Structured Headings - Tabular View

AllergicOrAdverseReactionEvent Tabular View

COCD_TP146060GB02
AllergyEvent	This template class constrains the CDA Observation entry class. This template is to record an allergy or adverse reaction event.
	Used by:
[1..1] [M] classCode (CS { CNE: ActClass } ) { Fixed="OBS" }	Model Attribute Description The HL7 attribute classCode uses a code to describe this class as an observation. Implementation in XML Instance The XML attribute classCode is fixed to "OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } ) { Fixed="EVN" }	Model Attribute Description The HL7 attribute moodCode uses a code to describe this class as an observation event. Implementation in XML Instance The XML attribute moodCode is fixed to "EVN".
[1..1] [M] code (CV { CNE:CDAObservationType } ) { Fixed="ALLEV" }	Model Attribute Description The HL7 attribute code uses a code from the CDAObservationType vocabulary to describe this class as a method of admission. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain the fixed value "ALLEV" The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.220" The XML attribute displayName shall carry the description associated with the code.
[1..1] [R] effectiveTime (IVL<TS>)	Model Attribute Description The HL7 attribute effectiveTime is used for the date and time the allergy or adverse reaction was recorded. Implementation in XML Instance The Interval of Points in Time data type flavour is used to carry this information in the XML element effectiveTime using the value attributes of the of the XML elements low and high. The date range shall be carried as follows: The XML attribute value of the XML elements low and high, shall be populated with a time stamp in the format yyyymmddhhmmss[+\|-ZZzz] where: yyyy is the year mm is the month dd is the day hh is the hour mm is the minute ss is seconds [+\|-ZZzz] is the time zone offset in hours and minutes Sections from the right of this representation may be left off when the sending system does not record to this level of accuracy. When hours are present, the time zone offset must also be present. The Time Interval Complete data type shall be used: The XML attribute value of the XML element low shall be populated with a 'start date' time stamp to indicate the onset of the allergy or adverse reaction. The XML attribute value of the XML element high may be populated with an 'end date' time stamp to indicate when allergy or adverse reaction was no longer present. The XML attribute value of the XML elements low and high should be populated to the level of detail that is available on the sending system. Where no time is recorded or available then: The XML attribute nullFlavor of the XML element effectiveTime shall contain the value "UNK" Where recording No Known Allergies, or where no information is available then: The XML attribute nullFlavor of the XML element effectiveTime shall contain the value "NI"
[1..1] [M] id (II)	Model Attribute Description The HL7 attribute id uses an identifier to identify the instance of the allergy or adverse reaction event. Implementation in XML Instance The Identifier Global data type flavour is used to carry this information in the XML element id as follows: The XML attribute root shall contain a DCE UUID.
[1..1] [M] statusCode (CS { CNE:ActStatus } ) { Fixed="completed" }	Model Attribute Description The HL7 attribute code uses a code to describe the status of the allergy or adverse reaction event. Implementation in XML Instance The Coded Simple (CS) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain a fixed value of "completed".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#AllergyEvent" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#AllergyEvent".
[1..1] [R] value (CV { CNE:ReactionCategoryType } )	Model Attribute Description The HL7 attribute value uses a code from the ReactionCategoryType vocabulary to describe whether the reaction experienced was an allergy, adverse reaction event, or intolerance. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute xsi:type shall contain the value "CV" The XML attribute code shall contain a code from the ReactionCategoryType vocaulary The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.538" THe XML attribute displayName shall contain the description associated with the code attribute Where the type of reaction is not known then: The XML attribute nullFlavor of the XML element value shall contain the value "UNK" Where recording No Known Allergies, or where no information is available then: The XML attribute nullFlavor of the XML element value shall contain the value "NI"
[0..1] author	This template class constrains the CDA author class. The author of this allergy or adverse reaction event information must be included if the author is different to the document (inherited) author. If there is no known author for the information held on the source system then: The information may be included and the document author will be deemed to be the author (by inheritance). The author should be asked to decide whether this is acceptable or not. If the document author does not want to be considered as the author of the information then information must not be included in the document.
[1..1] [M] typeCode (CS { CNE: ParticipationType } ) { Fixed="AUT" }	Model Attribute Description The HL7 attribute typeCode describes this class as an author participation. Implementation in XML Instance The XML attribute typeCode is fixed to "AUT".
