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Packagetelus.dw.emr.extract-1-1-21
Resource TypeAllergyIntolerance
IdAllergyIntolerance-chr-on-west-AllergyIntolerance-4001.json
FHIR VersionR4

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Narrative

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

Generated Narrative: AllergyIntolerance chr-on-west-AllergyIntolerance-4001

Last updated: 2024-01-15 10:30:00+0000;

Information Source: urn:telus:emr:chr:on:west

Profile: DwAllergyIntolerance

Security Label: normal (Details: Confidentiality code N = 'normal')

identifier: urn:telus:emr:chr:on:west:AllergyIntolerance/4001 (use: official, )

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Penicillin

patient: Sarah Marie Johnson Female, DoB: 1985-03-15 ( Medical Record Number: 12345)

onset: 2018-06-15

recordedDate: 2018-06-15 14:20:00+0000

recorder: Dr. Emily Chen

asserter: Sarah Marie Johnson Female, DoB: 1985-03-15 ( Medical Record Number: 12345)

note:

Patient reports severe rash and itching after taking penicillin in June 2018. Avoid all penicillin-based antibiotics. Patient advised to carry medical alert card.

Reactions

-SubstanceManifestationOnsetSeverityNote
*penicillinGeneralized maculopapular rash with intense itching2018-06-15 20:00:00+0000Severe

Severe reaction


Source1

{
  "resourceType": "AllergyIntolerance",
  "id": "chr-on-west-AllergyIntolerance-4001",
  "meta": {
    "lastUpdated": "2024-01-15T10:30:00Z",
    "source": "urn:telus:emr:chr:on:west",
    "profile": [
      "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwAllergyIntolerance"
    ],
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N",
        "display": "normal"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "system": "urn:telus:emr:chr:on:west:AllergyIntolerance",
      "value": "4001"
    }
  ],
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active",
        "display": "Active"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "55561003",
        "display": "Active",
        "userSelected": true
      }
    ],
    "text": "Active"
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code": "confirmed",
        "display": "Confirmed"
      }
    ],
    "text": "Confirmed"
  },
  "type": "allergy",
  "category": [
    "medication"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "764146007",
        "display": "Penicillin",
        "userSelected": true
      }
    ],
    "text": "Penicillin"
  },
  "patient": {
    "reference": "Patient/chr-on-west-Patient-12345",
    "type": "Patient"
  },
  "onsetDateTime": "2018-06-15",
  "recordedDate": "2018-06-15T14:20:00Z",
  "recorder": {
    "reference": "Practitioner/chr-on-west-Practitioner-501",
    "type": "Practitioner",
    "display": "Dr. Emily Chen"
  },
  "asserter": {
    "reference": "Patient/chr-on-west-Patient-12345",
    "type": "Patient"
  },
  "note": [
    {
      "text": "Patient reports severe rash and itching after taking penicillin in June 2018. Avoid all penicillin-based antibiotics. Patient advised to carry medical alert card."
    }
  ],
  "reaction": [
    {
      "substance": {
        "text": "penicillin"
      },
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271807003",
              "display": "Rash",
              "userSelected": true
            }
          ],
          "text": "Generalized maculopapular rash with intense itching"
        }
      ],
      "onset": "2018-06-15T20:00:00Z",
      "severity": "severe",
      "note": [
        {
          "text": "Severe reaction"
        }
      ]
    }
  ]
}