This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
This content is an example of the Allergy - Intolerance Observation Logical Model and is not a FHIR Resource
<observation classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<!-- ** Allergy observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09" />
<templateId root="2.16.840.1.113883.10.20.24.3.90" extension="2014-06-09" />
<id root="901db0f8-9355-4794-81cd-fd951ef07917" />
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
<text><reference value="#allergy"/></text>
<!-- 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 -->
<low nullFlavor="UNK" />
<!-- The high value reflects when the allergy was known to be resolved
(and will generally be absent) -->
</effectiveTime>
<value xsi:type="CD" code="416098002" displayName="Allergy to drug" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
<author typeCode="AUT">
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time value="200808141030-0800" />
<assignedAuthor>
<id extension="555555555" root="2.16.840.1.113883.4.6" />
<code code="207QA0505X"
displayName="Adult Medicine Physician"
codeSystem="2.16.840.1.113883.6.101"
codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<addr use="H">
<streetAddressLine>23 Anywhere Street</streetAddressLine>
<city>El Paso</city>
<state>TX</state>
<postalCode>90210</postalCode>
<country>US</country>
</addr>
<telecom value="tel:(999)555-1212" use="WP" />
<assignedPerson>
<name>Joe Anywhere</name>
</assignedPerson>
</assignedAuthor>
</author>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<code code="10395" displayName="Tetracycline" 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="38c63dea-1a43-4f84-ab71-1ffd04f6a1dd" />
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
<text>
<reference value="#reaction2" />
</text>
<statusCode code="completed" />
<effectiveTime>
<low nullFlavor="UNK" />
<high nullFlavor="UNK"/>
</effectiveTime>
<value xsi:type="CD" code="103297000" displayName="Vertigo caused by drug" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
</observation>
</entryRelationship>
<!-- The Severity Observation SHOULD NOT be present on allergies:
<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" />
<code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" />
<text>
<reference value="#allergyseverity2" />
</text>
<statusCode code="completed" />
<value xsi:type="CD" code="255604002" displayName="Mild" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
</observation>
</entryRelationship>
-->
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Criticality observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.145"/>
<code code="82606-5" displayName="Criticality Observation" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
<text>
<reference value="#allergycriticality2" />
</text>
<statusCode code="completed" />
<value xsi:type="CD" code="CRITL" displayName="low criticality" codeSystem="2.16.840.1.113883.5.1063" codeSystemName="ObservationValue" />
</observation>
</entryRelationship>
</observation>