This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions
<act classCode="ACT" moodCode="EVN">
<!-- ** Allergy Concern Act ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2015-08-01" />
<id root="36e3e930-7b14-11db-9fe1-0800200c9a66" />
<code code="CONC" codeSystem="2.16.840.1.113883.5.6" />
<!-- The statusCode represents the need to continue tracking the allergy -->
<!-- This is of ongoing concern to the provider -->
<statusCode code="active" />
<effectiveTime>
<!-- The low value represents when the allergy was first recorded in the
patient's chart -->
<!-- Concern started being tracked as an active issue on May 1, 1998 -->
<low value="199805011145-0800" />
</effectiveTime>
<author typeCode="AUT">
<!-- Same as Concern effectiveTime/low -->
<time value="199805011145-0800" />
<assignedAuthor>
<id extension="555555555" root="1.1.1.1.1.1.1.2" />
</assignedAuthor>
</author>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Allergy observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09" />
<id root="4adc1020-7b14-11db-9fe1-0800200c9a66" />
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
<!-- Observation statusCode represents the status of the act of observing -->
<statusCode code="completed" />
<effectiveTime>
<!-- The low value reflects the date of onset of the allergy -->
<!-- Based on patient symptoms, presumed onset is May 1, 1998 -->
<low value="19980501" />
<!-- The high value reflects when the allergy was known to be resolved
(and will generally be absent) -->
</effectiveTime>
<value xsi:type="CD" code="419199007" displayName="Allergy to substance" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
<author typeCode="AUT">
<time value="199805011145-0800" />
<assignedAuthor>
<id extension="222223333" root="1.1.1.1.1.1.1.3" />
</assignedAuthor>
</author>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<code code="70618" displayName="Penicillin" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
</playingEntity>
</participantRole>
</participant>
<entryRelationship typeCode="MFST" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Reaction observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09" />
<id root="4adc1020-7b14-11db-9fe1-0800200c9a64" />
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
<statusCode code="completed" />
<effectiveTime>
<low value="200802260800-0800" />
<high value="2008022801200-0800" />
</effectiveTime>
<value xsi:type="CD" code="422587007" codeSystem="2.16.840.1.113883.6.96" displayName="Nausea" />
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>