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ref Template  Allergy / Intolerance Observation

Id 1.2.276.0.76.10.4066 Gültigkeit gültig ab 2014‑06‑09

Es gibt Versionen von Templates mit dieser Id:
  • Allergyintoleranceobservation vom 2015‑09‑18
  • Allergyintoleranceobservation vom 2014‑06‑09
Status retired Obsolet Versions-Label
Name Allergyintoleranceobservation Anzeigename Allergy / Intolerance Observation
Kontext Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4066
Klassifikation CDA Entry Level Template
Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit
Assoziiert mit 2 Konzepte
Id Name Datensatz
aktin-dataelement2015(1)-31 Allergie Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-31 Allergie Basismodul-Datensatz v2015.2-b
Beziehung Spezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Adaptation: Template 2.16.840.1.113883.10.20.22.4.7 (2014‑06‑09)
Beispiel
Antibiotika-Allergie bekannt seit 2010
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4066"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4adc1020-7b14-11db-9fe1-0800200c9a66"/>  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <effectiveTime>
    <low value="2010"/>  </effectiveTime>  <value xsi:type="CV" code="419199007" displayName="Adverse reaction (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>  <participant typeCode="CSM">
    <participantRole classCode="MANU">
      <playingEntity classCode="MMAT">
        <code code="281647001" codeSystem="2.16.840.1.113883.6.96" displayName="Antimicrobial substance (substance)">
          <originalText>
            <reference value="#alg-1"/>          </originalText>        </code>      </playingEntity>    </participantRole>  </participant></observation>
Beispiel
Keine Kontrastmittel-Allergie/Unverträglichkeit bekannt (negationInd=true)
<observation classCode="OBS" moodCode="EVN" negationInd="true">
  <templateId root="1.2.276.0.76.10.4066"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4adc1020-7b14-11db-9fe1-0800200c9a66"/>  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <effectiveTime nullFlavor="NA"/>  <value xsi:type="CV" code="281647001" displayName="Adverse reaction (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>  <participant typeCode="CSM">
    <participantRole classCode="MANU">
      <playingEntity classCode="MMAT">
        <code code="385420005" codeSystem="2.16.840.1.113883.6.96" displayName="Contrast media (substance)">
          <originalText>
            <reference value="#alg-2"/>          </originalText>        </code>      </playingEntity>    </participantRole>  </participant></observation>
Beispiel
Sonstige Allergie: Hühnereiweiss (Der Freitext steht im zugehörigen Section.text, hier referenziert durch #alg-4)
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4066"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4adc1020-7b14-11db-9fe1-0800200c9a66"/>  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <effectiveTime nullFlavor="NA"/>  <value xsi:type="CV" code="281647001" displayName="Adverse reaction (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>  <participant typeCode="CSM">
    <participantRole classCode="MANU">
      <playingEntity classCode="MMAT">
        <code nullFlavor="OTH">
          <originalText>
            <reference value="#alg-4"/>          </originalText>        </code>      </playingEntity>    </participantRole>  </participant></observation>
Beispiel
Keine Allergie/Unverträglichkeit bekannt (negationInd=true)
<observation classCode="OBS" moodCode="EVN" negationInd="true">
  <templateId root="1.2.276.0.76.10.4066"/>  <id root="1.2.276.0.76.4.17.9814184919" extension="4adc1020-7b14-11db-9fe1-0800200c9a66"/>  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <!-- N/A - author/time records when this assertion was made -->
  <effectiveTime nullFlavor="NA"/>  <value xsi:type="CV" code="419199007" displayName="Adverse reaction (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></observation>
Item DT Kard Konf Beschreibung Label
hl7:observation
 (Allergyintoleranceobservation)
@classCode
 1 … 1 F OBS
@moodCode
 1 … 1 F EVN
@negationInd
 bl 0 … 1  
  target Ziel der Konzept Id(s):
aktin-dataelement2015(1)-31 Allergie Basismodul-Datensatz v2015.1-b
aktin-dataelement2015(2)-31 Allergie Basismodul-Datensatz v2015.2-b
hl7:templateId
 II 1 … 1 M (Allergyintoleranceobservation)
@root
 1 … 1 F 1.2.276.0.76.10.4066
hl7:id
 II 1 … * M (Allergyintoleranceobservation)
hl7:code
 CV 1 … 1 M (Allergyintoleranceobservation)
@code
 CONF 1 … 1 F ASSERTION
@codeSystem
 1 … 1 F 2.16.840.1.113883.5.4 (Act Code)
hl7:statusCode
 CS 1 … 1 M (Allergyintoleranceobservation)
hl7:effectiveTime
 IVL_TS 1 … 1 R (Allergyintoleranceobservation)
hl7:low
 TS 0 … 1 R (Allergyintoleranceobservation)
hl7:high
 TS 0 … 1 R (Allergyintoleranceobservation)
hl7:value
 CV 1 … 1 M (Allergyintoleranceobservation)
@code
 CONF 1 … 1 F 281647001
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
hl7:participant
 0 … 1 R (Allergyintoleranceobservation)
@typeCode
 1 … 1 F CSM
hl7:participantRole
 1 … 1 M (Allergyintoleranceobservation)
@classCode
 1 … 1 F MANU
hl7:playingEntity
 1 … 1 M (Allergyintoleranceobservation)
@classCode
 1 … 1 F MMAT
hl7:code
 CE 1 … 1 R (Allergyintoleranceobservation)
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.52 Allergy / intolerance substances (2015‑03‑26)