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CH AllergyIntolerance (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.2-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-allergyintolerance/
and changes regularly. See the Directory of published versions
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IG © 2021+ HL7 Switzerland
. Package ch.fhir.ig.ch-allergyintolerance#3.0.2-ci-build based on FHIR 4.0.1
. Generated 2025-12-16
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Remove extension 'Information Recipient' (see CH Core #400
)
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Remove slice name 'legalAuthenticator' (see CH Core #379
)
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github.com
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Use introduced profile 'CH Core RelatedPerson' (see CH Core #344
)
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#120
: Removed unused dependency (inserted by the other dependencies)
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#119
: Add expansion-parameter
for the usage of SNOMED CT Swiss Extension
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#106
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See also open issues on GitHub
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#104
: Add guidance for adverse reaction & manifestation
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#109
: Add open issues section to changelog (STU 3 Ballot - v3.0.0-ballot)
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#100
& #170
: Use CH IPS as base instead of directly HL7 IPS-UV -> changes due to this update:
-
Update Home
(Introduction, Must Support)
- Usage of CH IPS AllergyIntolerance & CH IPS Condition as parent profiles
- Remove MS flags in Condition profile
-
Remove Allergy Abatement Extension and use base extension (see HL7 IPS-UV changelog
)
|
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web
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#100
& #170
: Use CH IPS as base instead of directly HL7 IPS-UV -> changes due to this update:
-
Update Home
(Introduction, Must Support)
- Usage of CH IPS AllergyIntolerance & CH IPS Condition as parent profiles
- Remove MS flags in Condition profile
-
Remove Allergy Abatement Extension and use base extension (see HL7 IPS-UV changelog
)
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github.com
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#103
: Typo corrected in use case (english)
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github.com
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#105
: Typo fixed in use case 2
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github.com
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#117
: Replace deprecated discriminator ( pattern
-> value
) resp. removal of the redundant slice definition (inherited from parent profile)
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web
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github.com
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#108
: Versioned links for VS/CS to CH Term
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github.com
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#86
: Split value set CHAllergyIntoleranceValueSet into different categories
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web
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github.com
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#87
: Link between the condition and the allergyintolerance
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web
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github.com
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#89
: Compensate for redundancy-related differences
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web
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github.com
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#91
: Move terminology (CS/VS) to CH Term
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github.com
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#92
: Update title numbering (incl. fixing some typos)
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github.com
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#93
: Update to current version of IPS IG (v1.0.0 -> v1.1.0)
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github.com
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#95
: Use CH Core base profiles as parent (Condition, AllergyIntolerance)
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github.com
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#99
: In the profile CHAllergyIntoleranceCompositionEPR Typo at the title
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github.com
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#270
: Technical correction for invalid package
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github.com
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Issue 78
- Typo in codes adjusted in CHAllergyIntoleranceReactionManifestationValueSet
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web
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github.com
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Issue 79
- Typo in codes adjusted in CHAllergyIntoleranceReactionSubstanceValueSet
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web
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github.com
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Issue 80
- Typo in codes adjusted in CHAllergyIntoleranceConditionValueSet
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web
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github.com
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Issue 81
- Typo in codes adjusted in CHAllergyIntoleranceValueSet
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web
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github.com
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Issue 82
- Typo in codes adjusted in CHAllergyIntoleranceReactionSubstanceValueSet
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web
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github.com
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Issue 83
- Typo in codes adjusted in CHAllergyIntoleranceConditionValueSet
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web
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github.com
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Issue 88
- Typo in codes adjusted in Use Case 8
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web
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github.com
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Issue 85
- For Best practice for patternCodeableConcept, fixed value were removed from the display value.
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web
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github.com
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Issue 84
- Added IG Fragments to the home page below
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github.com
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Issue 22
- Besseren Zugang zu den einzelnen Seiten des IG ermöglichen
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web
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github.com
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Issue 20
- Home
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web
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github.com
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Issue 19
- Home: Download link for npm package
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web
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github.com
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Issue 12
- Home - Add Links to referred specifications, copyright
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web
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github.com
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Issue 11
- Extend Menu and Description for Implementation Guide
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web
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github.com
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Issue 26
- Artifacts Summary: Beschreibung der beiden Profile "CH AllergyIntolerance" und "CH AllergyIntolerance Condition" ist weitgehend identisch
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web
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github.com
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Issue 31
- Provide Use Cases – CH AllergyIntolerance
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github.com
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Issue 23
- CH AllergyIntolerance Condition: Beispiel fehlt
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github.com
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Issue 17
- CH AllergyIntolerance Condition
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web
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github.com
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Issue 14
- Examples are missing
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web
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github.com
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Issue 13
- Home - Goal of Implementation Guide?
