HELP!!!! Entry Section for "No Known Allergies" and "Allergy Unassessed"

[SathishKumar S]

Hi,

        How "No Known Allergies" and "Allergy Unassessed" entry nodes are represented in CCD XML. Do both are same or they vary. Please suggest me with a sample entry, i stuck up in middle.

Thanks,

Sash,

[SathishKumar S]

Is this correct??

<observation classCode="OBS" moodCode="EVN" negationInd="true>

                  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>

                  <statusCode code="completed"/>

                  <value type="CV" code="160244002" displayName="No known allergies" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>

</observation> 

Regards,

Sash

[gdr...@gmail.com]

On Monday, October 7, 2013 5:35:24 AM UTC-4, SathishKumar S wrote:
> Hi,         How "No Known Allergies" and "Allergy Unassessed" entry nodes are represented in CCD XML. Do both are same or they vary. Please suggest me with a sample entry, i stuck up in middle.Thanks,Sash,

Motorcycle Guy's blog has some information and examples at http://motorcycleguy.blogspot.com/2012/08/i-know-not-vs-i-dont-know.html

[br...@riverrockassociates.com]

Hi Sash,

 

HL7 doesn't have an official response/recommendation but they did include an example for 'No Known Medication Allergies' is the C-CDA sample file CCD_2.xml. You can update to generic 'No Known Allergies' by removing the participant.

 

For the unassessed, I recommend using a nullFlavor of NI unless you know explicitly that the clinician didn't ask.

 

Hope this helps,

Brett

 

On Monday, October 7, 2013 5:35:24 AM UTC-4, SathishKumar S wrote:

[SathishKumar S]

A Sample till now i got while surfing is below.. But till now i didnt get a sample for "160244002" SNOMED CT code "No Known Allergies".. whatever i tried i end up with ttt tool error...

<cda:section>

                    <cda:templateId root="2.16.840.1.113883.10.20.22.2.6.1" />

                    <!-- Allergies (entries required) section template -->

                    <cda:code code="48765-2" codeSystem="2.16.840.1.113883.6.1" />

                    <cda:title>Medication Allergies</cda:title>

                    <cda:text>

                        <table width="100%" border="1">

                            <thead>

                                <tr>

                                    <th>Allergen</th>

                                    <th>Status</th>

                                </tr>

                            </thead>

                            <tbody>

                                <tr>

                                    <td colspan="2">No Known Allergy</td>

                                </tr>

                            </tbody>

                        </table>

                    </cda:text>

                    <cda:entry typeCode="DRIV">

                        <cda:act classCode="ACT" moodCode="EVN">

                            <!-- ** Allergy problem act ** -->

                            <cda:templateId root="2.16.840.1.113883.10.20.22.4.30" />

                            <cda:id root="200b7b4e-dcc2-47d2-8bce-2ce612dd4647" />

                            <cda:code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergies, adverse reactions, alerts" />

                            <cda:statusCode code="active" />

                            <cda:effectiveTime nullFlavor="UNK">

                                <cda:low nullFlavor="UNK" />

                            </cda:effectiveTime>

                            <cda:entryRelationship typeCode="SUBJ" inversionInd="true">

                                <cda:observation classCode="OBS" moodCode="EVN" negationInd="true">

                                    <!-- allergy - intolerance observation template -->

                                    <cda:templateId root="2.16.840.1.113883.10.20.22.4.7" />

                                    <cda:id root="4adc1020-7b14-11db-9fe1-0800200c9a66" />

                                    <cda:code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />

                                    <cda:statusCode code="completed" />

                                    <!-- date/time the patient made the assertion -->

                                    <cda:effectiveTime nullFlavor="UNK">

                                        <cda:high nullFlavor="UNK" />

                                    </cda:effectiveTime>

                                    <cda:value xsi:type="CD" code="419199007" displayName="Allergy to substance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />

                                </cda:observation>

                            </cda:entryRelationship>

                        </cda:act>

                    </cda:entry>

                </cda:section>

Please any one give me a sample.

Regards,

Sash

[br...@riverrockassociates.com]

Hi Sash,

 

If you have a moment, please post your sample file (test patient only).

 

I tested with your excerpt in a good sample and didn't receive any errors.

 

Note, your effectiveTime of "UNK" should be updated to the patient's birthdate, or the time you are asserting no known allergies.

 

Take care,

Brett

 

On Monday, October 7, 2013 5:35:24 AM UTC-4, SathishKumar S wrote:

[Aleksey Kontsevich]

Where can we download this sample? Thanks.

