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Allergies and Adverse Reactions Section

Gives information about the Allergies and adverse reactions section

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 M 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 O 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 O 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 O 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

Tags: fhir

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