{
  "resourceType": "AllergyIntolerance",
  "id": "chr-on-west-AllergyIntolerance-4001",
  "meta": {
    "lastUpdated": "2024-01-15T10:30:00Z",
    "source": "urn:telus:emr:chr:on:west",
    "profile": [
      "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwAllergyIntolerance"
    ],
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N",
        "display": "normal"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance chr-on-west-AllergyIntolerance-4001</b></p><a name=\"chr-on-west-AllergyIntolerance-4001\"> </a><a name=\"hcchr-on-west-AllergyIntolerance-4001\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-01-15 10:30:00+0000; </p><p style=\"margin-bottom: 0px\">Information Source: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.ca.baseline@1.1.7&amp;canonical=urn:telus:emr:chr:on:west\">urn:telus:emr:chr:on:west</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-DwAllergyIntolerance.html\">DwAllergyIntolerance</a></p><p style=\"margin-bottom: 0px\">Security Label: <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-Confidentiality.html\">normal (Details: Confidentiality code N = 'normal')</a></p></div><p><b>identifier</b>: <code>urn:telus:emr:chr:on:west:AllergyIntolerance</code>/4001 (use: official, )</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}, {http://snomed.info/sct 55561003}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>type</b>: Allergy</p><p><b>category</b>: Medication</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 764146007}\">Penicillin</span></p><p><b>patient</b>: <a href=\"Patient-chr-on-west-Patient-12345.html\">Sarah Marie Johnson Female, DoB: 1985-03-15 ( Medical Record Number: 12345)</a></p><p><b>onset</b>: 2018-06-15</p><p><b>recordedDate</b>: 2018-06-15 14:20:00+0000</p><p><b>recorder</b>: <a href=\"Practitioner-chr-on-west-Practitioner-501.html\">Dr. Emily Chen</a></p><p><b>asserter</b>: <a href=\"Patient-chr-on-west-Patient-12345.html\">Sarah Marie Johnson Female, DoB: 1985-03-15 ( Medical Record Number: 12345)</a></p><p><b>note</b>: </p><blockquote><div><p>Patient reports severe rash and itching after taking penicillin in June 2018. Avoid all penicillin-based antibiotics. Patient advised to carry medical alert card.</p>\n</div></blockquote><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Substance</b></td><td><b>Manifestation</b></td><td><b>Onset</b></td><td><b>Severity</b></td><td><b>Note</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">penicillin</span></td><td><span title=\"Codes:{http://snomed.info/sct 271807003}\">Generalized maculopapular rash with intense itching</span></td><td>2018-06-15 20:00:00+0000</td><td>Severe</td><td><blockquote><div><p>Severe reaction</p>\n</div></blockquote></td></tr></table></div>"
  },
  "identifier": [
    {
      "use": "official",
      "system": "urn:telus:emr:chr:on:west:AllergyIntolerance",
      "value": "4001"
    }
  ],
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active",
        "display": "Active"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "55561003",
        "display": "Active",
        "userSelected": true
      }
    ],
    "text": "Active"
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code": "confirmed",
        "display": "Confirmed"
      }
    ],
    "text": "Confirmed"
  },
  "type": "allergy",
  "category": [
    "medication"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "764146007",
        "display": "Penicillin",
        "userSelected": true
      }
    ],
    "text": "Penicillin"
  },
  "patient": {
    "reference": "Patient/chr-on-west-Patient-12345",
    "type": "Patient"
  },
  "onsetDateTime": "2018-06-15",
  "recordedDate": "2018-06-15T14:20:00Z",
  "recorder": {
    "reference": "Practitioner/chr-on-west-Practitioner-501",
    "type": "Practitioner",
    "display": "Dr. Emily Chen"
  },
  "asserter": {
    "reference": "Patient/chr-on-west-Patient-12345",
    "type": "Patient"
  },
  "note": [
    {
      "text": "Patient reports severe rash and itching after taking penicillin in June 2018. Avoid all penicillin-based antibiotics. Patient advised to carry medical alert card."
    }
  ],
  "reaction": [
    {
      "substance": {
        "text": "penicillin"
      },
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271807003",
              "display": "Rash",
              "userSelected": true
            }
          ],
          "text": "Generalized maculopapular rash with intense itching"
        }
      ],
      "onset": "2018-06-15T20:00:00Z",
      "severity": "severe",
      "note": [
        {
          "text": "Severe reaction"
        }
      ]
    }
  ]
}