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web
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github.com
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Issue 16
- Extensions
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github.com
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Issue 15
- Condition abatement date
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github.com
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Issue 21
- CH AllergyIntolerance
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github.com
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Issue 37
- Allergy or non-allergic hypersensivity to vancomycin
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github.com
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Issue 35
- CH AllergyIntolerance Value Set
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github.com
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Issue 32
- Put Allergy value set to extensible
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github.com
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Issue 28
- make value set extensible? CH AllergyIntolerance Value Set
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github.com
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Issue 27
- CH AllergyIntolerance: Binding code zu SNOMED CT
- CHAllergyIntoleranceValueSet
- CHAllergyIntoleranceReactionSubstanceValueSet
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github.com
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Issue 29
- manifestation value set: define extensional and extensible value set
- CHAllergyIntoleranceReactionManifestationValueSet
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github.com
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Issue 30
- AllergyIntolerance.category must be supported
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github.com
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Issue 24
- CH AllergyIntolerance: zu viele Elemente als "Must Support" gekennzeichnet
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github.com
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Issue 25
- CH AllergyIntolerance Condition: zu viele Elemente als "Must Support" gekennzeichnet
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github.com
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Issue 18
- Just typos
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github.com
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Issue 38
- short name for IG?
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github.com
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Issue 36
- Need for arborescence in the valueset?
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github.com
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Issue 34
- CH AllergyIntolerance Composition Profile
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github.com
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Issue 33
- type indication not useful – allergyintolerance-type-supplement
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docs.google.com
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Links: Table of Contents
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QA Report
| Propose a change
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web
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docs.google.com
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Links: Table of Contents
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QA Report
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web
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www.e-health-suisse.ch
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Swiss implementation guide (IG) for allergies and intolerances based on the recommendations of the interprofessional working group EPR (IPAG)
and the implementation guide CH IPS
, which is closely aligned with the HL7 IPS-UV specification
. The "Implementation Guide for Use of SNOMED CT in Documentation of Allergy, Non-allergic Hypersensitivity and Intolerance", which was still in development at the time of the initial publication of this IG, has also been taken into account.
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web
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fhir.ch
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Swiss implementation guide (IG) for allergies and intolerances based on the recommendations of the interprofessional working group EPR (IPAG)
and the implementation guide CH IPS
, which is closely aligned with the HL7 IPS-UV specification
. The "Implementation Guide for Use of SNOMED CT in Documentation of Allergy, Non-allergic Hypersensitivity and Intolerance", which was still in development at the time of the initial publication of this IG, has also been taken into account.
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web
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confluence.ihtsdotools.org
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clarify the usage of adverse sensitivity data (which encompasses allergy, non-allergic hypersensitivity and intolerance) by providing use cases and thus accelerating consistent implementation as intended by IPAG and the Allergies/Hypersensitivity and Intolerance Clinical Reference Group
of SNOMED CT.
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web
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github.com
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The use of Must Support is in the sense of the Guidelines for Swiss IG developments
:
"Required if known. If the sending application has data for the element, it is required to populate the element with a non-empty value. If the value is not known, the element may be omitted. A receiving application may ignore the information conveyed by the element. A receiving application shall not raise an error solely due to the presence or absence of the element."
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web
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fhir.ch
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CH AllergyIntolerance
and CH AllergyIntolerance Condition
are based on the corresponding profiles of CH IPS
. CH IPS itself explicitly does not set any Must Support flags, but rather indicates that the same rules/elements apply as in HL7 IPS-UV (see here
). This therefore also applies to this IG CH AllergyIntolerance. This mechanism also prevents discrepancies/contradictions between the individual specifications.
However, for the AllergyIntolerance resource, Must Support flags have been explicitly set here for all those fields that are Must Support in HL7 IPS-UV and are also part of the IPAG
recommendations (see also here
). In addition, the fields AllergyIntolerance.reaction.substance
and AllergyIntolerance.category
were also flagged as Must Support because these fields play an important role in the above mentioned recommendations.
