{ "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.

" }, "identifier": [ { "system": "http://acme.com/ids/patients/risks", "value": "49476534" } ], "clinicalStatus": "active", "verificationStatus": "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", "assertedDate": "2014-10-09T14:58:00+11:00", "recorder": { "reference": "Practitioner/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" } ] } }, { "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." } ] } ] }