| Id | 2.16.840.1.113883.10.22.4.5 | Effective Date | valid from 2016‑11‑11 |
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| Status |  Draft | Version Label | |
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| Name | IPSAllergyAndIntoleranceConcern | Display Name | IPS Allergy and Intolerance Concern |
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| Description |
This template reflects an ongoing concern on behalf of the person that placed the allergy on a patient’s allergy list.
A concern may refer to one or more allergies or intolerances.
There are different kinds of status that could be related to an allergy, or more in general to a condition:
- The status of the concern (active, inactive,..)
- The status of the condition (e.g. active, inactive, resolved,..)
- The confirmation status [clinical workflow status, certainty] (e.g. confirmed, likely, unlikely,…)
Not all of them can be represented in a CDA using the statusCode elements of the concern (ACT) and observation (condition).
As long as the underlying condition is of concern to the author (i.e., as long as the allergy, whether active or resolved, is of ongoing concern and interest to the author), the statusCode is “active”.
In case the clinician deems that there is no longer any need to track the underlying conditions then the concern is inactive and the statusCode is set to "completed".
The effectiveTime/low of the Allergy Concern Act asserts when the concern became active. This equates to the time the concern was authored in the patient's chart.
The effectiveTime/high asserts when the concern became inactive, and it is present if the statusCode of the concern act is "completed"
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| Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.4.5 |
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| Classification | CDA Entry Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| Used by / Uses | | Used by 0 transactions and 2 templates, Uses 1 template | | Used by | as | Name | Version |
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| 2.16.840.1.113883.10.22.3.2 | Containment | IPS Allergies and Intolerances Section | 2016‑11‑11 | | 2.16.840.1.113883.10.22.1.1 |  | International Patient Summary | 2017‑04‑11 | | Uses | as | Name | Version |
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| 2.16.840.1.113883.10.22.4.1 | Containment | IPS Allergy or Intolerance | DYNAMIC |
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| Relationship | Adaptation: template 2.16.840.1.113883.10.12.301 (2005‑09‑07)
Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.5.3 (2013‑12‑20) |
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| Example | | Example | <act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.22.4.5"/> <id root="1.2.3.999" extension="__example only__"/> <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/> <statusCode code="active"/> <effectiveTime>
<low value="..."/> <high value="..."/> </effectiveTime> <entryRelationship typeCode="SUBJ" inversionInd="false">
<!-- template 2.16.840.1.113883.10.22.4.1 'IPS Allergy or Intolerance' (dynamic) -->
</entryRelationship></act> |
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| Item | DT | Card | Conf | Description | Label |
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| | 0 … * | R | | (IPS...ern) |  | @classCode
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| cs | 1 … 1 | F | ACT | | @moodCode
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| cs | 1 … 1 | F | EVN | | hl7:templateId
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| II | 1 … 1 | M | | (IPS...ern) |  | | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.5 | | hl7:id
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| II | 0 … * | R | | (IPS...ern) | | hl7:code
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| CD | 1 … 1 | M | | (IPS...ern) | | | @code
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| CONF | 1 … 1 | F | CONC | | | @codeSystem
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| 1 … 1 | F | 2.16.840.1.113883.5.6 (ActClass) | | hl7:statusCode
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| CS | 1 … 1 | R | As long as the underlying conditions are of concern to the author (i.e., as long as allergies, whether active or resolved, is of ongoing concern and interest to the author), the statusCode is “active”. The concern is tracked by the author.
Only when the underlying allergies are no longer of concern then the statusCode is set to “completed”. The author is no more tracking this concern and no further actions are expected. | (IPS...ern) | | | CONF | | The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19890 x_ActStatusActiveComplete (DYNAMIC) |
| | hl7:effectiveTime
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| IVL_TS | 1 … 1 | R | | (IPS...ern) | | | hl7:low
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| IVXB_TS | 1 … 1 | R | This element asserts when the concern became active. This equates to the time the concern was authored in the patient's chart and the author started tracking this concern. | (IPS...ern) | | | hl7:high
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| IVXB_TS | 0 … 1 | C | This element asserts when the clinician deemed there is no longer any need to track the underlying conditions. | (IPS...ern) | | | Constraint | If statusCode/@code="completed" Completed, then effectiveTime *SHALL* contain [1..1] high | | | Schematron assert | role |  error | | | | test | not(../hl7:statusCode[@code='completed']) or hl7:high | | | | Message | If statusCode/@code="completed" Completed, then effectiveTime *SHALL* contain [1..1] high | | | hl7:entryRelationship
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| | 1 … * | R | Contains 2.16.840.1.113883.10.22.4.1 IPS Allergy or Intolerance (DYNAMIC) | (IPS...ern) | | where [hl7:observation [hl7:code [concat(@code,@codeSystem)=doc('include/voc-2.16.840.1.113883.11.22.2-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code,@codeSystem)]]] |
| | | | @typeCode
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| cs | 1 … 1 | F | SUBJ | | | @inversionInd
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| bl | 0 … 1 | F | false |
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Draft
