Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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 2.1.1 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:

- US Core 3.1.1 AllergyIntolerance
- US Core 6.1.0 AllergyIntolerance

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 Detailsid: examplemeta: 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: medicationcriticality: highcode: 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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