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Packagetw.gov.mohw.twcore
Resource TypeAllergyIntolerance
IdAllergyIntolerance-all-medication-example.json
FHIR VersionR4

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Narrative

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

藥物過敏

臨床狀態:Active ( AllergyIntoleranceClinicalStatusCodes#active)

驗證狀態:Confirmed ( AllergyIntoleranceVerificationStatusCodes#confirmed)

根本原因或運作機制:Allergy ( AllergyIntoleranceType#allergy)

確定的物質的類別:Medication ( AllergyIntoleranceCategory#medication)

嚴重程度:High Risk ( AllergyIntoleranceCriticality#high)

過敏或不耐症的識別:青黴素過敏(Penicillin allergy) ( SNOMED CT#91936005)

過敏或不耐症被識別的時間:2023-10-15T08:45:00

病人Patient/pat-example "陳加玲"

紀錄者Practitioner/pra-dr-example "王依昇"

被記錄的日期:2023-10-15T12:00:00

關於過敏的資訊來源Practitioner/pra-nurse-example "陳莉"

最後一次已知反應發生的日期與時間:2023-12-05T15:30:00

過敏或不耐受物質的不良反應紀錄

過敏產生的特定物質或醫藥產品:青黴素(Medicinal product containing penicillin and acting as antibacterial agent (product)) ( SNOMED CT#6369005)

與此事件相關的臨床症狀/體徵):Upper respiratory tract hypersensitivity reaction ( SNOMED CT#490008)

對整個過敏事件的描述:呼吸急促、皮膚發紅

嚴重程度:Severe ( AllergyIntoleranceSeverity#severe)

如何接觸到該物質:口服(Oral use) ( SNOMED CT#26643006)

備註:患者在服用青黴素後出現呼吸急促和皮膚發紅,症狀於2023年10月15日中午12:00發作


Source1

{
  "resourceType": "AllergyIntolerance",
  "id": "all-medication-example",
  "meta": {
    "profile": [
      "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active",
        "display": "Active"
      }
    ],
    "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": "91936005",
        "display": "Penicillin allergy"
      }
    ],
    "text": "青黴素過敏"
  },
  "patient": {
    "reference": "Patient/pat-example",
    "display": "陳加玲"
  },
  "onsetDateTime": "2023-10-15T08:45:00Z",
  "recordedDate": "2023-10-15T12:00:00Z",
  "recorder": {
    "reference": "Practitioner/pra-dr-example",
    "display": "王依昇"
  },
  "asserter": {
    "reference": "Practitioner/pra-nurse-example",
    "display": "陳莉"
  },
  "lastOccurrence": "2023-10-15T12:00:00Z",
  "note": [
    {
      "text": "患者對青黴素過敏,可能導致呼吸急促、皮膚發紅"
    }
  ],
  "reaction": [
    {
      "substance": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "6369005",
            "display": "Medicinal product containing penicillin and acting as antibacterial agent (product)"
          }
        ],
        "text": "青黴素"
      },
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "490008",
              "display": "Upper respiratory tract hypersensitivity reaction"
            }
          ]
        }
      ],
      "description": "呼吸急促、皮膚發紅",
      "severity": "severe",
      "exposureRoute": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral use"
          }
        ],
        "text": "口服"
      },
      "note": [
        {
          "text": "患者在服用青黴素後出現呼吸急促和皮膚發紅,症狀於2023年10月15日中午12:00發作"
        }
      ]
    }
  ]
}