Release 4


Patient Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient, Practitioner, RelatedPerson

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile AllergyIntolerance.

Generated Narrative with Details

id: example

identifier: 49476534

clinicalStatus: Active (Details : { code 'active' = 'Active', given as 'Active'})

verificationStatus: Confirmed (Details : { code 'confirmed' = 'Confirmed', given as 'Confirmed'})

type: allergy

category: food

criticality: high

code: Cashew nuts (Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})

patient: Patient/example

onset: Jan 1, 2004

recordedDate: Oct 9, 2014 2:58:00 PM

recorder: Practitioner/example

asserter: Patient/example

lastOccurrence: Jun 1, 2012

note: The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.


substance: cashew nut allergenic extract Injectable Product (Details : {RxNorm code '1160593' = 'cashew nut allergenic extract Injectable Product', given as 'cashew nut allergenic extract Injectable Product'})

manifestation: Anaphylactic reaction (Details : {SNOMED CT code '39579001' = 'Anaphylaxis', given as 'Anaphylactic reaction'})

description: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered

onset: Jun 12, 2012

severity: severe

exposureRoute: Subcutaneous route (Details : {SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route'})


manifestation: Urticaria (Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})

onset: Jan 1, 2004

severity: moderate

note: The patient reports that the onset of urticaria was within 15 minutes of eating cashews.


Other examples that reference this example:

  • List/Allergies List
  • NutritionOrder/Low Sodium and Fiber Restricted Diet
  • NutritionOrder/Diabetic Diet
  • NutritionOrder/Diabetic Supplement
  • NutritionOrder/Energy Supplement
  • NutritionOrder/Enteral Bolus
  • NutritionOrder/Low Fat and Fiber Restricted Diet
  • NutritionOrder/Pureed Diet
  • NutritionOrder/Renal Diet

    Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.