Allergy

The SHR Allergy domain contains definitions for statements dealing with substance-related risks, including allergies and intolerances.

AdverseReactionType

Identification of the underlying physiological mechanism for a Reaction Risk.

Value:  code from http://hl7.org/fhir/ValueSet/allergy-intolerance-type

AllergenIrritant

A material, mixture, class or category of substance, including drugs, foods, environmental agents, etc. that may be implicated as a cause of intolerances and allergies. 105590001

Value:  CodeableConcept from AllergenIrritantVS A set of codes drawn from different coding systems, representing the same concept.

AllergyIntolerance [Entry]

A statement pertaining to an individual's allergies and intolerances to substances or classes of substances. Can be used to record that a substance does not pose an elevated risk to the subject (NonOccurrenceModifier = true). Propensity to adverse reactions (420134006)

AllergenIrritant optional A material, mixture, class or category of substance, including drugs, foods, environmental agents, etc. that may be implicated as a cause of intolerances and allergies.
SubstanceCategory 0 or more Categorization of the risk substance as a food, drug, or environmental agent. For difficult-to-classify substances, one can leave this field empty or choose the most typical category.
NonOccurrenceModifier required When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
AllergyVerificationStatus required Whether an assessment has been confirmed by testing or observation.
AdverseReactionType optional Identification of the underlying physiological mechanism for a Reaction Risk.
Criticality optional A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Manifestation 0 or more A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
Onset optional The beginning or first appearance of a mental or physical disorder.
Abatement optional The end, remission or resolution.
MostRecentOccurrence optional The time of the last or latest of a series of events.
AdverseReaction 0 or more Any noxious and unintended response to a medical product, procedure, or other intervention, for which a causal relationship to an intervention is at least a reasonable possibility i.e., the relationship cannot be ruled out. It is not necessarily associated with a previously-recorded SubstanceRisk. This entry could be used to record the occurrence or non-occurrence of an adverse reaction.

AllergyVerificationStatus

Whether an assessment has been confirmed by testing or observation.

Value:  code from AllergyVerificationStatusVS

DrugAllergy [Entry]

An immune or biochemical adverse reaction to a medication. C0013182

Based On AllergyIntolerance

AllergenIrritant from DrugIngredientVS required A material, mixture, class or category of substance, including drugs, foods, environmental agents, etc. that may be implicated as a cause of intolerances and allergies.
SubstanceCategory is drug required Categorization of the risk substance as a food, drug, or environmental agent. For difficult-to-classify substances, one can leave this field empty or choose the most typical category.
AdverseReactionType is allergy optional Identification of the underlying physiological mechanism for a Reaction Risk.
NonOccurrenceModifier required When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
AllergyVerificationStatus required Whether an assessment has been confirmed by testing or observation.
Criticality optional A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Manifestation 0 or more A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
Onset optional The beginning or first appearance of a mental or physical disorder.
Abatement optional The end, remission or resolution.
MostRecentOccurrence optional The time of the last or latest of a series of events.
AdverseReaction 0 or more Any noxious and unintended response to a medical product, procedure, or other intervention, for which a causal relationship to an intervention is at least a reasonable possibility i.e., the relationship cannot be ruled out. It is not necessarily associated with a previously-recorded SubstanceRisk. This entry could be used to record the occurrence or non-occurrence of an adverse reaction.

FoodAllergy [Entry]

An immune or biochemical adverse reaction to a food substance. C0016470

Based On AllergyIntolerance

AllergenIrritant from FoodSubstanceVS required A material, mixture, class or category of substance, including drugs, foods, environmental agents, etc. that may be implicated as a cause of intolerances and allergies.
SubstanceCategory is food required Categorization of the risk substance as a food, drug, or environmental agent. For difficult-to-classify substances, one can leave this field empty or choose the most typical category.
AdverseReactionType is allergy optional Identification of the underlying physiological mechanism for a Reaction Risk.
NonOccurrenceModifier required When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
AllergyVerificationStatus required Whether an assessment has been confirmed by testing or observation.
Criticality optional A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Manifestation 0 or more A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
Onset optional The beginning or first appearance of a mental or physical disorder.
Abatement optional The end, remission or resolution.
MostRecentOccurrence optional The time of the last or latest of a series of events.
AdverseReaction 0 or more Any noxious and unintended response to a medical product, procedure, or other intervention, for which a causal relationship to an intervention is at least a reasonable possibility i.e., the relationship cannot be ruled out. It is not necessarily associated with a previously-recorded SubstanceRisk. This entry could be used to record the occurrence or non-occurrence of an adverse reaction.

MostRecentOccurrence

The time of the last or latest of a series of events.

Value:  OccurrenceTime The point in time or span of time in which something happens.

