QI-Core Implementation Guide
4.1.1 - STU 4.1.1 US

This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: AllergyIntrolerance refuted example - XML Representation

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<AllergyIntolerance xmlns="http://hl7.org/fhir">
  <id value="example-refuted"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "example-refuted" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-qicore-allergyintolerance.html">QICoreAllergyIntolerance</a></p></div><p><b>reasonRefuted</b>: Medical Status Altered <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html">ActReason</a>#MED)</span></p><p><b>identifier</b>: id: 49476534</p><p><b>clinicalStatus</b>: Inactive <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-allergyintolerance-clinical.html">AllergyIntolerance Clinical Status Codes</a>#inactive)</span></p><p><b>verificationStatus</b>: Refuted <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-allergyintolerance-verification.html">AllergyIntolerance Verification Status</a>#refuted)</span></p><p><b>type</b>: allergy</p><p><b>category</b>: food</p><p><b>code</b>: Cashew nuts <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#227493005)</span></p><p><b>patient</b>: <a href="Patient-example.html">Patient/example</a> " CHALMERS"</p><p><b>recordedDate</b>: 2014-10-09 02:58:00+1100</p><p><b>recorder</b>: <a href="Practitioner-example.html">Practitioner/example</a> " CAREFUL"</p><p><b>asserter</b>: <a href="Patient-example.html">Patient/example</a> " CHALMERS"</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="MED"/>
        <display value="Medical Status Altered"/>
      </coding>
    </valueCodeableConcept>
  </extension>
<!--     an identifier used for this allergic propensity (adverse reaction risk)     -->
  <identifier>
    <system value="http://acme.com/ids/patients/risks"/>
    <value value="49476534"/>
  </identifier>
<!--     this allergy has been refuted     -->
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
      <code value="inactive"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
      <code value="refuted"/>
    </coding>
  </verificationStatus>
  <type value="allergy"/>
<!--     this categorisation is implied by "cashew nut" and therefore basically 
    redundant, but many systems collect this field anyway, since it's either 
    useful when the substance is not coded, or it's quicker to sort/filter on
    than using terminology based reasoning     -->
  <category value="food"/>
<!--     Allergy or intolerance code (substance, product, condition or negated/excluded statement)
   or text. A few times, 
    there's a full description of a complex substance/product - in these caes, use the
    extension [url] to refer to a Substance resource.     -->
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="227493005"/>
      <display value="Cashew nuts"/>
    </coding>
  </code>
<!--     the patient that actually has the risk of adverse reaction     -->
  <patient>
    <reference value="Patient/example"/>
  </patient>
<!--     the date that this entry was recorded     -->
  <recordedDate value="2014-10-09T14:58:00+11:00"/>
<!--     who made the record / last updated it     -->
  <recorder>
    <reference value="Practitioner/example"/>
  </recorder>
<!--     the patient is the reporter in this case     -->
  <asserter>
    <reference value="Patient/example"/>
  </asserter>
</AllergyIntolerance>