WIP SNOMED CT Implementation Guide for Allergy, Hypersensitivity and Intolerance

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  • 5.3 Terminology Services

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These are some examples of how FHIR Terminology services can be used to resolve the terminology bindings described in this guide. using a demo FHIR terminology server:

FHIR elementCorresponding ECL

FHIR Terminology Services Expand Operation

AllergyIntolerance.code




If recording is based on substances and products and specifies the type of reaction in "type":

<<105590001 | Substance (substance) | OR <<373873005 | Pharmaceutical / biologic product (product) |

https://snowstorm.snomedtools.org/fhir/ValueSet/$expand?url=http://snomed.info/sct?fhir_vs=ecl/%3C%3C105590001%20%7C%20Substance%20%28substance%29%20%7C%20OR%20%3C%3C373873005%20%7C%20Pharmaceutical%20%2F%20biologic%20product%20%28product%29%20%7C

If recording is based on finding concepts precoordinating the type of reaction :

<<418038007 |Propensity to adverse reactions to substance|

https://snowstorm.snomedtools.org/fhir/ValueSet/$expand?url=http://snomed.info/sct?fhir_vs=ecl/%3C%3C418038007%20%7CPropensity%20to%20adverse%20reactions%20to%20substance%7C

When using precoordianted Situation concepts to represent the absence of an allergic propensity

<<716186003 |No known allergy|

https://snowstorm.snomedtools.org/fhir/ValueSet/$expand?url=http://snomed.info/sct?fhir_vs=ecl/%3C%3C716186003%20%7CNo%20known%20allergy%7C

AllergyIntolerance. reaction.substance

<<105590001 | Substance (substance) | OR <<373873005 | Pharmaceutical / biologic product (product) |

https://snowstorm.snomedtools.org/fhir/ValueSet/$expand?url=http://snomed.info/sct?fhir_vs=ecl/%3C%3C105590001%20%7C%20Substance%20%28substance%29%20%7C%20OR%20%3C%3C373873005%20%7C%20Pharmaceutical%20%2F%20biologic%20product%20%28product%29%20%7C

AllergyIntolerance. reaction.manifestation

<<404684003 |Clinical finding|

https://snowstorm.snomedtools.org/fhir/ValueSet/$expand?url=http://snomed.info/sct?fhir_vs=ecl/%3C%3C404684003%20%7CClinical%20finding%7C

AllergyIntolerance. reaction.exposureRoute

<<284009009 |Route of administration value|

https://snowstorm.snomedtools.org/fhir/ValueSet/$expand?url=http://snomed.info/sct?fhir_vs=ecl/%3C%3C284009009%20%7CRoute%20of%20administration%20value%7C

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