{ "resourceType": "AllergyIntolerance", "id": "example", "text": { "status": "generated", "div": "
Generated Narrative with Details
id: example
identifier: 49476534
clinicalStatus: active
verificationStatus: confirmed
type: allergy
category: food
criticality: high
code: Cashew nuts (Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})
patient: Patient/example
onset: Jan 1, 2004
assertedDate: Oct 9, 2014 2:58:00 PM
recorder: Practitioner/example
asserter: Patient/example
lastOccurrence: Jun 1, 2012
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' = '1160593', given as 'cashew nut allergenic extract Injectable Product'})
manifestation: Anaphylactic reaction (Details : {SNOMED CT code '39579001' = 'Anaphylaxis', given as 'Anaphylactic reaction'})
description: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered
onset: Jun 12, 2012
severity: severe
exposureRoute: Subcutaneous route (Details : {SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route'})
reaction
manifestation: Urticaria (Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})
onset: Jan 1, 2004
severity: moderate
note: The patient reports that the onset of urticaria was within 15 minutes of eating cashews.