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Allergy/Drug Sensitivity

Definition:Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.8 for constraints applicable to these data elements.
CDA Data Location HITSP Data Element Identifier and Name O/R Additional Specification
cda:act[cda:templateId/@root= '2.16.840.1.113883.']/ cda:entryRelationship[@typeCode='SUBJ']/ cda:observation[ cda:templateId/@root= '2.16.840.1.113883.'] Adverse Event Entry See Note17
cda:effectiveTime 6.01 - Adverse Event Date R2/N
cda:code/@code 6.02 - Adverse Event Type R/N
cda:participant[@typeCode='CSM']/ Product R2/Y
cda:participantRole[@classCode='MANU']/ cda:playingEntity[@classCode='MMAT']/ Product Detail R/N
cda:name 6.03 - Product Free-Text R/N
cda:code/@code 6.04 - Product Coded R2/N
cda:entryRelationship[@typeCode='MFST']/ cda:observation[templateId/@root= '2.16.840.1.113883.'] Reaction O/Y
cda:text 6.05 - Reaction Free-Text R2/N
cda:value/@code 6.06 - Reaction Coded R2/N
cda:entryRelationship[@typeCode='SUBJ']/ cda:observation[templateId/@root= '2.16.840.1.113883.'] Severity R2/N
cda:text 6.07 - Severity Free-Text R2/N
cda:value/@code 6.08 - Severity Coded R2/N

Optionality Legend: “R” for Required, “R2” for Required if known, “O” for Optional and Repeat = “Y” for Yes or “N” for No

Allergy/Drug Sensitivity Example

<!-- These examples assume the default namespace is 'urn:hl7-org:v3' --> Example
<content ID='severity-1'>Severe</content> Penicillin Allergy on February 2, 2001 <content ID='reaction-1'>Anaphylaxis</content>
<act classCode='ACT' moodCode='EVN'>
<templateId root='2.16.840.1.113883.'/>
<templateId root='2.16.840.1.113883.'/>
<templateId root=''/>
<id root='2C748172-7CC2-4902-8AF0-23A105C4401B'/>
<code nullFlavor='NA'/>
<entryRelationship typeCode='SUBJ'>
<observation classCode='OBS' moodCode='EVN'>
<templateId root='2.16.840.1.113883.'/>
<templateId root=''/>
<templateId root=''/>
<code code='416098002' displayName='drug allergy'
codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/>
<low value='20010209'/>
<participant typeCode='CSM'>
<participantRole classCode='MANU'>
<playingEntity classCode='MMAT'>
<code code='70618' displayName='Penicillin' codeSystem='2.16.840.1.113883.6.88' codeSystemName='RxNorm'/>
<entryRelationship typeCode='SUBJ' inversionInd='true'>
<observation classCode='OBS' moodCode='EVN'> <templateId root='2.16.840.1.113883.'/>
<code code='SEV' displayName='Severity'
codeSystem='2.16.840.1.113883.5.4' codeSystemName='ActCode' />
<text><reference value='#severity-1'/></text>
<statusCode code='completed'/>
<value xsi:type='CD' code='24484000' displayName='Severe'
codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT' />
<entryRelationship typeCode='MFST' inversionInd='true'>
<templateId root='2.16.840.1.113883.'/>
<text><reference value='#reaction-1'/></text>
<value xsi:type='CD' code='39579001' displayName='Anaphylaxis'
codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT' />

Section ID Constraint ID Definition Allergy/Drug Sensitivity Module Constraints Not Provided
C83-[DE-6-CDA-1] A CDA Document SHALL declare conformance for the Allergy/Drug Sensitivity Module by including a <templateID> element with the root
C83-[DE-6-CDA-2] All allergy entries attribute set to the value 2.16.840.1.113883. SHALL conform to the IHE PCC Allergy and Intolerance Concern template by including a <templateID> element with the root attribute set to the value Adverse Event Vocabulary Constraints Not Provided
C154-[DE-6.02-1] Adverse event types SHALL be coded as specified in HITSP/C80 Section Allergy/Adverse Event Type Product Coded Vocabulary Constraints Not Provided
C154-[DE-6.04-1] Food and substance allergies SHALL coded as specified in HITSP/C80 Section Ingredient Name
C154-[DE-6.04-2] Allergies to a class of medication be coded as specified in HITSP/C80 Section Section Medication Drug Class
C154-[DE-6.04-3] Allergies to a specific medication be coded as specified in HITSP/C80 Section Section Medication Brand Name or HITSP/C80 Section Medication Clinical Drug Names. Reaction Coded Constraints Not Provided
C154-[DE-6.06-1] The reaction SHALL be coded as specified in HITSP/C80 Section Allergy/Adverse Event (Reaction) Severity Coded Constraints Not Provided
C154-[DE-6.08-1] The severity of the adverse event SHALL be coded as specified in HITSP/C80 Section Allergy/Adverse Event Severity
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