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Allergyintolerance-example.json

Example AllergyIntolerance/example (JSON)

Maturity Level : N/A
Responsible Owner: Patient Care Work Group Standards Status : Informative Compartments : Patient , Practitioner , RelatedPerson

Raw JSON ( canonical form + also see JSON Format Specification )

A typical Food Allergy

{
  "resourceType": "AllergyIntolerance",
  "id": "example",
  "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>identifier</b>: 49476534</p><p><b>clinicalStatus</b>: Active <span>(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active', given as 'Active'})</span></p><p><b>verificationStatus</b>: Confirmed <span>(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'confirmed' = 'Confirmed', given as '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>(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})</span></p><p><b>patient</b>: <a>Patient/example</a></p><p><b>onset</b>: 01/01/2004</p><p><b>recordedDate</b>: 09/10/2014 2:58:00 PM</p><p><b>recorder</b>: <a>Practitioner/example</a></p><p><b>asserter</b>: <a>Patient/example</a></p><p><b>lastOccurrence</b>: 01/06/2012</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>(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>(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>: 12/06/2012</p><p><b>severity</b>: severe</p><p><b>exposureRoute</b>: Subcutaneous route <span>(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>(Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})</span></p><p><b>onset</b>: 01/01/2004</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>"

  "resourceType" : "AllergyIntolerance",
  "id" : "example",
  "identifier" : [{
    "system" : "http://acme.com/ids/patients/risks",
    "value" : "49476534"
  }],
  "clinicalStatus" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
      "code" : "active",
      "display" : "Active"
    }]

  },
  "identifier": [
    {
      "system": "http://acme.com/ids/patients/risks",
      "value": "49476534"
    }
  ],
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active",
        "display": "Active"
      }
    ]

  "verificationStatus" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
      "code" : "confirmed",
      "display" : "Confirmed"
    }]

  },
  "verificationStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code": "confirmed",
        "display": "Confirmed"
      }
    ]

  "type" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/allergy-intolerance-type",
      "code" : "allergy",
      "display" : "Allergy"
    }]

  },
  "type": "allergy",
  "category": [
    "food"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "227493005",
        "display": "Cashew nuts"
      }
    ]

  "category" : ["food"],
  "criticality" : "high",
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "227493005",
      "display" : "Cashew nuts"
    }]

  },
  "patient": {
    "reference": "Patient/example"

  "patient" : {
    "reference" : "Patient/example"

  },
  "onsetDateTime": "2004",
  "recordedDate": "2014-10-09T14:58:00+11:00",
  "recorder": {
    "reference": "Practitioner/example"

  "onsetDateTime" : "2004",
  "recordedDate" : "2014-10-09T14:58:00+11:00",
  "recorder" : {
    "reference" : "Practitioner/example"

  },
  "asserter": {
    "reference": "Patient/example"

  "asserter" : {
    "reference" : "Patient/example"

  },
  "lastOccurrence": "2012-06",
  "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"
          }
        ]
      }

  "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": "64305001",
              "display": "Urticaria"
            }
          ]
        }
      ],
      "onset": "2004",
      "severity": "moderate",
      "note": [
        {
          "text": "The patient reports that the onset of urticaria was within 15 minutes of eating cashews."
        }
      ]

    "manifestation" : [{
      "concept" : {
        "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" : [{
      "concept" : {
        "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."
    }]
  }]

}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.