Da Vinci Payer Data Exchange
2.1.0 - STU2 Ballot 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 - Data Mapping

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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