Not Allergic to Peanuts

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 4/5/2018
  • SDWG: 10/1/2018

C-CDA 2.1 Example:

  • Allergies and Intolerances Section 2.16.840.1.113883.10.20.22.2.6.1:2015-08-01
  • Allergy Concern Act 2.16.840.1.113883.10.20.22.4.30:2015-08-01
  • Allergy Intolerance Observation 2.16.840.1.113883.10.20.22.4.7:2014-06-09

Reference to full CDA sample:

  • Allergies in empty CCD

Validation location

Comments

  • This is an example of how an author can record a patient is not allergic to a specific substance. In this example, the susbtance is Peanuts.

Custodian

  • Brett Marquard, brett@riverrockassociates.com (GitHub: brettmarquard)

Keywords

  • substance, allergies, allergy

Permalink

 

Example: download example view on GitHub 

<!-- ***************** ALLERGIES *************** -->
    <section>
        <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 code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
        <title>Allergies, Adverse Reactions and Alerts</title>
        <text><content ID="allergyobs1">Not Allergic to Peanuts</content></text>
        <!-- Could include two tables with one recording active allergies and another with Not Allergic - Need to clearly denote-->
        <entry typeCode="DRIV">
            <act classCode="ACT" moodCode="EVN">
                <!-- ** 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="91a4e6a1-e192-438c-a85d-abb210af6d25"/>
                <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
                <text>
                    <reference value="#allergyobs1"/>
                </text>
                <statusCode code="active"/>
                <!-- This is the time stamp for when the non-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 extension="99999999" root="2.16.840.1.113883.4.6"/>
                        <code code="207Q00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Health Care Provider Taxonomy" displayName="Allopathic &amp; Osteopathic Physicians; Family Medicine" />
                        <telecom use="WP" value="tel:555-555-1002"/>
                        <assignedPerson>
                            <name>
                                <given>Henry</given>
                                <family>Seven</family>
                            </name>
                        </assignedPerson>
                    </assignedAuthor>
                </author>
                <entryRelationship typeCode="SUBJ">
                    <!-- negationInd is used here as valueNegationInd - the substance allergy-->
                    <observation classCode="OBS" moodCode="EVN" negationInd="true">
                        <!-- 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"/>
                        <id root="55ac1612-2d3f-4084-b687-0997446cabad"/>
                        <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
                        <text>
                            <reference value="#allergyobs1"/>
                        </text>
                        <statusCode code="completed"/>
                        <!-- This is the time stamp for when patient believes they were tested. -->
                        <!-- 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 substance -->
                        <!-- Considered 'Allergy to peanuts' above but decided to use substance since this is what systems will expect -->     
                        <value xsi:type="CD" code="414285001" displayName="Allergy to food" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
                        <author>
                            <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
                            <time value="20140104"/>
                            <assignedAuthor>
                                <id extension="99999999214" root="2.16.840.1.113883.4.6"/>
                                <code code="207Q00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Health Care Provider Taxonomy" displayName="Allopathic &amp; Osteopathic Physicians; Family Medicine" />
                                <telecom use="WP" value="tel:555-555-1002"/>
                                <assignedPerson>
                                    <name>
                                        <given>Henry</given>
                                        <family>Seven</family>
                                    </name>
                                </assignedPerson>
                            </assignedAuthor>
                        </author>
                        <participant typeCode="CSM">
                            <participantRole classCode="MANU">
                                <playingEntity classCode="MMAT">
                                    <!-- SNOMED is used to report specific susbtance -->
                                    <!-- Considered 'Allergy to peanuts' above but decided to use substance since this is what systems will expect -->                                
                                    <code code="762952008" displayName="Peanut" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
                                </playingEntity>
                            </participantRole>
                        </participant>
                    </observation>
                </entryRelationship>
            </act>
        </entry>
    </section>

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