Data Set CEN/TC 251 prEN 17269 - Concept Allergies and Intolerances

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Name	ID[‑]	Datatype[‑]	Codes[‑]	Description[‑]	Source[‑]	Rationale[‑]	Status[‑]	Type[‑]	Parent concept[‑]
Allergies and Intolerances	hl7ips-dataelement-9			Relevant patient’s allergies and/or intolerance conditions. NOTE 1 to entry: At a minimum, it should list currently active and any relevant historical allergies and adverse reactions. NOTE 2 to entry: ‘Alerts’ was used to describe this Section in the eHN guidance -lines, but ‘Alerts’ are far more general and are not regarded here as a synonym. Every PS conformant to IPS must contain this IPS section. Allergies and Intolerances affecting the Patient.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care	To inform the treatment and care provisioning of an attending clinician to identify problem or to avoid adverse events arising from action taken. At a minimum, it should list currently active and any relevant historical allergies and adverse reactions.	draft	Group
Allergies/Intolerances Content Status	hl7ips-dataelement-182	Code		As this IPS Section is mandatory for conformance, information about “known absence of allergies” or no information about allergies is required to be stated. Known Content will be accompanied by the conditional list of Allergies and intolerances.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergies and Intolerances
Allergy or Intolerance list	hl7ips-dataelement-28			If allergies present then they shall be listed else give explicit reasons for why none are recorded. An ordered list comprising the name, code, a description of the Allergy/intolerance and Agent details for each Allergy/intolerance.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Group	Allergies and Intolerances
Allergy/Intolerance	hl7ips-dataelement-184						draft	Group	Allergy or Intolerance list
Description	hl7ips-dataelement-183	Text		Textual description of the allergy or intolerance. Derived models may choose to use distinct elements for each narrative statement or to collect them into a single section level narrative block.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergy/Intolerance
Clinical Status	hl7ips-dataelement-186	Code	active inactive resolved	Provides the current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergy/Intolerance
Onset date	hl7ips-dataelement-187	Date/time		It shall be provided with the highest known precision, at least year	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergy/Intolerance
End Date	hl7ips-dataelement-188	Date/time		If Clinical Status is non-active then an exception can be raised to indicate inconsistency. It shall be provided with the highest known precision, at least year.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergy/Intolerance
Criticality	hl7ips-dataelement-189	Code	High Low unable to assess criticality	This attribute represents the gravity of the potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction in that individual. When the ‘worst case’ result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. Notes: In some contexts, the severity is used as a synonym of the criticality.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergy/Intolerance
Certainty	hl7ips-dataelement-190	Code	Provisional Differential Confirmed Refuted	Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergy/Intolerance
Type of propensity	hl7ips-dataelement-191	Code	Allergy Intolerance propensity to adverse reaction (allergy or intolerance)	Type of allergy or intolerance.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergy/Intolerance
Diagnosis	hl7ips-dataelement-185	Code		A code indicating the type of reaction and the agent; an alternative option for describing an allergy to the agent. Described with Textual information if coded data are unavailable. Example: lactose intolerance	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Allergy/Intolerance
Reaction	hl7ips-dataelement-192			A Label Concept recognising that other data concerning the reaction may be made available in later versions of this standard.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Group	Allergy/Intolerance
Manifestation of the reaction	hl7ips-dataelement-193	Code		Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Textual information if coded/quantified data are not available. This is typically a more complex structure than simple text. Example: “intestinal discomfort” is the manifestation of the reaction.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Reaction
Severity	hl7ips-dataelement-194	Code		Coded element that described the subjective assessment of the severity of the condition as evaluated by the clinician, in the case of an allergy it is used as attribute of a manifestation of a reaction. For example, a person may have a severe rash as reaction, that it is not however critical.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Reaction
Agent	hl7ips-dataelement-173						draft	Group	Allergy/Intolerance
Agent code	hl7ips-dataelement-196	Code		A specific allergen or other agent/substance to which the patient has an adverse reaction propensity. This will be taken from a list of agents and the associated code from a value set.	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Agent
Category	hl7ips-dataelement-195	Code	Food Medication Environment	Allergy substance category	CEN/TC 251 prEN 17269:2018 Health informatics — The Patient Summary for Unscheduled Cross-border Care		draft	Item	Agent