[1..1] [M] contextControlCode (CS { CNE: ContextControl } ) { Fixed="OP" }	Model Attribute Description The HL7 attribute contextControlCode uses a set of codes from the HL7 vocabulary ContextControl to determine whether participations associated with the parent act are conducted across to the child act (also associated with the child act). This set of codes also determine how these participations conduct. The conduction can only take place if the contextConductionInd in the actRelationships is set to "true". The value of this attribute is fixed in the HL7 model to "OP": "O" (Overriding) - the author replaces any author that has been conducted from any previous acts. "P" (Propagating) - the author is conducted to all child acts where the contextConductionInd is set to "true". Implementation in XML Instance The XML attribute contextControlCode shall contain the value "OP"
[1..1] [M] contentId (II) { "NPFIT-300001#Role" }	Model Attribute Description The HL7 (NHS localisation) attribute contentId, when valued in an instance, provides a unique forward pointing identifier for the template which constrains the classes and attributes which follow, for NHS use. The attribute is intended simply as a structural navigational aid and should not be relied upon as an indicator of semantic meaning. The contentId is populated at run time with a value from the allowed list contained in the model. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element contentId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.16" The XML attribute extension shall contain one of the allowed template artefact identifiers.
[1..1] [M] functionCode (CV { CNE:AuthorFunctionType } ) { Fixed="OA" }	Model Attribute Description The HL7 attribute functionCode uses a code from the vocabulary AuthorFunctionType to describe the function of the author Implementation in XML Instance The Coded Plain data type flavour of the Coded Value (CV) data type shall be used to carry this information in the XML element functionCode as follows: The XML attribute code is fixed to "OA" The XML attribute codeSystem is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.17.178" The XML attribute displayName is fixed to the author's function name "Originating Author".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#author" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#author".
[1..1] [R] time (TS)	Model Attribute Description The HL7 attribute time is used to define the time the author originally recorded the allergy or adverse reaction event. Implementation in XML Instance The XML attribute value of the XML element time shall be populated with the time that author recorded the information using a time stamp in the format yyyymmddhhmmss[+\|-ZZzz] where: yyyy is the year mm is the month dd is the day hh is the hour mm is the minutes ss is the seconds [+\|-ZZzz] is the time zone offset in hours and minutes Sections from the right of this representation may be left off when the sending system does not record to this level of accuracy. When hours are present, the time zone offset must also be present. Where no time is recorded or available then: The XML attribute nullFlavor of the XML element time shall contain the value "UNK"
[1..1] participant (AuthorChoice)	A link to the choice of author templates.
[1..1] [M] entryRelationship	This template class constrains the CDA entryRelationship class. A component linking the Allergy Event to a Causative Agent.
[1..1] [M] typeCode (CS { CNE: ActRelationshipType } ) { Fixed="COMP" }	Model Attribute Description The HL7 attribute typeCode uses a code to describe this class as a has support relationship. Implementation in XML Instance The XML attribute typeCode is fixed to "COMP".
[1..1] [M] contextConductionInd (BL) { Fixed="true" }	Model Attribute Description The HL7 attribute contextConductionInd uses a Boolean value (true or false) to determine whether information associated with the parent act is conducted across to the child act (also associated with the child act). Implementation in XML Instance The XML attribute contextConductionInd is fixed to "true".
[1..1] [M] seperatableInd (BL) { Fixed="false" }	Model Attribute Description The HL7 attribute seperatableInd uses a Boolean (true or false) to indicate whether two pieces of information can be interpreted separately. Implementation in XML Instance The XML attribute seperatableInd is fixed to "false".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#entryRelationship" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#entryRelationship".
[1..1] [M] causativeAgent (CausativeAgent)	A link to the causative agent.
[0..1] entryRelationship1	This template class constrains the CDA entryRelationship class. A component linking the Allergy Event to the Reaction Details.
[1..1] [M] typeCode (CS { CNE: ActRelationshipType } ) { Fixed="COMP" }	Model Attribute Description The HL7 attribute typeCode uses a code to describe this class as a component. Implementation in XML Instance The XML attribute typeCode is fixed to "COMP".
[1..1] [M] contextConductionInd (BL) { Fixed="true" }	Model Attribute Description The HL7 attribute contextConductionInd uses a Boolean value (true or false) to determine whether information associated with the parent act is conducted across to the child act (also associated with the child act). Implementation in XML Instance The XML attribute contextConductionInd is fixed to "true".
