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3-6-9 US Core AllergyIntolerance

Section Guide:

Implementation... - Actors - Exchange Interactions - Data Payloads - Interaction Methods - Interaction and Payload Matrix - Data Mapping

3-6-1 US Core Patient 3-6-2 Coverage 3-6-3 US Core Encounter 3-6-4 US Core Location 3-6-5 MedicationDispense 3-6-6 US Core Practitioner 3-6-7 US Core Procedure 3-6-8 US Core Condition

3-6-9 US Core AllergyIntolerance 3-6-10 US Core Immunization 3-6-11 US Core DiagnosticReport 3-6-12 US Core Observation 3-6-13 US Core DocumentReference 3-6-14 US Core PractitionerRole 3-6-15 US Core Device 3-6-16 US Core Organization

3-6-17 US Core CarePlan 3-6-18 US Core CareTeam 3-6-19 US Core Medication 3-6-20 US Core MedicationRequest 3-6-21 US Core MedicationStatement 3-6-22 US Core Goal Profile

Where a Health Plan has information about a member’s allergies the US Core AllergyIntolerance profile SHALL be used to record them.

The essential fields to be provided in the US Core AllergyIntolerance resource are:

R4 Hierarchical Name	R4 Name	Card.	Type
AllergyIntolerance	AllergyIntolerance	0..*
AllergyIntolerance.id	id	0..1	id
AllergyIntolerance.clinicalStatus	clinicalStatus	0..1	CodeableConcept
AllergyIntolerance.verificationStatus	verificationStatus	1..1	CodeableConcept
AllergyIntolerance.code	code	1..1	CodeableConcept
AllergyIntolerance.patient	patient	1..1	Reference(US Core Patient Profile)

3-6-9-1 Example AllergyIntolerance Resource

An example mapping of an AllergyIntolerance resource is shown below:

{
  "resourceType" : "AllergyIntolerance",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">
Generated Narrative with Details
id: example
meta: 
clinicalStatus: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active)</span>
verificationStatus: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'confirmed' = 'Confirmed)</span>
category: medication
criticality: high
code: sulfonamide antibacterial <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '387406002' = 'Sulfonamide (substance)', given as 'Sulfonamide (substance)'})</span>
patient: <a href=\"Patient-example.html\">Amy V. Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>
Reactions
<table class=\"grid\">-ManifestationSeverity*skin rash <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '271807003' = 'Eruption of skin (disorder)', given as 'skin rash'})</span>mild</table></div>"
  },
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code" : "confirmed"
      }
    ]
  },
  "category" : [
    "medication"
  ],
  "criticality" : "high",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "387406002",
        "display" : "Sulfonamide (substance)"
      }
    ],
    "text" : "sulfonamide antibacterial"
  },
  "patient" : {
    "reference" : "Patient/example",
    "display" : "Amy V. Shaw"
  },
  "reaction" : [
    {
      "manifestation" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "271807003",
              "display" : "skin rash"
            }
          ],
          "text" : "skin rash"
        }
      ],
      "severity" : "mild"
    }
  ]
}

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