Da Vinci Payer Data Exchange
2.1.0 - STU2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

US Core AllergyIntolerance

Page standards status: Informative

Previous Page - Capability Statements

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

The US Core AllergyIntolerance profile is found here:

The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core AllergyIntolerance resource are:

R4 Element Name Cardinality Type
AllergyIntolerance.clinicalStatus clinicalStatus 0..1 CodeableConcept
AllergyIntolerance.verificationStatus verificationStatus 0..1 CodeableConcept
AllergyIntolerance.code code 1..1 CodeableConcept
AllergyIntolerance.patient patient 1..1 Reference(US Core Patient Profile)
AllergyIntolerance.reaction reaction 0..* BackboneElement
AllergyIntolerance.reaction.manifestation manifestation 1..* CodeableConcept

Table Definition

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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