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Template _Allergy Concern Act (harmonized) 2020‑10‑16 13:50:40

Id2.16.840.1.113883.3.1937.99.61.30.10.57Effective Date2020‑10‑16 13:50:40
Statusdraft DraftVersion Labelwip
NamePCAllergyConcernActDisplay Name_Allergy Concern Act (harmonized)
Description
C-CDA

This template reflects an ongoing concern on behalf of the provider that placed the allergy on a patient’s allergy list. As long as the underlying condition is of concern to the provider (i.e., as long as the allergy, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “active”. Only when the underlying allergy is no longer of concern is the statusCode set to “completed”. The effectiveTime reflects the time that the underlying allergy was felt to be a concern. The statusCode of the Allergy Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Allergy - Intolerance Observation is the definitive indication of whether or not the underlying allergy is resolved. 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 was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).

IPS

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"
ContextParent nodes of template element with id 2.16.840.1.113883.3.1937.99.61.30.10.57
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 2 templates
Uses as NameVersion
2.16.840.1.113883.3.1937.99.61.30.10.58Containmentdraft _Allergy - Intolerance Observation (harmonization)) (wip)DYNAMIC
2.16.840.1.113883.10.20.22.4.119Containmentdraft Author Participation (2.1)2015‑08‑13
RelationshipGeneralization: template 2.16.840.1.113883.10.20.22.4.30 Allergy Concern Act (V3) (2015‑08‑01)
ref
ccda-
ItemDTCardConfDescriptionLabel
cda:act
IPS = C-CDAPCAldotsnAct
@classCode
cs1 … 1FACTCONFdots7469
 C-CDA
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7469).
@moodCode
cs1 … 1FEVNCONFdots7470
 C-CDA
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7470).
hl7:templateId
II1 … 1MPCAldotsnAct
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.30.10.57
cda:id
II1 … *RC-CDA
SHALL contain at least one [1..*] id (CONF:1198-7472).

IPS
0...R *
CONFdots7472
cda:code
CD1 … 1MIPS= C-CDA

C-CDA
SHALL contain exactly one [1..1] code (CONF:1198-7477).
a. This code SHALL contain exactly one [1..1] @code="CONC" Concern (CONF:1198-19158).
b. This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32154).
CONFdots7477
@code
CONF1 … 1FCONC
@codeSystem
1 … 1F2.16.840.1.113883.5.6
cda:statusCode
CS1 … 1RC-CDA
SHALL contain exactly one [1..1] statusCode (CONF:1198-7485).
a. This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-19086).

IPS
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.

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19890 x_ActStatusActiveComplete (DYNAMIC)
----------------------------

CONFdots7485
cda:effectiveTime
1 … 1MIPS = C-CDA

C-CDA

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-7498).
CONFdots7498
 Schematron assertrolered error 
 testnot(../cda:statusCode[@code='completed']) or cda:high 
 MessageIf statusCode/@code="completed" Completed, then effectiveTime *SHALL* contain [1..1] high 
cda:low
IVXB_TS1 … 1RIPS
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.
CONFdots7498
cda:high
IVXB_TS0 … 1CIPS
This element asserts when the clinician deemed there is no longer any need to track the underlying conditions.
CONFdots7498
cda:author
0 … *RC-CDA
SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31145).

IPS
No explicit author
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)
CONFdots1145
cda:entryRelationship
1 … *MC-CDA
contains: 2.16.840.1.113883.10.20.22.4.7 Allergy - Intolerance Observation (V2) (2014-06-09T00:00:00)

IPS
Contains 2.16.840.1.113883.10.22.4.1 IPS Allergy or Intolerance (DYNAMIC)

Contains 2.16.840.1.113883.3.1937.99.61.30.10.58 _Allergy - Intolerance Observation (harmonization)) (DYNAMIC)
CONFdots7509
@typeCode
cs1 … 1FSUBJCONFdots7915
 C-CDA

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-7915).


@inversionInd
cs0 … 1Ffalse