<AllergyIntolerance xmlns="http://hl7.org/fhir"><id value="example"/><identifier><system value="http://acme.com/ids/patients/risks"/><value value="49476534"/></identifier><clinicalStatus><coding><system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/><code value="active"/><display value="Active"/></coding></clinicalStatus><verificationStatus><coding><system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/><code value="confirmed"/><display value="Confirmed"/></coding></verificationStatus><type><coding><system value="http://hl7.org/fhir/allergy-intolerance-type"/><code value="allergy"/><display value="Allergy"/></coding></type><category value="food"/><criticality value="high"/><code><coding><system value="http://snomed.info/sct"/><code value="227493005"/><display value="Cashew nuts"/></coding></code><patient><reference value="Patient/example"/></patient><onsetDateTime value="2004"/><recordedDate value="2014-10-09T14:58:00+11:00"/><recorder><reference value="Practitioner/example"/></recorder><asserter><reference value="Patient/example"/></asserter><note><text value="The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."/></note><reaction><substance><coding><system value="http://www.nlm.nih.gov/research/umls/rxnorm"/><code value="1160593"/><display value="cashew nut allergenic extract Injectable Product"/></coding></substance><manifestation><concept><coding><system value="http://snomed.info/sct"/><code value="39579001"/><display value="Anaphylactic reaction"/></coding></concept></manifestation><description value="Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered"/><onset value="2012-06-12"/><severity value="severe"/><exposureRoute><coding><system value="http://snomed.info/sct"/><code value="34206005"/><display value="Subcutaneous route"/></coding></exposureRoute></reaction><reaction><manifestation><concept><coding><system value="http://snomed.info/sct"/><code value="64305001"/><display value="Urticaria"/></coding></concept></manifestation><onset value="2004"/><severity value="moderate"/><note><text value="The patient reports that the onset of urticaria was within 15 minutes of eating cashews."/></note></reaction></AllergyIntolerance>