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eHN Guideline

Data  Description Preferred Code Systems Arbetsgruppens ("Svensk") tolkning av informationselementetUtvärderingsparametrar


* ** A.2 Patient summary body data elements Ur uppdraget:
• Socialstyrelsens arbete med förvaltningen och vidareutvecklingenav informationsspecifikationen för den nationellaUppmärksamhetsinformation (UMI)
•systemleverantörernas stöd för Socialstyrelsensinformationsspecifikation, där bl.a. Cambio redan implementeratstöd
•pågående diskussioner hos Socialstyrelsen om att lägga tillvarningar för specifika tillstånd, som pacemakerimplantat ochblodprover, vilket är en del av Socialstyrelsensuppmärksamhetsinformation för att minimera risker.





A.2.1  Alerts






A.2.1.1  Allergy






A.2.1.1.1 Allergy description Textual description of the allergy or intolerance 

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A.2.1.1.3 Type of propensity This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance) SNOMED CT GPS 
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A.2.1.1.3 Allergy manifestation Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema (the clinical manifestation also gives nformation about the severity of the observed reaction) SNOMED CT GPS
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A.2.1.1.4 Severity Severity of the clinical manifestation of the allergic reaction.  SNOMED CT GPS
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A.2.1.1.5 Criticality Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. SNOMED CT GPS 
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A.2.1.1.6 Onset date Date of the observation of the reaction ISO 8601 
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A.2.1.1.7 End Date Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) ISO 8601 
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A.2.1.1.8 Status Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc. SNOMED CT GPS 
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A.2.1.1.9 Certainty Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition. SNOMED CT GPS 
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A.2.1.1.10 Agent or Allergen A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. SNOMED CT GPS (for non-drug allergy) or ATC* (for drug allergy) (IDMP, when available)
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A.2.1.2 Medical alert information (other alerts not included in allergies)






A.2.1.2.1 Healthcare alert description Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat. -
Example 1: intolerance to aspirin due to gastrointestinal bleeding.
Example 2: intolerance to captopril because of cough (the patient is not allergic but can't tolerate it because of persistent cough)
Example 3: the patient has a rare disease that requires special treatment 
Example 4: Airway Alert / Difficult Intubation
Example 5: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants;  implanted devices.
Example 6: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. 
Example 7: participation in a clinical trial that has to be taken into account in a healthcare contact.

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* In a foreseeable future, the suggested preferred vocabularies might be superseded or
complemented, as mentioned in Guidelines Article 11(2).
** The Preferred code system(s) has been selected based on adequacy to convey the
information using the methodology of the Subgroup on Semantics. When more alternative
international code systems are available, all are listed when it is assumed to be unlikely that
agreement can be reached short term. Mapping between code systems could be proposed for
specific use cases.

Xt-EHR Logical model


ShortDefinitionMinMaxType(s)

Binding Strength


Binding Description



B.1.1 - AlertsAlert section includes information about allergies, intolerances and other substantial alerts or warnings that health professionals should be aware of.11Base





B.1.1.1 - Section narativeNarative content of the section. This narative shell containing either narative description of both allergy and alerts, or similar narative sub-section elements shell be provided.01string





B.1.1.2 - AllergyA record of allergies and intolerances.1*https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance





B.1.1.3 - Medical alertMedical alert information (other alerts not included in allergies).0*https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAlertFlag





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