Generated Narrative with Details

id: example

meta:

identifier: 49476534

clinicalStatus: Active (Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active)

verificationStatus: Confirmed (Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'confirmed' = 'Confirmed)

type: allergy

category: food

criticality: high

code: Cashew nuts (Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})

patient: 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: Dec 25, 1974;

onset: Jan 1, 2004 12:00:00 AM

recordedDate: Oct 8, 2014 11:58:00 PM

recorder: Generated Summary: id: example; 23; active; Adam Careful

asserter: 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: Dec 25, 1974;

lastOccurrence: Jun 1, 2012 9:45:31 PM

note: The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.

reaction

substance: cashew nut allergenic extract Injectable Product (Details : {RxNorm code '1160593' = 'cashew nut allergenic extract Injectable Product', given as 'cashew nut allergenic extract Injectable Product'})

manifestation: Anaphylactic reaction (Details : {SNOMED CT code '39579001' = 'Generalized anaphylaxis', given as 'Anaphylactic reaction'})

description: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered

onset: Jun 12, 2012 12:00:00 AM

severity: severe

exposureRoute: Subcutaneous route (Details : {SNOMED CT code '34206005' = 'SC use', given as 'Subcutaneous route'})

reaction

manifestation: Urticaria (Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})

onset: Jan 1, 2004 12:00:00 AM

severity: moderate

note: The patient reports that the onset of urticaria was within 15 minutes of eating cashews.