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 example - JSON Representation

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{
  "resourceType" : "AllergyIntolerance",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<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\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-allergyintolerance.html\">QICoreAllergyIntolerance</a></p></div><p><b>identifier</b>: id: 49476534</p><p><b>clinicalStatus</b>: Active <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>#active)</span></p><p><b>verificationStatus</b>: Confirmed <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>#confirmed)</span></p><p><b>type</b>: allergy</p><p><b>category</b>: food</p><p><b>criticality</b>: high</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>onset</b>: 2004</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><p><b>lastOccurrence</b>: 2012-06-02 01:45:31+0000</p><p><b>note</b>: The criticality is high becasue of the observed anaphylactic reaction when challenged     with cashew extract.</p><blockquote><p><b>reaction</b></p><p><b>substance</b>: cashew nut allergenic extract Injectable Product <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1160593)</span></p><p><b>manifestation</b>: Anaphylactic reaction <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#39579001)</span></p><p><b>description</b>: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered</p><p><b>onset</b>: 2012-06-12</p><p><b>severity</b>: severe</p><p><b>exposureRoute</b>: Subcutaneous route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#34206005)</span></p></blockquote><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: Urticaria <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#64305001)</span></p><p><b>onset</b>: 2004</p><p><b>severity</b>: moderate</p><p><b>note</b>: 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" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code" : "confirmed"
      }
    ]
  },
  "type" : "allergy",
  "category" : [
    "food"
  ],
  "criticality" : "high",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "227493005",
        "display" : "Cashew nuts"
      }
    ]
  },
  "patient" : {
    "reference" : "Patient/example"
  },
  "onsetDateTime" : "2004",
  "recordedDate" : "2014-10-09T14:58:00+11:00",
  "recorder" : {
    "reference" : "Practitioner/example"
  },
  "asserter" : {
    "reference" : "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."
        }
      ]
    }
  ]
}