The Allergies/Hypersensitivity and Intolerance Clinical Reference Group is seeking information on which countries are using the allergy to substance concepts e.g. 417532002 |Allergy to fish (finding)| rather than just documenting allergies using substance and product concepts.
| Date | Requested action | Requester(s) | Response required by: | Comments |
|---|---|---|---|---|
| 6 December 2019 | Advice on allergy concepts used in your country |
| Please post your responses in the Country response table below. |
Relevant documents
Links to relevant meeting minutes, discussions and confluence sites e.g. discussions by other groups, project pages etc
Table to be completed by each CMAG member for their country. Please note as per the TOR responsibilities consideration needs to be given to Member countries who are not represented on this group to ensure that their priorities are reflected in the group discussions. Where a second round of review occurs, this table may be duplicated.
| Country | Date | Response |
|---|---|---|
| Norway | 06.12.2019 | In our national summary record, we are using concepts like fish, milk, egg etc to document past reactions to etc, i.e. the allergen as a separate information element. Our plan is to map this to SNOMED CT (partially done already) or use SNOMED CT as the base terminology. In that context, we won't use the precoordinated concepts. The national work on archetypes do not use the precoordinated concept. It is not decided yet exactly how allergic reactions/allergies will be documented in the Epic implementation in Mid-Norway. So there is a chance that the precoordinated concepts will be used. |
| Denmark | 06.12.2019 | Denmark is presently not using the allergy concepts. |
| The Netherlands | 09.12.2019 | In the Netherlands we are using a few of the precoordinated allergies in our diagnosis list: allergy for insect venom, allergy to food, allergic contact dermatitis, occupational allergy, allergic inhalant dermatitis. Next to that we have 5 allergens reference sets where the allergy can be specified further. |
| Australia | 10.12.2019 | Both sets of concepts are in use.
|
| Sweden | 2019-12-12 | There is a recently published national specification for hypersensitivities which might influence provision of care (e.g. drug allergies, latex allergy). We use substance hierarchy concepts for the substance allergens. Hypersensitivity findings concepts are used for generic categorization similar to FHIR's AllergyIntolerance.category. |
| USA | 2019/12/23 | Evidence of use of Allergy to X (finding) in several value sets (e.g., Allergy to Beta Blocker Therapy). Note: in other cases, value sets list the offending substances instead (e.g., Allergy/Intolerance Substance, Food). |
| Member countries without a CMAG rep |
The CMAG response(s) which are to be fed back to the relevant group or person e.g. Editorial Advisory Group.
| Date | CMAG Response | Next steps |
|---|---|---|
The action taken by the IHTSDO, Advisory Group or other as relevant. This may be a written summary or link to the relevant Confluence page.