Back To Index << Back To Templates

# Template Allergies And Intolerances

Id | 1.3.6.1.4.1.19376.1.5.3.1.4.6 | Effective Date | 2019‑02‑11 15:08:49 Other versions this id: eHDSIAllergiesAndIntolerances as of 2020‑04‑16 12:29:45 EntryAllergyAndIntolerance as of 2019‑11‑15 08:41:37 EntryAllergyAndIntolerance as of 2018‑11‑19 09:27:03 EntryAllergyAndIntolerance as of 2013‑12‑20
Status | Retired | Version Label |
Name | EntryAllergyAndIntolerance | Display Name | Allergies And Intolerances
Description
Allergies and intolerances are special kinds of problems, and so are also recorded in the CDA <observation> element, with classCode='OBS'. They follow the same pattern as the problem entry, with exceptions noted below. Parent Template This is a specialization of the IHE PCC Problem Entry 1.3.6.1.4.1.19376.1.5.3.1.4.5 and of the CCD alert observation template 2.16.840.1.113883.10.20.1.18
Context | Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.6
Classification | CDA Entry Level Template
Open/Closed | Open (other than defined elements are allowed)
Associated with |
Associated with 5 concepts
Id | Name | Dataset
--- | --- | ---
epsos-dataelement-208 | Agent description | epSOS Data Set
epsos-dataelement-209 | Agent Code | epSOS Data Set
epsos-dataelement-68 | Allergy description | epSOS Data Set
epsos-dataelement-69 | Allergy code | epSOS Data Set
epsos-dataelement-70 | Onset Date | epSOS Data Set
Used by / Uses |
Used by 0 transactions and 0 templates, Uses 2 templates
Uses | as | Name | Version
--- | --- | --- | ---
1.3.6.1.4.1.12559.11.10.1.3.1.3.7 | Containment | eHDSI Problem | DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.1 | Containment | eHDSI Severity | DYNAMIC
Relationship | Version: template 1.3.6.1.4.1.19376.1.5.3.1.4.6 IHE Allergies And Intolerances Entry (2013‑12‑20) ref IHE-PCC- Specialization: template 2.16.840.1.113883.10.20.1.18 Alert observation (DYNAMIC) ref ccd1- Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC) ref ch-pcc-
Example |
Example
<observation classCode="OBS" moodCode="EVN" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.1.18"/> <templateId root="2.16.840.1.113883.10.20.1.28"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.6"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/> <id root=" " extension=" "/> <!-- This is the code that shows what kind of allergy or intolerance derived from the epSOSAdverseEventType Value Set--> <code code="" codeSystem="2.16.840.1.113883.6.96"/> <text> <reference value=" "/> </text> <statusCode code="completed"/> <effectiveTime> <low value=" "/> <high value=" "/> </effectiveTime> <!-- value element is present only to indicate no known allergies, in all other cases is used for referenicng text in the narrative --> <value xsi:type="CD"/> <!-- This is the allergen - the substance that caused the allergy --> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code code=" " codeSystem=" "> <originalText> <reference value="#substance"/> </originalText> </code> <name/> </playingEntity> </participantRole> </participant> <!-- This is how the allergy manifests itself --> <entryRelationship typeCode="MFST"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.6.1"/> <!-- a problem entry --> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.54"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/> <!-- The code tells us that the observation is a symptom --> <code code="418799008" codeSystem="2.16.840.1.113883.6.96" displayName="Finding reported by subject or history provider" codeSystemName="SNOMED CT"/> <text> <reference value="#manifest-1"/> </text> <statusCode code="completed"/> <!-- The value tells us what the symptom (i.e. allergy manifestation) is --> <!-- This is where anaphylaxy or angiooedema will be coded --> <value xsi:type="CD" code=" " codeSystem=" " displayName=" " codeSystemName=" "/> </observation> </entryRelationship> <!-- This is how the severity of the allergy is described (Optional)--> <entryRelationship typeCode="SUBJ" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.55"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1"/> <!-- This code is from HL7 and indicates that the observation is about severity --> <code code="SEV" displayName="Severity" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/> <text> <reference value="#severity-1"/> </text> <statusCode code="completed"/> <!-- This code is from SNOMED, according to the epSOS value set--> <value xsi:type="CD" code="" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> </observation> </entryRelationship></observation>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:observation |  |  | R | This entry has a template identifier of 1.3.6.1.4.1.19376.1.5.3.1.4.6, and is a subtype of the Problem Entry, and so must also conform to the rules of the problem entry, which has the template identifier of 1.3.6.1.4.1.19376.1.5.3.1.4.5. These elements are required and shall be recorded exactly as shown above. 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. |
