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Template IPSEntryAllergyOrIntolerance

This template reflects a discrete observation about a patient's allergy or intolerance. Because it is a discrete observation, it will have a statusCode of "completed".The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient.For a provider seeing a patient in the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime is five years ago.The effectiveTime of the Allergy - Intolerance Observation gives an indication of whether or not the underlying allergy/intolerance is resolved. If known to be resolved, then an effectiveTime/high would be present. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK". It is recommended that the agent responsible for an allergy or adverse reaction would be used for describing the allergy, however the possibility that pre-coordinate codes (e.g. "allergy to nuts") will be used has been here also considered.The agent responsible for an allergy or adverse reaction it is not always a manufactured material (for example, food allergies), nor is it necessarily consumed; however the playingEntity classCode = "MMAT" for all agents, manufactured or not is expected to be used. This choice depends on thecharacteristics of the base CDA R2 specification.

Actual version

Id

2.16.840.1.113883.10.22.4.1

Effective Date

2024‑08‑04 09:48:50

Other versions this id:

IPSEntryAllergyOrIntolerance as of 2016‑11‑10

Status

Draft

Version Label

STU2

Name

IPSEntryAllergyOrIntolerance

Display Name

IPS Allergy or Intolerance

Description

This template reflects a discrete observation about a patient's allergy or intolerance.

Because it is a discrete observation, it will have a statusCode of "completed".

The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient.

For a provider seeing a patient in the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime is five years ago.

The effectiveTime of the Allergy - Intolerance Observation gives an indication of whether or not the underlying allergy/intolerance is resolved. If known to be resolved, then an effectiveTime/high would be present.

If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".
It is recommended that the agent responsible for an allergy or adverse reaction would be used for describing the allergy, however the possibility that pre-coordinate codes (e.g. "allergy to nuts") will be used has been here also considered.
The agent responsible for an allergy or adverse reaction it is not always a manufactured material (for example, food allergies), nor is it necessarily consumed; however the playingEntity classCode = "MMAT" for all agents, manufactured or not is expected to be used. This choice depends on thecharacteristics of the base CDA R2 specification.

Context

Parent nodes of template element with id 2.16.840.1.113883.10.22.4.1

Classification

CDA Entry Level Template

Open/Closed

Open (other than defined elements are allowed)

Associated with

Associated with 12 concepts

Id	Name	Data Set
hl7ips-dataelement-173	Agent	CEN/TC 251 prEN 17269
hl7ips-dataelement-182	Allergies/Intolerances Content Status	CEN/TC 251 prEN 17269
hl7ips-dataelement-184	Allergy/Intolerance	CEN/TC 251 prEN 17269
hl7ips-dataelement-185	Diagnosis	CEN/TC 251 prEN 17269
hl7ips-dataelement-186	Clinical Status	CEN/TC 251 prEN 17269
hl7ips-dataelement-187	Onset date	CEN/TC 251 prEN 17269
hl7ips-dataelement-188	End Date	CEN/TC 251 prEN 17269
hl7ips-dataelement-189	Criticality	CEN/TC 251 prEN 17269
hl7ips-dataelement-190	Certainty	CEN/TC 251 prEN 17269
hl7ips-dataelement-191	Type of propensity	CEN/TC 251 prEN 17269
hl7ips-dataelement-192	Reaction	CEN/TC 251 prEN 17269
hl7ips-dataelement-196	Agent code	CEN/TC 251 prEN 17269

Uses

Uses 4 templates

Uses	as	Name	Version
2.16.840.1.113883.10.22.4.6	Containment	IPS Reaction Manifestation (STU2)	DYNAMIC
2.16.840.1.113883.10.22.4.18	Containment	IPS Criticality Observation (STU1)	DYNAMIC
2.16.840.1.113883.10.22.10	Containment	IPS Allergy Certainty Observation (STU1)	DYNAMIC
2.16.840.1.113883.10.22.4.21	Containment	IPS Allergy Status Observation (STU1)	DYNAMIC

Relationship

Specialization: template 2.16.840.1.113883.10.22.4.1 IPS Allergy or Intolerance (2016‑11‑10)
Adaptation: template 2.16.840.1.113883.10.20.1.18 Alert observation (DYNAMIC)

ref

ccd1-

Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC)

ref

ch-pcc-

Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.6 eHDSI Allergies And Intolerances (DYNAMIC)

ref

epsos-

Example

Example

No Known Allergies

Example

No Information available about allergies or intolerances

Example

Minimum Set (active propensity; agent known)

