This page is part of the Quality Improvement Core Framework (v2.1.0: STU 3 Ballot 1) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Example: AllergyIntolerance-qicore-allergyintolerance-example

Formats: XML, JSON, Turtle

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:AllergyIntolerance;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "qicore-allergyintolerance-example"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>\n        <strong>id</strong>: example\n      </p>\n      <p>\n        <strong>identifier</strong>: 49476534\n      </p>\n      <p>\n        <strong>clinicalStatus</strong>: active\n      </p>\n      <p>\n        <strong>verificationStatus</strong>: confirmed\n      </p>\n      <p>\n        <strong>type</strong>: allergy\n      </p>\n      <p>\n        <strong>category</strong>: food\n      </p>\n      <p>\n        <strong>criticality</strong>: high\n      </p>\n      <p>\n        <strong>code</strong>: Cashew nuts\n        <span>(Details: { SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts' })</span>\n      </p>\n      <p>\n        <strong>patient</strong>: \n        <a href=\"Patient-qicore-patient-example.html\">Patient/example</a>\n      </p>\n      <p>\n        <strong>onset</strong>: 01/01/2004\n      </p>\n      <p>\n        <strong>assertedDate</strong>: 10/09/2014\n      </p>\n      <p>\n        <strong>recorder</strong>: \n        <a href=\"Practitioner-qicore-practitioner-example.html\">Practitioner/example</a>\n      </p>\n      <p>\n        <strong>asserter</strong>: \n        <a href=\"Patient-qicore-patient-example.html\">Patient/example</a>\n      </p>\n      <p>\n        <strong>lastOccurrence</strong>: 01/06/2012\n      </p>\n      <p>\n        <strong>note</strong>: The criticality is high because of the observed anaphylactic reaction when challenged with cashew extract.\n      </p>\n      <blockquote>\n        <p>\n          <strong>reaction</strong>\n        </p>\n        <p>\n          <strong>substance</strong>: { RxNorm code '1160593' = '1160593', given as 'cashew nut allergenic extract Injectable Product' }\n        </p>\n        <p>\n          <strong>manifestation</strong>: { SNOMED CT code '39579001' = 'Anaphylaxis', given as 'Anaphylactic reaction' })\n        </p>\n        <p>\n          <strong>description</strong>: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered.\n        </p>\n        <p>\n          <strong>onset</strong>: 12/06/2012\n        </p>\n        <p>\n          <strong>severity</strong>: severe\n        </p>\n        <p>\n          <strong>exposureRoute</strong>: Subcutaneous route { SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route' }\n        </p>\n      </blockquote>\n      <blockquote>\n        <p>\n          <strong>reaction</strong>\n        </p>\n        <p>\n          <strong>manifestation</strong>: { SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria' }\n        </p>\n        <p>\n          <strong>onset</strong>: 01/01/2004\n        </p>\n        <p>\n          <strong>severity</strong>: moderate\n        </p>\n        <p>\n          <strong>note</strong>: The patient reports that the onset of urticaria was within 15 minutes of eating cashews.\n        </p>\n      </blockquote>\n    </div>"
  ];
  fhir:AllergyIntolerance.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://acme.com/ids/patients/risks" ];
     fhir:Identifier.value [ fhir:value "49476534" ]
  ];
  fhir:AllergyIntolerance.clinicalStatus [ fhir:value "active"];
  fhir:AllergyIntolerance.verificationStatus [ fhir:value "confirmed"];
  fhir:AllergyIntolerance.type [ fhir:value "allergy"];
  fhir:AllergyIntolerance.category [
     fhir:value "food";
     fhir:index 0
  ];
  fhir:AllergyIntolerance.criticality [ fhir:value "high"];
  fhir:AllergyIntolerance.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:227493005;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "227493005" ];
       fhir:Coding.display [ fhir:value "Cashew nuts" ]     ]
  ];
  fhir:AllergyIntolerance.patient [
     fhir:Reference.reference [ fhir:value "Patient/qicore-patient-example" ]
  ];
  fhir:AllergyIntolerance.onsetDateTime [ fhir:value "2004"^^xsd:gYear];
  fhir:AllergyIntolerance.assertedDate [ fhir:value "2014-10-09T14:58:00+11:00"^^xsd:dateTime];
  fhir:AllergyIntolerance.recorder [
     fhir:Reference.reference [ fhir:value "Practitioner/qicore-practitioner-example" ]
  ];
  fhir:AllergyIntolerance.asserter [
     fhir:Reference.reference [ fhir:value "Patient/qicore-patient-example" ]
  ];
  fhir:AllergyIntolerance.lastOccurrence [ fhir:value "2012-06-02T01:45:31+00:00"^^xsd:dateTime];
  fhir:AllergyIntolerance.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "The criticality is high becasue of the observed anaphylactic reaction when challenged     with cashew extract." ]
  ];
  fhir:AllergyIntolerance.reaction [
     fhir:index 0;
     fhir:AllergyIntolerance.reaction.substance [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
         fhir:Coding.code [ fhir:value "1160593" ];
         fhir:Coding.display [ fhir:value "cashew nut allergenic extract Injectable Product" ]       ]     ];
     fhir:AllergyIntolerance.reaction.manifestation [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:39579001;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "39579001" ];
         fhir:Coding.display [ fhir:value "Anaphylactic reaction" ]       ]     ];
     fhir:AllergyIntolerance.reaction.description [ fhir:value "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered" ];
     fhir:AllergyIntolerance.reaction.onset [ fhir:value "2012-06-12"^^xsd:date ];
     fhir:AllergyIntolerance.reaction.severity [ fhir:value "severe" ];
     fhir:AllergyIntolerance.reaction.exposureRoute [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:34206005;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "34206005" ];
         fhir:Coding.display [ fhir:value "Subcutaneous route" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:AllergyIntolerance.reaction.manifestation [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:64305001;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "64305001" ];
         fhir:Coding.display [ fhir:value "Urticaria" ]       ]     ];
     fhir:AllergyIntolerance.reaction.onset [ fhir:value "2004"^^xsd:gYear ];
     fhir:AllergyIntolerance.reaction.severity [ fhir:value "moderate" ];
     fhir:AllergyIntolerance.reaction.note [
       fhir:index 0;
       fhir:Annotation.text [ fhir:value "The patient reports that the onset of urticaria was within 15 minutes of eating cashews." ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.