In the AllergyIntolerance resource for FHIR r4 , the criticality attribute identifies the low | high | unable-to-assess
"criticality": "high"
"identifier": [
{
"system": "http://acme.com/ids/patients/risks",
"value": "49476534"
}
]
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
]
}
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed",
"display": "Confirmed"
}
]
}
"type": "allergy"
"category": [
"food"
]
"criticality": "high"
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "227493005",
"display": "Cashew nuts"
}
]
}
"patient": {
"reference": "Patient/example"
}
"encounter":
"onset[x]":
"recordedDate": "2014-10-09T14:58:00+11:00"
"recorder": {
"reference": "Practitioner/example"
}
"asserter": {
"reference": "Patient/example"
}
"lastOccurrence": "2012-06"
"note": [
{
"text": "The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."
}
]
"reaction": [
{
"substance": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1160593",
"display": "cashew nut allergenic extract Injectable Product"
}
]
},
"manifestation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39579001",
"display": "Anaphylactic reaction"
}
]
}
],
"description": "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered",
"onset": "2012-06-12",
"severity": "severe",
"exposureRoute": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "34206005",
"display": "Subcutaneous route"
}
]
}
},
{
"manifestation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "64305001",
"display": "Urticaria"
}
]
}
],
"onset": "2004",
"severity": "moderate",
"note": [
{
"text": "The patient reports that the onset of urticaria was within 15 minutes of eating cashews."
}
]
}
]