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"
Template IPS Allergy and Intolerance Concern
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