This domain analysis model for allergy records was developed by the HL7 Patient Care Work Group and has been used to inform the allergy/intolerance modeling in the C-CDA® and FHIR® specifications.
http://www.hl7.org/implement/standards/product_brief.cfm?product_id=308
Figure 7: Patient Care Domain Analysis Model
Selected attribute definitions
Attribute name | Datatype | Definition |
|---|---|---|
Adverse reaction | ||
severity | Coded | Assessment of the severity of the reaction |
didNotOccurFlag | Boolean | Indicates a reaction did not occur at contact with substance |
OccurrenceDate | DateTime | Time stamp for manifestation of the reaction |
Health condition | ||
status | Coded | Current status of the concern |
Adverse sensitivity to substance | ||
criticality | Coded | Clinical judgement regarding potential seriousness of a future reaction. |
sensitivityType | Coded | Allergy; intolerance |
createdDate | Date Time | Date time the entry was created |
Substance | ||
identifier | Coded | Coded reference to the substance involved in the reaction |
name | String | Name of the substance |
Exposure | ||
exposureDate | Date Time | Date time when the exposure occurred; may be approximated |
exposureType | Coded | How the exposure occurred, eg vaccination, prescription, administration, accidental |
Manifestation | ||
severity | Coded | Severity of the manifestation of the reaction |
reactionType | Coded | Clinical finding characterizing the reaction, eg code for rash or hives |
Sensitivity test | ||
identifier | Identifier | Identifier pointing to results of the sensitivity test |
name | String | Name of the test |
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