Allergies and Intolerances Section (entries optional) (V3)
OID: 2.16.840.1.113883.10.20.22.2.6
LOINCs: #{"48765-2"}
Alias: allergies
Entries Required: false
Internal ID: AllergiesandIntolerancesSectioneo
No known allergies sample
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"id" : "f2e34f3f-360f-55fe-e31d-5763cee0b7cb",
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"display" : "Family Medicine",
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"text" : "Family Medicine"
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"period" : {
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},
"practitioner" : {
"id" : "SOME-STRING",
"name" : [ {
"family" : "Seven",
"given" : [ "Henry" ],
"suffix" : null,
"use" : "official"
} ],
"resourceType" : "Practitioner",
"telecom" : [ {
"system" : "phone",
"use" : "work",
"value" : "555-555-1002"
} ]
}
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"text" : "Family Medicine"
} ],
"period" : {
"start" : "2010-01-03T09:08:00-05:00"
},
"practitioner" : {
"id" : "SOME-STRING",
"name" : [ {
"family" : "Seven",
"given" : [ "Henry" ],
"suffix" : null,
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} ],
"resourceType" : "Practitioner",
"telecom" : [ {
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"use" : "work",
"value" : "555-555-1002"
} ]
}
},
"clinicalStatus" : {
"coding" : [ {
"code" : "active",
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
} ]
},
"type" : "allergy",
"resourceType" : "AllergyIntolerance",
"code" : {
"coding" : [ {
"system" : "http://snomed.info/sct",
"code" : "716186003",
"display" : "No Known Allergy (situation)"
} ]
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"reaction" : null
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<th>Type</th>
<th>Substance</th>
<th>Onset</th>
<th>Reactions</th>
<th>Status</th>
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<tr>
<td>allergy</td>
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<telecom value="555-555-1002" use="WP"/>
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</section>sample2
Another trivial sample
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"resourceType" : "AllergyIntolerance",
"asserter" : null,
"recordedDate" : "2014-01-03",
"id" : "4a2ac5fc-0c85-4223-baee-c2e254803974",
"recorder" : {
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"id" : "pract",
"name" : [ {
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"family" : "Seven",
"given" : [ "Henry" ]
} ],
"address" : [ {
"use" : "work",
"line" : [ "1002 Healthcare Dr" ],
"city" : "Portland",
"state" : "OR",
"postalCode" : "97266",
"country" : "USA"
} ]
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"display" : "Codeine",
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
} ]
},
"verificationStatus" : {
"coding" : [ {
"code" : "confirmed",
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
} ]
},
"reaction" : [ {
"manifestation" : [ {
"coding" : [ {
"code" : "422587007",
"display" : "Nausea",
"system" : "http://snomed.info/sct"
} ]
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"severity" : "severe",
"onset" : "2012-01-29"
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"display" : "Nausea",
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"severity" : "mild",
"onset" : "2010-03-15"
} ]
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<table border="1" width="100%">
<thead>
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<th>Type</th>
<th>Substance</th>
<th>Onset</th>
<th>Reactions</th>
<th>Status</th>
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<tbody>
<tr>
<td>allergy</td>
<td>Codeine</td>
<td>03/15/2010 12:00AM UTC</td>
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<paragraph>01/29/2012 12:00AM UTC - Nausea - severe</paragraph>
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<td>active</td>
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<tr>
<td>allergy</td>
<td>Codeine</td>
<td>03/15/2010 12:00AM UTC</td>
<td>
<paragraph>03/15/2010 12:00AM UTC - Nausea - mild</paragraph>
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<td>active</td>
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</section>sample1
Trivial allergy example
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"family" : "Seven",
"use" : "official",
"suffix" : null
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"telecom" : [ {
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"value" : "555-555-1002",
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"id" : "SOME-STRING",
"resourceType" : "Practitioner"
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"specialty" : [ {
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"code" : "207Q00000X",
"display" : "Family Medicine",
"system" : "http://hl7.org/fhir/ValueSet/provider-taxonomy"
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"use" : "official",
"suffix" : null
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"use" : "work"
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"resourceType" : "Practitioner"
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"coding" : [ {
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"system" : "http://hl7.org/fhir/ValueSet/provider-taxonomy"
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"text" : "Family Medicine"
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"resourceType" : "PractitionerRole"
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"code" : {
"coding" : [ {
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"display" : "Codeine",
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
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"reaction" : [ {
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"coding" : [ {
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"display" : "Nausea",
"system" : "http://snomed.info/sct"