Item

DT

Card

Conf

Description

Label

hl7:observation

R

(IPS...nce)


	hl7ips-dataelement-184	Allergy/Intolerance	CEN/TC 251 prEN 17269

@classCode

cs

1 … 1

F

OBS

@moodCode

cs

1 … 1

F

EVN

hl7:templateId

II

1 … 1

M

(IPS...nce)

@root

uid

1 … 1

F

2.16.840.1.113883.10.22.4.1

hl7:id

II

0 … *

R

(IPS...nce)

hl7:code

CD.IPS

1 … 1

M

This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance).

(IPS...nce)


	hl7ips-dataelement-191	Type of propensity	CEN/TC 251 prEN 17269

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.2 Allergy or Intolerance Type (DYNAMIC)

hl7:text

ED

0 … 1

R

The text element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.</reference>

(IPS...nce)

hl7:reference

TEL

1 … 1

M

(IPS...nce)

@value

url

1 … 1

R

When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

hl7:statusCode

CS

1 … 1

M

A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.</statusCode>

(IPS...nce)

@code

cs

1 … 1

F

completed

hl7:effectiveTime

IVL_TS

1 … 1

M

The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime is five years ago. The effectiveTime of the Allergy - Intolerance Observation may give an indication of whether or not the underlying allergy/intolerance is resolved.
The <low> and <high> values should be no more precise than known, but as precise as possible.

(IPS...nce)

hl7:low

IVXB_TS

1 … 1

R

The effectiveTime/low (a.k.a. "onset date") asserts when the allergy/intolerance became biologically active.

(IPS...nce)


	hl7ips-dataelement-187	Onset date	CEN/TC 251 prEN 17269

hl7:high

IVXB_TS

0 … 1

C

The effectiveTime/high (a.k.a. "resolution date") asserts when the allergy/intolerance became biologically resolved.
If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".

(IPS...nce)


	hl7ips-dataelement-188	End Date	CEN/TC 251 prEN 17269

Constraint

If this condition is known to be resolved, then the effectiveTime/high would be present.

hl7:value

CD.IPS (preferred)

0 … 1

(IPS...nce)


	hl7ips-dataelement-185	Diagnosis	CEN/TC 251 prEN 17269

CONF

The value of @code comes preferably from value set 2.16.840.1.113883.11.22.10 IPS Allergy or Intolerance Conditions (DYNAMIC)

hl7:participant

0 … 1

C

The substance that causes the allergy or intolerance should be specified in the <participant> structure.
This is the preferred way an allergy is supposed to be expressed.
However it is recognized that in some contexts a controlled vocabulary is used for describing the allergy to a substance; or for asserting known absence or unavailability of information.
In this case the <participant> structure shall be omitted.
The agent responsible for an allergy or adverse reaction is not always a manufactured material (for example, food allergies), nor is it necessarily consumed. The following constraints reflect limitations in the base CDA R2 specification, and should be used to represent any type of responsible agent, i.e., use playingEntity classCode = "MMAT" for all agents, manufactured or not.

(IPS...nce)


	hl7ips-dataelement-173	Agent	CEN/TC 251 prEN 17269

@typeCode

cs

1 … 1

F

CSM

Constraint

IF the observation/value element is present and valued with a code derived form the 2.16.840.1.113883.11.22.9 Absent or Unknown Allergies value set THEN the observation/participant element used to describe the agent SHALL be omitted.

hl7:participantRole

1 … 1

R

(IPS...nce)

@classCode

cs

1 … 1

F

MANU

hl7:playingEntity

1 … 1

R

(IPS...nce)

@classCode

cs

1 … 1

F

MMAT

hl7:code

CD.IPS (preferred)

1 … 1

R

Code for the substance causing the allergy or intolerance.

