ID

40011

Beschrijving

This is a complete version of the FHIR resource Schedule, v4.0.0 A record of a clinical assessment of an allergy or intolerance; a propensity, or a potential risk to an individual, to have an adverse reaction on future exposure to the specified substance, or class of substance. FHIR version R4 (v4.0.0). FHIR is a platform specification that defines a set of capabilities use across the healthcare process, in all jurisdictions, and in lots of different context. https://www.hl7.org/fhir/resourcelist.html A record of a clinical assessment of an allergy or intolerance; a propensity, or a potential risk to an individual, to have an adverse reaction on future exposure to the specified substance, or class of substance.

Link

https://www.hl7.org/fhir/resourcelist.html

Trefwoorden

Versies (3)
  1. 09-03-20 09-03-20 -
  2. 09-03-20 09-03-20 -
  3. 20-09-21 20-09-21 -
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HL7 FHIR

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9 maart 2020

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Creative Commons BY-NC 4.0
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FHIR v4.0.0

Engels

Resource Allergy Intolerance (3)

1 Formulieren  
Allergy Intolerance
Beschrijving

Allergy Intolerance

Alias
UMLS CUI-1
C3242269
Allergy Intolerance Identifier
Beschrijving

Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0600091
Clinical status of allergy or intolerance
Beschrijving

The clinical status of the allergy or intolerance.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0449440
Verification status of allergy or intolerance
Beschrijving

Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C1269735
Type of allergy or intolerance
Beschrijving

Identification of the underlying physiological mechanism for the reaction risk.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0332307
Category of allergy or intolerance substance
Beschrijving

Category of the identified substance.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0683312
UMLS CUI [1,3]
C0439861
Potential risk of allergy or intolerance substance
Beschrijving

Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0035647
UMLS CUI [1,3]
C0439861
Code for allergy or intolerance substance
Beschrijving

Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-allergyintolerance-code.html

Datatype

integer

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0439861
UMLS CUI [1,3]
C0805701
Patient
Beschrijving

The patient who has the allergy or intolerance.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C1299487
Encounter when the allergy or intolerance was asserted
Beschrijving

The encounter when the allergy or intolerance was asserted.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C1512346
Estimated or actual date, date-time, or age when allergy or intolerance was identified.
Beschrijving

AllergyIntolerance.onset

Datatype

datetime

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C1717740
Date of the record of the diagnosed allergy or intolerance
Beschrijving

The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.

Datatype

date

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C4302534
UMLS CUI [1,3]
C0011008
Individual who recorded the record
Beschrijving

Individual who recorded the record and takes responsibility for its content.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0027361
UMLS CUI [1,3]
C1273518
UMLS CUI [1,4]
C4302534
Source of the information
Beschrijving

The source of the information about the allergy that is recorded.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C4302534
UMLS CUI [1,3]
C0683836
Date/time of the last known occurence
Beschrijving

Represents the date and/or time of the last known occurrence of a reaction event.

Datatype

datetime

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C1517741
UMLS CUI [1,3]
C2745955
Additional note about the propensity for Adverse Reaction
Beschrijving

Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C1524062
UMLS CUI [1,3]
C1317574
UMLS CUI [1,4]
C0877248
Adverse reaction event
Beschrijving

Adverse reaction event

Alias
UMLS CUI-1
C3242269
UMLS CUI-2
C0559546
Substance which is responsible for the adverse reaction event
Beschrijving

Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-substance-code.html

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0559546
UMLS CUI [1,3]
C0439861
Clinical symptoms associated with the adverse reaction event
Beschrijving

Clinical symptoms and/or signs that are observed or associated with the adverse reaction event. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-clinical-findings.html

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0559546
UMLS CUI [1,3]
C1280464
Description of the adverse reaction event
Beschrijving

Text description about the reaction as a whole, including details of the manifestation if required.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0559546
UMLS CUI [1,3]
C0678257
Date and/or time of the onset of the adverse reaction event
Beschrijving

Record of the date and/or time of the onset of the Reaction.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0559546
UMLS CUI [1,3]
C0574845
UMLS CUI [1,4]
C0449244
Assessment of the severity of the adverse reaction event
Beschrijving

Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C1710066
Exposure Route of the substance which is responsible for the adverse reaction event
Beschrijving

Identification of the route by which the subject was exposed to the substance. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-route-codes.html

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0559546
UMLS CUI [1,3]
C0683172
Additional text about the adverse reaction event
Beschrijving

Additional text about the adverse reaction event not captured in other fields.

