Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

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Resource Profile: Allergy Concern Act

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.30				Version: 2.2
Active as of 2022-05-13				Computable Name: AllergyConcernAct
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.30:2015-08-01

This template reflects an ongoing concern on behalf of the provider that placed the allergy on a patients allergy list. As long as the underlying condition is of concern to the provider (i.e., as long as the allergy, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is active. Only when the underlying allergy is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying allergy was felt to be a concern.

The statusCode of the Allergy Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Allergy - Intolerance Observation is the definitive indication of whether or not the underlying allergy is resolved.

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 was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).

Usage:

• Use this Resource Profile: Allergies and Intolerances Section (entries required), Allergies and Intolerances Section (entries optional)

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Act.templateId:primary.nullFlavor	required	NullFlavor
Act.code	extensible	ActCode
Act.code.nullFlavor	required	NullFlavor
Act.statusCode	required	ActStatus
Act.statusCode.nullFlavor	required	NullFlavor
Act.statusCode.code	required	https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19
Act.priorityCode	extensible	ActPriority
Act.languageCode	required	HumanLanguage
Act.subject.typeCode	required	Fixed Value: SBJ
Act.subject.contextControlCode	required	Fixed Value: OP
Act.subject.awarenessCode	extensible	TargetAwareness
Act.informant.typeCode	required	Fixed Value: INF
Act.informant.contextControlCode	required	Fixed Value: OP

Constraints

Id	Grade	Path	Details	Requirements
1198-10085	error	Act.effectiveTime	If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). :
1198-7504	error	Act.effectiveTime	If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). :
act-er-1	error	Act.entryRelationship	Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
act-er-1	error	Act.entryRelationship:allergyObs	Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1