[1..1] [M] seperatableInd (BL) { Fixed="false" }	Model Attribute Description The HL7 attribute seperatableInd uses a Boolean (true or false) to indicate whether two pieces of information can be interpreted separately. Implementation in XML Instance The XML attribute seperatableInd is fixed to "false".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#entryRelationship1" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#entryRelationship1"
[1..1] reactionDetails (ReactionDetails)	A link to the reaction details.
[0..1] entryRelationship2	This template class constrains the CDA entryRelationship class. A component linking the Allergy Event to Evidence that the causative agent was responsible for the reaction.
[1..1] [M] typeCode (CS { CNE: ActRelationshipType } ) { Fixed="COMP" }	Model Attribute Description The HL7 attribute typeCode uses a code to describe this class as a has support relationship. Implementation in XML Instance The XML attribute typeCode is fixed to "COMP".
[1..1] [M] contextConductionInd (BL) { Fixed="true" }	Model Attribute Description The HL7 attribute contextConductionInd uses a Boolean value (true or false) to determine whether information associated with the parent act is conducted across to the child act (also associated with the child act). Implementation in XML Instance The XML attribute contextConductionInd is fixed to "true".
[1..1] [M] seperatableInd (BL) { Fixed="false" }	Model Attribute Description The HL7 attribute seperatableInd uses a Boolean (true or false) to indicate whether two pieces of information can be interpreted separately. Implementation in XML Instance The XML attribute seperatableInd is fixed to "false".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#entryRelationship2" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#entryRelationship2".
[1..1] evidence (Evidence)	A link to the evidence.
[0..1] entryRelationship3	This template class constrains the CDA entryRelationship class. A component linking the Allergy Event to its Probability of Recurrence.
[1..1] [M] typeCode (CS { CNE: ActRelationshipType } ) { Fixed="COMP" }	Model Attribute Description The HL7 attribute typeCode uses a code to describe this class as a has support relationship. Implementation in XML Instance The XML attribute typeCode is fixed to "COMP".
[1..1] [M] contextConductionInd (BL) { Fixed="true" }	Model Attribute Description The HL7 attribute contextConductionInd uses a Boolean value (true or false) to determine whether information associated with the parent act is conducted across to the child act (also associated with the child act). Implementation in XML Instance The XML attribute contextConductionInd is fixed to "true".
[1..1] [M] seperatableInd (BL) { Fixed="false" }	Model Attribute Description The HL7 attribute seperatableInd uses a Boolean (true or false) to indicate whether two pieces of information can be interpreted separately. Implementation in XML Instance The XML attribute seperatableInd is fixed to "false".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#entryRelationship3" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#entryRelationship3".
[1..1] probabilityOfRecurrence (ProbabilityOfRecurrence)	A link to the probability of recurrence.
[0..1] entryRelationship4	This template class constrains the CDA entryRelationship class. A component linking the Allergy Event to Date First Experienced.
[1..1] [M] typeCode (CS { CNE: ActRelationshipType } ) { Fixed="COMP" }	Model Attribute Description The HL7 attribute typeCode uses a code to describe this class as a has support relationship. Implementation in XML Instance The XML attribute typeCode is fixed to "COMP".
[1..1] [M] contextConductionInd (BL) { Fixed="true" }	Model Attribute Description The HL7 attribute contextConductionInd uses a Boolean value (true or false) to determine whether information associated with the parent act is conducted across to the child act (also associated with the child act). Implementation in XML Instance The XML attribute contextConductionInd is fixed to "true".
[1..1] [M] seperatableInd (BL) { Fixed="false" }	Model Attribute Description The HL7 attribute seperatableInd uses a Boolean (true or false) to indicate whether two pieces of information can be interpreted separately. Implementation in XML Instance The XML attribute seperatableInd is fixed to "false".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#entryRelationship4" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#entryRelationship4".
[1..1] dateFirstExperienced (DateFirstExperienced)	A link to date first experienced.
AuthorChoice	Refers to the choice of authors of an allergy or adverse reaction diagnosis event.
	Used by: AllergyEvent
[1..1] : Template1	A link to the author templates.
ReactionDetails	This template class constrains the CDA Observation entry class. This class is an observation of the reaction details.
	Used by: AllergyEvent
[1..1] [M] classCode (CS { CNE: ActClass } ) { Fixed="OBS" }	Model Attribute Description The HL7 attribute classCode uses a code to describe this class as an observation. Implementation in XML Instance The XML attribute classCode is fixed to "OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } ) { Fixed="EVN" }	Model Attribute Description The HL7 attribute moodCode uses a code to describe this class as an observation event. Implementation in XML Instance The XML attribute moodCode is fixed to "EVN".
