AllergyIntolerance - FHIR Resource (stu3)


Resource Attributes

AttributeField is listTypeDescription
assertedDatefalsedateTime Date record was believed accurate
asserterfalseReference Source of the information about the allergy
categorytruecode food | medication | environment | biologic
clinicalStatusfalsecode C? active | inactive | resolved
codefalseCodeableConcept Code that identifies the allergy or intolerance
criticalityfalsecode low | high | unable-to-assess
identifiertrueIdentifier External ids for this item
lastOccurrencefalsedateTime Date(/time) of last known occurrence of a reaction
notetrueAnnotation Additional text not captured in other fields
onsetAgefalseAge "onsetAge" : { Age },
onsetDateTimefalsedateTime "onsetDateTime" : "<dateTime>",
onsetPeriodfalsePeriod "onsetPeriod" : { Period },
onsetRangefalseRange "onsetRange" : { Range },
onsetStringfalsestring "onsetString" : "<string>",
patientfalseReference Who the sensitivity is for
reactiontrueData Type Adverse Reaction Events linked to exposure to substance
recorderfalseReference Who recorded the sensitivity
typefalsecode allergy | intolerance - Underlying mechanism (if known)
verificationStatusfalsecode C? unconfirmed | confirmed | refuted | entered-in-error

AllergyIntolerance Example

{
  "category": [
    "food"
  ],
  "assertedDate": "2014-10-09T14:58:00+11:00",
  "code": {
    "coding": [
      {
        "code": "227493005",
        "system": "http://snomed.info/sct",
        "display": "Cashew nuts"
      }
    ]
  },
  "patient": {
    "reference": "Patient/example"
  },
  "criticality": "high",
  "lastOccurrence": "2012-06",
  "resourceType": "AllergyIntolerance",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>identifier</b>: 49476534</p><p><b>clinicalStatus</b>: active</p><p><b>verificationStatus</b>: confirmed</p><p><b>type</b>: allergy</p><p><b>category</b>: food</p><p><b>criticality</b>: high</p><p><b>code</b>: Cashew nuts <span>(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})</span></p><p><b>patient</b>: <a>Patient/example</a></p><p><b>onset</b>: 01/01/2004</p><p><b>assertedDate</b>: 09/10/2014 2:58:00 PM</p><p><b>recorder</b>: <a>Practitioner/example</a></p><p><b>asserter</b>: <a>Patient/example</a></p><p><b>lastOccurrence</b>: 01/06/2012</p><p><b>note</b>: The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.</p><blockquote><p><b>reaction</b></p><p><b>substance</b>: cashew nut allergenic extract Injectable Product <span>(Details : {RxNorm code '1160593' = '1160593', given as 'cashew nut allergenic extract Injectable Product'})</span></p><p><b>manifestation</b>: Anaphylactic reaction <span>(Details : {SNOMED CT code '39579001' = 'Anaphylaxis', given as 'Anaphylactic reaction'})</span></p><p><b>description</b>: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered</p><p><b>onset</b>: 12/06/2012</p><p><b>severity</b>: severe</p><p><b>exposureRoute</b>: Subcutaneous route <span>(Details : {SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route'})</span></p></blockquote><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: Urticaria <span>(Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})</span></p><p><b>onset</b>: 01/01/2004</p><p><b>severity</b>: moderate</p><p><b>note</b>: The patient reports that the onset of urticaria was within 15 minutes of eating cashews.</p></blockquote></div>"
  },
  "onsetDateTime": "2004",
  "id": "example",
  "asserter": {
    "reference": "Patient/example"
  },
  "note": [
    {
      "text": "The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."
    }
  ],
  "reaction": [
    {
      "substance": {
        "coding": [
          {
            "code": "1160593",
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "display": "cashew nut allergenic extract Injectable Product"
          }
        ]
      },
      "severity": "severe",
      "manifestation": [
        {
          "coding": [
            {
              "code": "39579001",
              "system": "http://snomed.info/sct",
              "display": "Anaphylactic reaction"
            }
          ]
        }
      ],
      "onset": "2012-06-12",
      "exposureRoute": {
        "coding": [
          {
            "code": "34206005",
            "system": "http://snomed.info/sct",
            "display": "Subcutaneous route"
          }
        ]
      },
      "description": "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered"
    },
    {
      "onset": "2004",
      "note": [
        {
          "text": "The patient reports that the onset of urticaria was within 15 minutes of eating cashews."
        }
      ],
      "severity": "moderate",
      "manifestation": [
        {
          "coding": [
            {
              "code": "64305001",
              "system": "http://snomed.info/sct",
              "display": "Urticaria"
            }
          ]
        }
      ]
    }
  ],
  "clinicalStatus": "active",
  "recorder": {
    "reference": "Practitioner/example"
  },
  "identifier": [
    {
      "system": "http://acme.com/ids/patients/risks",
      "value": "49476534"
    }
  ],
  "type": "allergy",
  "verificationStatus": "confirmed"
}

AllergyIntolerance Structure


  
{
  "resourceType" : "AllergyIntolerance",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External ids for this item
  "clinicalStatus" : "<code>", // C? active | inactive | resolved
  "verificationStatus" : "<code>", // C? R!  unconfirmed | confirmed | refuted | entered-in-error
  "type" : "<code>", // allergy | intolerance - Underlying mechanism (if known)
  "category" : ["<code>"], // food | medication | environment | biologic
  "criticality" : "<code>", // low | high | unable-to-assess
  "code" : { CodeableConcept }, // Code that identifies the allergy or intolerance
  "patient" : { Reference(Patient) }, // R!  Who the sensitivity is for
  // onset[x]: When allergy or intolerance was identified. One of these 5:
  "onsetDateTime" : "<dateTime>",
  "onsetAge" : { Age },
  "onsetPeriod" : { Period },
  "onsetRange" : { Range },
  "onsetString" : "<string>",
  "assertedDate" : "<dateTime>", // Date record was believed accurate
  "recorder" : { Reference(Practitioner|Patient) }, // Who recorded the sensitivity
  "asserter" : { Reference(Patient|RelatedPerson|Practitioner) }, // Source of the information about the allergy
  "lastOccurrence" : "<dateTime>", // Date(/time) of last known occurrence of a reaction
  "note" : [{ Annotation }], // Additional text not captured in other fields
  "reaction" : [{ // Adverse Reaction Events linked to exposure to substance
    "substance" : { CodeableConcept }, // Specific substance or pharmaceutical product considered to be responsible for event
    "manifestation" : [{ CodeableConcept }], // R!  Clinical symptoms/signs associated with the Event
    "description" : "<string>", // Description of the event as a whole
    "onset" : "<dateTime>", // Date(/time) when manifestations showed
    "severity" : "<code>", // mild | moderate | severe (of event as a whole)
    "exposureRoute" : { CodeableConcept }, // How the subject was exposed to the substance
    "note" : [{ Annotation }] // Text about event not captured in other fields
  }]
}


 

AllergyIntolerance Search Parameters

The following search parameters can be used to query AllergyIntolerance resources. Just submit the like so:

https://api.1up.health/fhir/stu3/AllergyIntolerance?query-param=queryvalue
Search ParameterField TypeResource Fields Searched
asserterreferenceasserter
categorytextcategory
clinical-statustextclinicalStatus
codetextcode, reaction.substance
criticalitytextcriticality
datedateassertedDate
identifiertextidentifier
last-datedatelastOccurrence
manifestationtextreaction.manifestation
onsetdatereaction.onset
patientreferencepatient
recorderreferencerecorder
routetextreaction.exposureRoute
severitytextreaction.severity
typetexttype
verification-statustextverificationStatus