Guia de implementação do Sumário Internacional do Paciente: Release 1 - BR Realm | STU1
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This page is part of the IPS Brasil (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Exemplo de intolerância alimentar. - JSON Representation

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{
  "resourceType" : "AllergyIntolerance",
  "id" : "498615d6-279f-4883-b4e2-e32f86f75aa1",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narrativa gerada: AllergyIntolerance 498615d6-279f-4883-b4e2-e32f86f75aa1</b></p><a name=\"498615d6-279f-4883-b4e2-e32f86f75aa1\"> </a><a name=\"hc498615d6-279f-4883-b4e2-e32f86f75aa1\"> </a><p><b>clinicalStatus</b>: <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Códigos:{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=\"Códigos:{http://www.whocc.no/atc J01C}\">Alergia à penicilina</span></p><p><b>patient</b>: <a href=\"Patient-b1997888-85fd-41b6-bf94-6242cf3c8265.html\">Ana Beatriz Oliveira</a></p><p><b>onset</b>: 2025-03-15</p><p><b>recordedDate</b>: 2025-03-20 10:00:00-0300</p><p><b>recorder</b>: <a href=\"Practitioner-d3b61455-f432-48f0-b83b-ba825922d735.html\">Maria Clara</a></p><p><b>asserter</b>: <a href=\"Patient-b1997888-85fd-41b6-bf94-6242cf3c8265.html\">Ana Beatriz Oliveira</a></p><p><b>note</b>: </p><blockquote><div><p>Paciente aconselhado a evitar todos os antibióticos da classe das penicilinas.</p>\n</div></blockquote><blockquote><p><b>reaction</b></p><p><b>substance</b>: <span title=\"Códigos:{http://www.whocc.no/atc J01C}\">Penicilina</span></p><p><b>manifestation</b>: <span title=\"Códigos:{http://snomed.info/sct 271807003}\">Erupção cutânea</span>, <span title=\"Códigos:{http://snomed.info/sct 247472004}\">Urticária</span>, <span title=\"Códigos:{http://snomed.info/sct 267036007}\">Dispneia</span></p><p><b>description</b>: Paciente desenvolveu erupção cutânea, urticária e dispneia após administração de penicilina.</p><p><b>onset</b>: 2025-03-15 14:30:00-0300</p><p><b>severity</b>: Severe</p><p><b>exposureRoute</b>: <span title=\"Códigos:\">Administração intravenosa</span></p><p><b>note</b>: </p><blockquote><div><p>Reação ocorreu dentro de 30 minutos após administração da dose.</p>\n</div></blockquote></blockquote></div>"
  },
  "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" : "http://www.whocc.no/atc",
        "code" : "J01C",
        "display" : "BETA-LACTAM ANTIBACTERIALS, PENICILLINS"
      }
    ],
    "text" : "Alergia à penicilina"
  },
  "patient" : {
    🔗 "reference" : "Patient/b1997888-85fd-41b6-bf94-6242cf3c8265",
    "display" : "Ana Beatriz Oliveira"
  },
  "onsetDateTime" : "2025-03-15",
  "recordedDate" : "2025-03-20T10:00:00-03:00",
  "recorder" : {
    🔗 "reference" : "Practitioner/d3b61455-f432-48f0-b83b-ba825922d735",
    "display" : "Maria Clara"
  },
  "asserter" : {
    🔗 "reference" : "Patient/b1997888-85fd-41b6-bf94-6242cf3c8265",
    "display" : "Ana Beatriz Oliveira"
  },
  "note" : [
    {
      "text" : "Paciente aconselhado a evitar todos os antibióticos da classe das penicilinas."
    }
  ],
  "reaction" : [
    {
      "substance" : {
        "coding" : [
          {
            "system" : "http://www.whocc.no/atc",
            "code" : "J01C",
            "display" : "BETA-LACTAM ANTIBACTERIALS, PENICILLINS"
          }
        ],
        "text" : "Penicilina"
      },
      "manifestation" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "271807003",
              "display" : "Eruption"
            }
          ],
          "text" : "Erupção cutânea"
        },
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "247472004",
              "display" : "Weal"
            }
          ],
          "text" : "Urticária"
        },
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "267036007",
              "display" : "Dyspnea"
            }
          ],
          "text" : "Dispneia"
        }
      ],
      "description" : "Paciente desenvolveu erupção cutânea, urticária e dispneia após administração de penicilina.",
      "onset" : "2025-03-15T14:30:00-03:00",
      "severity" : "severe",
      "exposureRoute" : {
        "text" : "Administração intravenosa"
      },
      "note" : [
        {
          "text" : "Reação ocorreu dentro de 30 minutos após administração da dose."
        }
      ]
    }
  ]
}