<AllergyIntolerance xmlns="http://hl7.org/fhir">
	<id value="example"/>
	<meta>
		<profile value="http://fhir.vital-services.de/R4/StructureDefinition/NotfalldatensatzAllergyIntolerance"/>
	</meta>
	<identifier>
		<system value="http://acme.com/identifiers/patients/allergyIntolerance"/>
		<value value="49476534"/>
	</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="Cashew nuts"/>
		</coding>
	</code>
	<patient>
		<reference value="Patient/1628021"/>
	</patient>
	<onsetDateTime value="2004"/>
	<recordedDate value="2014-10-09T14:58:00+11:00"/>
	<recorder>
		<reference value="Practitioner/1628028"/>
	</recorder>
	<lastOccurrence value="2012-06"/>
	<note>
		<text value="The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."/>
	</note>
	<reaction>
		<substance>
			<coding>
				<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
				<code value="1160593"/>
				<display value="cashew nut allergenic extract Injectable Product"/>
			</coding>
		</substance>
		<manifestation>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="39579001"/>
				<display value="Anaphylactic reaction"/>
			</coding>
		</manifestation>
		<description value="Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered"/>
		<onset value="2012-06-12"/>
		<severity value="severe"/>
		<exposureRoute>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="34206005"/>
				<display value="Subcutaneous route"/>
			</coding>
		</exposureRoute>
	</reaction>
	<reaction>
		<manifestation>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="64305001"/>
				<display value="Urticaria"/>
			</coding>
		</manifestation>
		<onset value="2004"/>
		<severity value="moderate"/>
		<note>
			<text value="The patient reports that the onset of urticaria was within 15 minutes of eating cashews."/>
		</note>
	</reaction>
</AllergyIntolerance>

<AllergyIntolerance xmlns="http://hl7.org/fhir">
    <id value="1628022"/>
    <meta>
        <versionId value="1"/>
        <lastUpdated value="2020-11-02T09:15:36.728+00:00"/>
        <profile value="http://fhir.vital-services.de/R4/StructureDefinition/NotfalldatensatzAllergyIntolerance"/>
    </meta>
    <identifier>
        <system value="http://acme.com/identifiers/patients/allergyIntolerance"/>
        <value value="49476534"/>
    </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="Cashew nuts"/>
        </coding>
    </code>
    <patient>
        <reference value="Patient/1628021"/>
    </patient>
    <onsetDateTime value="2004"/>
    <recordedDate value="2014-10-09T14:58:00+11:00"/>
    <recorder>
        <reference value="Practitioner/1628028"/>
    </recorder>
    <lastOccurrence value="2012-06"/>
    <note>
        <text value="The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."/>
    </note>
    <reaction>
        <substance>
            <coding>
                <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                <code value="1160593"/>
                <display value="cashew nut allergenic extract Injectable Product"/>
            </coding>
        </substance>
        <manifestation>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="39579001"/>
                <display value="Anaphylactic reaction"/>
            </coding>
        </manifestation>
        <description value="Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered"/>
        <onset value="2012-06-12"/>
        <severity value="severe"/>
        <exposureRoute>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="34206005"/>
                <display value="Subcutaneous route"/>
            </coding>
        </exposureRoute>
    </reaction>
    <reaction>
        <manifestation>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="64305001"/>
                <display value="Urticaria"/>
            </coding>
        </manifestation>
        <onset value="2004"/>
        <severity value="moderate"/>
        <note>
            <text value="The patient reports that the onset of urticaria was within 15 minutes of eating cashews."/>
        </note>
    </reaction>
</AllergyIntolerance>