DwAllergyIntolerance

Purpose

The purpose of this resource to provide a record of allergies and intolerances documented for a specific patient.

idS Σ0..1System.String
versionIdΣ0..1id
lastUpdatedS Σ0..1instant
sourceΣ0..1uri
profileΣ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
identifierΣ0..*Identifier
systemS Σ0..1uri
versionS Σ0..1string
codeS Σ0..1code
translationI0..1Extension(Complex)
userSelectedΣ0..1boolean
systemS Σ0..1uri
versionS Σ0..1string
codeS Σ0..1code
translationI0..1Extension(Complex)
userSelectedS Σ0..1boolean
textS Σ0..1string
systemS Σ0..1uri
versionS Σ0..1string
codeS Σ0..1code
displayS Σ0..1string
userSelectedS Σ0..1boolean
textS Σ0..1string
typeS Σ0..1codeBinding
categoryS Σ0..*codeBinding
criticalityS Σ0..1codeBinding
absentOrUnknownAllergyIntoleranceS Σ0..1CodeableConceptBinding
codeAllergyCAS Σ0..1CodeableConceptBinding
codingΣ0..*Coding
textS Σ0..1string
referenceS Σ I1..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayΣ0..1string
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
recordedDateS1..1dateTime
recorderS I1..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
asserterΣ I0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
lastOccurrence0..1dateTime
noteS0..*Annotation
codingΣ0..*Coding
textS Σ0..1string
systemS Σ0..1uri
versionS Σ0..1string
codeS Σ0..1code
translationI0..1Extension(Complex)
userSelectedS Σ0..1boolean
textS Σ0..1string
description0..1string
onsetS0..1dateTime
severityS0..1codeBinding
codingΣ0..*Coding
textS Σ0..1string
note0..*Annotation

Usage note

  • clinicalStatus - When allergy is present in CPP status is active and refuted allergies will have status of inactive

  • verificationStatus - Status mapping

    FHIR MA PSS
    unconfirmed suspected suspected
    confirmed confirmed confirmed
    refuted refuted refuted
    entered-in-error deteled deleted
  • type - Identification of the underlying physiological mechanism for the reaction risk.

    FHIR MA PSS
    allergy allergy drug allergy, non-drug allergy
    intollerance side-effect, exagerated effect, other drug intollerance, non-drug intollerance
  • code

  • reaction.manifestation - Reaction to the allergen is provided as reaction.manifestation.coding when documented as standard reaction. If documented as free text then it will be provided as reaction.manifestation.text. PSS allows provider to add multiple reaction to the allergy, if documented it will be included as 0..* in the JSON message.

Bundle

Example

{
	"resourceType":"AllergyIntolerance",
	"id":"pss-CDK5-AllergyIntolerance-147.2",
	"meta":{
		"source":"urn:telus:emr:pss:CDK5",
		"lastUpdated":"2022-12-20T13:19:37.000Z",
		"security":[{
				"system":"http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
				"code":"N",
				"display":"normal"
				}
			]
		},
	"identifier":[{
			"system":"urn:telus:emr:pss:CDK5:AllergyIntolerance",
			"use":"official",
			"value":"147.2"
		}
	],
	"clinicalStatus":{
		"coding":[{
				"system":"https://fhir.infoway-inforoute.ca/ValueSet/allergyintolerancestatuscode",
				"code":"active",
				"display":"Active"
			}
		],
		"text":"Confirmed"
	},
	"verificationStatus":{
		"coding":[{
				"system":"http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
				"code":"confirmed",
				"display":"Confirmed"
			}
		],
	"text":"Confirmed"
	},
	"type":"allergy",
	"category":["environment"],
	"criticality":"high",
	"code":{
		"coding":[{
             "system":"https://tgateway.infoway-inforoute.ca/vs/pharmaceuticalbiologicproductandsubstancecode",
				"code":"256277009",
				"display":"Grass pollen"
			},{
			"system":"https://tgateway.infoway-inforoute.ca/vs/pharmaceuticalbiologicproductandsubstancecode",
				"code":"703927007",
				"display":"Guinea pig dander"
			},{
			"system":"https://tgateway.infoway-inforoute.ca/vs/pharmaceuticalbiologicproductandsubstancecode",
			"code":"710943006",
			"display":"Cockroach protein"
			}],
			"text":"Unrecognized Imported Allergy 2"
	        },
    "patient":{
	    "reference":"Patient/pss-CDK5-Patient-pss-CDK5-Patient-147",
	    "type":"Patient"
	    },
    "encounter":{
	    "reference":"Encounter/pss-CDK5-Encounter-pss-CDK5-Encounter-2294",
	    "type":"Encounter"
	    },
    "recordedDate":"2012-08-21T00:00:00.000Z",
    "recorder":{
	    "reference":"Practitioner/pss-CDK5-Practitioner-9",
	    "display":"Dr. Marcus Welby",
	    "type":"Practitioner"
        },
    "note":[{
	    "text":"No special notes"
	    }
    ],
    "reaction":[{
	    "manifestation":[{
		    "coding":[{
			    "system":"https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension",
			    "code":"403608009",
		    	"display":"Serum sickness due to drug"
        	    }
		    ],
		    "text":"Moderate reaction : Serum sickness"
		    }
	        ],
        "severity":"moderate"
	    }
	]
}