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Source1

{
  "resourceType": "AllergyIntolerance",
  "id": "reac-pat08-rea-flu-01",
  "meta": {
    "profile": [
      "http://nictiz.nl/fhir/StructureDefinition/cio-Reaction"
    ]
  },
  "extension": [
    {
      "url": "http://nictiz.nl/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "281647001",
            "display": "ongewenste reactie"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate",
      "valueDateTime": "${DATE, T, Y, -13}T15:31:46+02:00"
    },
    {
      "url": "http://nictiz.nl/fhir/StructureDefinition/ext-RelationCondition",
      "valueReference": {
        "reference": "Condition/aog-pat08-aog-01",
        "type": "Condition",
        "display": "Aandoening, startdatum: T-13Y{08:00:23}"
      }
    },
    {
      "url": "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationHypersensitivity.Identifier",
      "valueIdentifier": {
        "system": "urn:oid:2.16.840.1.113883.2.4.3.11.999.26.1.341",
        "value": "pat08-gmo-01"
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:oid:2.16.840.1.113883.2.4.3.11.999.26.1.4",
      "value": "pat08-rea-flu-01"
    }
  ],
  "code": {
    "coding": [
      {
        "system": "urn:oid:2.16.840.1.113883.2.4.4.7",
        "code": "804541",
        "display": "AMOXICILLINE DISP TEVA TABLET 750MG"
      }
    ]
  },
  "patient": {
    "reference": "Patient/patient-XXX-Smabers",
    "type": "Patient",
    "display": "Patient, Pascal XXX_Smabers"
  },
  "recordedDate": "${DATE, T, Y, -13}T15:31:46+02:00",
  "recorder": {
    "reference": "PractitionerRole/pracrole-000003331",
    "type": "PractitionerRole",
    "display": "Healthcare professional (role), S. van der Snel, ARTS SPOEDEISENDE HULP (SEH), Algemeen Stadsziekenhuis"
  },
  "asserter": {
    "reference": "PractitionerRole/pracrole-000003331",
    "type": "PractitionerRole",
    "display": "Healthcare professional (role), S. van der Snel, ARTS SPOEDEISENDE HULP (SEH), Algemeen Stadsziekenhuis"
  },
  "reaction": [
    {
      "extension": [
        {
          "url": "http://nictiz.nl/fhir/StructureDefinition/ext-Reaction.LatencyTime",
          "valueQuantity": {
            "value": 3,
            "unit": "d",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          }
        }
      ],
      "substance": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.4.7",
            "code": "804541",
            "display": "AMOXICILLINE DISP TEVA TABLET 750MG"
          }
        ]
      },
      "onset": "${DATE, T, Y, -13}T08:00:23+02:00",
      "exposureRoute": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.4.9",
            "code": "9",
            "display": "ORAAL"
          }
        ]
      }
    }
  ]
}