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Packagehl7.fhir.us.qicore.r4b
Resource TypeAllergyIntolerance
IdAllergyIntolerance-example.json
FHIR VersionR4B

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Narrative

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

Generated Narrative: AllergyIntolerance example

identifier: http://acme.com/ids/patients/risks/49476534

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Food

criticality: High Risk

code: Cashew nuts

patient: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

onset: 2004

recordedDate: 2014-10-09 14:58:00+1100

recorder: Practitioner Adam Careful

asserter: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

lastOccurrence: 2012-06-02 01:45:31+0000

note:

The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.

reaction

substance: cashew nut allergenic extract Injectable Product

manifestation: Anaphylactic reaction

description: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered

onset: 2012-06-12

severity: Severe

exposureRoute: Subcutaneous route

reaction

manifestation: Urticaria

onset: 2004

severity: Moderate

note:

The patient reports that the onset of urticaria was within 15 minutes of eating cashews.


Source1

{
  "resourceType": "AllergyIntolerance",
  "id": "example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://acme.com/ids/patients/risks",
      "value": "49476534"
    }
  ],
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active"
      }
    ]
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code": "confirmed"
      }
    ]
  },
  "type": "allergy",
  "category": [
    "food"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "227493005",
        "display": "Cashew nuts"
      }
    ]
  },
  "patient": {
    "reference": "Patient/example"
  },
  "onsetDateTime": "2004",
  "recordedDate": "2014-10-09T14:58:00+11:00",
  "recorder": {
    "reference": "Practitioner/example"
  },
  "asserter": {
    "reference": "Patient/example"
  },
  "lastOccurrence": "2012-06-02T01:45:31+00:00",
  "note": [
    {
      "text": "The criticality is high becasue of the observed anaphylactic reaction when challenged     with cashew extract."
    }
  ],
  "reaction": [
    {
      "substance": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1160593",
            "display": "cashew nut allergenic extract Injectable Product"
          }
        ]
      },
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "39579001",
              "display": "Anaphylactic reaction"
            }
          ]
        }
      ],
      "description": "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered",
      "onset": "2012-06-12",
      "severity": "severe",
      "exposureRoute": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "34206005",
            "display": "Subcutaneous route"
          }
        ]
      }
    },
    {
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "64305001",
              "display": "Urticaria"
            }
          ]
        }
      ],
      "onset": "2004",
      "severity": "moderate",
      "note": [
        {
          "text": "The patient reports that the onset of urticaria was within 15 minutes of eating cashews."
        }
      ]
    }
  ]
}