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
<AllergyIntolerance xmlns="http://hl7.org/fhir">
<id value="HIEAllergyIntolerance-example"/>
<meta>
<profile
value="https://nshr.dha.go.ke/fhir/StructureDefinition/hie-allergyintolerance"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical record number"/>
</coding>
</type>
<system value="http://example.org/mrn"/>
<value value="MRN-12345"/>
</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 value="allergy"/>
<category value="food"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="227493005"/>
<display value="Peanut"/>
</coding>
</code>
<patient>
<reference value="Patient/p-001"/>
<display value="Jane Patient"/>
</patient>
<encounter>
<reference value="Encounter/enc-001"/>
<display value="Ambulatory visit for rash"/>
</encounter>
<recordedDate value="2025-11-10"/>
<recorder>
<reference value="HIEPractitioner/pr-001"/>
<display value="Dr. John Clinician"/>
</recorder>
<asserter>
<reference value="Patient/p-001"/>
<display value="Jane Patient"/>
</asserter>
<note>
<authorReference>
<reference value="HIEPractitioner/pr-001"/>
</authorReference>
<time value="2025-11-10T09:30:00+03:00"/>
<text
value="Patient reports hives within 30 minutes of ingesting peanuts; carries epinephrine auto-injector."/>
</note>
<reaction>
<substance>
<coding>
<system value="http://snomed.info/sct"/>
<code value="227493005"/>
<display value="Peanut"/>
</coding>
</substance>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="271807003"/>
<display value="Urticaria"/>
</coding>
</manifestation>
<description value="Generalized hives and pruritus"/>
<onset value="2025-11-09T13:00:00+03:00"/>
<severity value="moderate"/>
<exposureRoute>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral route"/>
</coding>
</exposureRoute>
<note>
<authorReference>
<reference value="HIEPractitioner/pr-001"/>
</authorReference>
<time value="2025-11-10T09:35:00+03:00"/>
<text
value="Resolved with oral antihistamine. No respiratory compromise."/>
</note>
</reaction>
</AllergyIntolerance>