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 - TTL Representation

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@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 "example"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  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:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" ];
       fhir:Coding.code [ fhir:value "active" ]     ]
  ];
  fhir:AllergyIntolerance.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" ];
       fhir:Coding.code [ 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/example" ]
  ];
  fhir:AllergyIntolerance.onsetDateTime [ fhir:value "2004"^^xsd:gYear];
  fhir:AllergyIntolerance.recordedDate [ fhir:value "2014-10-09T14:58:00+11:00"^^xsd:dateTime];
  fhir:AllergyIntolerance.recorder [
     fhir:Reference.reference [ fhir:value "Practitioner/example" ]
  ];
  fhir:AllergyIntolerance.asserter [
     fhir:Reference.reference [ fhir:value "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.