Datatype

text

Alias
UMLS CUI [1,1]
C3242269
UMLS CUI [1,2]
C0559546
UMLS CUI [1,3]
C2004578
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Similar models

Resource Allergy Intolerance (3)

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Allergy Intolerance
C3242269 (UMLS CUI-1)
AllergyIntolerance.identifier
Item
Allergy Intolerance Identifier
text
C3242269 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item
Clinical status of allergy or intolerance
text
C3242269 (UMLS CUI [1,1])
C0449440 (UMLS CUI [1,2])
AllergyIntolerance.clinicalStatus
Code List
Clinical status of allergy or intolerance
CL Item
Active (active)
The subject is currently experiencing, or is at risk of, a reaction to the identified substance. (Comment:en)
CL Item
Inactive (inactive)
The subject is no longer at risk of a reaction to the identified substance. (Comment:en)
CL Item
Resolved (resolved)
A reaction to the identified substance has been clinically reassessed by testing or re-exposure and is considered no longer to be present. Re-exposure could be accidental, unplanned, or outside of any clinical setting. (Comment:en)
Item
Verification status of allergy or intolerance
text
C3242269 (UMLS CUI [1,1])
C1269735 (UMLS CUI [1,2])
AllergyIntolerance.clinicalStatus
Code List
Verification status of allergy or intolerance
CL Item
Unconfirmed  (unconfirmed)
A low level of certainty about the propensity for a reaction to the identified substance. (Comment:en)
CL Item
Confirmed  (confirmed)
A high level of certainty about the propensity for a reaction to the identified substance, which may include clinical evidence by testing or rechallenge. (Comment:en)
CL Item
Refuted  (refuted)
A propensity for a reaction to the identified substance has been disputed or disproven with a sufficient level of clinical certainty to justify invalidating the assertion. This might or might not include testing or rechallenge. (Comment:en)
CL Item
Entered in Error  (entered-in-error)
The statement was entered in error and is not valid. (Comment:en)
Item
Type of allergy or intolerance
text
C3242269 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
AllergyIntolerance.clinicalStatus
Code List
Type of allergy or intolerance
CL Item
Allergy  (allergy)
A propensity for hypersensitive reaction(s) to a substance. These reactions are most typically type I hypersensitivity, plus other "allergy-like" reactions, including pseudoallergy. (Comment:en)
CL Item
Intolerance  (intolerance)
A propensity for adverse reactions to a substance that is not judged to be allergic or "allergy-like". These reactions are typically (but not necessarily) non-immune. They are to some degree idiosyncratic and/or patient-specific (i.e. are not a reaction that is expected to occur with most or all patients given similar circumstances). (Comment:en)
Item
Category of allergy or intolerance substance
text
C3242269 (UMLS CUI [1,1])
C0683312 (UMLS CUI [1,2])
C0439861 (UMLS CUI [1,3])
AllergyIntolerance.clinicalStatus
Code List
Category of allergy or intolerance substance
CL Item
Food (food)
Any substance consumed to provide nutritional support for the body. (Comment:en)
CL Item
Medication  (medication)
Substances administered to achieve a physiological effect. (Comment:en)
CL Item
Environment (environment)
Any substances that are encountered in the environment, including any substance not already classified as food, medication, or biologic. (Comment:en)
CL Item
Biologic (biologic)
A preparation that is synthesized from living organisms or their products, especially a human or animal protein, such as a hormone or antitoxin, that is used as a diagnostic, preventive, or therapeutic agent. Examples of biologic medications include: vaccines; allergenic extracts, which are used for both diagnosis and treatment (for example, allergy shots); gene therapies; cellular therapies. There are other biologic products, such as tissues, which are not typically associated with allergies. (Comment:en)
