CDA+-+Allergies+Section

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Allergies-1: entryRelationship
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 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"** ||
 * || Not specified in CCD ||
 * || Not specified in HITSP C83. HITSP Allergy/Drug Sensitivity Module conforms to IHE Allergy and Intolerance Concern template. ||
 * || SHALL [1..*] entryRelationship@typeCode='SUBJ'/observation@classCode='OBS'@moodCode='EVN'/templateId@root='allergy_observation_template' IHE 6.3.4.13.5 ||
 * **Proposal** || **SHALL [1..*] entryRelationship@typeCode='SUBJ'; each entryRelationship SHALL [1..1] observation@classCode='OBS'@moodCode='EVN' tempalteId/@root='allergy_observation_template'** ||

Allergies-2: code
The 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 element of an allergy entry shall be provided, and a code and codeSystem attribute shall be present. The IHE example uses the HL7 ObservationIntoleranceType vocabulary domain, which does provide suitable observation codes. Other vocabularies may be used, such as SNOMED-CT or MEDCIN. The displayName and codeSystemName attributes should be present.. || (Back to the top)
 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"/ observationcda:templateId/@root='allergy_observation_template'** ||
 * || Not specified in CCD ||
 * || SHALL [1..1] code. The value of code SHALL be selected from value set specified by HITSP/C80 Section 2.2.3.4.2 Allergy/Adverse Event Type. HITSP C154-DE-6.02-1 ||
 * || SHALL [1..1] code. The code SHALL [1..1] @code, SHALL [1..1] @codeSystem. IHE 6.3.4.15.4.
 * **Proposal** || **SHALL [1..1] code. The code SHALL [1..1] @code, and SHALL [1..1] @codeSytem, both @code and @codeSystem SHALL be selected from Allergy/Adverse Event Type value set (HITSP/C80 Section 2.2.3.4.2).** ||

Allergies-3: value
Observation/value MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.4 AlertTypeCode STATIC 20061017. CCD CONF-267 || If coded, value@xsi:type='CD' SHALL [1..1] @code and @codeSystem. If uncoded, all attributes other than xsi:type='CD' SHALL be absent. || (Back to the top)
 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"/ observationcda:templateId/@root='allergy_observation_template'** ||
 * || The cardinality of value is not specified by CCD.
 * || Not specified in HITSP C83. ||
 * || SHALL [1..1] value. The value SHALL have "CD" data type (xsi:type='CD'). If value is coded, value@xsi:type='CD' SHALL [1..1] @code, and [1..1] @codeSystem. If value is uncoded, all attributes other than xsi:type='CD' must be absent. The is a description of the allergy or adverse reaction. IHE 6.3.4.15.5. ||
 * **Old Proposal** || SHALL [1..1] value. The value SHALL have data type 'CD' (xsi:type='CD').
 * **New Proposal** || **Updated on 3/25/2011**
 * SHALL [1..1] value. The value SHALL have data type 'CD' (xsi:type='CD').**
 * If coded, value@xsi:type='CD' SHALL [1..1] @code and @codeSystem.**
 * If uncoded, value SHALL [1..1] @nullFlavor='UNK'.** ||

Allergies-4: participant
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 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"/ observationcda:templateId/@root='allergy_observation_template'** ||
 * || SHOULD [1..*] participant CCD CONF-273 ||
 * || Not specified in HITSP ||
 * || Not specified in IHE ||
 * **Proposal** || **SHOULD [1..*] participant** ||

