TEMPLATE epSOS Allergy and Other Adverse Reactions Section 1.3.6.1.4.1.19376.1.5.3.1.3.13 (epSOS Allergy and Other Adverse Reactions Section 1.3.6.1.4.1.19376.1.5.3.1.3.13)

TEMPLATE IDepSOS Allergy and Other Adverse Reactions Section 1.3.6.1.4.1.19376.1.5.3.1.3.13
ConceptepSOS Allergy and Other Adverse Reactions Section 1.3.6.1.4.1.19376.1.5.3.1.3.13
DescriptionRepresents openEHR mapping to epSOS CDA Allergy and Other Adverse Reactions Section
UseNormally used in context of epSOS Patient Summary
PurposeRepresents openEHR mapping to epSOS CDA Allergy and Other Adverse Reactions Section
References
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1013.26.8
Root archetype idopenEHR-EHR-SECTION.adhoc.v1
Allergies and Other Adverse Reactions Section epSOS::1.3.6.1.4.1.19376.1.5.3.1.3.13Allergies and Other Adverse Reactions Section epSOS::1.3.6.1.4.1.19376.1.5.3.1.3.13: A generic section header.
Adverse ReactionAdverse Reaction: A harmful or undesirable, unexpected effect associated with exposure to any substance or agent, including food, plants, animals, venom from animal stings, or a medication at therapeutic or sub-therapeutic doses.

Annotations

  • CDA Mappings.CDA Template Name: Allergy & Intolerance Concern Entry
  • CDA Mappings.CDA Template Name OID: 1.3.6.1.4.1.19376.1.5.3.1.4.5.3
Allergy AgentAllergy Agent: Identification of a substance, agent, or a class of substance, that is considered to be responsible for the Adverse Reaction.
Substance/Agent should be coded with a terminology, where possible.
Value set: terminology:WHO?subset=ATC&language=en-GB

Annotations

  • CDA Mappings.Template Node Name: R5.4 Allergy Agent Description
  • CDA Mappings.Template Node Path: entry/act[templateId/@root=‘2.16.840.1.113883.10.20.1.27’]/entryRelationship[@typeCode=’SUBJ’]/observation[templateId/@root=’1.3.6.1.4.1.19376.1.5.3.1.4.6’]/participant[@typeCode=’CSM’]/participantRole[@classCode=’MANU’]/playingEntity[@classCode=’MMAT]/code/@displayName
  • CDA Mappings.Template Node Path CodedText : entry/act[templateId/@root=‘2.16.840.1.113883.10.20.1.27’]/entryRelationship[@typeCode=’SUBJ’]/observation[templateId/@root=’1.3.6.1.4.1.19376.1.5.3.1.4.6’]/participant[@typeCode=’CSM’]/participantRole[@classCode=’MANU’]/playingEntity[@classCode=’MMAT]/code/@code
  • CDA Mappings.Template Node Path Notes: If the allergenic agent is a medicament:WHO ATC 2.16.840.1.113883.6.73; If not:epSOSAllergenNoDrugs 2.16.840.1.113883.6.96
Allergy Display NameAllergy Display Name: Clinical manifestation of the Adverse Reaction expressed as a single word, phrase or brief description, e.g. nausea or rash.
Manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part a list of adverse reactions, as recommended in the NHS CUI guidelines.
Value set: terminology:epSOS?subset=ReactionAllergy&language=en-GB

Annotations

  • CDA Mappings.Template Node Name: R5.1 Allergy Display Name
  • CDA Mappings.Template Node Path: entry/act[templateId/@root=‘2.16.840.1.113883.10.20.1.27’]/entryRelationship[@typeCode=’SUBJ’]/observation[templateId/@root=’1.3.6.1.4.1.19376.1.5.3.1.4.6’]/entryRelationship[@typeCode=’MFST’]/observation[templateId/@root=’2.16.840.1.113883.10.20.1.54’]/value/@displayName
  • CDA Mappings.Template Node Path Notes: See Guidance
Reaction TypeReaction Type: The type of Adverse Reaction as determined by the clinician.
Coding of the reaction type is preferred, where possible. Examples: Immune mediated - Types I-IV (including allergy and hypersensitivity); Non-immune mediated - including pseudoallergic reaction, side effect, intolerance, drug toxicity, drug-drug interaction, food-drug interaction, drug-disease interaction and idiosyncratic reaction.
Value set: terminology:epSOS?subset=AdverseEventType&language=en-GB

Annotations

  • CDA Mappings.Template Node Name: R5.2 Allergy id code
  • CDA Mappings.Template Node Path: entry/act[templateId/@root=‘2.16.840.1.113883.10.20.1.27’]/entryRelationship[@typeCode=’SUBJ’]/observation[templateId/@root=’1.3.6.1.4.1.19376.1.5.3.1.4.6’]/code/@code
Allergy Onset DateAllergy Onset Date: Record of the date and/or time of the onset of the Adverse Reaction.

Annotations

  • CDA Mappings.Template Node Name: R5.3 Allergy Onset DAte
  • CDA Mappings.Template Node Path: entry/act[templateId/@root='2.16.840.1.113883.10.20.1.27’]/entryRelationship[@typeCode=’SUBJ’]/observation[templateId/@root=’1.3.6.1.4.1.19376.1.5.3.1.4.6’]/effectiveTime/low/@value
Exclusion statement - Adverse ReactionExclusion statement - Adverse Reaction: Statements about Adverse Reactions that need to be positively recorded as absent or excluded.
Global StatementGlobal Statement: Global statements about the exclusion. This can be used to capture any information that is needed to be explicitly recorded as being absent or excluded within the record.
  • No known adverse reactions 
Default value: No known adverse reactions