Be.en.hd.AllergyIntolerance.Review

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General

Name: be.en.hd.AllergyIntolerance
Version: 0.0.1
Status: Draft

Metadata

DCM::CoderList healthdata.be
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Clinical Building Blocks Expert Group & healthdata.be
DCM::CreationDate 15-12-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage en
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name healthdata.be
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.8.2
DCM::KeywordList Allergie, Overgevoeligheid
DCM::LifecycleStatus Draft
DCM::ModelerList Clinical Building Blocks Expert Group & healthdata.be
DCM::Name be.en.hd.AllergyIntolerance
DCM::PublicationDate
DCM::PublicationStatus
DCM::ReviewerList Clinical Building Blocks Expert Group & healthdata.be
DCM::RevisionDate 05-01-2016
DCM::Superseeds
DCM::Version 0.0.1

Revision History

Concept

An allergy or intolerance describes a patient’s tendency towards hypersensitivity to a certain substance, so that an unwanted physiological reaction is expected after exposure to the substance, while most people would not exhibit such a reaction to that amount. The observed physiological changes are usually the result of an immunological reaction. The substances can be categorized as follows: - Medicine - Medicine category - Ingredient/addition - Nutrition - Environmental factor - Animal - Plants - Chemicals - Inhaled allergenic

Purpose

Documenting and communicating allergies and intolerances is an important part of medical registration. It concerns the core of patient safety in general and medication safety in particular. In the execution of research, treatment and care, these patient characteristics constantly have to be taken into account. In principle, allergies and intolerances are also disorders and also could be entered as a problem. Nevertheless, these are usually entered separately. Allergies/Intolerances have a lot in common with warnings (Alert). An important difference is that with allergies and intolerances, a lot of detailed information is recorded on things such as the reactions to the causative substance. Furthermore, not every warning is a problem or medical condition. Every allergy/intolerance is, however, while not every allergy or intolerance implies a warning.

Information model

Be.en.hd.AllergyIntoleranceModel.png
Refer to the legend page for more information about the used types and data types

rootconcept AllergyIntolerance
Definition Root concept of the AllergyIntolerance building block. This root concept contains all data elements of the AllergyIntolerance building block.
Type Zib.png
DCM::DefinitionCode NL-CM:8.2.1
data StartDateTime
Definition The date and time at which the allergy or undesired reaction was determined.

This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year).

Datatype TS.png
DCM::DefinitionCode NL-CM:8.2.6
DCM::ExampleValue 09-10-2011
data LastReactionDateTime
Definition Entry of the last time a hypersensitive reaction took place.
Datatype TS.png
DCM::DefinitionCode NL-CM:8.2.8
data Explanation
Definition Textual explanation of the hypersensitivity which cannot be entered in any of the other fields.
Datatype ST.png
DCM::DefinitionCode NL-CM:8.2.9
container Reaction
Definition Container of the Reaction concept. This container contains all data elements of the Reaction concept.
Datatype Container.png
DCM::DefinitionCode NL-CM:8.2.10
data ReactionDescription
Definition Textual description of the reaction as a whole.
Datatype ST.png
DCM::DefinitionCode NL-CM:8.2.13
data ReactionTime
Definition Date and time at which the reaction took place. This may also be just the date or a partial date, in the event that the exact date is unknown.
Datatype TS.png
DCM::DefinitionCode NL-CM:8.2.17
data ReactionDuration
Definition Duration of the reaction.
Datatype PQ.png
DCM::DefinitionCode NL-CM:8.2.16
data CausativeSubstance
Definition Substance, group of substances or environmental factor to which the patient is allergic or hypersensitive.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.2
DCM::ValueSet File:List.png VeroorzakendeStofAllergeneStoffenCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.17

Allergene stoffen niet gerelateerd aan medicatiebewaking.

DCM::ValueSet File:List.png VeroorzakendeStofHPKCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.19
DCM::ValueSet File:List.png VeroorzakendeStofSNKCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.14
DCM::ValueSet File:List.png VeroorzakendeStofSSKCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.13
DCM::ValueSet File:List.png VeroorzakendeStofThesaurus122Codelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.15
data AllergyCategory
Definition Identifies the allergy category such as medication, food or environment.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.4
DCM::ValueSet File:List.png AllergyCategoryCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2
data AllergyStatus
Definition Statement on the status of the patient’s hypersensitivity.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.5
DCM::ValueSet File:List.png AllergyStatusCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.3
data CriticalExtent
Definition Critical extent is defined as “the potential severity of future reactions.”

