2.16.840.1.113883.10.22.4.5/static-2016-11-11T000000

Id	2.16.840.1.113883.10.22.4.5	Effective Date	valid from 2016‑11‑11
Status	Draft	Version Label
Name	IPSAllergyAndIntoleranceConcern	Display Name	IPS Allergy and Intolerance Concern
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. Different statuses could be considered in relation 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 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 become inactive, and it is present if the statusCode of the concern act is "completed"
Context	Parent nodes of template element with id 2.16.840.1.113883.10.22.4.5
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 2 templates, Uses 1 template Used by as Name Version 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 2.16.840.1.113883.10.22.4.1 Containment IPS Allergy or Intolerance DYNAMIC
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)
Example	Example <act classCode="ACT" moodCode="EVN">   <templateId root="2.16.840.1.113883.3.1937.777.13.10.6"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>  <statusCode code="active|completed"/>  <effectiveTime>     <low value=" "/>    <high value=" "/>  </effectiveTime>  <!-- 1..* entry relationships identifying allergies of concern -->   <entryRelationship typeCode="SUBJ" inversionInd="false">     <observation classCode="OBS" moodCode="EVN">       <!-- template 2.16.840.1.113883.3.1937.777.13.10.24 'IPS Allergies and Intolerances' (dynamic) -->     </observation>  </entryRelationship></act>
Item DT Card Conf Description Label hl7:act 0 … * R (IPSAlle… @classCode cs 1 … 1 F ACT @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M (IPSAlle… @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.5 hl7:id II 0 … * R (IPSAlle… hl7:code CD 1 … 1 M (IPSAlle… @code CONF 1 … 1 F CONC @codeSystem 1 … 1 F 2.16.840.1.113883.5.6 (ActClass) hl7:statusCode 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. (IPSAlle…   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.4 ActStatusActiveCompleted (2017‑03‑06) hl7:effectiveTime IVL_TS 1 … 1 R (IPSAlle… hl7:low 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. (IPSAlle… hl7:high IVXB_TS 0 … 1 C This element asserts when the clinician deemed there is no longer any need to track the underlying conditions. (IPSAlle…   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 1 … * R Contains 2.16.840.1.113883.10.22.4.1 IPS Allergy or Intolerance (DYNAMIC) (IPSAlle… where [hl7:observation [hl7:code [concat(@code,@codeSystem)=doc('include/voc-2.16.840.1.113883.11.22.2-2016-12-06T000000.xml')//valueSet [1]/conceptList/concept/concat(@code,@codeSystem)]]] @typeCode cs 1 … 1 F SUBJ @inversionInd bl 0 … 1 F false