Kenya ePrescription FHIR Implementation Guide
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: AllergyIntolerance – Amina Hassan Penicillin Allergy - JSON Representation

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{
  "resourceType" : "AllergyIntolerance",
  "id" : "example-allergyintolerance-amina-penicillin",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/StructureDefinition/ke-allergy-intolerance"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance example-allergyintolerance-amina-penicillin</b></p><a name=\"example-allergyintolerance-amina-penicillin\"> </a><a name=\"hcexample-allergyintolerance-amina-penicillin\"> </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-ke-allergy-intolerance.html\">Kenya eRx AllergyIntolerance</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-ns-allergy-identifier.html\" title=\"Allergy record number generated by the clinical documentation system. Format: ALG-{YYYY}-{SEQ}.\">KenyaAllergyIdentifier</a>/ALG-2020-00042</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>: Medication</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:{https://ilm-hie.dha.go.ke/fhir/CodeSystem/active-components-cs AC10686}\">Penicillin V potassium</span></p><p><b>patient</b>: <a href=\"Patient-example-patient-amina.html\">Amina Hassan (official) Female, DoB: 1988-04-15 ( https://ilm-hie.dha.go.ke/fhir/NamingSystem/national-id#KenyaNationalId#29834765)</a></p><p><b>encounter</b>: <a href=\"Encounter-example-encounter-amina-outpatient.html\">Encounter: identifier = https://ilm-hie.dha.go.ke/fhir/NamingSystem/encounter-identifier#KenyaEncounterIdentifier#ENC-2025-OPD-00123; status = finished; class = ambulatory (ActCode#AMB); serviceType = General Practice; priority = Routine; period = 2025-06-15 09:00:00+0300 --&gt; 2025-06-15 10:30:00+0300</a></p><p><b>onset</b>: 2020-03-10</p><p><b>recordedDate</b>: 2020-03-10</p><p><b>recorder</b>: <a href=\"Practitioner-example-practitioner-njoroge.html\">Practitioner Sarah Njoroge (official)</a></p><p><b>asserter</b>: <a href=\"Patient-example-patient-amina.html\">Amina Hassan (official) Female, DoB: 1988-04-15 ( https://ilm-hie.dha.go.ke/fhir/NamingSystem/national-id#KenyaNationalId#29834765)</a></p><p><b>note</b>: </p><blockquote><div><p>Patient reports severe urticarial reaction within 30 minutes of taking oral penicillin. Allergy confirmed and flagged in patient record.</p>\n</div></blockquote><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Substance</b></td><td><b>Manifestation</b></td><td><b>Description</b></td><td><b>Onset</b></td><td><b>Severity</b></td><td><b>ExposureRoute</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://ilm-hie.dha.go.ke/fhir/CodeSystem/active-components-cs AC10686}\">Penicillin V potassium</span></td><td><span title=\"Codes:{https://ilm-hie.dha.go.ke/fhir/CodeSystem/manifestation-cs URTICARIA}\">Urticaria</span></td><td>Widespread urticaria over trunk and limbs appearing within 30 minutes of penicillin administration.</td><td>2020-03-10 14:00:00+0300</td><td>Moderate</td><td><span title=\"Codes:{https://ilm-hie.dha.go.ke/fhir/CodeSystem/route-of-administration-cs RT10025}\">Oral</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://ilm-hie.dha.go.ke/fhir/NamingSystem/allergy-identifier",
      "value" : "ALG-2020-00042"
    }
  ],
  "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" : [
    "medication"
  ],
  "criticality" : "high",
  "code" : {
    "coding" : [
      {
        "system" : "https://ilm-hie.dha.go.ke/fhir/CodeSystem/active-components-cs",
        "code" : "AC10686",
        "display" : "Penicillin V potassium"
      }
    ]
  },
  "patient" : {
    🔗 "reference" : "Patient/example-patient-amina"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example-encounter-amina-outpatient"
  },
  "onsetDateTime" : "2020-03-10",
  "recordedDate" : "2020-03-10",
  "recorder" : {
    🔗 "reference" : "Practitioner/example-practitioner-njoroge"
  },
  "asserter" : {
    🔗 "reference" : "Patient/example-patient-amina"
  },
  "note" : [
    {
      "text" : "Patient reports severe urticarial reaction within 30 minutes of taking oral penicillin. Allergy confirmed and flagged in patient record."
    }
  ],
  "reaction" : [
    {
      "substance" : {
        "coding" : [
          {
            "system" : "https://ilm-hie.dha.go.ke/fhir/CodeSystem/active-components-cs",
            "code" : "AC10686",
            "display" : "Penicillin V potassium"
          }
        ]
      },
      "manifestation" : [
        {
          "coding" : [
            {
              "system" : "https://ilm-hie.dha.go.ke/fhir/CodeSystem/manifestation-cs",
              "code" : "URTICARIA",
              "display" : "Urticaria"
            }
          ]
        }
      ],
      "description" : "Widespread urticaria over trunk and limbs appearing within 30 minutes of penicillin administration.",
      "onset" : "2020-03-10T14:00:00+03:00",
      "severity" : "moderate",
      "exposureRoute" : {
        "coding" : [
          {
            "system" : "https://ilm-hie.dha.go.ke/fhir/CodeSystem/route-of-administration-cs",
            "code" : "RT10025",
            "display" : "Oral"
          }
        ]
      }
    }
  ]
}