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Source1

{
  "resourceType": "AllergyIntolerance",
  "meta": {
    "extension": [
      {
        "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
        "extension": [
          {
            "url": "msgId",
            "valueIdentifier": {
              "value": "TES_Allergy_20250828224816-8230"
            }
          },
          {
            "url": "msgSequenceId",
            "valueIdentifier": {
              "value": "20250828225119"
            }
          },
          {
            "url": "date",
            "valueDateTime": "2025-08-28T22:51:19+08:00"
          }
        ]
      }
    ],
    "profile": [
      "https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance"
    ],
    "source": "CLINICASSIST"
  },
  "contained": [
    {
      "resourceType": "Organization",
      "id": "service-provider",
      "identifier": [
        {
          "value": "9700247"
        }
      ],
      "name": "EHI DIAGNOSTICS"
    },
    {
      "resourceType": "Encounter",
      "id": "encounter",
      "status": "completed",
      "identifier": [
        {
          "value": "TES_Apmt_ID_20250808133946-927"
        }
      ],
      "actualPeriod": {
        "start": "2025-08-28T22:51:19+08:00",
        "end": "2025-08-28T22:51:19+08:00"
      },
      "serviceProvider": {
        "reference": "#service-provider"
      }
    }
  ],
  "identifier": [
    {
      "value": "TES_Allergy_RI_20250828224816-3384"
    }
  ],
  "extension": [
    {
      "url": "https://fhir.synapxe.sg/StructureDefinition/ext-reportingFlag",
      "extension": [
        {
          "url": "coding",
          "valueCoding": {
            "system": "CMIS_REPORTING_FLAG_(NEHR)",
            "version": "Editable",
            "code": "A",
            "display": "Add a new report"
          }
        },
        {
          "url": "text",
          "valueString": "Add a new report"
        }
      ]
    },
    {
      "url": "https://fhir.synapxe.sg/StructureDefinition/ext-assertedDate",
      "valueDateTime": "2025-08-28T22:51:19+08:00"
    },
    {
      "url": "https://fhir.synapxe.sg/StructureDefinition/ext-informationSource",
      "extension": [
        {
          "url": "coding",
          "valueCoding": {
            "system": "CMIS_INFORMATION_SOURCE_(NEHR)",
            "version": "Editable",
            "code": "2",
            "display": "Medical records"
          }
        },
        {
          "url": "text",
          "valueString": "Medical records"
        }
      ]
    }
  ],
  "type": {
    "coding": [
      {
        "code": "allergy",
        "display": "Drug Allergy"
      }
    ],
    "text": "Drug Allergy"
  },
  "clinicalStatus": {
    "coding": [
      {
        "code": "active",
        "display": "Active"
      }
    ],
    "text": "Active"
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "CMIS_DRUG_ALLERGY_INDICATOR_(NEHR)",
        "version": "Editable",
        "code": "Y",
        "display": "Yes"
      }
    ],
    "text": "Yes"
  },
  "category": [
    "food"
  ],
  "criticality": "high",
  "code": {
    "text": "Plant seeds"
  },
  "patient": {
    "type": "Patient",
    "identifier": {
      "value": "S9669654Z"
    }
  },
  "encounter": {
    "reference": "#encounter",
    "type": "Encounter"
  },
  "onsetDateTime": "2025-08-28T00:00:00+08:00",
  "participant": [
    {
      "extension": [
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-system",
          "valueString": "ABCD"
        }
      ],
      "function": {
        "coding": [
          {
            "code": "enterer",
            "display": "Creator"
          }
        ]
      },
      "actor": {
        "type": "Practitioner",
        "identifier": {
          "value": "M12345A"
        },
        "display": "John Doe"
      }
    },
    {
      "function": {
        "coding": [
          {
            "code": "enterer",
            "display": "Recorder"
          }
        ]
      },
      "actor": {
        "type": "Practitioner",
        "identifier": {
          "value": "M12345A"
        },
        "display": "John Doe",
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-reporterContactNumber",
            "valueString": "94463595"
          },
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-reporterEmail",
            "valueString": "johndoe@email.com"
          },
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-profession",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "CMIS_REPORTER_PROFESSION_(NEHR)",
                  "version": "Editable",
                  "code": "4",
                  "display": "Nurse"
                }
              ],
              "text": "Nurse"
            }
          }
        ]
      }
    },
    {
      "function": {
        "coding": [
          {
            "code": "attester",