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"severity" : "severe",
"onset" : "2012-01-29"
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<th>Substance</th>
<th>Onset</th>
<th>Reactions</th>
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<td>03/15/2010 12:00AM UTC</td>
<td>
<paragraph>01/29/2012 12:00AM UTC - Nausea - severe</paragraph>
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<td>Codeine</td>
<td>03/15/2010 12:00AM UTC</td>
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<paragraph>03/15/2010 12:00AM UTC - Nausea - mild</paragraph>
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<templateId root="2.16.840.1.113883.10.20.22.4.9"/>
<id nullFlavor="NI"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime value="20120129"/>
<value codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Nausea"
code="422587007"
xsi:type="CD"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value code="24484000"
displayName="Severe (severity modifier) (qualifier value)"
codeSystemName="SNOMED-CT"
xsi:type="CD"
codeSystem="2.16.840.1.113883.6.96"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
<entryRelationship typeCode="MFST" inversionInd="true">
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.9"/>
<id nullFlavor="NI"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime value="20100315"/>
<value codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Nausea"
code="422587007"
xsi:type="CD"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value code="255604002"
displayName="Mild (qualifier value)"
codeSystemName="SNOMED-CT"
xsi:type="CD"
codeSystem="2.16.840.1.113883.6.96"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
</section>sample3
Another trivial sample
{
"patient" : {
"uri" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
},
"onset" : {
"dateTime" : "1980-05-01"
},
"clinicalStatus" : {
"coding" : [ {
"code" : "active",
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
} ]
},
"meta" : {
"profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance" ]
},
"type" : "intolerance",
"resourceType" : "AllergyIntolerance",
"recordedDate" : "1980-05-01",
"id" : "36e3e930-7b14-11db-9fe1-0800200c9a66",
"code" : {
"coding" : [ {
"code" : "7980",
"display" : "Penicillin G",
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
} ]
},
"reaction" : [ {
"manifestation" : [ {
"coding" : [ {
"code" : "247472004",
"display" : "Hives",
"system" : "http://snomed.info/sct"
} ]
} ],
"severity" : "moderate"
}, {
"manifestation" : [ {
"coding" : [ {
"code" : "422587007",
"display" : "Nausea",
"system" : "http://snomed.info/sct"
} ]
} ],
"onset" : "2010-03-15",
"severity" : "mild"
} ]
}C-CDA Equivalent:
<section>
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<templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
<code codeSystem="2.16.840.1.113883.6.1"
codeSystemName="http://loinc.org"
displayName="display string"
code="48765-2"/>
<title>Allergies and Intolerances Section (entries optional) (V3)</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Type</th>
<th>Substance</th>
<th>Onset</th>
<th>Reactions</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr>
<td>intolerance</td>
<td>Penicillin G</td>
<td>05/01/1980 12:00AM UTC</td>
<td>
<paragraph>~ - Hives - moderate</paragraph>
</td>
<td>active</td>
</tr>
<tr>
<td>intolerance</td>
<td>Penicillin G</td>
<td>05/01/1980 12:00AM UTC</td>
<td>
<paragraph>03/15/2010 12:00AM UTC - Nausea - mild</paragraph>
</td>
<td>active</td>
</tr>
</tbody>
</table>
</text>
<entry>
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.30"/>
<id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
<statusCode code="active"/>
<effectiveTime>
<low value="19800501"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.7"/>
<id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
<code xsi:type="CD" code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime>
<low value="19800501"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<value code="59037007"
displayName="Intolerance to drug (finding)"
xsi:type="CD"
codeSystemName="SNOMED-CT"
codeSystem="2.16.840.1.113883.6.96"/>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<code codeSystem="2.16.840.1.113883.6.88"
codeSystemName="http://www.nlm.nih.gov/research/umls/rxnorm"
displayName="Penicillin G"
code="7980"/>
</playingEntity>
</participantRole>
</participant>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.145"/>
<code code="82606-5" codeSystem="2.16.840.1.113883.6.1"/>
<statusCode code="completed"/>
<value code="CRITU"
displayName="unable to assess criticality"
xsi:type="CD"
codeSystem="2.16.840.1.113883.5.1063"/>
</observation>
</entryRelationship>
<entryRelationship typeCode="MFST" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.9"/>
<id nullFlavor="NI"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Hives"
code="247472004"
xsi:type="CD"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value code="6736007"
displayName="Moderate (severity modifier) (qualifier value)"
codeSystemName="SNOMED-CT"
xsi:type="CD"
codeSystem="2.16.840.1.113883.6.96"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
<entryRelationship typeCode="MFST" inversionInd="true">
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.9"/>
<id nullFlavor="NI"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime value="20100315"/>
<value codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Nausea"
code="422587007"
xsi:type="CD"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value code="255604002"
displayName="Mild (qualifier value)"
codeSystemName="SNOMED-CT"
xsi:type="CD"
codeSystem="2.16.840.1.113883.6.96"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
</section>PreviousAdvance Directives Section (entries required) (V3)NextAllergies and Intolerances Section (entries required) (V3)
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