Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 United States of America flag

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-ballot 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

Example Binary: Allergy Intolerance Observation Medication Example

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>