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{ "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." } ] } ] }