NoKnownAllergy [Entry]

The subject has no known allergies to drugs, foods, biologics, or environmental factors. C0262580

Based On AllergyIntolerance

AllergenIrritant not used A material, mixture, class or category of substance, including drugs, foods, environmental agents, etc. that may be implicated as a cause of intolerances and allergies.
SubstanceCategory includes food includes medication includes biologic includes environment 0 or more Categorization of the risk substance as a food, drug, or environmental agent. For difficult-to-classify substances, one can leave this field empty or choose the most typical category.
NonOccurrenceModifier is true required When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
AllergyVerificationStatus is unconfirmed required Whether an assessment has been confirmed by testing or observation.
AdverseReactionType is allergy optional Identification of the underlying physiological mechanism for a Reaction Risk.
Criticality not used A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Manifestation not used A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
Onset not used The beginning or first appearance of a mental or physical disorder.
MostRecentOccurrence not used The time of the last or latest of a series of events.
AdverseReaction not used Any noxious and unintended response to a medical product, procedure, or other intervention, for which a causal relationship to an intervention is at least a reasonable possibility i.e., the relationship cannot be ruled out. It is not necessarily associated with a previously-recorded SubstanceRisk. This entry could be used to record the occurrence or non-occurrence of an adverse reaction.
Abatement optional The end, remission or resolution.

NoKnownDrugAllergy [Entry]

The subject has no known allergies to any medications. C0262581

Based On AllergyIntolerance

AllergenIrritant not used A material, mixture, class or category of substance, including drugs, foods, environmental agents, etc. that may be implicated as a cause of intolerances and allergies.
SubstanceCategory is drug required Categorization of the risk substance as a food, drug, or environmental agent. For difficult-to-classify substances, one can leave this field empty or choose the most typical category.
NonOccurrenceModifier is true required When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
AllergyVerificationStatus is unconfirmed required Whether an assessment has been confirmed by testing or observation.
AdverseReactionType is allergy optional Identification of the underlying physiological mechanism for a Reaction Risk.
Criticality not used A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Manifestation not used A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
Onset not used The beginning or first appearance of a mental or physical disorder.
MostRecentOccurrence not used The time of the last or latest of a series of events.
AdverseReaction not used Any noxious and unintended response to a medical product, procedure, or other intervention, for which a causal relationship to an intervention is at least a reasonable possibility i.e., the relationship cannot be ruled out. It is not necessarily associated with a previously-recorded SubstanceRisk. This entry could be used to record the occurrence or non-occurrence of an adverse reaction.
Abatement optional The end, remission or resolution.

NoKnownEnvironmentalAllergy [Entry]

The subject has no known allergies to any environmental factors. C1998290

Based On AllergyIntolerance

AllergenIrritant not used A material, mixture, class or category of substance, including drugs, foods, environmental agents, etc. that may be implicated as a cause of intolerances and allergies.
SubstanceCategory is environment required Categorization of the risk substance as a food, drug, or environmental agent. For difficult-to-classify substances, one can leave this field empty or choose the most typical category.
NonOccurrenceModifier is true required When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
AllergyVerificationStatus is unconfirmed required Whether an assessment has been confirmed by testing or observation.
AdverseReactionType is allergy optional Identification of the underlying physiological mechanism for a Reaction Risk.
Criticality not used A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Manifestation not used A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
Onset not used The beginning or first appearance of a mental or physical disorder.
MostRecentOccurrence not used The time of the last or latest of a series of events.
AdverseReaction not used Any noxious and unintended response to a medical product, procedure, or other intervention, for which a causal relationship to an intervention is at least a reasonable possibility i.e., the relationship cannot be ruled out. It is not necessarily associated with a previously-recorded SubstanceRisk. This entry could be used to record the occurrence or non-occurrence of an adverse reaction.
Abatement optional The end, remission or resolution.

NoKnownFoodAllergy [Entry]

The subject has no known allergies to any foods. C1997970

Based On AllergyIntolerance

AllergenIrritant not used A material, mixture, class or category of substance, including drugs, foods, environmental agents, etc. that may be implicated as a cause of intolerances and allergies.
SubstanceCategory is food required Categorization of the risk substance as a food, drug, or environmental agent. For difficult-to-classify substances, one can leave this field empty or choose the most typical category.
NonOccurrenceModifier is true required When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.
AllergyVerificationStatus is unconfirmed required Whether an assessment has been confirmed by testing or observation.
AdverseReactionType is allergy optional Identification of the underlying physiological mechanism for a Reaction Risk.
Criticality not used A clinical judgment of potential clinical harm, or seriousness, of a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Manifestation not used A complaint or observed (subjective) indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
Onset not used The beginning or first appearance of a mental or physical disorder.
MostRecentOccurrence not used The time of the last or latest of a series of events.
AdverseReaction not used Any noxious and unintended response to a medical product, procedure, or other intervention, for which a causal relationship to an intervention is at least a reasonable possibility i.e., the relationship cannot be ruled out. It is not necessarily associated with a previously-recorded SubstanceRisk. This entry could be used to record the occurrence or non-occurrence of an adverse reaction.
Abatement optional The end, remission or resolution.

SubstanceCategory

Categorization of the risk substance as a food, drug, or environmental agent. For difficult-to-classify substances, one can leave this field empty or choose the most typical category.

Value:  code from http://hl7.org/fhir/ValueSet/allergy-intolerance-category