KjAllergyIntolerance profile

The KjAllergyIntolerance is used for registration of allergies or other reactions that are critical in an emergency medical context.

Adverse drug reactions can be reported on:

  • ATC (Anatomical Therapeutic Chemical Classification System)

  • Drug brand/trademark name

  • Excipent (inactive substance) in the drug

  • Active ingredient in the drug

Profile elements

https://simplifier.net/kjernejournalr4/kjallergyintolerance

Element

Description

Comment

Element

Description

Comment

id

Record id

id + meta.versionId is the unique identifier

meta.versionId

Record version id

 

clinicalStatus

active | inactive

Inactive if refuted or entered-in-error, otherwise active

verificationStatus

Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.



verificationStatus.extension.Presumed

Boolean extension to set verification status to “presumed”

Presumed will in R5 be added to the valueset for verificationStatus

category

food | medication | environment | biologic

‘medication’ shall be used for medication allergies, the others for other allergies

criticality

low | high

 

code.coding

Code for allergy.

Additional coding may be used for extra information.

E.g. The ATC code for drug trade name.

code.coding.userSelected

If this coding was chosen directly by the user

If more than one coding, userSelected shall indicate the main coding

See code example below.

code.extension.inactiveIngredient

Boolean extension if inactive ingredient (hjelpestoffreaksjon)

 

code.text

Other allergy if no proper code is found

 

patient

Who the sensitivity is for

 

onset

Estimated or actual date, date-time, or age when allergy or intolerance was identified.



recordedDate

Date when first version of the resource instance was recorded

 

recorder

Who recorded the sensitivity first

Use contained reference

note

Additional text not captured in other fields

 

reaction.maifestation.coding

Type of reaction

 

extension.sourceOfInformtion

Source of information

 

extension.updater

Who changed this version of the resource

Use contained reference

extension.updatedDateTime

When this version of the resource was changed

 

Example

Category medication, coding ATC

{ "resourceType": "AllergyIntolerance", "id": "be3e0de3-d4f1-4df7-b0c1-e723bc2cee7d", "meta": { "versionId": "1", "lastUpdated": "2021-03-14T12:01:03.633+01:00", "profile": [ "http://nhn.no/kj/fhir/StructureDefinition/KjAllergyIntolerance" ] }, "contained": [ { "resourceType": "PractitionerRole", "id": "recorderRef", "practitioner": { "identifier": { "system": "urn:oid:2.16.578.1.12.4.1.4.4", "value": "222200063" }, "display": "Fos Perez, Jack" }, "organization": { "identifier": { "system": "urn:oid:2.16.578.1.12.4.1.2.101", "value": "100100223" }, "display": "Andeby Legevakt" }, "code": [ { "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/CategoriesOfHealthProfessionals", "code": "LE", "display": "Lege" } ] } ] } ], "extension": [ { "url": "http://nhn.no/kj/fhir/StructureDefinition/KjSourceOfInformation", "valueCoding": { "system": "http://nhn.no/kj/fhir/CodeSystem/SourceOfInformation", "code": "2", "display": "Observert av behandlende lege" } } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ "medication" ], "criticality": "high", "code": { "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/ATC", "code": "J01CA", "display": "Penicilliner med utvidet spekter" } ] }, "patient": { "reference": "Patient/13116900216" }, "onsetDateTime": "2021-03-11T00:00:00+01:00", "recordedDate": "2021-03-14T12:01:03+01:00", "recorder": { "reference": "#recorderRef" }, "note": [ { "text": "Akutt hevelse i tunge og svelg, tiltagende pusteproblemer, kvalme og abdominale smerter." } ], "reaction": [ { "manifestation": [ { "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/TypeOfReaction", "code": "1", "display": "Anafylaktisk reaksjon" } ] } ] } ] }

 

Categori medication, coding DrugTradeName with ATC code

userSelected=true indicate registered coding, and userSelected=false is additional information.

