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"
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
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.
(IPSern)
CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19890x_ActStatusActiveComplete (DYNAMIC)
hl7:effectiveTime
IVL_TS
1 … 1
R
(IPSern)
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.
(IPSern)
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.
(IPSern)
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
Template IPS Allergy and Intolerance Concern
Draft
ern)
error
