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1 Template IPSAllergyAndIntoleranceConcern
1.1 Aktuelle Version
Id
2.16.840.1.113883.10.22.4.5
Gültigkeit ab
2024‑08‑04 10:09:24
Status
Entwurf
Versions-Label
STU2
Name
IPSAllergyAndIntoleranceConcern
Bezeichnung
IPS Allergy and Intolerance Concern
Beschreibung
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"
Kontext
Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.5
Klassifikation
CDA Entry Level Template
Offen/Geschlossen
Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt
Benutzt 1 Template
Benutzt
als
Name
Version
2.16.840.1.113883.10.22.4.1
Containment
IPS Allergy or Intolerance (STU2)
DYNAMIC
Beziehung
Spezialisierung: Template 2.16.840.1.113883.10.22.4.5 IPS Allergy and Intolerance Concern (2016‑11‑11)
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.
CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19890 x_ActStatusActiveComplete (DYNAMIC)
hl7:effectiveTime
IVL_TS
1 … 1
R
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.
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.
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
Meldung
If statusCode/@code="completed" Completed, then effectiveTime *SHALL* contain [1..1] high
hl7:entryRelationship
1 … *
R
Beinhaltet 2.16.840.1.113883.10.22.4.1 IPS Allergy or Intolerance (DYNAMIC)
@typeCode
cs
1 … 1
F
SUBJ
@inversionInd
bl
0 … 1
F
false
1.2 Zusammenstellung aller Versionen dieses Templates