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Data Element Description Preferred Code Systems Pågående arbeten


* ** A.2 Patient summary body data elements 





A.2.1  Alerts

• 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.2.1.1  Allergy





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




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 



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



A.2.1.1.4 Severity Severity of the clinical manifestation of the allergic reaction.  SNOMED CT GPS



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 



A.2.1.1.6 Onset date Date of the observation of the reaction ISO 8601 



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 



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 



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 



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)











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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