ALLERGY_Drug_Class_with_NDF-RT.xml

<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="allergy3">
					<td ID="allergy3allergen">Penicillins (drug class)</td>
					<td ID="allergy3reaction">Anaphylaxis</td>
					<td ID="allergy3reactionseverity">Severe</td>
					<td>Jan 4 2014</td>
					<td>2006</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="4a2ac5fc-0c85-4223-baee-c2e254803974" />
			<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="4a2ac5fc-0c85-4223-baee-c2e254803974"/>
					<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="2006"/>
					</effectiveTime>
					<!-- This specifies that the allergy is to a medication in contrast to other allergies (substance) -->
					<value xsi:type="CD" code="416098002" displayName="drug allergy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"></value>
					<participant typeCode="CSM">
						<participantRole classCode="MANU">
							<playingEntity classCode="MMAT">
								<!-- NDF-RT is used to report drug class allergies. Note to use RxNorm for specific drugs -->
								<code code="N0000011281" displayName="penicillins" codeSystem="2.16.840.1.113883.3.26.1.5" codeSystemName="NDF-RT">
									<originalText>
										<reference value="#allergy3allergen"/>
									</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="#allergy3reaction"/>
							</text>
							<statusCode code="completed"/>
							<effectiveTime>
								<low value="2006"/>
							</effectiveTime>
							<value xsi:type="CD" code="39579001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Anaphylaxis"/>
							<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="#allergy3reactionseverity"/>
									</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 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>