This represents a clinical evaluation of the worst case scenario for a future reaction. It can be based on the severity of past reactions, the dose and manner of exposure which caused reactions in the past, and the life-threatening potential of the type of reaction. Critical extent is a property of the allergy, and not of the reaction itself.

Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.7
DCM::ValueSet File:List.png CriticalExtentCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4
data Symptom
Definition The content specifications of the reaction that takes place when the patient is exposed to the causative substance.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.11
DCM::ExampleValue Anafylaxie,Jeuk
DCM::ValueSet File:List.png SymptomCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5
data SpecificSubstance
Definition More specific indication of the substance that caused the reaction. This can be a specific substance from a group of substances to which the patient is allergic or hypersensitive.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.12
DCM::ValueSet File:List.png SpecifiekeStofAllergeneStoffenCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.16

Allergene stoffen niet gerelateerd aan medicatiebewaking.

DCM::ValueSet File:List.png SpecifiekeStofHPKCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.18
DCM::ValueSet File:List.png SpecifiekeStofSNKCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.10
DCM::ValueSet File:List.png SpecifiekeStofSSKCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.9
DCM::ValueSet File:List.png SpecifiekeStofThesaurus122Codelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.11
data Probability
Definition Indication of the probability that the substance described in the ‘SpecificSubstance' concept caused the reaction.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.18
DCM::ValueSet File:List.png ProbabilityCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.8
data Severity
Definition The severity of the reaction as a result of exposure to the causative substance.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.14
DCM::ExampleValue Ernstig
DCM::ValueSet File:List.png SeverityCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.6
data MannerOfExposure
Definition Way in which the patient came into contact with the causative substance or the way in which the substance was administered.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.2.15
DCM::ValueSet File:List.png MannerOfExposureCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12

Code Lists

MannerOfExposureCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12

Codes Coding Syst. Name Coding System OID
SNOMED CT: <284009009 SNOMED CT 2.16.840.1.113883.6.96

SpecifiekeStofAllergeneStoffenCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.16

Codes Coding Syst. Name Coding System OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

SpecifiekeStofHPKCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.18

Codes Coding Syst. Name Coding System OID
Alle waarden G-Standaard Handels Product Kode (HPK) 2.16.840.1.113883.2.4.4.7

SpecifiekeStofSNKCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.10

Codes Coding Syst. Name Coding System OID
Alle waarden G-standaard Stofnaamcode (SNK) 2.16.840.1.113883.2.4.4.1.750

SpecifiekeStofSSKCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.9

Codes Coding Syst. Name Coding System OID
Alle waarden G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) 2.16.840.1.113883.2.4.4.1.725

SpecifiekeStofThesaurus122Codelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.11

Codes Coding Syst. Name Coding System OID
Alle waarden G-standaard Ongewenste medicatiegroepen 2.16.840.1.113883.2.4.4.1.902.122

VeroorzakendeStofAllergeneStoffenCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.17

Codes Coding Syst. Name Coding System OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

VeroorzakendeStofHPKCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.19

Codes Coding Syst. Name Coding System OID
Alle waarden G-Standaard Handels Product Kode (HPK) 2.16.840.1.113883.2.4.4.7

VeroorzakendeStofSNKCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.14

Codes Coding Syst. Name Coding System OID
Alle waarden G-standaard Stofnaamcode (SNK) 2.16.840.1.113883.2.4.4.1.750

VeroorzakendeStofSSKCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.13

Codes Coding Syst. Name Coding System OID
Alle waarden G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) 2.16.840.1.113883.2.4.4.1.725

VeroorzakendeStofThesaurus122Codelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.15

Codes Coding Syst. Name Coding System OID
Alle waarden G-standaard Ongewenste medicatiegroepen 2.16.840.1.113883.2.4.4.1.902.122

ProbabilityCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.8

Concept Name Concept Code Coding System Name Coding System OID Description
Certain 17162000 SNOMED CT 2.16.840.1.113883.6.96 Zeker
Probable 2931005 SNOMED CT 2.16.840.1.113883.6.96 Waarschijnlijk
Possible 60022001 SNOMED CT 2.16.840.1.113883.6.96 Mogelijk
Unlikely 385434005 SNOMED CT 2.16.840.1.113883.6.96 Onwaarschijnlijk
Ruled Out 260385009 SNOMED CT 2.16.840.1.113883.6.96 Zeker niet
Unknown 261665006 SNOMED CT 2.16.840.1.113883.6.96 Onbekend

AllergyCategoryCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2

Concept Name Concept Code Coding System Name Coding System OID Description
Propensity to adverse reactions to food 418471000 SNOMED CT 2.16.840.1.113883.6.96 Voeding
Propensity to adverse reactions to drug 419511003 SNOMED CT 2.16.840.1.113883.6.96 Medicijn
Environmental allergy 426232007 SNOMED CT 2.16.840.1.113883.6.96 Omgeving
Allergy to substance 419199007 SNOMED CT 2.16.840.1.113883.6.96 Stof of product
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

AllergyStatusCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.3

Concept Name Concept Code Coding System Name Coding System OID Description
Active active ActStatus 2.16.840.1.113883.5.14 Actief
Completed completed ActStatus 2.16.840.1.113883.5.14 Niet meer aanwezig
Obsolete obsolete ActStatus 2.16.840.1.113883.5.14 Achterhaald
Nullified nullified ActStatus 2.16.840.1.113883.5.14 Foutief

CriticalExtentCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4

Concept Name Concept Code Coding System Name Coding System OID Description
Low 62482003 SNOMED CT 2.16.840.1.113883.6.96 Laag
Medium 255508009 SNOMED CT 2.16.840.1.113883.6.96 Matig
High 75540009 SNOMED CT 2.16.840.1.113883.6.96 Hoog
Fatal 399166001 SNOMED CT 2.16.840.1.113883.6.96 Fataal

SymptomCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5

Concept Name Concept Code Coding System Name Coding System OID Description
Anaphylaxis 39579001 SNOMED CT 2.16.840.1.113883.6.96 Anafylaxie
Angioedema 41291007 SNOMED CT 2.16.840.1.113883.6.96 Angio-oedeem
Upper respiratory tract hypersensitivity reaction 490008 SNOMED CT 2.16.840.1.113883.6.96 Overgevoeligheidsreactie van de bovenste luchtwegen
Dyspnea 267036007 SNOMED CT 2.16.840.1.113883.6.96 Kortademigheid
Bronchospasm 4386001 SNOMED CT 2.16.840.1.113883.6.96 Bronchospasme
Urticaria (hives) 126485001 SNOMED CT 2.16.840.1.113883.6.96 Urticaria
Contact dermatitis 40275004 SNOMED CT 2.16.840.1.113883.6.96 Contactdermatitis
Itching of skin 418363000 SNOMED CT 2.16.840.1.113883.6.96 Jeuk
Eruption of skin 271807003 SNOMED CT 2.16.840.1.113883.6.96 Exantheem
Allergic conjunctivitis 473460002 SNOMED CT 2.16.840.1.113883.6.96 Allergische conjunctivitis
TEN - Toxic epidermal necrolysis 23067006 SNOMED CT 2.16.840.1.113883.6.96 Toxische epidermale necrolyse
Nausea and vomiting 16932000 SNOMED CT 2.16.840.1.113883.6.96 Misselijk en braken
Diarrhoea 62315008 SNOMED CT 2.16.840.1.113883.6.96 Diarree
Drug-induced erythema multiforme 297942002 SNOMED CT 2.16.840.1.113883.6.96 Door medicatie veroorzaakte erythema multiforme
Fever 386661006 SNOMED CT 2.16.840.1.113883.6.96 Koorts
Overig OTH NullFlavor 2.16.840.1.113883.5.1008 Overig

SeverityCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.8.2.6

Concept Name Concept Code Coding System Name Coding System OID Description
Mild MILD Severity Observation 2.16.840.1.113883.2.4.15.20 Mild
Moderate MOD Severity Observation 2.16.840.1.113883.2.4.15.20 Matig ernstig
Severe SEV Severity Observation 2.16.840.1.113883.2.4.15.20 Ernstig

References

1. Z-INDEX. (2011) Allergieën en ongewenste middelen [Online] v. R V-2-3-1 Beschikbaar op: http://www.z-index.nl/g-standaard/beschrijvingen/functioneel/wijzigingen/mb/bewaking-op-allergie/IR%20Allergieen%20V%202-1-1.pdf [Geraadpleegd: 15 oktober 2014]

2. HL7 FHIR Resource AllergyIntolerance. [Online] Continuous Build. Beschikbaar op: http://hl7-fhir.github.io/allergyintolerance.html [Geraadpleegd: 12 maart 2014][fr-BE]1. Z-INDEX. (2011) Allergieën en ongewenste middelen [Online] v. R V-2-3-1 Disponible sur : http://www.z-index.nl/g-standaard/beschrijvingen/functioneel/wijzigingen/mb/bewaking-op-allergie/IR%20Allergieen%20V%202-1-1.pdf [Consulté le 15 octobre 2014]

2. HL7 FHIR Resource AllergyIntolerance. [Online] Continuous Build. Disponible sur : http://hl7-fhir.github.io/allergyintolerance.html [Consulté le 12 mars 2014][\fr-BE]