Item
Potential risk of allergy or intolerance substance
text
C3242269 (UMLS CUI [1,1])
C0035647 (UMLS CUI [1,2])
C0439861 (UMLS CUI [1,3])
AllergyIntolerance.clinicalStatus
Code List
Potential risk of allergy or intolerance substance
CL Item
Low Risk  (low)
Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure. (Comment:en)
CL Item
High Risk  (high)
Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure. (Comment:en)
CL Item
Unable to Assess Risk  (unable-to-assess)
Unable to assess the worst case result of a future exposure. (Comment:en)
AllergyIntolerance.code
Item
Code for allergy or intolerance substance
integer
C3242269 (UMLS CUI [1,1])
C0439861 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
AllergyIntolerance.patient
Item
Patient
text
C3242269 (UMLS CUI [1,1])
C1299487 (UMLS CUI [1,2])
AllergyIntolerance.encounter
Item
Encounter when the allergy or intolerance was asserted
text
C3242269 (UMLS CUI [1,1])
C1512346 (UMLS CUI [1,2])
AllergyIntolerance.onset
Item
Estimated or actual date, date-time, or age when allergy or intolerance was identified.
datetime
C3242269 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C1717740 (UMLS CUI [1,3])
AllergyIntolerance.recordedDate
Item
Date of the record of the diagnosed allergy or intolerance
date
C3242269 (UMLS CUI [1,1])
C4302534 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
AllergyIntolerance.recorder
Item
Individual who recorded the record
text
C3242269 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
C1273518 (UMLS CUI [1,3])
C4302534 (UMLS CUI [1,4])
AllergyIntolerance.asserter
Item
Source of the information
text
C3242269 (UMLS CUI [1,1])
C4302534 (UMLS CUI [1,2])
C0683836 (UMLS CUI [1,3])
AllergyIntolerance.lastOccurrence
Item
Date/time of the last known occurence
datetime
C3242269 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
C2745955 (UMLS CUI [1,3])
AllergyIntolerance.note
Item
Additional note about the propensity for Adverse Reaction
text
C3242269 (UMLS CUI [1,1])
C1524062 (UMLS CUI [1,2])
C1317574 (UMLS CUI [1,3])
C0877248 (UMLS CUI [1,4])
Item Group
Adverse reaction event
C3242269 (UMLS CUI-1)
C0559546 (UMLS CUI-2)
AllergyIntolerance.reaction.substance
Item
Substance which is responsible for the adverse reaction event
text
C3242269 (UMLS CUI [1,1])
C0559546 (UMLS CUI [1,2])
C0439861 (UMLS CUI [1,3])
AllergyIntolerance.reaction.manifestation
Item
Clinical symptoms associated with the adverse reaction event
text
C3242269 (UMLS CUI [1,1])
C0559546 (UMLS CUI [1,2])
C1280464 (UMLS CUI [1,3])
AllergyIntolerance.reaction.description
Item
Description of the adverse reaction event
text
C3242269 (UMLS CUI [1,1])
C0559546 (UMLS CUI [1,2])
C0678257 (UMLS CUI [1,3])
AllergyIntolerance.reaction.onset
Item
Date and/or time of the onset of the adverse reaction event
text
C3242269 (UMLS CUI [1,1])
C0559546 (UMLS CUI [1,2])
C0574845 (UMLS CUI [1,3])
C0449244 (UMLS CUI [1,4])
Item
Assessment of the severity of the adverse reaction event
text
C3242269 (UMLS CUI [1,1])
C1710066 (UMLS CUI [1,2])
AllergyIntolerance.reaction.severity
Code List
Assessment of the severity of the adverse reaction event
CL Item
Mild  (mild)
Causes mild physiological effects. (Comment:en)
CL Item
Moderate (moderate)
Causes moderate physiological effects. (Comment:en)
CL Item
Severe (severe)
Causes severe physiological effects. (Comment:en)
Item
Exposure Route of the substance which is responsible for the adverse reaction event
text
C3242269 (UMLS CUI [1,1])
C0559546 (UMLS CUI [1,2])
C0683172 (UMLS CUI [1,3])
AllergyIntolerance.reaction.severity
Code List
Exposure Route of the substance which is responsible for the adverse reaction event
AllergyIntolerance.reaction.note
Item
Additional text about the adverse reaction event
text
C3242269 (UMLS CUI [1,1])
C0559546 (UMLS CUI [1,2])
C2004578 (UMLS CUI [1,3])
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