Allergies-5: playingEntity_code
Allergies to a class of medication SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.9 Medication Drug Class HITSP C154-DE-6.04-2 Allergies to a specific medication SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.7 Medication Brand Name or HITSP/C80 Section 2.2.3.3.8 Medication Clinical Drug Names. HITSP C154-DE-6.04-3 || For food and substance allergies, the value of code SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.11 Ingredient Name For allergies to a class of medication, the value of code SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.9 Medication Drug Class For allergies to a specific medication, the value of code SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.7 Medication Brand Name or HITSP/C80 Section 2.2.3.3.8 Medication Clinical Drug Names. Entry narrative reference link || (Back to the top)
 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"/ observationcda:templateId/@root='allergy_observation_template'/participant /participantRole /playingEntity** ||
 * || SHALL [1..1] code. The value of code SHOULD be selected from the RxNorm (2.16.840.1.113883.6.88) code system for medications, and from the CDC Vaccine Code (2.16.840.1.113883.6.59) code system for immunizations. CCD CONF-278, CONF-279 ||
 * || Food and substance allergies SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.11 Ingredient Name. HITSP C154-DE-6.04-1
 * || SHALL [1..1] code. The code SHALL [1..1] originalText/reference (pointing to original narrative) ||
 * **Old Proposal** || SHALL [1..1] code. The value of code SHALL be selected as below:
 * **New Proposal** || **Updated on 3/28/2011**
 * SHALL [1..1] code. The value of code SHALL be selected as below:**
 * For food and substance allergies, the value of code SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.11 Ingredient Name**
 * For allergies to a class of medication, the value of code SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.9 Medication Drug Class**
 * For allergies to a specific medication, the value of code SHALL be coded as specified in HITSP/C80 Section 2.2.3.3.7 Medication Brand Name or HITSP/C80 Section 2.2.3.3.8 Medication Clinical Drug Names.**
 * The code SHOULD [0..1] originalText/reference, which points to narrative allergy or intolerance description** ||

Allergies-6: value (Allergy reaction observation value)
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 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"/ observationcda:templateId/@root='allergy_observation_template'/entryRelatioinship@typeCode='MFST'/observationtemplateId/@root='reaction_observation_template'** ||
 * || Allergy manifestation reaction observation value code set binding is not specified by CCD. ||
 * || The reaction SHALL be coded as specified in HITSP/C80 Section 2.2.3.4.1 Allergy/Adverse Event (Reaction) HITSP C154-DE-6.06-1 ||
 * || Allergy manifestation reaction observation value code set binding is not specified by IHE. ||
 * **Proposal** || **Observation/value SHALL be selected from value set (HITSP/C80 Section 2.2.3.4.1 Allergy/Adverse Event )**** ||

Allergies-7: entryRelationship (Allergy severity observation)
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 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"/ observationcda:templateId/@root='allergy_observation_template'** ||
 * || Not specified in CCD ||
 * || Not specified in HITSP ||
 * || SHOULD [0..1] entryRelationship@typeCode='SUBJ'@inversionInd='true', which SHALL [1..1] observation templateId/@root='severity_observation_template' IHE 6.3.4.15.11 ||
 * **Proposal** || **SHOULD [0..1] entryRelationship@typeCode='SUBJ'@inversionInd='true', which SHALL [1..1] observation templateId/@root='severity_observation_template'** ||

Allergies-8: value (Allergy severity observation value)
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 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"/ observationcda:templateId/@root='allergy_observation_template'/entryRelatioinship@typeCode='SUBJ'@inversionInd='true'/observationtemplateId/@root='severity_observation_template'** ||
 * || Not specified in CCD ||
 * || The severity of the adverse event SHALL be coded as specified in HITSP/C80 Section 2.2.3.4.3 Allergy/Adverse Event Severity. HITSP C154-DE-6.08-1 ||
 * || Not specified in HIE ||
 * **Proposal** || **Observation/value SHALL be selected from value set (HITSP/C80 Section 2.2.3.4.3 Allergy/Adverse Event Severity)** ||

Allergies-9: entryRelationship (comments)
An allergy observation may have 0 or more comments, every comment conforms to comment template. || (Back to the top)
 * **Element [clinicalDocument/component**
 * /structuredBody/component/section/]** || **entry/acttemplateId/@root="allergy_drugSensitivity_act_template"/ observationcda:templateId/@root='allergy_observation_template'/entryRelatioinship@typeCode='SUBJ'@inversionInd='true'/acttemplateId/@root='comment_template'** ||
 * || Not specified in CCD ||
 * || Not specified in HITSP ||
 * || MAY [0..*] entryRelationship@typeCode='SUBJ'@inversionInd='true'/acttemplateId/@root='comment_template' ||
 * **Old Proposal** || Allergy observation MAY 0.* entryRelationship@typeCode='SUBJ'@inversionInd='true'/acttemplateId/@root='comment_template'
 * **New Proposal** || **Omit comments template (decision from Problems section)** ||