2026 US Quality Core Implementation Guide
0.5.0 - release

2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

## : AllergyIntolerance example

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:AllergyIntolerance ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-quality-core-allergyintolerance.html\">US Quality Core AllergyIntolerance</a></p></div><p><b>identifier</b>: <code>http://acme.com/ids/patients/risks</code>/49476534</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">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>: Food</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 227493005}\">Cashew nuts</span></p><p><b>patient</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>onset</b>: 2004</p><p><b>recordedDate</b>: 2014-10-09 14:58:00+1100</p><p><b>recorder</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><p><b>asserter</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>lastOccurrence</b>: 2012-06-02 01:45:31+0000</p><p><b>note</b>: </p><blockquote><div><p>The criticality is high becasue of the observed anaphylactic reaction when challenged     with cashew extract.</p>\n</div></blockquote><blockquote><p><b>reaction</b></p><p><b>substance</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1160593}\">cashew nut allergenic extract Injectable Product</span></p><p><b>manifestation</b>: <span title=\"Codes:{http://snomed.info/sct 39579001}\">Anaphylactic reaction</span></p><p><b>description</b>: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered</p><p><b>onset</b>: 2012-06-12</p><p><b>severity</b>: Severe</p><p><b>exposureRoute</b>: <span title=\"Codes:{http://snomed.info/sct 34206005}\">Subcutaneous route</span></p></blockquote><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: <span title=\"Codes:{http://snomed.info/sct 64305001}\">Urticaria</span></p><p><b>onset</b>: 2004</p><p><b>severity</b>: Moderate</p><p><b>note</b>: </p><blockquote><div><p>The patient reports that the onset of urticaria was within 15 minutes of eating cashews.</p>\n</div></blockquote></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "http://acme.com/ids/patients/risks"^^xsd:anyURI ;
    fhir:l <http://acme.com/ids/patients/risks>     ] ;
    fhir:value [ fhir:v "49476534" ]
      ] ) ; #
      fhir:clinicalStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical>       ] ;
    fhir:code [ fhir:v "active" ]     ] )
      ] ; #
      fhir:verificationStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/allergyintolerance-verification>       ] ;
    fhir:code [ fhir:v "confirmed" ]     ] )
      ] ; #
      fhir:type [ fhir:v "allergy"] ; #
      fhir:category ( [ fhir:v "food"] ) ; #
      fhir:criticality [ fhir:v "high"] ; #
      fhir:code [
        ( fhir:coding [
    a sct:227493005 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "227493005" ] ;
    fhir:display [ fhir:v "Cashew nuts" ]     ] )
      ] ; #
      fhir:patient [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:onset [
    a fhir:DateTime ;
    fhir:v "2004"^^xsd:gYear
      ] ; #
      fhir:recordedDate [ fhir:v "2014-10-09T14:58:00+11:00"^^xsd:dateTime] ; #
      fhir:recorder [
    fhir:l fhir:Practitioner/example ;
    fhir:reference [ fhir:v "Practitioner/example" ]
      ] ; #
      fhir:asserter [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:lastOccurrence [ fhir:v "2012-06-02T01:45:31+00:00"^^xsd:dateTime] ; #
      fhir:note ( [
    fhir:text [ fhir:v "The criticality is high becasue of the observed anaphylactic reaction when challenged     with cashew extract." ]
      ] ) ; #
      fhir:reaction ( [
    fhir:substance [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ;
    fhir:l <http://www.nlm.nih.gov/research/umls/rxnorm>         ] ;
    fhir:code [ fhir:v "1160593" ] ;
    fhir:display [ fhir:v "cashew nut allergenic extract Injectable Product" ]       ] )     ] ;
        ( fhir:manifestation [
          ( fhir:coding [
    a sct:39579001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "39579001" ] ;
    fhir:display [ fhir:v "Anaphylactic reaction" ]       ] )     ] ) ;
    fhir:description [ fhir:v "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered" ] ;
    fhir:onset [ fhir:v "2012-06-12"^^xsd:date ] ;
    fhir:severity [ fhir:v "severe" ] ;
    fhir:exposureRoute [
          ( fhir:coding [
    a sct:34206005 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "34206005" ] ;
    fhir:display [ fhir:v "Subcutaneous route" ]       ] )     ]
      ] [
        ( fhir:manifestation [
          ( fhir:coding [
    a sct:64305001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "64305001" ] ;
    fhir:display [ fhir:v "Urticaria" ]       ] )     ] ) ;
    fhir:onset [ fhir:v "2004"^^xsd:gYear ] ;
    fhir:severity [ fhir:v "moderate" ] ;
        ( fhir:note [
    fhir:text [ fhir:v "The patient reports that the onset of urticaria was within 15 minutes of eating cashews." ]     ] )
      ] ) . #