QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.1)

QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions

AllergyIntolerance/example-refuted

Formats: Narrative, XML, JSON, Turtle

Raw xml


<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="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-refuted</p><p><b>meta</b>: </p><p><b>identifier</b>: 49476534</p><p><b>clinicalStatus</b>: Inactive <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'inactive' = 'Inactive)</span></p><p><b>verificationStatus</b>: Refuted <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'refuted' = '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">(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})</span></p><p><b>patient</b>: <a href="Patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>recordedDate</b>: Oct 9, 2014 3:58:00 AM</p><p><b>recorder</b>: <a href="Practitioner-example.html">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>asserter</b>: <a href="Patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></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>