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

• Narrative Content
• XML
• JSON
• TTL

: Example HIE AllergyIntolerance - JSON Representation

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{
  "resourceType" : "AllergyIntolerance",
  "id" : "HIEAllergyIntolerance-example",
  "meta" : {
    "profile" : [
      🔗 "https://nshr.dha.go.ke/fhir/StructureDefinition/hie-allergyintolerance"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>AllergyIntolerance Narrative</b></p><p>Confirmed peanut allergy. Active. High criticality. Urticaria after oral exposure.</p><p><b>Patient</b></p><ul><li>Name: Jane Patient</li><li>Reference: Patient/p-001</li></ul><p><b>Allergy details</b></p><table><tbody><tr><td><b>Substance</b></td><td>Peanut (SNOMED CT 227493005)</td></tr><tr><td><b>Clinical status</b></td><td>Active</td></tr><tr><td><b>Verification status</b></td><td>Confirmed</td></tr><tr><td><b>Type</b></td><td>Allergy</td></tr><tr><td><b>Category</b></td><td>Food</td></tr><tr><td><b>Criticality</b></td><td>High</td></tr></tbody></table><p><b>Encounter</b></p><ul><li>Context: Ambulatory visit for rash</li><li>Reference: Encounter/enc-001</li></ul><p><b>Timeline</b></p><table><tbody><tr><td><b>Recorded</b></td><td>2025-11-10</td></tr><tr><td><b>Onset</b></td><td>2018-03-15T14:10:00+03:00</td></tr><tr><td><b>Most recent event</b></td><td>2025-11-09T13:00:00+03:00</td></tr></tbody></table><p><b>Reaction history</b></p><table><thead><tr><th align=\"left\">Date</th><th align=\"left\">Manifestation</th><th align=\"left\">Severity</th><th align=\"left\">Exposure route</th><th align=\"left\">Description</th></tr></thead><tbody><tr><td>2025-11-09T13:00:00+03:00</td><td>Urticaria (SNOMED CT 271807003)</td><td>Moderate</td><td>Oral route (SNOMED CT 26643006)</td><td>Generalized hives and pruritus</td></tr></tbody></table><p><b>Notes</b></p><ul><li>2025-11-10T09:30:00+03:00 by Dr. John Clinician: Patient reports hives within 30 minutes of ingesting peanuts, carries epinephrine auto-injector.</li><li>2025-11-10T09:35:00+03:00 by Dr. John Clinician: Resolved with oral antihistamine. No respiratory compromise.</li></ul><p><b>Provenance</b></p><ul><li>Recorder: Dr. John Clinician, HIEPractitioner/pr-001</li><li>Asserter: Jane Patient, Patient/p-001</li></ul><p><b>Care guidance</b></p><ul><li>Avoid peanut exposure.</li><li>Carry and know how to use an epinephrine auto-injector.</li><li>Seek urgent care for respiratory symptoms, hypotension, or widespread hives.</li></ul></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical record number"
          }
        ]
      },
      "system" : "http://example.org/mrn",
      "value" : "MRN-12345"
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code" : "active",
        "display" : "Active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code" : "confirmed",
        "display" : "Confirmed"
      }
    ]
  },
  "type" : "allergy",
  "category" : [
    "food"
  ],
  "criticality" : "high",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "227493005",
        "display" : "Peanut"
      }
    ]
  },
  "patient" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "encounter" : {
    "reference" : "Encounter/enc-001",
    "display" : "Ambulatory visit for rash"
  },
  "recordedDate" : "2025-11-10",
  "recorder" : {
    "reference" : "HIEPractitioner/pr-001",
    "display" : "Dr. John Clinician"
  },
  "asserter" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "note" : [
    {
      "authorReference" : {
        "reference" : "HIEPractitioner/pr-001"
      },
      "time" : "2025-11-10T09:30:00+03:00",
      "text" : "Patient reports hives within 30 minutes of ingesting peanuts; carries epinephrine auto-injector."
    }
  ],
  "reaction" : [
    {
      "substance" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "227493005",
            "display" : "Peanut"
          }
        ]
      },
      "manifestation" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "271807003",
              "display" : "Urticaria"
            }
          ]
        }
      ],
      "description" : "Generalized hives and pruritus",
      "onset" : "2025-11-09T13:00:00+03:00",
      "severity" : "moderate",
      "exposureRoute" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral route"
          }
        ]
      },
      "note" : [
        {
          "authorReference" : {
            "reference" : "HIEPractitioner/pr-001"
          },
          "time" : "2025-11-10T09:35:00+03:00",
          "text" : "Resolved with oral antihistamine. No respiratory compromise."
        }
      ]
    }
  ]
}