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ALLERGY_Propensity_to_adverse_reactions_to_substance.xml
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ALLERGY_Propensity_to_adverse_reactions_to_substance.xml
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<section>
<templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
<!-- Allergies (entries required) section template -->
<code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
<title>Allergies, Adverse Reactions and Alerts</title>
<text>
<table>
<thead>
<tr>
<th>Allergen</th>
<th>Reaction</th>
<th>Reaction Severity</th>
<th>Documentation Date</th>
<th>Start Date</th>
</tr>
</thead>
<tbody>
<tr ID="allergy4">
<td ID="allergy4allergen">Latex</td>
<td ID="allergy4reaction">Anaphylaxis</td>
<td ID="allergy4reactionseverity">Severe</td>
<td>Jan 4 2014</td>
<td>Jan 3 2014</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<!-- ** Allergy problem act ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.30"/>
<id root="0abffc67-af4e-4345-b917-eed43f641b93" />
<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
<statusCode code="active"/>
<!-- This is the time stamp for when the allergy was first documented as a concern-->
<effectiveTime>
<low value="20140104123506+0500"/>
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<!-- allergy observation template -->
<templateId root="2.16.840.1.113883.10.20.22.4.7"/>
<id root="0abffc67-af4e-4345-b917-eed43f641b93"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<!-- This is the time stamp for the biological onset of the allergy. -->
<!-- This documents that the allergy began at given year month and day, although hour and minute not specified-->
<effectiveTime>
<low value="20140103"/>
</effectiveTime>
<!-- This specifies that the allergy is a propensity to adverse reactions to substance -->
<value xsi:type="CD" code="418038007" displayName="Propensity to adverse reactions to substance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<!-- SNOMED or UNII may be used for allergies in both C-CDA 1.1 and 2.0 -->
<!-- SNOMED was added to C-CDA 1.1 by DSTU 381 and illustrated below -->
<!-- Note that the SNOMED code for 'latex allergy' is not appropriate since the allergy is conveyed elsewhere in the observation -->
<code code="111088007" displayName="Latex" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<originalText>
<reference value="#allergy4allergen"/>
</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"/>
<id root="14d1b466-feee-4f4d-a82e-a03754327e1a"/>
<!-- This code was not specified in C-CDA IG 1.1 although using ASSERTION aligns with C-CDA IG 2.0-->
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<text>
<reference value="#allergy4reaction"/>
</text>
<statusCode code="completed"/>
<effectiveTime>
<low value="20140103"/>
</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"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
<text>
<reference value="#allergy4reactionseverity"/>
</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>
<!-- Note that severity may also be specified for observation and has SHOULD conformance in C-CDA 1.1 -->
<!-- We have only included allergy severity to a specific reaction as outlined in HL7 Patient Care Committee materials-->
</observation>
</entryRelationship>
</act>
</entry>
</section>