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Copy pathALLERGY_Drug_Intolerance_with_RxNorm.xml
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ALLERGY_Drug_Intolerance_with_RxNorm.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="allergy6">
<td ID="allergy6allergen">Epineprhine</td>
<td>
<content ID="allergy6reaction">Ventricular tachycardia</content>
<br />
<content ID="allergy6reaction2">Tremor</content>
</td>
<td>
<content ID="allergy6reactionseverity">Severe</content>
<br />
<content ID="allergy6reactionseverity2">Moderate</content>
</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="57b4e23d-43c0-465d-b907-c653388ee14b" />
<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="57b4e23d-43c0-465d-b907-c653388ee14b"/>
<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. -->
<!-- Just the year is shown since a specific month and date was not reported -->
<effectiveTime>
<low value="20140103"/>
</effectiveTime>
<!-- This specifies that the allergy is to a medication in contrast to other allergies (substance) -->
<value xsi:type="CD" code="59037007" displayName="Drug intolerance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"></value>
<informant>
<assignedEntity>
<!-- This is a fictional OID and identifier for the patient. This should be adapted to local implementation -->
<id root="2.16.840.1.113883.3.3208.101.2" extension="20130607100800-Patient1"/>
<addr use="HP">
<streetAddressLine>1111 StreetName St.</streetAddressLine>
<city>Silver Spring</city>
<state>MD</state>
<postalCode>20901</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(301)111-1111" use="HP"/>
<assignedPerson>
<name>
<given>Patient</given>
<family>One</family>
</name>
</assignedPerson>
</assignedEntity>
</informant>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<!-- RxNorm is used to report specific drug allergies. Note to use NDF-RT for drug classes -->
<!-- Best practice is to report drug allergies at ingredient level (e.g. epinephrine) not at the adminsitration level (e.g. 0.3mL 0.5mg/mL Prefilled Syringe)-->
<code code="3992" displayName="epinephrine" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
<originalText>
<reference value="#allergy6allergen"/>
</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="0506c036-adfb-4e6e-b9e1-eea76177ead5"/>
<!-- 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="#allergy6reaction"/>
</text>
<statusCode code="completed"/>
<effectiveTime>
<low value="20140103"/>
</effectiveTime>
<value xsi:type="CD" code="25569003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Ventricular tachycardia"/>
<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="#allergy6reactionseverity"/>
</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 multiple reactions may be recorded to the same substance ([0..*] cardinality in C-CDA 1.1)-->
<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="fea0b775-f3fe-4e0a-9c4f-4a5c235c2af0"/>
<!-- 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="#allergy6reaction2"/>
</text>
<statusCode code="completed"/>
<effectiveTime>
<low value="20140103"/>
</effectiveTime>
<value xsi:type="CD" code="26079004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Tremor"/>
<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="#allergy6reactionseverity2"/>
</text>
<statusCode code="completed"/>
<value xsi:type="CD" code="6736007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Moderate"/>
</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>