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

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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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:AllergyIntolerance ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example-allergyintolerance-amina-penicillin"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nshr-uat.sha.go.ke/StructureDefinition/ke-allergy-intolerance"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/StructureDefinition/ke-allergy-intolerance>     ] )
  ] ; # 
  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-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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "https://ilm-hie.dha.go.ke/fhir/NamingSystem/allergy-identifier"^^xsd:anyURI ;
fhir:l <https://ilm-hie.dha.go.ke/fhir/NamingSystem/allergy-identifier>     ] ;
fhir:value [ fhir:v "ALG-2020-00042" ]
  ] ) ; # 
  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:display [ 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:display [ fhir:v "Confirmed" ]     ] )
  ] ; # 
  fhir:type [ fhir:v "allergy"] ; # 
  fhir:category ( [ fhir:v "medication"] ) ; # 
  fhir:criticality [ fhir:v "high"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [
fhir:v "https://ilm-hie.dha.go.ke/fhir/CodeSystem/active-components-cs"^^xsd:anyURI ;
fhir:l <https://ilm-hie.dha.go.ke/fhir/CodeSystem/active-components-cs>       ] ;
fhir:code [ fhir:v "AC10686" ] ;
fhir:display [ fhir:v "Penicillin V potassium" ]     ] )
  ] ; # 
  fhir:patient [
fhir:l fhir:Patient/example-patient-amina ;
fhir:reference [ fhir:v "Patient/example-patient-amina" ]
  ] ; # 
  fhir:encounter [
fhir:l fhir:Encounter/example-encounter-amina-outpatient ;
fhir:reference [ fhir:v "Encounter/example-encounter-amina-outpatient" ]
  ] ; # 
  fhir:onset [
a fhir:DateTime ;
fhir:v "2020-03-10"^^xsd:date
  ] ; # 
  fhir:recordedDate [ fhir:v "2020-03-10"^^xsd:date] ; # 
  fhir:recorder [
fhir:l fhir:Practitioner/example-practitioner-njoroge ;
fhir:reference [ fhir:v "Practitioner/example-practitioner-njoroge" ]
  ] ; # 
  fhir:asserter [
fhir:l fhir:Patient/example-patient-amina ;
fhir:reference [ fhir:v "Patient/example-patient-amina" ]
  ] ; # 
  fhir:note ( [
fhir:text [ fhir:v "Patient reports severe urticarial reaction within 30 minutes of taking oral penicillin. Allergy confirmed and flagged in patient record." ]
  ] ) ; # 
  fhir:reaction ( [
fhir:substance [
      ( fhir:coding [
fhir:system [
fhir:v "https://ilm-hie.dha.go.ke/fhir/CodeSystem/active-components-cs"^^xsd:anyURI ;
fhir:l <https://ilm-hie.dha.go.ke/fhir/CodeSystem/active-components-cs>         ] ;
fhir:code [ fhir:v "AC10686" ] ;
fhir:display [ fhir:v "Penicillin V potassium" ]       ] )     ] ;
    ( fhir:manifestation [
      ( fhir:coding [
fhir:system [
fhir:v "https://ilm-hie.dha.go.ke/fhir/CodeSystem/manifestation-cs"^^xsd:anyURI ;
fhir:l <https://ilm-hie.dha.go.ke/fhir/CodeSystem/manifestation-cs>         ] ;
fhir:code [ fhir:v "URTICARIA" ] ;
fhir:display [ fhir:v "Urticaria" ]       ] )     ] ) ;
fhir:description [ fhir:v "Widespread urticaria over trunk and limbs appearing within 30 minutes of penicillin administration." ] ;
fhir:onset [ fhir:v "2020-03-10T14:00:00+03:00"^^xsd:dateTime ] ;
fhir:severity [ fhir:v "moderate" ] ;
fhir:exposureRoute [
      ( fhir:coding [
fhir:system [
fhir:v "https://ilm-hie.dha.go.ke/fhir/CodeSystem/route-of-administration-cs"^^xsd:anyURI ;
fhir:l <https://ilm-hie.dha.go.ke/fhir/CodeSystem/route-of-administration-cs>         ] ;
fhir:code [ fhir:v "RT10025" ] ;
fhir:display [ fhir:v "Oral" ]       ] )     ]
  ] ) . #