[1..1] [R] code (CV { CNE:CDAObservationType } ) { Fixed="ALLRD" }	Model Attribute Description The HL7 attribute code uses a code from the CDAObservationType vocabulary to describe this class as a method of admission. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain the fixed value "ALLRD" The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.220" The XML attribute displayName shall carry the description associated with the code.
[1..1] [R] templateId (II) { Fixed="COCD_TP146060GB02#reactionDetails" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#reactionDetails".
[0..1] text (ST)	Model Attribute Description The HL7 attribute text is used to carry additional comments and clarification about the adverse reaction. Implementation in XML Instance The String (ST) data type is used to carry this information in the XML element text as follows The XML element text shall contain additional comments and clarifications about the adverse reaction.
[1..1] [M] value (CV { CNE:FindingTypeSnCT } )	Model Attribute Description The HL7 attribute value is used to carry a description of the manifestation of the reaction experienced by the patient, for example "Skin rash". This may be represented by either a finding from the SNOMED CT terminology, or as text. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element value as follows: If using a concept from the FindingTypeSnCT vocabulary then The XML attribute xsi:type shall contain the value "CV" The XML attribute code shall contain a value from the FindingTypeSnCT vocabulary. The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.15" The XML attribute displayName shall carry the description associated with the SNOMED CT concept. It is recommended that the preferred term is used. If not using a concept from SNOMED CT then The XML element originalText should be used to record the finding (manifestation).
[0..1] entryRelationship5	This template class constrains the CDA component class. A component linking Reaction Details to Certainty.
[1..1] [M] typeCode (CS { CNE: COMP } )	Model Attribute Description The HL7 attribute typeCode uses a code to describe this class as a has support relationship. Implementation in XML Instance The XML attribute typeCode is fixed to "COMP".
[1..1] [M] contextConductionInd (BL) { Fixed="true" }	Model Attribute Description The HL7 attribute contextConductionInd uses a Boolean value (true or false) to determine whether information associated with the parent act is conducted across to the child act (also associated with the child act). Implementation in XML Instance The XML attribute contextConductionInd is fixed to "true".
[1..1] [M] seperatableInd (BL) { Fixed="false" }	Model Attribute Description The HL7 attribute seperatableInd uses a Boolean (true or false) to indicate whether two pieces of information can be interpreted separately. Implementation in XML Instance The XML attribute seperatableInd is fixed to "false".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#entryRelationship5" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#entryRelationship5".
[1..1] certainty (Certainty)	A link to certainty.
[0..1] entryRelationship6	This template class constrains the CDA component class. A component linking Reaction Details to Severity.
[1..1] [M] typeCode (CS { CNE: ActRelationshipType } ) { Fixed="COMP" }	Model Attribute Description The HL7 attribute typeCode uses a code to describe this class as a has support relationship. Implementation in XML Instance The XML attribute typeCode is fixed to "COMP".
[1..1] [M] contextConductionInd (BL) { Fixed="true" }	Model Attribute Description The HL7 attribute contextConductionInd uses a Boolean value (true or false) to determine whether information associated with the parent act is conducted across to the child act (also associated with the child act). Implementation in XML Instance The XML attribute contextConductionInd is fixed to "true".
[1..1] [M] seperatableInd (BL) { Fixed="false" }	Model Attribute Description The HL7 attribute seperatableInd uses a Boolean (true or false) to indicate whether two pieces of information can be interpreted separately. Implementation in XML Instance The XML attribute seperatableInd is fixed to "false".
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#entryRelationship6" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#entryRelationship6".
[1..1] severity (Severity)	A link to severity.
Certainty	This template class constrains the CDA Observation entry class. This class is an observation of how certain the reaction is thought to have been caused by the agent.
	Used by: ReactionDetails
[1..1] [M] classCode (CS { CNE: ActClass } ) { Fixed="OBS" }	Model Attribute Description The HL7 attribute classCode uses a code to describe this class as an observation. Implementation in XML Instance The XML attribute classCode is fixed to "OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } ) { Fixed="EVN" }	Model Attribute Description The HL7 attribute moodCode uses a code to describe this class as an observation event. Implementation in XML Instance The XML attribute moodCode is fixed to "EVN".
[1..1] [M] code (CV { CNE:CDAObservationType } ) { Fixed="ALLCER" }	Model Attribute Description The HL7 attribute code uses a code from the CDAObservationType vocabulary to describe this class as an certainty of whether the causative agent caused the reactions. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain the fixed value "ALLCER" The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.220" The XML attribute displayName shall carry the description associated with the code.
