2026 US Quality Core Implementation Guide
0.5.0 - release

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## : AllergyIntolerance example

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    {
      "resourceType" : "AllergyIntolerance",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
        ]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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>"
      },
      "identifier" : [
        {
          "system" : "http://acme.com/ids/patients/risks",
          "value" : "49476534"
        }
      ],
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
            "code" : "active"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
            "code" : "confirmed"
          }
        ]
      },
      "type" : "allergy",
      "category" : [
        "food"
      ],
      "criticality" : "high",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "227493005",
            "display" : "Cashew nuts"
          }
        ]
      },
      "patient" : {
        🔗 "reference" : "Patient/example"
      },
      "onsetDateTime" : "2004",
      "recordedDate" : "2014-10-09T14:58:00+11:00",
      "recorder" : {
        🔗 "reference" : "Practitioner/example"
      },
      "asserter" : {
        🔗 "reference" : "Patient/example"
      },
      "lastOccurrence" : "2012-06-02T01:45:31+00:00",
      "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."
            }
          ]
        }
      ]
    }