C-CDA on FHIR
1.2.0-ballot - CI Build United States of America flag

This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Binary: CF-allergy

    
<entry>
  <act classCode="ACT" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2015-08-01" />
    <templateId root="2.16.840.1.113883.10.20.22.4.30" />
    <id root="1.3.6.1.4.1.22812.3.2009316.3.4.10" extension="545077400001" />
    <id root="1.3.6.1.4.1.22812.3.2009316.3.4.10" extension="545077400003" />
    <code code="CONC" codeSystem="2.16.840.1.113883.5.6" />
    <statusCode code="active" />
    <effectiveTime xsi:type="IVL_TS">
      <low nullFlavor="NI" />
    </effectiveTime>
    <entryRelationship typeCode="SUBJ">
      <observation classCode="OBS" moodCode="EVN">
        <templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09" />
        <templateId root="2.16.840.1.113883.10.20.22.4.7" />
        <id root="1.3.6.1.4.1.22812.3.2009316.3.4.10.2" extension="545077400001" />
        <id root="1.3.6.1.4.1.22812.3.2009316.3.4.10.2" extension="545077400003" />
        <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
        <statusCode code="completed" />
        <effectiveTime xsi:type="IVL_TS">
          <low value="20080501" />
        </effectiveTime>
        <value xsi:type="CD" code="419511003" codeSystem="2.16.840.1.113883.6.96">
          <originalText>
            <reference value="#_6db75b62-deb2-4bab-b597-00c8ae86f6b4" />
          </originalText>
        </value>
        <participant typeCode="CSM">
          <participantRole classCode="MANU">
            <playingEntity classCode="MMAT">
              <code code="1191" codeSystem="2.16.840.1.113883.6.88" displayName="Aspirin">
                <translation code="293586001" codeSystem="2.16.840.1.113883.6.96" displayName="Allergy to aspirin"/>
              </code>
            </playingEntity>
          </participantRole>
        </participant>
        <entryRelationship typeCode="MFST" inversionInd="true">
          <observation classCode="OBS" moodCode="EVN">
            <templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09" />
            <templateId root="2.16.840.1.113883.10.20.22.4.9" />
            <id nullFlavor="NI" />
            <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
            <text>
              <reference value="#_8a7ed342-967a-400e-88d5-2f8c2b7cdda0" />
            </text>
            <statusCode code="completed" />
            <value xsi:type="CD" code="247472004" codeSystem="2.16.840.1.113883.6.96" displayName="Wheal">
              <originalText>
                <reference value="#_8a7ed342-967a-400e-88d5-2f8c2b7cdda0" />
              </originalText>
            </value>
            <entryRelationship typeCode="SUBJ" inversionInd="true">
              <observation classCode="OBS" moodCode="EVN">
                <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09" />
                <templateId root="2.16.840.1.113883.10.20.22.4.8" />
                <code code="SEV" codeSystem="2.16.840.1.113883.5.4" />
                <text>Severe</text>
                <statusCode code="completed" />
                <value xsi:type="CD" code="24484000" codeSystem="2.16.840.1.113883.6.96" displayName="Severe" />
              </observation>
            </entryRelationship>
          </observation>
        </entryRelationship>
      </observation>
    </entryRelationship>
  </act>
</entry>