions that are manifestations of the allergy or intolerance.
Contains 2.16.756.5.30.1.1.10.4.97 Problem Entry (DYNAMIC)
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
|
where [@typeCode='MFST'] |
|
|
@typeCode
|
cs |
1 … 1 |
F |
MFST |
hl7:entryRelationship
|
|
0 … 1 |
|
Indicates the severity of the allergy or intolerance.
Contains 2.16.756.5.30.1.1.10.4.99 Severity Entry (DYNAMIC)
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
|
where [@typeCode='SUBJ'] |
|
|
@typeCode
|
cs |
1 … 1 |
F |
SUBJ |
@inversionInd
|
bl |
1 … 1 |
F |
true |
hl7:entryRelationship
|
|
0 … 1 |
|
Indicates the clinical status of the allergy or intolerance.
Contains 2.16.756.5.30.1.1.10.4.100 Problem Status Observation (DYNAMIC)
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
|
where [@typeCode='REFR'] |
|
|
@typeCode
|
cs |
1 … 1 |
F |
REFR |
@inversionInd
|
bl |
1 … 1 |
F |
false |
hl7:entryRelationship
|
|
0 … * |
|
Additional comments (annotations) for the allergy or intolerance.
Contains 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC)
|
IHE PCC TF2 Rev.11, 6.3.4.15 |
|
where [@typeCode='SUBJ'] |
|
|
@typeCode
|
cs |
1 … 1 |
F |
SUBJ |
@inversionInd
|
bl |
1 … 1 |
F |
true |
Template Allergy Or Intolerance Entry
Under pre-publication review
Narrative Text Reference (2017)