{
  "resourceType" : "AllergyIntolerance",
  "id" : "all-seafood-example",
  "meta" : {
    "profile" : ["https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>海鮮過敏</b></h3><p><b>臨床狀態</b>：Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical\">AllergyIntoleranceClinicalStatusCodes</a>#active)</span></p><p><b>驗證狀態</b>：Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/allergyintolerance-verification\">AllergyIntoleranceVerificationStatusCodes</a>#confirmed)</span></p><p><b>根本原因或運作機制</b>：Allergy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-type\">AllergyIntoleranceType</a>#allergy)</span></p><p><b>確定的物質的類別</b>：Food <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-category\">AllergyIntoleranceCategory</a>#food)</span></p><p><b>嚴重程度</b>：High Risk <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-criticality\">AllergyIntoleranceCriticality</a>#high)</span></p><p><b>過敏或不耐症的識別</b>：海鮮過敏(Seafood allergy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#91937001)</span></p><p><b>過敏或不耐症被識別的時間</b>：2023-02-10T18:45:00</p><p><b>病人</b>：<a href=\"Patient-pat-example.html\">Patient/pat-example</a> &quot;陳加玲&quot;</p><p><b>紀錄者</b>：<a href=\"Practitioner-pra-dr-example.html\">Practitioner/pra-dr-example</a> &quot;王依昇&quot;</p><p><b>被記錄的日期</b>：2023-02-11T10:00:00</p><p><b>關於過敏的資訊來源</b>：<a href=\"Practitioner-pra-nurse-example.html\">Practitioner/pra-nurse-example</a> &quot;陳莉&quot;</p><p><b>最後一次已知反應發生的日期與時間</b>：2023-09-03T14:30:00</p><p><b>暴露於此過敏或不耐症物質的不良反應</b>：</p><blockquote><p><b>過敏產生的特定物質或醫藥產品</b>：海鮮(Seafood)<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#44027008)</span></p><p><b>與此事件相關的臨床症狀/體徵</b>：Upper respiratory tract hypersensitivity reaction <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#490008)</span></p><p><b>對整個過敏事件的描述</b>：皮膚發癢、呼吸急促</p><p><b>嚴重程度</b>：Severe <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/reaction-event-severity\">AllergyIntoleranceSeverity</a>#severe)</span></p><p><b>如何接觸到該物質</b>：口服(Oral use) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#26643006)</span></p><p><b>備註</b>：患者食用海鮮後出現皮膚發癢和呼吸急促，症狀於2023年2月11日上午10:00發作</p></blockquote></div>"
  },
  "clinicalStatus" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
      "code" : "active",
      "display" : "Active"
    }],
    "text" : "Active"
  },
  "verificationStatus" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
      "code" : "confirmed",
      "display" : "Confirmed"
    }],
    "text" : "Confirmed"
  },
  "type" : "allergy",
  "category" : ["food"],
  "criticality" : "high",
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "91937001",
      "display" : "Seafood allergy"
    }],
    "text" : "海鮮過敏"
  },
  "patient" : {
    "reference" : "Patient/pat-example",
    "display" : "陳加玲"
  },
  "onsetDateTime" : "2023-02-10T18:45:00Z",
  "recordedDate" : "2023-02-11T10:00:00Z",
  "recorder" : {
    "reference" : "Practitioner/pra-dr-example",
    "display" : "王依昇"
  },
  "asserter" : {
    "reference" : "Practitioner/pra-nurse-example",
    "display" : "陳莉"
  },
  "lastOccurrence" : "2024-02-11T10:00:00Z",
  "note" : [{
    "text" : "患者對海鮮過敏，可能導致皮膚發癢、呼吸急促"
  }],
  "reaction" : [{
    "substance" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "44027008",
        "display" : "Seafood"
      }],
      "text" : "海鮮"
    },
    "manifestation" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "490008",
        "display" : "Upper respiratory tract hypersensitivity reaction"
      }]
    }],
    "description" : "皮膚發癢、呼吸急促",
    "severity" : "severe",
    "exposureRoute" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "26643006",
        "display" : "Oral use"
      }],
      "text" : "口服"
    },
    "note" : [{
      "text" : "患者食用海鮮後出現皮膚發癢和呼吸急促，症狀於2023年2月11日上午10:00發作"
    }]
  }]
}