            "display": "Asserter"
          }
        ]
      },
      "actor": {
        "type": "Practitioner",
        "identifier": {
          "value": "M12345A"
        },
        "display": "John Doe"
      }
    },
    {
      "function": {
        "coding": [
          {
            "code": "author",
            "display": "Author"
          }
        ]
      },
      "actor": {
        "type": "Practitioner",
        "identifier": {
          "value": "M12345A"
        },
        "display": "John Doe"
      }
    }
  ],
  "recordedDate": "2025-08-28T22:51:19+08:00",
  "reaction": [
    {
      "extension": [
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-ADRAlertIndicator",
          "extension": [
            {
              "url": "coding",
              "valueCoding": {
                "system": "CMIS_ADR_ALERT_INDICATOR_(NEHR)",
                "version": "Editable",
                "code": "1",
                "display": "Yes, avoid the same drug and drugs in the same class"
              }
            },
            {
              "url": "text",
              "valueString": "Yes, avoid the same drug and drugs in the same class"
            }
          ]
        },
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-severity",
          "extension": [
            {
              "url": "code",
              "valueCoding": {
                "system": "CMIS_REACTION_SEVERITY_(NEHR)",
                "version": "Editable",
                "code": "Y",
                "display": "Yes"
              }
            },
            {
              "url": "text",
              "valueString": "Yes"
            }
          ]
        },
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-ADROutcome",
          "extension": [
            {
              "url": "text",
              "valueString": "No outcome recorded"
            }
          ]
        },
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-reactionOutcome",
          "extension": [
            {
              "url": "coding",
              "valueCoding": {
                "system": "CMIS_REACTION_OUTCOME_(NEHR)",
                "version": "Editable",
                "code": "1",
                "display": "Life threatening"
              }
            },
            {
              "url": "text",
              "valueString": "Life threatening"
            }
          ]
        }
      ],
      "manifestation": [
        {
          "concept": {
            "coding": [
              {
                "display": "Choroidal hemorrhage"
              }
            ],
            "text": "Choroidal hemorrhage"
          }
        }
      ],
      "description": "Adverse Reaction description",
      "onset": "2025-08-28T22:51:19+08:00",
      "note": [
        {
          "text": "DAADR Notes"
        }
      ],
      "substance": {
        "coding": [
          {
            "system": "CMIS_DRUG_(NEHR)",
            "version": "Editable",
            "code": "A00290",
            "display": "Alcuronium"
          }
        ],
        "text": "Alcuronium",
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-details",
            "extension": [
              {
                "url": "period",
                "valuePeriod": {
                  "start": "2025-08-28T22:51:19+08:00",
                  "end": "2025-09-28T22:51:19+08:00"
                }
              },
              {
                "url": "probability",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "CMIS_DRUG_PROBABILITY_(NEHR)",
                      "version": "Editable",
                      "code": "1",
                      "display": "Definite"
                    }
                  ],
                  "text": "Definite"
                }
              },
              {
                "url": "brand",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "CMIS_BRAND_(NEHR)",
                      "version": "Editable",
                      "code": "B00068",
                      "display": "AERIUS"
                    }
                  ],
                  "text": "AERIUS"
                }
              },
              {
                "url": "type",
                "valueString": "S"
              },
              {
                "url": "note",
                "valueString": "For treatment"
              },
              {
                "url": "indication",
                "valueString": "Once a week"
              },
              {
                "url": "batchNo",
                "valueString": "101"
              }
            ]
          }
        ]
      },
      "exposureRoute": {
        "coding": [
          {
            "system": "CMIS_ADMINISTRATION_ROUTE_(NEHR)",
            "version": "Editable",
            "code": "31",
            "display": "Intravenous"
          }
        ],
        "text": "Intravenous"
      }
    }
  ]
}