Template 2.16.840.1.113883.10.20.22.2.77 - BCCDAAllergy-IntoleranceObservationV2

Template BC CDA Allergy - Intolerance Observation (V2)

Id 2.16.840.1.113883.10.20.22.2.77 Effective Date 2019‑03‑31 09:08:58

Status Draft Version Label 2.1

Name BCCDAAllergy-IntoleranceObservationV2 Display Name BC CDA Allergy - 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.

Classification CDA Entry Level Template

Open/Closed Open (other than defined elements are allowed)

Used by / Uses

Used by 0 transactions and 3 templates, Uses 4 templates

Used by	as	Name	Version
2.16.840.1.113883.10.20.22.2.61	Containment	BC CDA Allergy Concern Act (V3) (2.1)	2019‑03‑15 13:09:01
2.16.840.1.113883.10.20.22.2.62		BC CDA Allergies and Intolerances Section (entries optional) (V3) (2.1)	2019‑03‑15 13:13:08
2.16.840.1.113883.3.51.60.2.4.1		BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)	2019‑03‑19 14:15:51
Uses	as	Name	Version
2.16.840.1.113883.10.20.22.2.81	Containment	BC CDA Author (Body)	DYNAMIC
2.16.840.1.113883.10.20.22.2.58	Containment	Reaction Observation (V2) (2.1)	DYNAMIC
2.16.840.1.113883.10.20.22.2.59	Containment	Severity Observation (V2) (2.1)	DYNAMIC
2.16.840.1.113883.10.20.22.2.84	Containment	Criticality Observation (2.1)	DYNAMIC

Relationship

Specialization: template 2.16.840.1.113883.10.20.22.2.77 (2019‑03‑08 04:36:16)

ref

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

ref

ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.2.77 (2013‑01‑31)

ref

Item DT Card Conf Description Label

cda:observation

(BCCnV2)

@classCode

1 … 1

OBS

CONF7379

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

1 … 1

EVN

CONF7380

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

0 … 1

MAY contain zero or one [0..1] @negationInd (CONF:1098-31526).

CONF1526

hl7:templateId

1 … 1

(BCCnV2)

@root

uid

1 … 1

2.16.840.1.113883.10.20.22.2.77

cda:templateId

1 … 1

SHALL contain exactly one [1..1] templateId (CONF:1098-7381) such that it

CONF7381

@root

uid

1 … 1

2.16.840.1.113883.10.20.22.2.57

CONF0488

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.7" (CONF:1098-10488).

@extension

1 … 1

2014-06-09

CONF2526

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32526).

cda:id

1 … *

SHALL contain at least one [1..*] id (CONF:1098-7382).

CONF7382

cda:code

1 … 1

SHALL contain exactly one [1..1] code (CONF:1098-15947).

CONF5947

@code

CONF

1 … 1

ASSERTION

@codeSystem

1 … 1

2.16.840.1.113883.5.4 (Act Code)

cda:statusCode

1 … 1

SHALL contain exactly one [1..1] statusCode (CONF:1098-19084).

CONF9084

@code

CONF

1 … 1

completed

cda:effectiveTime

IVL_TS

1 … 1

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7387).

CONF7387

cda:low

1 … 1

This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-31538).

CONF1538

cda:high

0 … 1

This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31539).

CONF1539

cda:value

1 … 1

SHALL 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).

CONF7390

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 … *

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31143).
Contains 2.16.840.1.113883.10.20.22.2.81 BC CDA Author (Body) (DYNAMIC)

CONF1143

where [hl7:assignedAuthor [@classCode = 'ASSIGNED']]

cda:participant

1 … 1

SHALL contain exactly one [1..1] participant (CONF:1098-7402) such that it

CONF7402

@typeCode

1 … 1

CSM

CONF7403

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 … 1

SHALL contain exactly one [1..1] participantRole (CONF:1098-7404).

CONF7404

@classCode

1 … 1

MANU

CONF7405

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 … 1

This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-7406).

CONF7406

@classCode

1 … 1

MMAT

CONF7407

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

1 … 1

This 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).

CONF7419

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 … *

Contains 2.16.840.1.113883.10.20.22.2.58 Reaction Observation (V2) (DYNAMIC)

CONF7447

where [cda:observation [hl7:templateId [@root = '2.16.840.1.113883.10.20.22.2.58'] and cda:templateId [@root = '2.16.840.1.113883.10.20.22.2.58'] [@extension = '2014-06-09']]]

@typeCode

1 … 1

MFST

CONF7907

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

1 … 1

true

CONF7449

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7449).

cda:entryRelationship

0 … 1

Contains 2.16.840.1.113883.10.20.22.2.59 Severity Observation (V2) (DYNAMIC)

CONF9961

where [cda:observation [hl7:templateId [@root = '2.16.840.1.113883.10.20.22.2.59'] and cda:templateId [@root = '2.16.840.1.113883.10.20.22.2.59'] [@extension = '2014-06-09']]]

@typeCode

1 … 1

SUBJ

CONF9962

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

1 … 1

true

CONF9964

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-9964).

cda:entryRelationship

0 … 1

Contains 2.16.840.1.113883.10.20.22.2.84 Criticality Observation (DYNAMIC)

CONF2910

where [cda:observation [hl7:templateId [@root = '2.16.840.1.113883.10.20.22.2.84'] and cda:templateId [@root = '2.16.840.1.113883.10.20.22.2.84']]]

@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) (CONF:1098-32911).

@inversionInd

0 … 1

true

CONF2912

SHALL contain zero or one [0..1] @inversionInd="true" True (CONF:1098-32912).

Template BC CDA Allergy - Intolerance Observation (V2)