(IPS...nce)


	hl7ips-dataelement-196	Agent code	CEN/TC 251 prEN 17269

CONF

The value of @code comes preferably from value set 2.16.840.1.113883.11.22.65 IPS Allergy or Intolerance Substances (DYNAMIC)

hl7:entryRelationship

0 … *

R

The contained entry describes the reactions that are manifestations (typeCode='MFST') of the reported allergy or intolerance.
Contains 2.16.840.1.113883.10.22.4.6 IPS Reaction Manifestation (DYNAMIC)

(IPS...nce)


	hl7ips-dataelement-192	Reaction	CEN/TC 251 prEN 17269

@typeCode

cs

1 … 1

F

MFST

@inversionInd

bl

1 … 1

F

true

hl7:entryRelationship

0 … 1

R

Criticality
The contained entry describes the gravity of the potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction in that individual.
Contains 2.16.840.1.113883.10.22.4.18 IPS Criticality Observation (DYNAMIC)

(IPS...nce)


	hl7ips-dataelement-189	Criticality	CEN/TC 251 prEN 17269

@typeCode

cs

1 … 1

F

SUBJ

@inversionInd

bl

1 … 1

F

true

hl7:entryRelationship

0 … 1

R

Certainty or Verification Status
The contained entry describes the certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
Contains 2.16.840.1.113883.10.22.10 IPS Allergy Certainty Observation (DYNAMIC)

(IPS...nce)


	hl7ips-dataelement-190	Certainty	CEN/TC 251 prEN 17269

@typeCode

cs

1 … 1

F

SUBJ

@inversionInd

bl

1 … 1

F

true

hl7:entryRelationship

0 … 1

R

Status of the Allergy or Intolerance
The contained entry describes the current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on ...
Contains 2.16.840.1.113883.10.22.4.21 IPS Allergy Status Observation (DYNAMIC)

(IPS...nce)


	hl7ips-dataelement-186	Clinical Status	CEN/TC 251 prEN 17269

@typeCode

cs

1 … 1

F

REFR

@inversionInd

bl

1 … 1

F

false

List of all versions of this template

2016-11-10 (Under pre-publication review)

@@ Line 5: / Line 5: @@
 =Template ''IPSEntryAllergyOrIntolerance''=
-<p>This template reflects a discrete observation about a patient's allergy or intolerance.
+<p>This template reflects a discrete observation about a patient's allergy or intolerance. Because it is a discrete observation, it will have a statusCode of "completed".The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient.For a provider seeing a patient in
-      Because it is a discrete observation, it will have a statusCode of "completed".The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient.For a provider seeing a patient in the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime is five years ago.The effectiveTime of the Allergy - Intolerance Observation gives an indication of whether or not the underlying allergy/intolerance is resolved. If known to be resolved, then an effectiveTime/high would be present. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK". It is recommended that the agent responsible for an allergy or adverse reaction would be used for describing the allergy, however the possibility that pre-coordinate codes (e.g. "allergy to nuts") will be used has been here also considered.The agent responsible for  an allergy or adverse reaction it is not always a manufactured material (for example, food allergies), nor is it necessarily consumed; however  the playingEntity classCode = "MMAT" for all agents, manufactured or not is expected to be used. This choice depends on thecharacteristics of the base CDA R2 specification.</p>
+                        the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime is five years ago.The effectiveTime of the Allergy - Intolerance Observation gives an indication of whether or not the underlying allergy/intolerance is resolved. If known to be resolved, then an effectiveTime/high would be present. If the
+                        date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK". It is recommended that the agent responsible for an allergy or adverse reaction would be used for describing the allergy, however the possibility that pre-coordinate codes (e.g. "allergy to nuts") will be used has been here also considered.The agent
+                        responsible for  an allergy or adverse reaction it is not always a manufactured material (for example, food allergies), nor is it necessarily consumed; however  the playingEntity classCode = "MMAT" for all agents, manufactured or not is expected to be used. This choice depends on thecharacteristics of the base CDA R2 specification.</p>
 ==Actual version==
 {{:{{BASEPAGENAME}}/dynamic}}
@@ Line 12: / Line 14: @@
 ==List of all versions of this template==
 *[[2.16.840.1.113883.10.22.4.1/static-2016-11-10T000000|2016-11-10 (Under pre-publication review)]]
-<!--5807fff21d2dc3da98ece5b16110a7621e43ef23-->
+<!--29d9354855241855ae67d9ed554bcbc9c07ee710-->

Difference between revisions of "2.16.840.1.113883.10.22.4.1"

Revision as of 14:14, 5 January 2021

Template IPSEntryAllergyOrIntolerance

Actual version

List of all versions of this template

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