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 HIE AllergyIntolerance - XML Representation

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<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>