Draft| Used by 0 transactions and 1 template, Uses 5 templates | ||||||||||||||||||||||||||||||||
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| Item | DT | Card | Conf | Description | Label | |||
|---|---|---|---|---|---|---|---|---|
| hl7:observation | Alle ntry | |||||||
| @classCode | cs | 1 … 1 | F | OBS | ||||
| @moodCode | cs | 1 … 1 | F | EVN | ||||
| @negationInd | bl | 0 … 1 | ||||||
| hl7:templateId | II | 1 … 1 | M | Allentry | ||||
| @root | uid | 1 … 1 | F | 1.3.182.11.10.3.4 | ||||
| hl7:code | CD | 1 … 1 | R | The <code> element represents the kind of allergy observation made, to a drug, food or environmental agent, and whether it is an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance). The <code> element of an allergy entry shall be provided, and a code and codeSystem attribute shall be present. | Allentry | |||
| CONF |
| |||||||
| hl7:text | ED | 1 … 1 | R | Description of the clinical manifestation of the allergy reaction. Example: Anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction) | Allentry | |||
| hl7:reference | TEL | 1 … 1 | M | Allentry | ||||
| @value | st | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 | ||||
| hl7:statusCode | CS | 1 … 1 | R | Allentry | ||||
| @code | cs | 1 … 1 | F | completed | ||||
| hl7:effectiveTime | IVL_TS | 0 … 1 | R | The effectiveTime, also referred to as the "biologically relevant time" (OnSet 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. In cases where the OnSet time cannot be determined, it may be kept optional. The effectiveTime of the Allergy - Intolerance Observation may give an indication of whether or not the underlying allergy/intolerance is resolved. The <low> and <high> values should be no more precise than known, but as precise as possible. | Allentry | |||
| hl7:value | CD | 0 … 1 | R | The value element describes the allergy or adverse reaction and shall be present in a coded form (or for eHDSI uncoded form). In both cases the type shall be set to xsi:type='CD'. To indicate if there is no known allergy, or if there is no information, values from the valueset 1.3.182.10.63.1 shall be used. The coded form of the observation value can be used : In all other cases it shall be in its uncoded form and may contain a <reference> to the <originalText> in the narrative where the allergy is described.
| Allentry | |||
| CONF |
| |||||||
| hl7:participant | 0 … * | C | The substance that causes the allergy or intolerance shall be specified in the <participant> structure. The <code> element shall be present. It may contain a code and codeSystem attribute to indicate the code for the substance causing the allergy or intolerance. It shall contain a <reference> to the <originalText> in the narrative where the substance is named. | Allentry | ||||
| @typeCode | cs | 1 … 1 | F | CSM | ||||
| Constraint | Conditional: Omit if Observation.value is SNOMED-CT 716186003 No known allergy | |||||||
| hl7:participantRole | 1 … 1 | M | Allentry | |||||
| @classCode | cs | 1 … 1 | F | MANU | ||||
| hl7:playingEntity | 1 … 1 | M | Allentry | |||||
| @classCode | cs | 1 … 1 | F | MMAT | ||||
| hl7:code | CE | 1 … 1 | R | Code of the Allergen: The <code> element shall be present. It may contain a code and codeSystem attribute to indicate the code for the substance causing the allergy or intolerance. It shall contain a <reference> to the <originalText> in the narrative where the substance is named. | Allentry | |||
| hl7:originalText | ED | 1 … 1 | M | Allentry | ||||
| hl7:reference | TEL | 1 … 1 | M | Allentry | ||||
| hl7:author | 0 … 1 | Contains 1.3.182.11.10.3.14 eHDSI Author (Body) (DYNAMIC) | Allentry | |||||
| hl7:entryRelationship | 0 … * | R | An allergy entry can record the reactions that are manifestations of the allergy or intolerance as shown below. It uses a related entry (<entryRelationship>) that indicates the manifestations (typeCode='MFST') of the reported allergy or intolerance. These are events that may occur, or have occurred in the past as a reaction to the allergy or intolerance<entryRelationship typeCode='MFST'> The entry contained with this entry relationship is some sort of problem that is a manifestation of the allergy. It is recorded using the Problem Entry structure. Note: the 1.3.6.1.4.1.19376.1.5.3.1.4.5 requires that also the template ID '2.16.840.1.113883.10.20.1.28' is included. Contains 1.3.182.11.10.3.2 eHDSI Problem Entry (DYNAMIC) | Allentry | ||||
| @typeCode | cs | 1 … 1 | F | MFST | ||||
| hl7:entryRelationship | 0 … 1 | R | An optional <entryRelationship> element may be present indicating the severity of the problem. If present, this <entryRelationship> element shall contain a severity observation conforming to the Severity entry template (1.3.6.1.4.1.19376.1.5.3.1.4.1). The related statement is made about the severity of the condition, concern, or allergy). This observation is recorded inside an <entryRelationship> element occurring in the containing entry. The containing <entry> is the subject (typeCode='SUBJ') of this new observation, which is the inverse of the normal containment structure, thus inversionInd='true'. The related statement is another event (moodCode='EVN') observing (<observation classCode='OBS'>) the severity of the (surrounding) related entry (e.g., a condition or allergy). Contains 1.3.182.11.10.3.6 eHDSI Severity Entry (DYNAMIC) | Allentry | ||||
| @typeCode | cs | 1 … 1 | F | SUBJ | ||||
| @inversionInd | cs | 1 … 1 | F | true | ||||
| hl7:entryRelationship | 0 … 1 | R | Contains 1.3.182.11.10.3.16 eHDSI Criticality Observation (DYNAMIC) | Allentry | ||||
| @typeCode | cs | 1 … 1 | F | SUBJ | ||||
| @inversionInd | cs | 1 … 1 | F | true | ||||
| hl7:entryRelationship | 0 … 1 | Contains 1.3.182.11.10.3.3 eHDSI Comment Entry (DYNAMIC) | Allentry | |||||
| @typeCode | cs | 1 … 1 | F | SUBJ | ||||
| @inversionInd | bl | 1 … 1 | F | true | ||||