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web
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fhir.ch
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CH AllergyIntolerance
and CH AllergyIntolerance Condition
are based on the corresponding profiles of CH IPS
. CH IPS itself explicitly does not set any Must Support flags, but rather indicates that the same rules/elements apply as in HL7 IPS-UV (see here
). This therefore also applies to this IG CH AllergyIntolerance. This mechanism also prevents discrepancies/contradictions between the individual specifications.
However, for the AllergyIntolerance resource, Must Support flags have been explicitly set here for all those fields that are Must Support in HL7 IPS-UV and are also part of the IPAG
recommendations (see also here
). In addition, the fields AllergyIntolerance.reaction.substance
and AllergyIntolerance.category
were also flagged as Must Support because these fields play an important role in the above mentioned recommendations.
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creativecommons.org
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This document is licensed under Creative Commons "No Rights Reserved" ( CC0
).
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www.iso.org
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ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
Show Usage
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web
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docs.google.com
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Links: Table of Contents
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docs.google.com
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Links: Table of Contents
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confluence.ihtsdotools.org
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Based on the recommendations of the international expert group "Allergies/Hypersensitivity and Intolerance Clinical Reference Group"
, the value sets for this exchange format were compiled according to their "Implementation Guide for Use of SNOMED CT in Documentation of Allergy, Non-allergic Hypersensitivity and Intolerance".
For this purpose, 4 value sets were compiled using the following procedure: Based on the substance list of drugs available on the Swiss market with known allergy warnings using the CDS of the Swiss drug catalog "HospIndex" from HCI Solutions AG and the allergy documentation list from the HIS KISIM of Cistec AG, Snomed-CT codes were compiled for as many findings (allergy to substance X), disorders (adverse reaction due to substance X) in the case of non-allergic hypersensitivity and substances as possible. This value set was subsequently reviewed by a working group of the SGAI, the Swiss Society of Allergology and Immunology and is provided herewith.
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fhir.ch
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CH AllergyIntolerance Condition
Value set for the condition, contains all codes available so far for findings (Allergy to substance X) and/or disorders (Adverse Reaction due to substance X) in case of non-allergic hypersensitivity
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fhir.ch
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CH AllergyIntolerance Reaction Substance
Value set for the reaction.substances, includes all previously compiled codes for substances
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fhir.ch
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CH AllergyIntolerance
Value Set for the general part in AllergyIntolerance.code, preferably includes codes for Findings (Allergy to substance X) and/or Disorders (Adverse Reaction due to substance X) in case of non-allergic hypersensitivity, and in case these are not available substitute the substances
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fhir.ch
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CH AllergyIntolerance Reaction Manifestation
ValueSet for reaction.manifestation, includes an adapted shortlist of the value set Allergy Reaction (GPS) from the IPS (International Patient Summary)
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fhir.ch
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CH AllergyIntolerance Category
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fhir.ch
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CH AllergyIntolerance Clinical Status
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fhir.ch
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CH AllergyIntolerance Criticality Status
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fhir.ch
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CH AllergyIntolerance Severity Status
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fhir.ch
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CH AllergyIntolerance Type
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fhir.ch
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CH AllergyIntolerance Verification Status
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web
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docs.google.com
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Links: Table of Contents
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confluence.ihtsdotools.org
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The use cases are adapted from the "Implementation Guide for Use of SNOMED CT in Documentation of Allergy, Non-allergic Hypersensitivity and Intolerance" of Allergies/Hypersensitivity and Intolerance Clinical Reference Group
of SNOMED CT.
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docs.google.com
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Links: Table of Contents
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confluence.ihtsdotools.org
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Les cas d’utilisation ont été adaptés à partir de l’« Implementation Guide for Use of SNOMED CT in Documentation of Allergy, Non-allergic Hypersensitivity and Intolerance » de l’ Allergies/Hypersensitivity and Intolerance Clinical Reference Group
de SNOMED CT.
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docs.google.com
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Links: Table of Contents
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confluence.ihtsdotools.org
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Die Use cases sind adaptiert vom "Implementation Guide for Use of SNOMED CT in Documentation of Allergy, Non-allergic Hypersensitivity and Intolerance" der Allergies/Hypersensitivity and Intolerance Clinical Reference Group
of SNOMED CT.
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web
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docs.google.com
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Links: Table of Contents
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QA Report
| Propose a change
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