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#certainty" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#certainty".
[1..1] [M] value (CV { CNE:CertaintySnCT } )	Model Attribute Description The HL7 attribute code uses a code from the CertaintySnCT vocabulary to describe the certainty that the adverse reaction was caused by the agent. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute xsi:type shall contain the value "CV" The XML attribute code shall contain a concept from the CertaintySnCT vocabulary The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.15" The XML attribute displayName shall carry the description associated with the concept.
Severity	This template class constrains the CDA observation class. This template class is used to hold details of the severity of the adverse reaction.
	Used by: ReactionDetails
[1..1] [M] classCode (CS { CNE: ActClass } ) { Fixed="OBS" }	Model Attribute Description The HL7 attribute classCode uses a code to describe this class as an observation. Implementation in XML Instance The XML attribute classCode is fixed to "OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } ) { Fixed="EVN" }	Model Attribute Description The HL7 attribute moodCode uses a code to describe this class as an observation event. Implementation in XML Instance The XML attribute moodCode is fixed to "EVN".
[1..1] [M] code (CV { CNE:CDAObservationType } ) { Fixed="ALLSEV" }	Model Attribute Description The HL7 attribute code uses a code from the CDAObservationType vocabulary to describe this class as a method of admission. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain the fixed value "ALLSEV" The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.220" The XML attribute displayName shall carry the description associated with the code.
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#severity" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#severity".
[1..1] [M] value (CV { CNE:SeveritySnCT } )	Model Attribute Description The HL7 attribute code uses a code from the SeveritySnCT vocabulary to describe the severity of the adverse reaction. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute xsi:type shall contain the value "CV" The XML attribute code shall contain a concept from the SeveritySnCT vocabulary The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.15" The XML attribute displayName shall contain the description associated with the concept.
CausativeAgent	This template class constrains the CDA Observation entry class. This class is an observation for the causative agent that caused the adverse reaction.
	Used by: AllergyEvent
[1..1] [M] classCode (CS { CNE: ActClass } ) { Fixed="OBS" }	Model Attribute Description The HL7 attribute classCode uses a code to describe this class as an observation. Implementation in XML Instance The XML attribute classCode is fixed to "OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } ) { Fixed="EVN" }	Model Attribute Description The HL7 attribute moodCode uses a code to describe this class as an observation event. Implementation in XML Instance The XML attribute moodCode is fixed to "EVN".
[1..1] [M] code (CV { CNE:CDAObservationType } ) { Fixed="ALLCAUS" }	Model Attribute Description The HL7 attribute code uses a code from the CDAObservationType vocabulary to describe this class as a method of admission. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain the fixed value "ALLCAUS" The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.220" The XML attribute displayName shall carry the description associated with the code.
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#causativeAgent" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#causativeAgent".
[1..1] [M] value (CV { CNE:CausativeAgentSnCT } )	Model Attribute Description The HL7 attribute value uses a concept from the SNOMED CT terminology, or text to represent the causative agent. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element value as follows: If using a concept from SNOMED CT then The XML attribute xsi:type shall contain the value "CV" The XML attribute code shall contain a concept from the CausativeAgentSnCT vocabulary The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.15". The XML attribute displayName shall carry the description associated with the concept. If using a text representation the The XML element originalText should be used to carry causative agent in text. If there are no known allergies or adverse reactions then The XML element originalText should be used to carry the string "No known drug allergies or adverse reactions" or the string "Information not available".
Evidence	This template class constrains the CDA Observation entry class. This class is an observation of the investigations that confirmed the certainty of the diagnosis.
	Used by: AllergyEvent
[1..1] [M] classCode (CS { CNE: ActClass } ) { Fixed="OBS" }	Model Attribute Description The HL7 attribute classCode uses a code to describe this class as an observation. Implementation in XML Instance The XML attribute classCode is fixed to "OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } ) { Fixed="EVN" }	Model Attribute Description The HL7 attribute moodCode uses a code to describe this class as an observation event. Implementation in XML Instance The XML attribute moodCode is fixed to "EVN".
[1..1] [M] code (CV { CNE:CDAObservationType } ) { Fixed="ALLEVID" }	Model Attribute Description The HL7 attribute code uses a code from the CDAObservationType vocabulary to describe this class as a method of admission. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain the fixed value "ALLEVID" The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.220" The XML attribute displayName shall carry the description associated with the code.
