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Narrative

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Source1

{
  "resourceType": "AllergyIntolerance",
  "meta": {
    "extension": [
      {
        "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
        "extension": [
          {
            "url": "msgId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
              "value": "CR001"
            }
          },
          {
            "url": "msgSequenceId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
              "value": "001"
            }
          },
          {
            "url": "date",
            "valueDateTime": "2026-04-01T15:00:00+08:00"
          }
        ]
      }
    ],
    "profile": [
      "https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance"
    ],
    "source": "HPB-IDEAS",
    "tag": [
      {
        "code": "TTSH"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
      "value": "AI-2026-00891"
    }
  ],
  "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": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/allergy-intolerance-type",
        "code": "allergy",
        "display": "Allergy"
      }
    ]
  },
  "category": [
    "medication"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "372687004",
        "display": "Amoxicillin"
      }
    ]
  },
  "patient": {
    "type": "Patient",
    "identifier": {
      "system": "https://fhir.synapxe.sg/NamingSystem/nric",
      "value": "S7654321B"
    }
  },
  "onsetDateTime": "2015-03-15T00:00:00+08:00",
  "recordedDate": "2026-02-20T09:00:00+08:00",
  "participant": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code": "author",
            "display": "Author"
          }
        ]
      },
      "actor": {
        "type": "Practitioner",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
          "value": "M56789"
        },
        "display": "Dr. Chan Siew Lin"
      }
    },
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code": "verifier",
            "display": "Verifier"
          }
        ]
      },
      "actor": {
        "type": "Practitioner",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
          "value": "M67890"
        },
        "display": "Dr. Wong Ah Kow"
      }
    }
  ],
  "reaction": [
    {
      "manifestation": [
        {
          "concept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "39579001",
                "display": "Anaphylaxis"
              }
            ],
            "text": "Anaphylaxis"
          }
        }
      ],
      "severity": "severe",
      "exposureRoute": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral route"
          }
        ]
      },
      "note": [
        {
          "text": "Patient developed severe anaphylaxis within 15 minutes of first dose of amoxicillin 500mg oral. Required emergency treatment with adrenaline 0.5mg IM, chlorphenamine 10mg IV, and hydrocortisone 200mg IV. Full recovery achieved."
        }
      ]
    }
  ]
}