<AllergyIntolerance xmlns="http://hl7.org/fhir">
  <id value="core-examples-AllergyIntolerance-example4" />
  <meta>
    <versionId value="3" />
    <lastUpdated value="2016-09-08T11:58:16.902+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: allergyintolerance-example</p>
      <p>
        <b>identifier</b>: 49476534</p>
      <p>
        <b>recordedDate</b>: 09/10/2014 2:58:00 PM</p>
      <p>
        <b>recorder</b>: <a>Practitioner/example</a></p>
      <p>
        <b>patient</b>: <a>Patient/example</a></p>
      <p>
        <b>substance</b>: Cashew nuts <span>(Details : {SNOMED CT code '227493005' = '227493005', given as 'Cashew nuts'})</span></p>
      <p>
        <b>status</b>: confirmed</p>
      <p>
        <b>criticality</b>: CRITH</p>
      <p>
        <b>type</b>: allergy</p>
      <p>
        <b>category</b>: food</p>
      <p>
        <b>lastOccurence</b>: 01/06/2012</p>
      <blockquote>
        <p>
          <b>reaction</b>
        </p>
        <p>
          <b>substance</b>: cashew nut allergenic extract Injectable Product <span>(Details : {RxNorm code 'C3214954' = '??', given as 'cashew nut allergenic extract Injectable Product'})</span></p>
        <p>
          <b>certainty</b>: confirmed</p>
        <p>
          <b>manifestation</b>: Anaphylactic reaction <span>(Details : {SNOMED CT code '39579001' = '39579001', given as 'Anaphylactic reaction'})</span></p>
        <p>
          <b>description</b>: Challenge Protocol. Severe Reaction to 1/8 cashew. Epinephrine administered</p>
        <p>
          <b>onset</b>: 12/06/2012</p>
        <p>
          <b>severity</b>: severe</p>
      </blockquote>
      <blockquote>
        <p>
          <b>reaction</b>
        </p>
        <p>
          <b>certainty</b>: likely</p>
        <p>
          <b>manifestation</b>: Urticaria <span>(Details : {SNOMED CT code '64305001' = '64305001', given as 'Urticaria'})</span></p>
        <p>
          <b>onset</b>: 01/01/2004</p>
        <p>
          <b>severity</b>: moderate</p>
      </blockquote>
    </div>
  </text>
  <identifier>
    <system value="http://acme.com/ids/patients/risks" />
    <value value="49476534" />
  </identifier>
  <recordedDate value="2014-10-09T14:58:00+11:00" />
  <recorder>
    <reference value="Practitioner/example" />
  </recorder>
  <patient>
    <reference value="Patient/example" />
  </patient>
  <substance>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="227493005" />
      <display value="Cashew nuts" />
    </coding>
  </substance>
  <status value="confirmed" />
  <criticality value="CRITH" />
  <type value="allergy" />
  <category value="food" />
  <lastOccurence value="2012-06" />
  <reaction>
    <substance>
      <coding>
        <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
        <code value="C3214954" />
        <display value="cashew nut allergenic extract Injectable Product" />
      </coding>
    </substance>
    <certainty value="confirmed" />
    <manifestation>
      <coding>
        <system value="http://snomed.info/sct" />
        <code value="39579001" />
        <display value="Anaphylactic reaction" />
      </coding>
    </manifestation>
    <description value="Challenge Protocol. Severe Reaction to 1/8 cashew. Epinephrine administered" />
    <onset value="2012-06-12" />
    <severity value="severe" />
  </reaction>
  <reaction>
    <certainty value="likely" />
    <manifestation>
      <coding>
        <system value="http://snomed.info/sct" />
        <code value="64305001" />
        <display value="Urticaria" />
      </coding>
    </manifestation>
    <onset value="2004" />
    <severity value="moderate" />
  </reaction>
</AllergyIntolerance>