QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions
{
"resourceType" : "AllergyIntolerance",
"id" : "example-refuted",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance example-refuted</b></p><a name=\"example-refuted\"> </a><a name=\"hcexample-refuted\"> </a><a name=\"example-refuted-en-US\"> </a><p><b>identifier</b>: <code>http://acme.com/ids/patients/risks</code>/49476534</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical inactive}\">Inactive</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification refuted}\">Refuted</span></p><p><b>type</b>: Allergy</p><p><b>category</b>: Food</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 227493005}\">Cashew nuts</span></p><p><b>patient</b>: <a href=\"Patient-example.html\">Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --> (ongoing)))</a></p><p><b>recordedDate</b>: 2014-10-09 14:58:00+1100</p><p><b>recorder</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><p><b>asserter</b>: <a href=\"Patient-example.html\">Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --> (ongoing)))</a></p></div>"
},
"identifier" : [
// an identifier used for this allergic propensity (adverse reaction risk)
{
"system" : "http://acme.com/ids/patients/risks",
"value" : "49476534"
}
],
"clinicalStatus" : // this allergy has been refuted
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "inactive"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "refuted"
}
]
},
"type" : "allergy",
"category" : [
"food"
],
"code" : // this categorisation is implied by "cashew nut" and therefore basically
redundant, but many systems collect this field anyway, since it's either
useful when the substance is not coded, or it's quicker to sort/filter on
than using terminology based reasoning
// Allergy or intolerance code (substance, product, condition or negated/excluded statement)
or text. A few times,
there's a full description of a complex substance/product - in these caes, use the
extension [url] to refer to a Substance resource.
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "227493005",
"display" : "Cashew nuts"
}
]
},
"patient" : // the patient that actually has the risk of adverse reaction
{
🔗 "reference" : "Patient/example"
},
"recordedDate" : "2014-10-09T14:58:00+11:00",
"recorder" : // the date that this entry was recorded
// who made the record / last updated it
{
🔗 "reference" : "Practitioner/example"
},
"asserter" : // the patient is the reporter in this case
{
🔗 "reference" : "Patient/example"
}
}