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18.8.11 AL1 - Patient Allergy Information Segment (3.4.6)

The AL1 segment contains patient allergy information of various types. Most of this information will be derived from user-defined tables. Each AL1 segment describes a single patient allergy.

HL7 Attribute Table - AL1 - Patient Allergy Information

Base Framework
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
AL1
100203Set ID - AL1 SHOULD[1..1][1..4]
SI

Sequence ID

200204Allergen Type Code MAY[0..1] ex.:AllergenType (CD)
CWE

Coded with Exceptions

300205Allergen Code/Mnemonic/Description MAY[0..1] 
CWE

Coded with Exceptions

400206Allergy Severity Code MAY[0..1] ex.:AllergySeverity (CD)
CWE

Coded with Exceptions

500207Allergy Reaction Code
=

Truncation not allowed!

MAY[0..*] 15
ST

String Data

600208Identification Date
W

withdrawn Element

SHOULD NOT   
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
AL1
100203Set ID - AL1 SHALL[1..1][1..4]
SI

Sequence ID

200204Allergen Type Code MAY[0..1] ex.:AllergenType (CD) hl7VS-allergyType (VS) allergenType (CS)
CWE

Coded with Exceptions

300205Allergen Code/Mnemonic/Description MAY[0..1] 
CWE

Coded with Exceptions

400206Allergy Severity Code MAY[0..1] ex.:AllergySeverity (CD) hl7VS-allergySeverity (VS) allergySeverity (CS)
CWE

Coded with Exceptions

500207Allergy Reaction Code
=

Truncation not allowed!

MAY[0..*] 15
ST

String Data

600208Identification Date
W

withdrawn Element

SHOULD NOT   
Base FrameworkBase Standard Profile
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData TypeImplementVocabulary
AL1 
100203Set ID - AL1 SHOULD[1..1][1..4]
SI

Sequence ID

SHALL
200204Allergen Type Code MAY[0..1] ex.:AllergenType (CD)
CWE

Coded with Exceptions

MAYhl7VS-allergyType (VS) allergenType (CS)
300205Allergen Code/Mnemonic/Description MAY[0..1] 
CWE

Coded with Exceptions

MAY
400206Allergy Severity Code MAY[0..1] ex.:AllergySeverity (CD)
CWE

Coded with Exceptions

MAYhl7VS-allergySeverity (VS) allergySeverity (CS)
500207Allergy Reaction Code
=

Truncation not allowed!

MAY[0..*] 15
ST

String Data

MAY
600208Identification Date
W

withdrawn Element

SHOULD NOT   SHOULD NOT
Base Framework Base Standard Profile
Seq# Data Element Description Flags Optionality Repetition Length C.LEN Table Data Type Optionality Table
AL1  
1 00203 Set ID - AL1   O   [1..4]  
SI

Sequence ID

R  
2 00204 Allergen Type Code   O      
CWE

Coded with Exceptions

  (0127)
3 00205 Allergen Code/Mnemonic/Description   O      
CWE

Coded with Exceptions

   
4 00206 Allergy Severity Code   O      
CWE

Coded with Exceptions

  (0128)
5 00207 Allergy Reaction Code   O Y   15=  
ST

String Data

   
6 00208 Identification Date   W            
Seq# Data Element Description Optionality Repetition Length C.LEN Table Data Type
AL1
1 00203 Set ID - AL1 R   [1..4]  
SI

Sequence ID

2 00204 Allergen Type Code O     (0127)
CWE

Coded with Exceptions

3 00205 Allergen Code/Mnemonic/Description O      
CWE

Coded with Exceptions

4 00206 Allergy Severity Code O     (0128)
CWE

Coded with Exceptions

5 00207 Allergy Reaction Code O Y   15=  
ST

String Data

6 00208 Identification Date W        

18.8.11.1 AL1 field definitions (3.4.6.0)

18.8.11.2 AL1-1 Set ID - AL1 (SI) 00203 (3.4.6.1)

Definition: This field contains the number that identifies this transaction. For the first occurrence of the segment, the sequence number shall be one, for the second occurrence, the sequence number shall be two, etc.

18.8.11.3 AL1-2 Allergen Type Code (CWE) 00204 (3.4.6.2)

Definition: This field indicates a general allergy category (drug, food, pollen, etc.). Refer to User-defined Table 0127 - Allergen Type in Chapter 2C, Code Tables, for suggested values.

18.8.11.4 AL1-3 Allergen Code/Mnemonic/Description (CWE) 00205 (3.4.6.3)

Definition: This field uniquely identifies a particular allergen. This element may conform to some external, standard coding system (that must be identified), or it may conform to local, largely textual or mnemonic descriptions.

18.8.11.5 AL1-4 Allergy Severity Code (CWE) 00206 (3.4.6.4)

Definition: This field indicates the general severity of the allergy. Refer to User-defined Table 0128 - Allergy Severity in Chapter 2C, Code Tables, for valid values.

18.8.11.6 AL1-5 Allergy Reaction Code (ST) 00207 (3.4.6.5)

Definition: This field identifies the specific allergic reaction that was documented. This element may conform to some external, standard coding system, or it may conform to local, largely textual or mnemonic descriptions (e.g., convulsions, sneeze, rash, etc.).

18.8.11.7 AL1-6 Identification Date (DT) 00208 (3.4.6.6)

Definition: The Al-6 field was retained for backward compatibility only as of v 2.4 and has been withdrawn as of v 2.7. The reader is referred to the IAM-11 - Onset Date or IAM-13 - Inset Date fields for dates when the allergy was identified..