AllergyIntolerance/example

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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 with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 49476534</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'confirmed' = '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\">(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>onset</b>: Jan 1, 2004 12:00:00 AM</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><p><b>lastOccurrence</b>: Jun 2, 2012 1:45:31 AM</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\">(Details : {RxNorm code '1160593' = 'cashew nut allergenic extract Injectable Product', given as 'cashew nut allergenic extract Injectable Product'})</span></p><p><b>manifestation</b>: Anaphylactic reaction <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '39579001' = 'Anaphylaxis', given as 'Anaphylactic reaction'})</span></p><p><b>description</b>: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered</p><p><b>onset</b>: Jun 12, 2012 12:00:00 AM</p><p><b>severity</b>: severe</p><p><b>exposureRoute</b>: Subcutaneous route <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route'})</span></p></blockquote><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: Urticaria <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})</span></p><p><b>onset</b>: Jan 1, 2004 12:00:00 AM</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."
        }
      ]
    }
  ]
}