{ "resourceType": "AllergyIntolerance", "id": "d1fa603b-f62b-4f22-b7fa-da2a7aba852d", "meta": { "versionId": "1", "lastUpdated": "2021-04-06T15:19:01.355+02:00", "profile": [ "http://nhn.no/kj/fhir/StructureDefinition/KjAllergyIntolerance" ] }, "contained": [ { "resourceType": "PractitionerRole", "id": "recorderRef", "practitioner": { "identifier": { "system": "urn:oid:2.16.578.1.12.4.1.4.4", "value": "222200063" }, "display": "Tandberg, Gard" }, "organization": { "identifier": { "system": "urn:oid:2.16.578.1.12.4.1.2.101", "value": "998570328" }, "display": "Munkholmen Legesenter" }, "code": [ { "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/CategoriesOfHealthProfessionals", "code": "LE", "display": "Lege" } ] } ] } ], "extension": [ { "url": "http://nhn.no/kj/fhir/StructureDefinition/KjSourceOfInformation", "valueCoding": { "system": "http://nhn.no/kj/fhir/CodeSystem/SourceOfInformation", "code": "5", "display": "Hentet fra tidligere journal" } } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code": "unconfirmed", "display": "Unconfirmed" } ] }, "category": [ "medication" ], "criticality": "high", "code": { "extension": [ { "url": "http://nhn.no/kj/fhir/StructureDefinition/KjInactiveIngredient", "valueBoolean": true } ], "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/DrugTradeName", "code": "ID_D31A34B4-705F-44D6-8232-92A89CA921B1", "display": "Apocillin Tab", "userSelected": true }, { "system": "http://nhn.no/kj/fhir/CodeSystem/ATC", "code": "J01CE02", "display": "Fenoksymetylpenicillin", "userSelected": false } ] }, "patient": { "reference": "Patient/01035500126" }, "onsetDateTime": "2021-04-01T00:00:00+02:00", "recordedDate": "2021-04-06T15:19:01+02:00", "recorder": { "reference": "#recorderRef" }, "note": [ { "text": "Fikk eksematøse reaksjoner som ble behandlet med lokale glukokortikoider pluss antihistaminer for behandling av urtikarielle reaksjoner." } ], "reaction": [ { "manifestation": [ { "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/TypeOfReaction", "code": "10", "display": "Alvorlig hudreaksjon" } ] } ] } ] }

Category medication, coding DrugtradeName and reaction on inactive ingredient

{ "resourceType": "AllergyIntolerance", "id": "d1fa603b-f62b-4f22-b7fa-da2a7aba852d", "meta": { "versionId": "1", "lastUpdated": "2021-04-06T15:19:01.355+02:00", "profile": [ "http://nhn.no/kj/fhir/StructureDefinition/KjAllergyIntolerance" ] }, "contained": [ { "resourceType": "PractitionerRole", "id": "recorderRef", "practitioner": { "identifier": { "system": "urn:oid:2.16.578.1.12.4.1.4.4", "value": "222200063" }, "display": "Tandberg, Gard" }, "organization": { "identifier": { "system": "urn:oid:2.16.578.1.12.4.1.2.101", "value": "998570328" }, "display": "Munkholmen Legesenter" }, "code": [ { "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/CategoriesOfHealthProfessionals", "code": "LE", "display": "Lege" } ] } ] } ], "extension": [ { "url": "http://nhn.no/kj/fhir/StructureDefinition/KjSourceOfInformation", "valueCoding": { "system": "http://nhn.no/kj/fhir/CodeSystem/SourceOfInformation", "code": "5", "display": "Hentet fra tidligere journal" } } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code": "unconfirmed", "display": "Unconfirmed" } ] }, "category": [ "medication" ], "criticality": "high", "code": { "extension": [ { "url": "http://nhn.no/kj/fhir/StructureDefinition/KjInactiveIngredient", "valueBoolean": true } ], "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/DrugTradeName", "code": "ID_D31A34B4-705F-44D6-8232-92A89CA921B1", "display": "Apocillin Tab 660 mg" } ] }, "patient": { "reference": "Patient/01035500126" }, "onsetDateTime": "2021-04-01T00:00:00+02:00", "recordedDate": "2021-04-06T15:19:01+02:00", "recorder": { "reference": "#recorderRef" }, "note": [ { "text": "Fikk eksematøse reaksjoner som ble behandlet med lokale glukokortikoider pluss antihistaminer for behandling av urtikarielle reaksjoner." } ], "reaction": [ { "manifestation": [ { "coding": [ { "system": "http://nhn.no/kj/fhir/CodeSystem/TypeOfReaction", "code": "10", "display": "Alvorlig hudreaksjon" } ] } ] } ] }

 

Category medication, coding ActiveSubstance

 

Categori environment, coding OtherAllergen

 

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