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ALLERGIES, ADVERSE REACTIONS OR ALERTS

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No Known Allergies with Author Timestamp


No Known Medication Allergies with Author Timestamp


Allergy to specific substance (cat hair)

  • Approved by: Task force approved 4/10/2014. Withdrawn from consideration since not clinically relevant.
  • C-CDA 1.1 Implementation Guide Example
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7) Reaction Observation (2.16.840.1.113883.10.20.22.4.9) Severity Observation (2.16.840.1.113883.10.20.22.4.8)
    • Allergy to specific substance (cat hair)
  • C-CDA 2.0 Example: none yet posted
  • Known bad example?: Valid example with one error for act/code (based on DSTU 219 and C-CDA IG 2.0 clarification) and warning since severity only nested within reaction
  • Reference to full CDA sample: Allergies in empty CCD
  • Custodian: John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)
  • Validation location: TTT Validator
  • Comments: This is an example of an allergy to a specific substance (cat hair) using UNII as terminology with information on both allergic reaction and reaction severity. See DSTU 219 for update regarding act/code


Allergy to Specific Drug

  • Approved by: Task force approved 4/10/2014.
  • CDA Implementation Guide where template(s) is(are) defined: C-CDA 1.1
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7) Reaction Observation (2.16.840.1.113883.10.20.22.4.9) Severity Observation (2.16.840.1.113883.10.20.22.4.8)
    • Allergy to specific drug (penicillin) C-CDA 1.1
  • CDA Implementation Guide where template(s) is(are) defined: C-CDA 2.0]
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30.2) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7.2) Reaction Observation (2.16.840.1.113883.10.20.22.4.9.2) Severity Observation (2.16.840.1.113883.10.20.22.4.8.2)
    • Allergy to specific drug (penicillin) C-CDA 1.1
  • Known bad example?: Valid example with one error for act/code (based on DSTU 219 and C-CDA IG 2.0 clarification) and warning since severity only nested within reaction
  • Reference to full CDA sample: Allergies in empty CCD
  • Custodian: John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)
  • Validation location: TTT Validator
  • Comments: This is an example of an allergy to a specific drug (penicillin) using RxNorm as terminology with information on both allergic reaction and reaction severity. For drug allergies, this example illustrates a good practice of encoding the allergen at the ingredient level (penicillin) not administration level (10 mg tablet). See DSTU 219 for update regarding act/code


Allergy to Drug Class

  • Approved by: Task force approved 4/10/2014.
  • CDA Implementation Guide where template(s) is(are) defined: C-CDA 1.1
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7) Reaction Observation (2.16.840.1.113883.10.20.22.4.9) Severity Observation (2.16.840.1.113883.10.20.22.4.8)
    • Allergy to drug class (penicillins)
  • CDA Implementation Guide where template(s) is(are) defined: C-CDA 2.0]
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30.2) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7.2) Reaction Observation (2.16.840.1.113883.10.20.22.4.9.2) Severity Observation (2.16.840.1.113883.10.20.22.4.8.2)
    • Allergy to drug class (penicillins)
  • Known bad example?: Valid example with one error for act/code (based on DSTU 219 and C-CDA IG 2.0 clarification) and warning since severity only nested within reaction
  • Reference to full CDA sample: Allergies in empty CCD
  • Custodian: John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)
  • Validation location: TTT Validator
  • Comments: This is an example of an allergy to a drug class (penicillins) using NDF-RT as terminology with information on both allergic reaction and reaction severity. See DSTU 219 for update regarding act/code


Propensity to adverse reaction to substance (Latex)

  • Approved by: Task Force approved 4/17/2014
  • C-CDA 1.1 Implementation Guide Example
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7) Reaction Observation (2.16.840.1.113883.10.20.22.4.9) Severity Observation (2.16.840.1.113883.10.20.22.4.8)
    • Propensity to adverse reaction to substance (Latex)
  • C-CDA 2.0 Example: none yet posted
  • Known bad example?: Valid example with one error for act/code (based on DSTU 219 and C-CDA IG 2.0 clarification) and warning since severity only nested within reaction
  • Reference to full CDA sample: Allergies in empty CCD
  • Custodian: John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)
  • Validation location: TTT Validator
  • Comments: This is an example of a propensity to substance allergy with information on both allergic reaction and reaction severity. It was based upon discussion with Russ Leftwich and Lisa Nelson in coordination with Patient Care Committee. See DSTU 219 for update regarding act/code


Food allergy (Egg)

  • Approved by: Task Force approved 4/17/2014
  • C-CDA 1.1 Implementation Guide Example
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7) Reaction Observation (2.16.840.1.113883.10.20.22.4.9) Severity Observation (2.16.840.1.113883.10.20.22.4.8)
    • Food allergy (Egg)
  • C-CDA 2.0 Example: none yet posted
  • Known bad example?: Valid example with one error for act/code (based on DSTU 219 and C-CDA IG 2.0 clarification) and warning since severity only nested within reaction
  • Reference to full CDA sample: Allergies in empty CCD
  • Custodian: John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)
  • Validation location: TTT Validator
  • Comments: This is an example of a food allergy with information on both allergic reaction and reaction severity. It was based upon discussion with Russ Leftwich and Lisa Nelson in coordination with Patient Care Committee. See DSTU 219 for update regarding act/code


Drug intolerance with multiple reactions (epinephrine)

  • Approved by: Task Force approved 4/17/2014
  • C-CDA 1.1 Implementation Guide Example
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7) Reaction Observation (2.16.840.1.113883.10.20.22.4.9) Severity Observation (2.16.840.1.113883.10.20.22.4.8)
    • Drug intolerance with multiple reactions (epinephrine)
  • C-CDA 2.0 Example: none yet posted
  • Known bad example?: Valid example with one error for act/code (based on DSTU 219 and C-CDA IG 2.0 clarification) and warning since severity only nested within reaction
  • Reference to full CDA sample: Allergies in empty CCD
  • Custodian: John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)
  • Validation location: TTT Validator
  • Comments: This is an example of a propensity to drug adverse event with information on multiple allergic reactions each with reaction severity. It was based upon discussion with Russ Leftwich and Lisa Nelson in coordination with Patient Care Committee. See DSTU 219 for update regarding act/code


Drug intolerance with multiple reactions (codeine)

  • Approved by: To be reviewed
    • C-CDA 1.1 Implementation Guide Example
    • TemplateId(s) illustrated: Allergy Concern Act (2.16.840.1.113883.10.20.22.4.30) and Allergy Intolerance Observation (2.16.840.1.113883.10.20.22.4.7) Reaction Observation (2.16.840.1.113883.10.20.22.4.9) Severity Observation (2.16.840.1.113883.10.20.22.4.8)
    • Drug intolerance with multiple reactions (codeine)
  • C-CDA 2.0 Example: none yet posted
  • Known bad example?: Valid example with one error for act/code (based on DSTU 219 and C-CDA IG 2.0 clarification) and warning since severity only nested within reaction
  • Reference to full CDA sample: https://github.com/LisaRNelson/LRN_HL7_CDA_Examples/blob/master/Allergy_Intolerance_Observation_Codeine.xml Allergies in empty CCD]
  • Custodian: Lisa R. Nelson LisaRNelson@cox.net (GitHub: lisarnelson)
  • Validation location: TTT Validator
  • Comments: This is an example of a propensity to drug adverse event with information on multiple allergic reactions each with reaction severity. It was based upon discussion with Rob Hausam and John D'Amore and Russ Leftwich in coordination with Patient Care Committee. This sample replaces the Epinephrine sample which had less clinical accuracy/relevance. See DSTU 219 for update regarding act/code
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