2015May core #1228 - Add AllergyIntolerance.severity

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    • Type: Change Request
    • Resolution: Not Persuasive with Modification
    • Priority: Medium
    • FHIR Core (FHIR)
    • DSTU1 [deprecated]
    • Patient Care
    • AllergyIntolerance
    • 4.1.3
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      Systems that only support one notion will have to determine whether what they're capturing is criticality or severity and map to the appropriate place. Criticality refers to the likelihood the allergy/intolerance could result in significant harm. Severity refers to the degree of manifestation of the reaction symptom. Moderate breathing difficulty would have high criticality while a severe rash would have low criticality. Severity is specific to a particular reaction occurrence.

      For systems that only track generic reaction characteristics rather than a specific reaction will provide guidance to use the "reaction" structure and simply provide no date.

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      Systems that only support one notion will have to determine whether what they're capturing is criticality or severity and map to the appropriate place. Criticality refers to the likelihood the allergy/intolerance could result in significant harm. Severity refers to the degree of manifestation of the reaction symptom. Moderate breathing difficulty would have high criticality while a severe rash would have low criticality. Severity is specific to a particular reaction occurrence. For systems that only track generic reaction characteristics rather than a specific reaction will provide guidance to use the "reaction" structure and simply provide no date.
    • Russell/Laura: 6-0-0
    • Enhancement
    • Non-substantive
    • DSTU1 [deprecated]

      Existing Wording: AllergyIntolerance.criticality = Estimate of the potential clinical harm, or seriousness, of the reaction to the identified Substance

      AllergyIntolerance.event.severity = Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations

      Comment:

      How common is it to capture severity at the event (reaction) level as opposed to capturing it at the allergyIntolerance level? If a system only has severity at the allergy level, does it get repeated for each event (reaction)? Assuming criticality is different than severity, should there be a new severity added at the allergyIntolerance level?

            Assignee:
            Unassigned
            Reporter:
            Jenni Syed
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: