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. 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
<?xml version="1.0"?>
<observation xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" classCode="OBS" moodCode="EVN">
<!-- ** 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="4a2ac5fc-0c85-4223-baee-c2e254803974"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<text>
<reference value="#allergy3"/>
</text>
<statusCode code="completed"/>
<!-- This is the time stamp for the biological onset of the allergy. -->
<!-- Just the year is shown since a specific month and date was not reported -->
<effectiveTime>
<low value="2006"/>
</effectiveTime>
<!-- This specifies that the allergy is to a medication in contrast to other allergies (substance) -->
<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">
<!-- SNOMED CT is used to report drug class allergies. Note to use RxNorm for specific drugs -->
<code code="764146007" displayName="Penicillin" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<originalText>
<reference value="#allergy3allergen"/>
</originalText>
</code>
</playingEntity>
</participantRole>
</participant>
<entryRelationship typeCode="MFST" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- Reaction Observation template -->
<templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
<id root="0506c036-adfb-4e6e-b9e1-eea76177ead5"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<text>
<reference value="#allergy3reaction"/>
</text>
<statusCode code="completed"/>
<effectiveTime>
<low value="2006"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<value xsi:type="CD" code="39579001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Anaphylaxis"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- Severity Observation template -->
<templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
<text>
<reference value="#allergy3reactionseverity"/>
</text>
<statusCode code="completed"/>
<value xsi:type="CD" code="24484000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Severe"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>