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Allergy to specific drug Codeine(C-CDA2.1).xml
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Allergy to specific drug Codeine(C-CDA2.1).xml
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<!-- Allergies Section -->
<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>
<list>
<item ID="AllergyIntoleranceObservation_1.1">
<table>
<thead>
<tr>
<th ID="AllergyIntolerance_1.1Label">Allergy or Intolerance</th>
<th ID="AllergyIntolerance_1.1Data">Data</th>
</tr>
</thead>
<tbody>
<tr>
<th ID="AllergyType_1.1L">Type:</th>
<td ID="AllergyType_1.1D">Drug intolerance (disorder)</td>
</tr>
<tr>
<th ID="AllergyAgent_1.1L">Agent:</th>
<td ID="AllergyAgent_1.1D">Codeine</td>
</tr>
<tr>
<th>Allergy Start Date:</th>
<td>03/15/2010</td>
</tr>
<tr>
<th>Allergy End Date:</th>
<td/>
</tr>
<tr>
<th ID="Reactions_1.1Label">Reactions:</th>
<td>
<list>
<item>
<table>
<thead>
<tr>
<th>Start Date</th>
<th>End Date</th>
<th ID="REACT_1.1.0L">Reaction</th>
<th ID="SEV_1.1.0L">Severity</th>
</tr>
</thead>
<tbody>
<tr>
<td>01/29/2012</td>
<td>01/29/2012</td>
<td ID="REACT_1.1.1D">Nausea</td>
<td ID="SEV_1.1.1D">Severe</td>
</tr>
<tr>
<td>03/15/2010</td>
<td>03/15/2010</td>
<td ID="REACT_1.1.2D">Nausea</td>
<td ID="SEV_1.1.2D">Mild</td>
</tr>
</tbody>
</table>
</item>
</list>
</td>
</tr>
</tbody>
</table>
</item>
</list>
</text>
<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="4a2ac5fc-0c85-4223-baee-c2e254803974"/>
<code code="CONC" codeSystem="2.16.840.1.113883.5.6"
displayName="Allergies, adverse reactions, alerts" codeSystemName="LOINC">
<originalText>
<reference value="#AllergyIntoleranceObservation_1.1"/>
</originalText>
</code>
<text>
<reference value="#AllergyIntoleranceObservation_1.1"/>
</text>
<statusCode code="active"/>
<!-- This is the time stamp for when the allergy was first documented as a concern-->
<effectiveTime>
<low value="20140103"/>
<!--show time when this author's concern about the allergy became active. -->
<high nullFlavor="NA"/>
</effectiveTime>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20140103102500-0500"/>
<assignedAuthor>
<id extension="99999999" root="2.16.840.1.113883.4.6"/>
<!-- Root means NPI number. -->
<code code="207Q00000X" codeSystem="2.16.840.1.113883.6.101"
codeSystemName="Health Care Provider Taxonomy"
displayName="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">
<observation classCode="OBS" moodCode="EVN">
<!-- 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="4a2ac5fc-0c85-4223-baee-c2e254803974"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime>
<low value="20100315"/>
</effectiveTime>
<!-- The time when this was biologically relevant ie True for the patient. -->
<!-- As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. -->
<!-- It would be equally valid to have a longer range of time over which this statement was represented as being true. -->
<!-- As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. -->
<value xsi:type="CD" code="59037007" displayName="Drug intolerance (disorder)"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<originalText>
<reference value="#AllergyType_1.1D"/>
</originalText>
</value>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20140103102500-0500"/>
<assignedAuthor>
<id extension="99999999" root="2.16.840.1.113883.4.6"/>
<!-- Root means NPI number. -->
<code code="207Q00000X" codeSystem="2.16.840.1.113883.6.101"
codeSystemName="Health Care Provider Taxonomy"
displayName="Family Medicine"/>
<telecom use="WP" value="tel:555-555-1002"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<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">
<code code="2670" displayName="Codeine"
codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
<originalText>
<reference value="#AllergyAgent_1.1D"/>
</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"/>
<templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
<id root="0506c036-adfb-4e6e-b9e1-eea76177ead5"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime>
<low value="20120129"/>
<!-- Not sure about the effectiveTime for reaction -->
<high value="20120129"/>
</effectiveTime>
<value xsi:type="CD" code="422587007"
codeSystem="2.16.840.1.113883.6.96" displayName="Nausea">
<originalText>
<reference value="#REACT_1.1.1D"/>
</originalText>
</value>
<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"/>
<templateId root="2.16.840.1.113883.10.20.22.4.8"
extension="2014-06-09"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode"/>
<statusCode code="completed"/>
<value xsi:type="CD" code="24484000" displayName="Severe"
codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT">
<originalText>
<reference value="#SEV_1.1.1D"/>
</originalText>
</value>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
<!-- Note that multiple reactions may be recorded to the same substance ([0..*] -->
<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"/>
<templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
<id root="fea0b775-f3fe-4e0a-9c4f-4a5c235c2af0"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime>
<low value="20100315"/>
<!-- Not sure about the effectiveTime for reaction -->
<high value="20100315"/>
</effectiveTime>
<value xsi:type="CD" code="422587007" codeSystem="2.16.840.1.113883.6.96"
displayName="Nausea">
<originalText>
<reference value="#REACT_1.1.2D"/>
</originalText>
</value>
<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"/>
<templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode"/>
<statusCode code="completed"/>
<value xsi:type="CD" code="255604002" displayName="Mild"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<originalText>
<reference value="#SEV_1.1.2D"/>
</originalText>
</value>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
</section>