This page is part of the Quality Improvement Core Framework (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R3. The current version which supersedes this version is 7.0.1. For a full list of available versions, see the Directory of published versions

Example: AllergyIntolerance-qicore-allergyintolerance-example

Formats: XML, JSON, Turtle

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