SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

Example AllergyIntolerance: Example HIE AllergyIntolerance

AllergyIntolerance Narrative

Confirmed peanut allergy. Active. High criticality. Urticaria after oral exposure.

Patient

  • Name: Jane Patient
  • Reference: Patient/p-001

Allergy details

SubstancePeanut (SNOMED CT 227493005)
Clinical statusActive
Verification statusConfirmed
TypeAllergy
CategoryFood
CriticalityHigh

Encounter

  • Context: Ambulatory visit for rash
  • Reference: Encounter/enc-001

Timeline

Recorded2025-11-10
Onset2018-03-15T14:10:00+03:00
Most recent event2025-11-09T13:00:00+03:00

Reaction history

DateManifestationSeverityExposure routeDescription
2025-11-09T13:00:00+03:00Urticaria (SNOMED CT 271807003)ModerateOral route (SNOMED CT 26643006)Generalized hives and pruritus

Notes

  • 2025-11-10T09:30:00+03:00 by Dr. John Clinician: Patient reports hives within 30 minutes of ingesting peanuts, carries epinephrine auto-injector.
  • 2025-11-10T09:35:00+03:00 by Dr. John Clinician: Resolved with oral antihistamine. No respiratory compromise.

Provenance

  • Recorder: Dr. John Clinician, HIEPractitioner/pr-001
  • Asserter: Jane Patient, Patient/p-001

Care guidance

  • Avoid peanut exposure.
  • Carry and know how to use an epinephrine auto-injector.
  • Seek urgent care for respiratory symptoms, hypotension, or widespread hives.