SubstanceorDeviceAllergy-IntoleranceObservationV2

Template Substance or Device Allergy - Intolerance Observation (V2) 2014‑06‑09

2.16.840.1.113883.10.20.24.3.90

Effective Date

2014‑06‑09

Status

Draft

Version Label

2.1

Name

SubstanceorDeviceAllergy-IntoleranceObservationV2

Display Name

Substance or Device Allergy - Intolerance Observation (V2)

Description

This template reflects a discrete observation about a patient's allergy or intolerance to a substance or device. 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 Substance or Device Allergy - Intolerance Observation is the definitive 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".

Context

Parent nodes of template element with id 2.16.840.1.113883.10.20.24.3.90

Classification

CDA Entry Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 1 transaction and 7 templates, Uses 5 templates

Used by	as	Name	Version
2.16.840.1.113883.3.1937.99.3.4.21	Transaction	Care Plan (V2)	2015‑08‑01
2.16.840.1.113883.3.1937.99.61.30.10.54	Containment	Health Concern Act (harmonized) (0.1)	2020‑10‑08 10:55:41
2.16.840.1.113883.3.1937.99.61.67.10.24	Containment	XeH Alert Act	2021‑04‑20 10:00:04
2.16.840.1.113883.3.1937.99.61.67.10.25	Containment	XeH Risk Concern Act	2021‑04‑20 10:06:56
2.16.840.1.113883.10.20.22.1.15		Care Plan (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.2.58		Health Concerns Section (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.132	Containment	Health Concern Act (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.136	Containment	Risk Concern Act (V2) (2.1)	2015‑08‑01
Uses	as	Name	Version
2.16.840.1.113883.10.20.22.4.8	Containment	Severity Observation (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.9	Containment	Reaction Observation (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.28	Containment	Allergy Status Observation (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.119	Containment	Author Participation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.145	Containment	Criticality Observation (2.1)	2015‑08‑13

Relationship

Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)

ref

ad1bbr-

Version: template 2.16.840.1.113883.10.20.24.3.90 Substance or Device Allergy - Intolerance Observation (2013‑01‑31)

Item

Card

Conf

Description

Label

cda:observation

SubsonV2

@classCode

1 … 1

OBS

CONF6303

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16303).

@moodCode

1 … 1

EVN

CONF6304

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16304).

cda:templateId

1 … 1

C-CDA R1.1 templateId root without an extension

CONF2936

@root

uid

1 … 1

2.16.840.1.113883.10.20.24.3.90

cda:templateId

1 … 1

SHALL contain exactly one [1..1] templateId (CONF:1098-16305) such that it

CONF6305

@root

uid

1 … 1

2.16.840.1.113883.10.20.24.3.90

CONF6306

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.90" (CONF:1098-16306).

@extension

1 … 1

2014-06-09

CONF2527

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32527).

cda:id

1 … *

SHALL contain at least one [1..*] id (CONF:1098-16307).

CONF6307

cda:code

1 … 1

SHALL contain exactly one [1..1] code (CONF:1098-16345).

CONF6345

@code

CONF

1 … 1

ASSERTION

@codeSystem

1 … 1

2.16.840.1.113883.5.4

cda:statusCode

1 … 1

SHALL contain exactly one [1..1] statusCode (CONF:1098-16308).

CONF6308

@code

CONF

1 … 1

completed

cda:effectiveTime

IVL_TS

1 … 1

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16309).

CONF6309

cda:low

1 … 1

This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-31536).

CONF1536

cda:high

0 … 1

This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31537).

CONF1537

cda:value

1 … 1

SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-16312).

CONF6312

@code

1 … 1

This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Allergy and Intolerance Type urn:oid:2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:1098-16317).

CONF6317

cda:author

0 … *

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31144).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)

CONF1144

cda:participant

0 … *

SHOULD contain zero or more [0..*] participant (CONF:1098-16318) such that it

CONF6318

@typeCode

1 … 1

CSM

CONF6319

SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-16319).

cda:participantRole

1 … 1

SHALL contain exactly one [1..1] participantRole (CONF:1098-16320).

CONF6320

@classCode

1 … 1

MANU

CONF6321

This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1098-16321).

cda:playingEntity

1 … 1

This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-16322).

CONF6322

@classCode

1 … 1

MMAT

CONF6323

This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:1098-16323).

cda:code

1 … 1

This playingEntity SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Substance-Reactant for Intolerance urn:oid:2.16.840.1.113762.1.4.1010.1 DYNAMIC (CONF:1098-16324).

CONF6324

CONF

The value of @code shall be drawn from value set 2.16.840.1.113762.1.4.1010.1 Substance-Reactant for Intolerance (DYNAMIC)

cda:entryRelationship

0 … 1

MAY contain zero or one [0..1] entryRelationship (CONF:1098-16333) such that it

SHALL contain exactly one [1..1] @typeCode=""SUBJ"" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16335).

SHALL contain exactly one [1..1] @inversionInd=""true"" True (CONF:1098-16334).

SHALL contain exactly one [1..1] Allergy Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.28:2019-06-20) (CONF:1098-16336)."
Contains 2.16.840.1.113883.10.20.22.4.28 Allergy Status Observation (2014‑06‑09)

CONF6333

@typeCode

1 … 1

SUBJ

CONF6335

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16335).

@inversionInd

1 … 1

true

CONF6334

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16334).

cda:entryRelationship

0 … *

Contains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2014‑06‑09)

CONF6337

@typeCode

1 … 1

MFST

CONF6339

SHALL contain exactly one [1..1] @typeCode="MFST" Is Manifestation of (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16339).

@inversionInd

1 … 1

true

CONF6338

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16338).

cda:entryRelationship

0 … 1

SHOULD NOT contain zero or one [0..1] entryRelationship (CONF:1098-16341)

Contains 2.16.840.1.113883.10.20.22.4.8 Severity Observation (V2) (2014‑06‑09)

CONF6341

@typeCode

1 … 1

SUBJ

CONF6342

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16342).

@inversionInd

1 … 1

true

CONF6343

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16343).

cda:entryRelationship

0 … 1

SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-32935)

Contains 2.16.840.1.113883.10.20.22.4.145 Criticality Observation (2015‑08‑13)

CONF2913

@typeCode

1 … 1

SUBJ

CONF2911

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16342).

@inversionInd

0 … 1

true

CONF2912

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16343).

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Template Substance or Device Allergy - Intolerance Observation (V2) 2014‑06‑09