Id2.16.840.1.113883.10.20.22.4.7Effective Date2014‑06‑09
Statusdraft DraftVersion Label2.1
NameAllergy-IntoleranceObservationV2Display NameAllergy - Intolerance Observation (V2)
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 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". 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.7
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 9 transactions and 19 templates, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.25Transactionfinal Discharge Summary (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29Transactionfinal Progress Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.26Transactionfinal History and Physical (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22Transactionfinal Consultation Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.28Transactionfinal Procedure Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transactionfinal Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.30Transactionfinal Referral Note (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transactionfinal Care Plan (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.61.26.10.61Containmentdraft Allergy Concern Act (V3) (2.1)2019‑03‑09 13:34:13
2.16.840.1.113883.3.1937.99.61.30.10.54Containmentcancelled Health Concern Act (harmonized) (0.1)2020‑10‑08 10:55:41
2.16.840.1.113883.3.1937.99.61.67.10.24Containmentcancelled XeH Alert Act2021‑04‑20 10:00:04
2.16.840.1.113883.3.1937.99.61.67.10.25Containmentcancelled XeH Risk Concern Act2021‑04‑20 10:06:56
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.6linkdraft Procedure Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13linkdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.14linkdraft Referral Note (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.6linkdraft Allergies and Intolerances Section (entries optional) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.6.1linkdraft Allergies and Intolerances Section (entries required) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.58linkdraft Health Concerns Section (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.30Containmentdraft Allergy Concern Act (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.132Containmentdraft Health Concern Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.136Containmentdraft Risk Concern Act (V2) (2.1)2015‑08‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.8Containmentdraft Severity Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.9Containmentdraft Reaction Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.119Containmentdraft Author Participation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.145Containmentdraft Criticality Observation (2.1)2015‑08‑13
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.7 Allergy - Intolerance Observation (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:observation
AlledotsonV2
@classCode
cs1 … 1FOBSCONFdots7379
 SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7379).
@moodCode
cs1 … 1FEVNCONFdots7380
 SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7380).
@negationInd
bl0 … 1 MAY contain zero or one [0..1] @negationInd (CONF:1098-31526).CONFdots1526
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.7
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-7381) such that itCONFdots7381
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.7CONFdots0488
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.7" (CONF:1098-10488).
@extension
st1 … 1F2014-06-09CONFdots2526
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32526).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-7382).CONFdots7382
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:1098-15947).CONFdots5947
@code
CONF1 … 1FASSERTION
@codeSystem
1 … 1F2.16.840.1.113883.5.4
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:1098-19084).CONFdots9084
@code
CONF1 … 1Fcompleted
cda:effectiveTime
IVL_TS1 … 1MSHALL contain exactly one [1..1] effectiveTime (CONF:1098-7387).CONFdots7387
cda:low
1 … 1This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-31538).CONFdots1538
cda:high
0 … 1This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31539).CONFdots1539
cda:value
CD1 … 1MSHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Allergy and Intolerance Type urn:oid:2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:1098-7390).CONFdots7390
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.6.2 Allergy/Adverse Event Type (DYNAMIC)
cda:author
0 … *RSHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31143).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)
CONFdots1143
cda:participant
1 … 1MSHALL contain exactly one [1..1] participant (CONF:1098-7402) such that itCONFdots7402
@typeCode
cs1 … 1FCSMCONFdots7403
 SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-7403).
cda:participantRole
1 … 1MSHALL contain exactly one [1..1] participantRole (CONF:1098-7404).CONFdots7404
@classCode
cs1 … 1FMANUCONFdots7405
 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:1098-7405).
cda:playingEntity
1 … 1MThis participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-7406).CONFdots7406
@classCode
cs1 … 1FMMATCONFdots7407
 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:1098-7407).
cda:code
CD1 … 1This playingEntity SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Substance-Reactant for Intolerance urn:oid:2.16.840.1.113762.1.4.1010.1 DYNAMIC (CONF:1098-7419).CONFdots7419
 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 … *RContains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2014‑06‑09)CONFdots7447
@typeCode
cs1 … 1FMFSTCONFdots7907
 SHALL contain exactly one [1..1] @typeCode="MFST" Is Manifestation of (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7907).
@inversionInd
bl1 … 1FtrueCONFdots7449
 SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7449).
cda:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.22.4.8 Severity Observation (V2) (2014‑06‑09)CONFdots9961
@typeCode
cs1 … 1FSUBJCONFdots9962
 SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-9962).
@inversionInd
bl1 … 1FtrueCONFdots9964
 SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-9964).
 ConstraintUse of the Severity Observation at this level of the Allergy-intolerance template is deprecated. It SHOULD NOT be used here.
cda:entryRelationship
0 … 1RContains 2.16.840.1.113883.10.20.22.4.145 Criticality Observation (2015‑08‑13)CONFdots2910
@typeCode
cs1 … 1FSUBJCONFdots2911
 SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32911).
@inversionInd
bl1 … 1FtrueCONFdots2912
 SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-32912).
 Schematron assertrolered error 
 testnot(hl7:entryRelationship/hl7:observation/hl7:code[@code='SEV']) 
 MessageUse of the Severity Observation at this level of the Allergy-intolerance template is deprecated. It SHOULD NOT be used here.