@classCode | cs | 1 … 1 | F | OBS
@moodCode | cs | 1 … 1 | F | EVN
@negationInd | bl | 0 … 1 |  |
hl7:templateId | II.EPSOS | 1 … 1 | R | IHE PCC Problem Entry |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.5
hl7:templateId | II.EPSOS | 1 … 1 | R | CCD Alert Observation |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.18
hl7:templateId | II.EPSOS | 1 … 1 | R |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.28
hl7:templateId | II.EPSOS | 1 … 1 | R |  |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.6
hl7:id | II.EPSOS | 0 … * | R |  |
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. |
epsos-dataelement-69 | Allergy code | epSOS Data Set
| CONF |
The value of @code SHALL be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.18 eHDSIAdverseEventType (DYNAMIC)
hl7:text | ED | 1 … 1 | R |  |
epsos-dataelement-68 | Allergy description | epSOS Data Set
hl7:reference | TEL | 1 … 1 | M |  |
@value |  | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode | CS | 1 … 1 | R |  |
@code | CONF | 0 … 1 | F | completed
hl7:effectiveTime | IVL_TS | 0 … 1 | R |  |
epsos-dataelement-70 | Onset Date | epSOS Data Set
hl7:value | CD | 0 … * | R | The value element shall be present in a coded or uncoded form. In both cases the type shall be set to xsi:type='CD'. In the case of no information or known absence of allergies, one of the following codes from the eHDSIAbsentOrUnknownAllergy value set has to be used:
no-allergy-info no-known-allergies no-known-medication-allergies no-known-environmental-allergies no-known-food-allergies |  |
If one of these values is used, the participant used for indicating the allergy agent shall be omitted. 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. |
hl7:participant |  | 0 … 1 | C | The substance that causes the allergy or intolerance should be specified in the <participant> structure. This is the preferred way an allergy is supposed to be expressed. However it is recognized that in some contexts a controlled vocabulary is used for describing the allergy to a substance; or for asserting known absence or unavailability of information. In this case the <participant> structure shall be omitted. 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. |
@typeCode | cs | 1 … 1 | F | CSM
| Constraint | IF the observation/value element is present and valued with a code indicating the known absence/no information on allergies THEN the observation/participant element used to describe the agent SHALL be omitted.
hl7:participantRole |  | 1 … 1 | R |  |
@classCode | cs | 1 … 1 | F | MANU
hl7:playingEntity |  | 1 … 1 | R |  |
@classCode | cs | 1 … 1 | F | MMAT
hl7:code | CD.EPSOS | 1 … 1 | R | Code for the substance causing the allergy or intolerance. |
epsos-dataelement-209 | Agent Code | epSOS Data Set
| CONF |
The value of @code SHALL be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.19 eHDSIAllergenNoDrug (DYNAMIC)
or
The value of @code SHALL be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 eHDSIActiveIngredient (DYNAMIC)
hl7:name | PN | 0 … * | R | Name for the substance causing the allergy or intolerance. |
epsos-dataelement-208 | Agent description | epSOS Data Set
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') 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 Probl em 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 1.3.6.1.4.1.12559.11.10.1.3.1.3.7 eHDSI Problem (DYNAMIC) |
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 1.3.6.1.4.1.19376.1.5.3.1.4.1 eHDSI Severity (DYNAMIC) |
| Example | <!-- The encompasing condition or allergy observation --> <observation classCode="COND" moodCode="EVN"> <!-- ... --> <entryRelationship typeCode="SUBJ" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.55"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1"/> <code code="SEV" displayName="Severity" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/> <text> <reference value="#severity-2"/> </text> <statusCode code="completed"/> <!-- This code is from SNOMED, according to the epSOS value set--> <value xsi:type="CD" code="" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> </observation> </entryRelationship> <!-- ... --> </observation>