AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions

FHIR Resource information

FHIR Resource	🌍AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions. Based on 🌍 AllergyIntolerance
Description	Allergies and adverse reactions
Release status	LIVE
Cardinality	Multiple Instance
Writing to Spine permitted	YES - for Spine Client Type (MAT)
Spine filters	PREGSUM

Key FHIR Resource elements used

* id - Unique resource identifier

Summary	Unique resource identifier
Mandatory	Yes
Expected type	🌍string
Write allowed	No
Data Dictionary item	None

* patient - Who the allergy or adverse reaction is for

Summary	Who the allergy or adverse reaction is for
Mandatory	Yes
Expected type	🌍Refence(Patient)
Write allowed	Yes
Data Dictionary item	None

code - Code which describes the allergy or adverse reaction experienced

Summary	Code which describes the allergy or adverse reaction experienced
Mandatory	No
Expected type	🌍codeableConcept
Write allowed	Yes
Data Dictionary items	AdverseReactions - Adverse reactions - DataSet: (NZHISOMAT4) New Zealand HISO Maternity data set (Phase 4) - DataSet: (PREGSUMUK) UK PREGSUM Maternity Data set - Topic: (AllergiesAdverseReactions) Allergies and adverse reactions Allergies_Medicines - Allergies – medicines - DataSet: (NZHISOMAT4) New Zealand HISO Maternity data set (Phase 4) - DataSet: (PREGSUMUK) UK PREGSUM Maternity Data set - Topic: (AllergiesAdverseReactions) Allergies and adverse reactions Allergies_Present - Allergies present - DataSet: (NZHISOMAT4) New Zealand HISO Maternity data set (Phase 4) - DataSet: (PREGSUMUK) UK PREGSUM Maternity Data set - Topic: (AllergiesAdverseReactions) Allergies and adverse reactions Allergies_Substances - Allergies – substances - DataSet: (NZHISOMAT4) New Zealand HISO Maternity data set (Phase 4) - Topic: (AllergiesAdverseReactions) Allergies and adverse reactions
Value set used	🌍ValueSet-BNet-Preg-AllergiesAdverseReactions

code.text - String for whether the allergy or adverse reaction is 'other'

Summary	String for whether the allergy or adverse reaction is 'other'
Mandatory	No
Expected type	🌍string
Write allowed	Yes
Data Dictionary item	Allergies_SubstancesOther - Allergies – substances – ‘Other’ – detail - DataSet: (NZHISOMAT4) New Zealand HISO Maternity data set (Phase 4) - Topic: (AllergiesAdverseReactions) Allergies and adverse reactions

type - Code that identifies whether this is an allergy or intolerance

Summary	Code that identifies whether this is an allergy or intolerance
Mandatory	No
Expected type	🌍code
Write allowed	Yes
Data Dictionary item	None
Value set used	🌍ValueSet-BNet-Preg-AllergyType

* recordedDate - Date first version of the resource instance was recorded

Summary	Date first version of the resource instance was recorded
Mandatory	Yes
Expected type	🌍dateTime
Write allowed	Yes
Data Dictionary item	None

* reaction.manifestation - Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance. This item is only availble in the UK

Summary	Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance. This item is only availble in the UK
Mandatory	Yes
Expected type	🌍codeableConcept
Write allowed	Yes
Data Dictionary item	None
Value set used	🌍ValueSet-BNet-Preg-ReactionManifestation

reaction.manifestation.code.text - String used where 'reaction.manifestation' is 'other'. This item is only availble in the UK

Summary	String used where 'reaction.manifestation' is 'other'. This item is only availble in the UK
Mandatory	No
Expected type	🌍string
Write allowed	Yes
Data Dictionary item	None

reaction.onset - Date the reaction was first experienced. This field is written and read as YYYY-MM-DD. This item is only availble in the UK

Summary	Date the reaction was first experienced. This field is written and read as YYYY-MM-DD. This item is only availble in the UK
Mandatory	No
Expected type	🌍dateTime
Write allowed	Yes
Data Dictionary item	None

reaction.severity - Clinical assessment of the severity of the reaction. This item is only availble in the UK

Summary	Clinical assessment of the severity of the reaction. This item is only availble in the UK
Mandatory	No
Expected type	🌍code
Write allowed	Yes
Data Dictionary item	None
Value set used	🌍ValueSet-BNet-Preg-AllergyCriticality

Example JSON when WRITING to the Spine

JSON

{
  "resourceType": "AllergyIntolerance",
  "id": "e313406b48bb5918a775f8ee593af32a1665c5af8f314a80071ce75dc55d5e39",
  "type": "allergy",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "387458008",
        "display": "Aspirin"
      }
    ]
  },
  "patient": {
    "reference": "Patient/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
    "type": "Patient"
  },
  "recordedDate": "2022-05-01T22:01:00+01:00",
  "reaction": [
    {
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "21522001",
              "display": "Abdominal pain"
            }
          ]
        }
      ],
      "onset": "2022-05-01T22:01:00+01:00",
      "severity": "mild"
    }
  ]
}

Example JSON when READING from the Spine

JSON

{
  "resourceType": "AllergyIntolerance",
  "id": "4F62736572766174696F6E2D424E65742D4368696C642D436F6E67656E6974616C4D616C666F726D6174696F6E73",
  "meta": {
    "profile": [
      "https://fhir.clevermed.com/StructureDefinition/AllergyIntolerance-BNet-Preg-AllergiesAdverseReactions"
    ]
  },
  "type": "allergy",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "387458008",
        "display": "Aspirin"
      }
    ]
  },
  "patient": {
    "reference": "Patient/pfnmWUFWGSLHi6aneTz6oGtTq-h4BVgwlH.mvFTZT5kuK5c8QXyC7WeACnmTu.mD",
    "type": "Patient"
  },
  "recordedDate": "2022-05-01T22:01:00+01:00",
  "reaction": [
    {
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "21522001",
              "display": "Abdominal pain"
            }
          ]
        }
      ],
      "onset": "2022-05-01T22:01:00+01:00",
      "severity": "mild"
    }
  ]
}

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