FHIRsmith: AllergyIntolerance/AllergyIntolerance-HIEAllergyIntolerance-example.json

FHIR IG analytics

Package	hie-fhir-ig-profile
Resource Type	AllergyIntolerance
Id	AllergyIntolerance-HIEAllergyIntolerance-example.json
FHIR Version	R4B

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

AllergyIntolerance Narrative

Confirmed peanut allergy. Active. High criticality. Urticaria after oral exposure.

Patient

Name: Jane Patient
Reference: Patient/p-001

Allergy details

Substance	Peanut (SNOMED CT 227493005)
Clinical status	Active
Verification status	Confirmed
Type	Allergy
Category	Food
Criticality	High

Encounter

Context: Ambulatory visit for rash
Reference: Encounter/enc-001

Timeline

Recorded	2025-11-10
Onset	2018-03-15T14:10:00+03:00
Most recent event	2025-11-09T13:00:00+03:00

Reaction history

Date	Manifestation	Severity	Exposure route	Description
2025-11-09T13:00:00+03:00	Urticaria (SNOMED CT 271807003)	Moderate	Oral route (SNOMED CT 26643006)	Generalized hives and pruritus

Notes

2025-11-10T09:30:00+03:00 by Dr. John Clinician: Patient reports hives within 30 minutes of ingesting peanuts, carries epinephrine auto-injector.
2025-11-10T09:35:00+03:00 by Dr. John Clinician: Resolved with oral antihistamine. No respiratory compromise.

Provenance

Recorder: Dr. John Clinician, HIEPractitioner/pr-001
Asserter: Jane Patient, Patient/p-001

Care guidance

Avoid peanut exposure.
Carry and know how to use an epinephrine auto-injector.
Seek urgent care for respiratory symptoms, hypotension, or widespread hives.

Source1

{
  "resourceType": "AllergyIntolerance",
  "id": "HIEAllergyIntolerance-example",
  "meta": {
    "profile": [
      "https://nshr.dha.go.ke/fhir/StructureDefinition/allergyintolerance"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MR",
            "display": "Medical record number"
          }
        ]
      },
      "system": "http://example.org/mrn",
      "value": "MRN-12345"
    }
  ],
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active",
        "display": "Active"
      }
    ]
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code": "confirmed",
        "display": "Confirmed"
      }
    ]
  },
  "type": "allergy",
  "category": [
    "food"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "227493005",
        "display": "Peanut"
      }
    ]
  },
  "patient": {
    "reference": "Patient/p-001",
    "display": "Jane Patient"
  },
  "encounter": {
    "reference": "Encounter/enc-001",
    "display": "Ambulatory visit for rash"
  },
  "recordedDate": "2025-11-10",
  "recorder": {
    "reference": "HIEPractitioner/pr-001",
    "display": "Dr. John Clinician"
  },
  "asserter": {
    "reference": "Patient/p-001",
    "display": "Jane Patient"
  },
  "note": [
    {
      "authorReference": {
        "reference": "HIEPractitioner/pr-001"
      },
      "time": "2025-11-10T09:30:00+03:00",
      "text": "Patient reports hives within 30 minutes of ingesting peanuts; carries epinephrine auto-injector."
    }
  ],
  "reaction": [
    {
      "substance": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "227493005",
            "display": "Peanut"
          }
        ]
      },
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271807003",
              "display": "Urticaria"
            }
          ]
        }
      ],
      "description": "Generalized hives and pruritus",
      "onset": "2025-11-09T13:00:00+03:00",
      "severity": "moderate",
      "exposureRoute": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral route"
          }
        ]
      },
      "note": [
        {
          "authorReference": {
            "reference": "HIEPractitioner/pr-001"
          },
          "time": "2025-11-10T09:35:00+03:00",
          "text": "Resolved with oral antihistamine. No respiratory compromise."
        }
      ]
    }
  ]
}