This
page
is
part
of
the
FHIR
Specification
(v4.0.1:
R4
(v4.3.0:
R4B
-
Mixed
Normative
and
STU
)
in
it's
permanent
home
(it
will
always
be
available
at
this
URL).
).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R4B
R4
R3
| Patient Care Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Patient , Practitioner , RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification )
A typical Food Allergy
@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 -------------------------------------------------------------------
<http://hl7.org/fhir/AllergyIntolerance/example> a fhir:AllergyIntolerance;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "example"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
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></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=\"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=\"codesystem-allergyintolerance-verification.html\">AllergyIntolerance Verification Status Codes</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> "Peter CHALMERS"</p><p><b>onset</b>: 2004</p><p><b>recordedDate</b>: 2014-10-09T14:58:00+11:00</p><p><b>recorder</b>: <a href=\"practitioner-example.html\">Practitioner/example</a> "Adam CAREFUL"</p><p><b>asserter</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>lastOccurrence</b>: 2012-06</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:Coding.display [ 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:Coding.display [ 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:link <http://hl7.org/fhir/Patient/example>;
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:link <http://hl7.org/fhir/Practitioner/example>;
fhir:Reference.reference [ fhir:value "Practitioner/example" ]
];
fhir:AllergyIntolerance.asserter [
fhir:link <http://hl7.org/fhir/Patient/example>;
fhir:Reference.reference [ fhir:value "Patient/example" ]
];
fhir:AllergyIntolerance.lastOccurrence [ fhir:value "2012-06"^^xsd:gYearMonth];
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." ]
]
] .
<http://hl7.org/fhir/Patient/example> a fhir:Patient .
<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/AllergyIntolerance/example.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/AllergyIntolerance/example.ttl> .
# -------------------------------------------------------------------------------------
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.