Hypersensitivity-v1.0(2021EN)

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General information

Name: nl.zorg.Hypersensitivity NL.png
Version: 1.0
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021


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Metadata

DCM::CoderList Werkgroep Overgevoeligheid
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep Overgevoeligheid
DCM::CreationDate 4-10-2021
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.8.4
DCM::KeywordList Allergie,Overgevoeligheid
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep Overgevoeligheid
DCM::Name nl.zorg.Overgevoeligheid
DCM::PublicationDate 01-12-2021
DCM::PublicationStatus Prepublished
DCM::ReviewerList Werkgroep Overgevoeligheid
DCM::RevisionDate
DCM::Supersedes
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-12-2021) .

Concept

A hypersensitivity describes a substance or group of substances that is monitored so that a hypersensitivity reaction can be prevented.

Purpose

  • A drug hypersensitivity is recorded so that prescribers, providers and administrators can take it into account when prescribing, dispensing and administering medication. It is recorded in such a way that a medication monitoring system can give a warning at the right time. Other sensitivities such as food, contact, inhalation, insect venom and occupational allergens are recorded so that healthcare providers can take them into account in a general sense.
  • It is important to share sensitivities with other caregivers of the patient so that they too can provide care in a safe manner. For that purpose, it is possible to record and exchange additional information so that the receiving party can appreciate the hypersensitivity. For example, by describing the method of determination, and also a description of (a) reaction(s) to the substance.
  • A (drug) hypersensitivity is not the same as a problem or episode. That's because a hypersensitivity is captured specifically from the context of surveillance. A (drug) hypersensitivity is therefore not recorded in the context of diagnostics or in the context of treatment of a (drug) hypersensitivity.

Evidence Base

  • In order to be able to register and handle hypersensitivities in the work process of prescribers and pharmacists (in pharmacovigilance), the available codings in the G-standard and SHB are used for medicines in the Netherlands. The working method is laid down in the agreement set Registration and transfer of drug hypersensitivities.
  • For hypersensitivity to food, articles (such as bandages and plasters), plants and animals, five reference lists based on SNOMED CT containing food allergens, inhalation allergens, insect venom allergens, occupational allergens and contact allergens are used. Free text is also possible.

Information Model


Reaction-v1.0(2021EN)HealthProfessional-v3.5.1(2021EN)#WayOfDeterminationCodelist#14683#14676#14668#14677#AgentHPKCodelist#AgentAllergicAgentCodelist#AgentThesaurus122Codelist#AgentSNKCodelist#AgentSSKCodelist#14675#14673#14689#HypersensitivityStatusCodelist#HypersensitivityCategoryCodelist#CriticalExtentCodelist#14682#14687#14686#14685#14674Hypersensitivity-v1.0Model(2021EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:8.4.1 Arrowdown.pngHypersensitivity Root concept of the Hypersensitivity information model. This root concept contains all data elements of the Hypersensitivity information model.
Verwijzing.png NL-CM:8.4.2 Arrowright.pngReaction 0..* Root concept of the Reaction information model. This root concept contains all data elements of the Reaction information model.
Block.png Reaction
TS.png NL-CM:8.4.3 Arrowright.pngDateTimeClosure 0..1 The date and time when it was decided to stop monitoring.​
Verwijzing.png NL-CM:8.4.4 Arrowright.pngFirstAuthor::HealthProfessional 1 The healthcare professional who first started monitoring the hypersensitivity.
Block.png HealthProfessional
CD.png NL-CM:8.4.5 Arrowright.pngWayOfDetermination 0..1 The way in which the hypersensitivity is determined.
List2.png WayOfDeterminationCodelist
ST.png NL-CM:8.4.6 Arrowright.pngSourceDescription 0..1 The description of how the information was obtained, such as receiving a letter from a specialist or an interview with the patient.
ST.png NL-CM:8.4.7 Arrowright.pngReasonForClosure 0..1 Reason why the hypersensitivity is closed.
CD.png NL-CM:8.4.8 Arrowright.pngAgent 1 The substance or group of substances that is monitored.
List2.png AgentAllergicAgentCodelist
List2.png AgentHPKCodelist
List2.png AgentSNKCodelist
List2.png AgentSSKCodelist
List2.png AgentThesaurus122Codelist
CD.png NL-CM:8.4.9 Arrowright.pngHypersensitivityCategory 0..* Identifies the hypersensitivity category such as medication, food or environment.
List2.png HypersensitivityCategoryCodelist
CD.png NL-CM:8.4.10 Arrowright.pngHypersensitivityStatus 0..1 Statement on the status of the patient’s hypersensitivity.
List2.png HypersensitivityStatusCodelist
TS.png NL-CM:8.4.11 Arrowright.pngStartDateTime 0..1 Date and time when the hypersensitivity first manifested itself in a reaction. This can be an exact date and time, but also a global indication of the date (for example, only year or year and month).
CD.png NL-CM:8.4.12 Arrowright.pngCriticality 1 The healthcare professional's assessment of whether the hypersensitivity is a contraindication to intended or unintended exposure to the substance, group of substances or environmental factor to which the patient is hypersensitive.
246112005 Severity
List2.png CriticalExtentCodelist
TS.png NL-CM:8.4.13 Arrowright.pngStartSurveillanceDateTime 1 Date and time when the first author started monitoring the hypersensitivity.
ST.png NL-CM:8.4.14 Arrowright.pngComment 0..1 Textual explanation of the hypersensitivity which cannot be entered in any of the other fields.
48767-8 Annotation comment [Interpretation] Narrative

