Guia de implementação do Sumário Internacional do Paciente: Release 1 - BR Realm | STU1
1.0.0 - STU1
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
<AllergyIntolerance xmlns="http://hl7.org/fhir">
<id value="498615d6-279f-4883-b4e2-e32f86f75aa1"/>
<text>
<status value="generated"/>
<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>
</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>
</div></blockquote></blockquote></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<category value="medication"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="J01C"/>
<display value="BETA-LACTAM ANTIBACTERIALS, PENICILLINS"/>
</coding>
<text value="Alergia à penicilina"/>
</code>
<patient>🔗
<reference value="Patient/b1997888-85fd-41b6-bf94-6242cf3c8265"/>
<display value="Ana Beatriz Oliveira"/>
</patient>
<onsetDateTime value="2025-03-15"/>
<recordedDate value="2025-03-20T10:00:00-03:00"/>
<recorder>🔗
<reference value="Practitioner/d3b61455-f432-48f0-b83b-ba825922d735"/>
<display value="Maria Clara"/>
</recorder>
<asserter>🔗
<reference value="Patient/b1997888-85fd-41b6-bf94-6242cf3c8265"/>
<display value="Ana Beatriz Oliveira"/>
</asserter>
<note>
<text
value="Paciente aconselhado a evitar todos os antibióticos da classe das penicilinas."/>
</note>
<reaction>
<substance>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="J01C"/>
<display value="BETA-LACTAM ANTIBACTERIALS, PENICILLINS"/>
</coding>
<text value="Penicilina"/>
</substance>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="271807003"/>
<display value="Eruption"/>
</coding>
<text value="Erupção cutânea"/>
</manifestation>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="247472004"/>
<display value="Weal"/>
</coding>
<text value="Urticária"/>
</manifestation>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="267036007"/>
<display value="Dyspnea"/>
</coding>
<text value="Dispneia"/>
</manifestation>
<description
value="Paciente desenvolveu erupção cutânea, urticária e dispneia após administração de penicilina."/>
<onset value="2025-03-15T14:30:00-03:00"/>
<severity value="severe"/>
<exposureRoute>
<text value="Administração intravenosa"/>
</exposureRoute>
<note>
<text
value="Reação ocorreu dentro de 30 minutos após administração da dose."/>
</note>
</reaction>
</AllergyIntolerance>