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#evidence" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#evidence".
[1..1] [M] value (ST)	Model Attribute Description The HL7 attribute value is used to carry a text representation of the evidence that the causative agent is responsible for the reaction. Examples might include results of skin prick allergy tests. Implementation in XML Instance The String (ST) data type is used to carry this information in the XML element value as follows The XML attribute xsi:type shall contain the value "ST" The XML element value shall contain the text relating to allergic evidence.
ProbabilityOfRecurrence	This template class constrains the CDA Observation entry class. This class is an observation of the probability of the reaction reoccurring.
	Used by: AllergyEvent
[1..1] [M] classCode (CS { CNE: ActClass } ) { Fixed="OBS" }	Model Attribute Description The HL7 attribute classCode uses a code to describe this class as an observation. Implementation in XML Instance The XML attribute classCode is fixed to "OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } ) { Fixed="EVN" }	Model Attribute Description The HL7 attribute moodCode uses a code to describe this class as an observation event. Implementation in XML Instance The XML attribute moodCode is fixed to "EVN".
[1..1] [M] code (CV { CNE:CDAObservationType } ) { Fixed="ALLPOR" }	Model Attribute Description The HL7 attribute code uses a code from the CDAObservationType vocabulary to describe this class as a method of admission. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain the fixed value "ALLPOR" The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.220" The XML attribute displayName shall carry the description associated with the code.
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#probabilityOfRecurrence" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#probabilityOfRecurrence".
[1..1] [M] value (ST)	Model Attribute Description The HL7 attribute value is used to carry a text representation of the probability that the reaction (allergic, adverse, intolerant) will recur. Implementation in XML Instance The String (ST) data type is used to carry this information in the XML element value as follows The XML attribute xsi:type shall contain the value "ST" The XML element value shall contain the text relating to probability of recurrence.
DateFirstExperienced	This template class constrains the CDA Observation entry class. This class is an observation of when the reaction was first experienced.
	Used by: AllergyEvent
[1..1] [M] classCode (CS { CNE: ActClass } ) { Fixed="OBS" }	Model Attribute Description The HL7 attribute classCode uses a code to describe this class as an observation. Implementation in XML Instance The XML attribute classCode is fixed to "OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } ) { Fixed="EVN" }	Model Attribute Description The HL7 attribute moodCode uses a code to describe this class as an observation event. Implementation in XML Instance The XML attribute moodCode is fixed to "EVN".
[1..1] [M] code (CV { CNE:CDAObservationType } ) { Fixed="ALLDFE" }	Model Attribute Description The HL7 attribute code uses a code from the CDAObservationType vocabulary to describe this class as a date reaction first experienced. Implementation in XML Instance The Coded Value (CV) data type shall be used to carry this information in the XML element code as follows: The XML attribute code shall contain the fixed value "ALLDFE" The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.17.220" The XML attribute displayName shall carry the description associated with the code.
[0..1] effectiveTime (TS)	Model Attribute Description The HL7 attribute time is used to record the time the allergic or adverse reaction (or intolerance) was first experienced, and a date (to at least the accuracy of year) can be established. Implementation in XML Instance The XML attribute value of the XML element time shall be populated with the time that reaction was first experienced using a time stamp in the format yyyymmddhhmmss[+\|-ZZzz] where: yyyy is the year mm is the month dd is the day hh is the hour mm is the minutes ss is the seconds [+\|-ZZzz] is the time zone offset in hours and minutes Sections from the right of this representation may be left off when the sending system does not record to this level of accuracy. When hours are present, the time zone offset must also be present.
[1..1] [M] templateId (II) { Fixed="COCD_TP146060GB02#dateFirstExperienced" }	Model Attribute Description The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use. Implementation in XML Instance The Identifier External data type flavour is used to carry this information in the XML element templateId as follows: The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2" The XML attribute extension is fixed to "COCD_TP146060GB02#dateFirstExperienced".
[0..1] text (ST)	Model Attribute Description The HL7 attribute text is used to carry a text representation of when an allergic or adverse reaction (or intolerance) was first experienced, and the exact date or year cannot be established. For example "During childhood". Implementation in XML Instance The String (ST) data type is used to carry this information in the XML element text as follows The XML attribute xsi:type shall contain the value "CV" The XML element text shall contain the text relating to when the reaction was first experienced.

Structured HeadingsDomain Message Specification

AllergicOrAdverseReactionEvent Tabular View

Structured Headings
Domain Message Specification