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

Overgevoeligheid
Stof  Amoxicilline/clavulaanzuur Penicillines
Overgevoeligheidscategorie Geneesmiddelen Geneesmiddelen
EersteAuteur::Zorgverlener
Naam Mevr. Zaal Mevr. Zaal
Specialisme SEH-arts SEH-arts
RisicoBeoordeling Laag Ernstig
ManierVanVastStellen Vastgesteld op basis van het klinisch beeld Op basis van anamnese
OmschrijvingBron Gesprek met patiënt -
Toelichting - -
BeginDatumTijd 25-10-2021 25-10-2021
StartBewakingDatumTijd 25-10-2021 25-10-2021
DatumTijdAfsluiten - -
Overgevoeligheidtatus Actief Actief
Reactie
Ernst Ernstig Matig
DatumTijdVastlegging 12-10-2020 02-06-2021
ReactieVerschijnsel Trombocytopenie Jeuk
Veroorzakendestof Amoxicilline/clavulaanzuur Penicillines

Issues

No known allergies The question is whether to offer a code for "No known allergies (SNOMED CT 160244002)" and subdirectories in this information model that fall under this code, or to determine that, where applicable, the document should outline when the information model is to be applied.
Value set for the ‘Causative substance’ concept Currently, no defined code list is yet available for allergenic substances other than medication. Entering SNOMED CT must therefore suffice to code allergenic substances for the time-being. The G standard is used to code medical products.

References

1. Z-INDEX. (2011) Allergieën en ongewenste middelen [Online] v. R V-2-3-1 Beschikbaar op: http://www.z-index.nl/g-standaard/beschrijvingen/functioneel/wijzigingen/mb/bewaking-op-allergie/IR%20Allergieen%20V%202-1-1.pdf [Geraadpleegd: 15 oktober 2014]

2. HL7 FHIR Resource AllergyIntolerance. [Online] Continuous Build. Beschikbaar op: http://hl7-fhir.github.io/allergyintolerance.html [Geraadpleegd: 12 maart 2014]

Valuesets

AgentAllergicAgentCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.2 Binding: Required
Conceptname Codesystem name Codesystem OID
SNOMED CT: ^98061000146100|Dutch total non-drug allergen simple reference set| SNOMED CT 2.16.840.1.113883.6.96

AgentHPKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.3 Binding: Required
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Handels Product Kode (HPK) 2.16.840.1.113883.2.4.4.7

AgentSNKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.4 Binding: Required
Conceptname Codesystem name Codesystem OID
Alle waarden G-standaard Stofnaamcode (SNK) 2.16.840.1.113883.2.4.4.1.750

AgentSSKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.5 Binding: Required
Conceptname Codesystem name Codesystem OID
Alle waarden G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) 2.16.840.1.113883.2.4.4.1.725

AgentThesaurus122Codelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.6 Binding: Required
Conceptname Codesystem name Codesystem OID
Alle waarden G-standaard Ongewenste medicatiegroepen 2.16.840.1.113883.2.4.4.1.902.122

CriticalExtentCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.9 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Mild 255604002 SNOMED CT 2.16.840.1.113883.6.96 Laag
Severe 24484000 SNOMED CT 2.16.840.1.113883.6.96 Hoog
Geen oordeel NTB SNOMED CT 2.16.840.1.113883.6.96 Geen oordeel

HypersensitivityCategoryCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.7 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Propensity to adverse reactions to food 418471000 SNOMED CT 2.16.840.1.113883.6.96 Voedselallergeen
Propensity to adverse reactions to drug 419511003 SNOMED CT 2.16.840.1.113883.6.96 Geneesmiddel
Propensity to adverse reaction to occupational allergen 157541000146109 SNOMED CT 2.16.840.1.113883.6.96 Beroepsallergeen
Propensity to adverse reaction to inhalation allergen 157521000146103 SNOMED CT 2.16.840.1.113883.6.96 Inhalatieallergeen
Propensity to adverse reaction to contact allergen 157531000146101 SNOMED CT 2.16.840.1.113883.6.96 Contactallergeen
Propensity to adverse reaction to insect venom 157511000146108 SNOMED CT 2.16.840.1.113883.6.96 Insectengifallergeen

HypersensitivityStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.8 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Active 55561003 SNOMED CT 2.16.840.1.113883.6.96 Actief
Inactive 73425007 SNOMED CT 2.16.840.1.113883.6.96 Inactief

WayOfDeterminationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.1 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Vastgesteld op basis van het klinisch beeld en aanvullend onderzoek NTB SNOMED CT 2.16.840.1.113883.6.96 Vastgesteld op basis van het klinisch beeld en aanvullend onderzoek
Vastgesteld op basis van het klinisch beeld NTB SNOMED CT 2.16.840.1.113883.6.96 Vastgesteld op basis van het klinisch beeld
Op basis van de anamnese NTB SNOMED CT 2.16.840.1.113883.6.96 Op basis van de anamnese

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Information model references

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Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2021 09:44:24 with ZibExtraction v. 6.4.8004.1652


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