Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

• Narrative Content

Example Binary: Allergy Intolerance Observation Drug Class Example

​
<observation xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="OBS">
  <!--  ** 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 xsi:type="CD" codeSystem="2.16.840.1.113883.5.4" code="ASSERTION"/>
  <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" displayName="Allergy to drug"
         codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="416098002"/>
  <author typeCode="AUT">
    <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
    <time value="20080814103000-0800"/>
    <assignedAuthor>
      <id root="2.16.840.1.113883.4.6" extension="555555555"/>
      <code displayName="Adult Medicine Physician"
            codeSystemName="Healthcare Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.6.101" code="207QA0505X"/>
      <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 displayName="Penicillin" codeSystemName="SNOMED CT"
              codeSystem="2.16.840.1.113883.6.96" code="764146007">
          <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"
                  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/>
      <statusCode code="completed"/>
      <effectiveTime>
        <low value="2006"/>
        <high nullFlavor="UNK"/>
      </effectiveTime>
      <value xsi:type="CD" displayName="Anaphylaxis"
             codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="39579001"/>
      <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"
                      extension="2014-06-09"/>
          <code xsi:type="CD" codeSystemName="ActCode"
                codeSystem="2.16.840.1.113883.5.4" code="SEV"/>
          <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>