CDA Examples
1.0.0 - active
CDA Examples
1.0.0 - active
CDA Examples, published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-Examples/ and changes regularly. See the Directory of published versions
This is an example of a propensity to substance allergy with information on both allergic reaction and reaction severity. It was based upon discussion with Russ Leftwich and Lisa Nelson in coordination with Patient Care Committee. See DSTU 219 for update regarding act/code.
This file includes examples of the following templates:
<section xmlns="urn:hl7-org:v3">
<templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
<templateId root="2.16.840.1.113883.10.20.22.2.6.1" extension="2015-08-01"/>
<!-- Allergies (entries required) section template -->
<code codeSystem="2.16.840.1.113883.6.1" code="48765-2"/>
<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 moodCode="EVN" classCode="ACT">
<!-- ** Allergy problem act ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.30"/>
<templateId root="2.16.840.1.113883.10.20.22.4.30"
extension="2015-08-01"/>
<id root="4a2ac5fc-0c85-4223-baee-c2e254803974"/>
<code codeSystem="2.16.840.1.113883.5.6" code="CONC"/>
<text>
<reference value="#allergy4"/>
</text>
<statusCode code="active"/>
<!-- This is the time stamp for when the allergy was first documented as a concern -->
<effectiveTime>
<low value="20140104123506-0500"/>
</effectiveTime>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20140104"/>
<assignedAuthor>
<id root="2.16.840.1.113883.4.6" extension="99999999"/>
<code displayName="Family Medicine Physician"
codeSystemName="Health Care Provider Taxonomy" codeSystem="2.16.840.1.113883.6.101" code="207Q00000X"/>
<addr nullFlavor="UNK"/>
<telecom value="tel:555-555-1002" use="WP"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<entryRelationship typeCode="SUBJ">
<observation moodCode="EVN" classCode="OBS">
<!-- allergy observation template -->
<templateId root="2.16.840.1.113883.10.20.22.4.7"/>
<templateId root="2.16.840.1.113883.10.20.22.4.7"
extension="2014-06-09"/>
<!-- Substance or Device Allergy Intolerance Observation Template -->
<templateId root="2.16.840.1.113883.10.20.24.3.90"
extension="2014-06-09"/>
<id root="4a2ac5fc-0c85-4223-baee-c2e254803974"/>
<code xsi:type="CD" codeSystem="2.16.840.1.113883.5.4"
code="ASSERTION"/>
<text xsi:type="ED">
<reference value="#allergy4"/>
</text>
<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 -->
<!-- Note 418038007 - Propensity to adverse reactions has been retired; 420134006 is the recommended replacement -->
<value xsi:type="CD"
displayName="Propensity to adverse reaction (finding)" codeSystemName="SNOMED CT"
codeSystem="2.16.840.1.113883.6.96" code="420134006"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20140104"/>
<assignedAuthor>
<id root="2.16.840.1.113883.4.6" extension="99999999"/>
<code displayName="Family Medicine Physician"
codeSystemName="Health Care Provider Taxonomy" codeSystem="2.16.840.1.113883.6.101" code="207Q00000X"/>
<addr nullFlavor="UNK"/>
<telecom value="tel:555-555-1002" use="WP"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<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 displayName="Latex" codeSystemName="SNOMED CT"
codeSystem="2.16.840.1.113883.6.96" code="111088007">
<originalText>
<reference value="#allergy4allergen"/>
</originalText>
</code>
</playingEntity>
</participantRole>
</participant>
<entryRelationship typeCode="MFST" inversionInd="true">
<observation moodCode="EVN" classCode="OBS">
<!-- Reaction Observation template -->
<templateId root="2.16.840.1.113883.10.20.22.4.9"/>
<templateId root="2.16.840.1.113883.10.20.22.4.9"
extension="2014-06-09"/>
<id root="0506c036-adfb-4e6e-b9e1-eea76177ead5"/>
<code xsi:type="CD" codeSystem="2.16.840.1.113883.5.4"
code="ASSERTION"/>
<text xsi:type="ED">
<reference value="#allergy4reaction"/>
</text>
<statusCode code="completed"/>
<effectiveTime>
<low value="20140103"/>
</effectiveTime>
<value xsi:type="CD" displayName="Anaphylaxis"
codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="39579001"/>
<!-- The Severity observation is no longer recommended, use criticality observation in future exchanges -->
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation moodCode="EVN" classCode="OBS">
<!-- Severity Observation template -->
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
<templateId root="2.16.840.1.113883.10.20.22.4.8"
extension="2014-06-09"/>
<code xsi:type="CD" codeSystemName="ActCode"
codeSystem="2.16.840.1.113883.5.4" code="SEV"/>
<text xsi:type="ED">
<reference value="#allergy4reactionseverity"/>
</text>
<statusCode code="completed"/>
<value xsi:type="CD" displayName="Severe"
codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="24484000"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
</section>
IG © Health Level Seven. Package hl7.cda.examples#1.0.0 based on FHIR 5.0.0. Generated 2025-08-28
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