# AllergyIntolerance example - QI-Core Implementation Guide v8.0.0-ballot

## Example AllergyIntolerance: AllergyIntolerance example

Language: en

Profile: [QICore AllergyIntolerance](StructureDefinition-qicore-allergyintolerance.md)

**identifier**: `http://acme.com/ids/patients/risks`/49476534

**clinicalStatus**: Active

**verificationStatus**: Confirmed

**type**: Allergy

**category**: Food

**criticality**: High Risk

**code**: Cashew nuts

**patient**: [Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))](Patient-example.md)

**onset**: 2004

**recordedDate**: 2014-10-09 14:58:00+1100

**recorder**: [Practitioner Adam Careful](Practitioner-example.md)

**asserter**: [Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))](Patient-example.md)

**lastOccurrence**: 2012-06-02 01:45:31+0000

**note**: 

> 

The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.


> **reaction****substance**:cashew nut allergenic extract Injectable Product**manifestation**:Anaphylactic reaction**description**: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered**onset**: 2012-06-12**severity**: Severe**exposureRoute**:Subcutaneous route

> **reaction****manifestation**:Urticaria**onset**: 2004**severity**: Moderate**note**:
> 

The patient reports that the onset of urticaria was within 15 minutes of eating cashews.





## Resource Content

```json
{
  "resourceType" : "AllergyIntolerance",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance"
    ]
  },
  "language" : "en",
  "identifier" : [
    {
      "system" : "http://acme.com/ids/patients/risks",
      "value" : "49476534"
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code" : "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",
  "recordedDate" : "2014-10-09T14:58:00+11:00",
  "recorder" : {
    "reference" : "Practitioner/example"
  },
  "asserter" : {
    "reference" : "Patient/example"
  },
  "lastOccurrence" : "2012-06-02T01:45:31+00:00",
  "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."
        }
      ]
    }
  ]
}

```