четверг, 17 октября 2013 г., 22:22:54 UTC+3 пользователь br...@riverrockassociates.com написал:

[Brett Marquard]

Good morning

 

Take  a peek here: http://wiki.hl7.org/index.php?title=CDA_Example_Task_Force

 

Direct link to no known allergy example: https://github.com/brettmarquard/HL7-C-CDA-Task-Force-Examples/blob/master/No_Known_Allergies_Status_with_Author_Timestamp.xml

 

Best,

Brett

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[Aleksey Kontsevich]

Thanks, Brett

I saw these samples - they are for CCD 1.1 version. You've mentioned above about C-CDA sample file CCD_2.xml - version 2.0, no?

вторник, 7 июля 2015 г., 16:58:34 UTC+3 пользователь Brett Marquard написал:

[Brett Marquard]

The sample files are included in the HL7 download package at hl7.org

 

http://www.hl7.org/documentcenter/public/standards/dstu/CDAR2_IG_CCDA_CLINNOTES_R2_D1_2014NOV.zip

 

HL7 will be updating these with the C-CDA r2.1 release which is planned for August.

 

From: transport-t...@googlegroups.com [mailto:transport-t...@googlegroups.com] On Behalf Of Aleksey Kontsevich
Sent: Tuesday, July 07, 2015 4:16 PM
To: transport-t...@googlegroups.com
Subject: Re: HELP!!!! Entry Section for "No Known Allergies" and "Allergy Unassessed"

 

Thanks, Brett

--

[Aleksey Kontsevich]

Thank You, example there is quite clear. However have question about following comment:

<!-- ISSUE This conflicts with guidance from CDA example task force -->

What does this conflict matter? Can I use these examples for NKA, NKDA in my CDA documents? Corresponds to Transitions Of Care Ambulatory Summary - MU2 170.314(b)(7) Data Portability - For Ambulatory Care in TTT.

среда, 8 июля 2015 г., 0:04:24 UTC+3 пользователь Brett Marquard написал:

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[Brett Marquard]

Hi,

 

On further review, I believe this comment is too strong –

 

C-CDA R1.1 – participant is optional

C-CDA R2.0 – participant is required

 

This isn’t a ‘conflict’, R2.0 is just more restrictive. I plan to bring up on the SDWG example task force today (12-1) to see what members think about revising our 1.1 sample to include a participant.

 

Best,

Brett

 

 

From: transport-t...@googlegroups.com [mailto:transport-t...@googlegroups.com] On Behalf Of Aleksey Kontsevich
Sent: Tuesday, July 07, 2015 6:29 PM
To: transport-t...@googlegroups.com
Cc: akont...@gmail.com
Subject: Re: HELP!!!! Entry Section for "No Known Allergies" and "Allergy Unassessed"

 

Thank You, example there is quite clear. However have question about following comment:

<!-- ISSUE This conflicts with guidance from CDA example task force -->

What does this conflict matter? Can I use these examples for NKA, NKDA in my CDA documents? Corresponds to ( )Transitions Of Care Ambulatory Summary - MU2 170.314(b)(7) Data Portability - For Ambulatory Care in TTT.

To unsubscribe from this group and stop receiving emails from it, send an email to transport-testing...@googlegroups.com.

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[Aleksey Kontsevich]

This produces error in TTT, so the comment about conflict with guidance from CDA is correct:

<!-- ISSUE This conflicts with guidance from CDA example task force -->

<!-- Code 410942007 would be appropriate for no known drug allergy -->
<code code="105590001" displayName="Substance" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>

Error is:

Consol Allergy Observation In an allergy to a specific medication the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.16 Medication Brand Name DYNAMIC or the ValueSet 2.16.840.1.113883.3.88.12.80.17 Medication Clinical Drug DYNAMIC. In an allergy to a class of medications the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.18 Medication Drug Class DYNAMIC. In an allergy to a food or other substance the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.20 Ingredient Name DYNAMIC (CONF:7421, CONF:10083, CONF:10084)

XPath for your document:/ClinicalDocument/component/structuredBody/component[2]/section/entry[4]/act/entryRelationship/observation

CONF: 7421, 10083, 10084

Think better change this to:

<code nullFlavor="NA"/>

Which is correct.

четверг, 9 июля 2015 г., 15:30:26 UTC+3 пользователь Brett Marquard написал:

[Brett Marquard]

Please post your de-identified sample and I will take a look.

[Aleksey Kontsevich]

The example You gave me above.

четверг, 16 июля 2015 г., 6:08:40 UTC+3 пользователь Brett Marquard написал:

[Brett Marquard]

Hi, Aleksay,

 

I didn’t realize the validator hadn’t been updated to handle SNOMED here.

 

This will be supported in a future release, I reached out the developer for ETA.

 

Best,

Brett

Corresponding HL7 DSTU comment/errata: http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=381

 

--

[Aleksey Kontsevich]

I see, thanks. Then will wait for changes in TTT to use variant with SNOMED.

пятница, 17 июля 2015 г., 16:44:17 UTC+3 пользователь Brett Marquard написал: