Gives information about the Allergies and adverse reactions section
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The latest version of the PRSB documentation should be consulted for further information regarding Section headings and content http://theprsb.org
Allergies and Adverse Reactions Section content
The Allergies and adverse reactions section carries information about the patient’s allergies and adverse reactions. PRSB Elements should be formatted as subheadings in any HTML sent. This table should be used in conjunction with the section on constructing clinical coded structures for further information on constructing and coding allergy lists.
Section | Description | Card. | MRO* | FHIR Target and Guidance |
---|---|---|---|---|
Allergies and adverse reactions | The details of any known allergies, intolerances or adverse reactions. | 1 only | R | Carried in the CodeableConcept of Composition.section.code FHIR element. |
PRSB Element | Description | Card. | MRO* | FHIR Target and Guidance |
Causative agent | The agent such as food, drug or substances that has caused or may cause an allergy, intolerance or adverse reaction in this patient. | 1 only | M | Text and a SNOMED CT concept carried in the CodeableConcept of AllergyIntolerance.code FHIR element. For further information on coding causative agent see Constructing Allergy Lists (Causative agents). |
Reaction details cluster | ||||
Description of reaction | A description of the manifestation of the allergic or adverse reaction experienced by the patient. For example, skin rash. | 0 to 1 | R | Text and if coding is available carried in the CodeableConcept of the AllergyIntolerance.reaction.manifestation FHIR element. If no coding available use AllergyIntolerance.reaction.description FHIR element. For further information on reaction details see Constructing Allergy Lists (Description of reaction). |
Severity | A description of the severity of the reaction | 0 to 1 | R | Text and if coding is available carried in the CodeableConcept of the AllergyIntolerance.reaction.severity FHIR element. For further information on severity see Constructing Allergy Lists (Severity). |
Certainty | A description of the certainty that the stated causative agent caused the allergic or adverse reaction. | 0 to 1 | R | Text and if coding is used available carried in the Code of AllergyIntolerance.verificationStatus FHIR element. For further information on certainty see Constructing Allergy Lists (Certainty). |
Comment | Any additional comment or clarification about the adverse reaction. | 0 to 1 | R | Free text |
* M=Mandatory R=Required O=Optional |
Example Allergies and Adverse Reactions Sections
Allergy to Penicillin
“No known allergy”
Coded Resources
This text section should be linked to the following FHIR Resources to provide the textual information in a coded format.
- List
- AllergyIntolerance
See constructing clinical coded structures - Allergy Lists