| Id | 
                     1.2.276.0.76.10.4065 | 
                     Gültigkeit | 
                      gültig ab 2015‑03‑27 | 
                  
                  
                     | Status | 
                       Aktiv
                      | 
                     Versions-Label | 
                      | 
                  
                  
                     | Name | 
                     Allergyconcernact | 
                     Anzeigename | 
                     Allergy Concern Act | 
                  
                  
                     | Kontext | 
                     Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4065 | 
                  
                  
                     | Klassifikation | 
                     CDA Entry Level Template | 
                  
                  
                     | Offen/Geschlossen | 
                     Offen (auch andere als die definierten Elemente sind erlaubt) | 
                  
                  
                     | Benutzt von / Benutzt | 
                     
                        
                           
                              | Benutzt von 3 Templates, Benutzt 1 Template | 
                            
                           
                              | 
                                 
                               | 
                            
                         
                      | 
                  
                  
                     | Beziehung | 
                     Spezialisierung: Template 2.16.840.1.113883.10.12.301 (2005‑09‑07) Adaptation: Template 2.16.840.1.113883.10.20.22.4.30 (2014‑06‑09)
                      | 
                  
                  
                     | Beispiel | 
                     
                        
                           
                              | Beispiel | 
                            
                           
                              <act classCode="ACT" moodCode="EVN">   <templateId root="1.2.276.0.76.10.4065"/>   <id root="1.2.276.0.76.4.17.9814184919" extension="5a2ac5fc-0c85-4223-baee-c2e254803975"/>   <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"/>   </effectiveTime>  <entryRelationship typeCode="SUBJ">     <!-- 1.2.276.0.76.10.4066 Allergy / Intolerance Observation -->   </entryRelationship></act> | 
                            
                         
                      | 
                  
                  
                     
                        
                           
                              
                                 | Item | 
                                 DT | 
                                 Kard | 
                                 Konf | 
                                 Beschreibung | 
                                 Label | 
                               
                           
                           
                              
                                 | 
                                    
                                  | 
                                  | 
                                  | 
                                  | 
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 
                                       
                                            | 
                                          @classCode
  | 
                                        
                                     
                                  | 
                                  | 
                                 1 … 1 | 
                                 F | 
                                 ACT | 
                               
                              
                                 
                                       
                                            | 
                                          @moodCode
  | 
                                        
                                     
                                  | 
                                  | 
                                 1 … 1 | 
                                 F | 
                                 EVN | 
                               
                              
                                 
                                    
                                       
                                            | 
                                          hl7:templateId
  | 
                                        
                                     
                                  | 
                                 II | 
                                 1 … 1 | 
                                 M | 
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 
                                       
                                            | 
                                            | 
                                          @root
  | 
                                        
                                     
                                  | 
                                  | 
                                 1 … 1 | 
                                 F | 
                                 1.2.276.0.76.10.4065 | 
                               
                              
                                 
                                    
                                       
                                            | 
                                          hl7:id
  | 
                                        
                                     
                                  | 
                                 II | 
                                 1 … * | 
                                 M | 
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 
                                    
                                       
                                            | 
                                          hl7:code
  | 
                                        
                                     
                                  | 
                                 CV | 
                                 1 … 1 | 
                                 M | 
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 
                                    
                                       
                                            | 
                                            | 
                                          @code
  | 
                                        
                                     
                                  | 
                                  | 
                                 1 … 1 | 
                                 F | 
                                 CONC | 
                               
                              
                                 
                                    
                                       
                                            | 
                                            | 
                                          @codeSystem
  | 
                                        
                                     
                                  | 
                                  | 
                                 1 … 1 | 
                                 F | 
                                 2.16.840.1.113883.5.6 (ActClass) | 
                               
                              
                                 
                                    
                                       
                                            | 
                                          hl7:statusCode
  | 
                                        
                                     
                                  | 
                                 CS | 
                                 1 … 1 | 
                                 M | 
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 
                                    
                                       
                                            | 
                                          hl7:effectiveTime
  | 
                                        
                                     
                                  | 
                                 IVL_TS | 
                                 1 … 1 | 
                                 M | 
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 
                                    
                                       
                                            | 
                                            | 
                                          hl7:low
  | 
                                        
                                     
                                  | 
                                 TS | 
                                 1 … 1 | 
                                 M | 
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 
                                    
                                       
                                            | 
                                            | 
                                          hl7:high
  | 
                                        
                                     
                                  | 
                                 TS | 
                                 0 … 1 | 
                                  | 
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 
                                    
                                       
                                            | 
                                          hl7:entryRelationship
  | 
                                        
                                     
                                  | 
                                  | 
                                 1 … * | 
                                 M | 
                                 Beinhaltet 1.2.276.0.76.10.4066 Allergy / Intolerance Observation (DYNAMIC)
                                  | 
                                 (Allergyconcernact) | 
                               
                              
                                 |  wo   [hl7:observation [hl7:templateId/@root='1.2.276.0.76.10.4066']] | 
                                  | 
                               
                              
                                 
                                       
                                            | 
                                            | 
                                          @typeCode
  | 
                                        
                                     
                                  | 
                                  | 
                                 1 … 1 | 
                                 F | 
                                 SUBJ | 
                               
                           
                         
                      |