Generated Narrative with Details

id: example

identifier: 49476534

status: active-confirmed

type: allergy

category: food

criticality: high

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

patient: Patient/example

attestedDate: Oct 9, 2014 2:58:00 PM

recorder: Practitioner/example

reporter: Patient/example

onset: Jan 1, 2004

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' = '??', given as 'cashew nut allergenic extract Injectable Product'})

certainty: confirmed

manifestation: Anaphylactic reaction (Details : {SNOMED CT code '39579001' = 'Anaphylaxis (disorder)', 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 (qualifier value)', given as 'Subcutaneous route'})

reaction

certainty: likely

manifestation: Urticaria (Details : {SNOMED CT code '64305001' = 'Urticaria (morphologic abnormality)', 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.