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Narrative

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Source1

{
  "resourceType": "AllergyIntolerance",
  "id": "allergyIntolerance-001",
  "meta": {
    "profile": [
      "https://nphcda.gov.ng/ig/StructureDefinition/allergy-intolerance-profile"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://nphcda.gov.ng/ig/StructureDefinition/allergy-reference-dose-number",
      "valueInteger": 165
    },
    {
      "url": "https://nphcda.gov.ng/ig/StructureDefinition/allergy-reference-dose-series",
      "valueString": "Pentavalent Infant Series"
    }
  ],
  "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": [
    "medication",
    "biologic"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "293104008",
        "display": "Adverse reaction to immunization"
      }
    ]
  },
  "patient": {
    "reference": "Patient/patient-001"
  },
  "encounter": {
    "reference": "Encounter/encounter-001"
  },
  "onsetDateTime": "2025-08-01T09:30:00+01:00",
  "recordedDate": "2025-08-01T10:00:00+01:00",
  "recorder": {
    "reference": "Practitioner/practitioner-001"
  },
  "lastOccurrence": "2025-08-01T12:00:00+01:00",
  "reaction": [
    {
      "substance": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "333346007",
            "display": "Product containing precisely silver nitrate 200 milligram/1 milliliter conventional release cutaneous solution (clinical drug)"
          }
        ]
      },
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271807003",
              "display": "Skin rash"
            }
          ]
        }
      ],
      "description": "Patient developed rash and swelling within 30 minutes of immunization.",
      "onset": "2025-08-01T10:15:00+01:00",
      "severity": "moderate"
    }
  ]
}