Reaction-v1.0(2022EN): verschil tussen versies

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(Nieuwe pagina aangemaakt met '<!-- Hieronder wordt een transclude page aangeroepen --> {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.3(EN)|1|Reaction-v1.0(2022EN)}} <!-- Tot hier de transclu...')
 
Geen bewerkingssamenvatting
 
(2 tussenliggende versies door dezelfde gebruiker niet weergegeven)
Regel 8: Regel 8:
Release<!--hdPublication-->: '''2022''' <br>
Release<!--hdPublication-->: '''2022''' <br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release date<!--hdPublicationDate-->: 10-06-2022
Release date<!--hdPublicationDate-->: 15-10-2023
<!-- Aanroep Errata transclude page -->
<!-- Aanroep Errata transclude page -->
{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
Regel 50: Regel 50:
|style="width:250px; "|DCM::Name||nl.zorg.Reactie
|style="width:250px; "|DCM::Name||nl.zorg.Reactie
|-  
|-  
|style="width:250px; "|DCM::PublicationDate||10-06-2022
|style="width:250px; "|DCM::PublicationDate||15-10-2023
|-  
|-  
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|style="width:250px; "|DCM::PublicationStatus||Prepublished
Regel 101: Regel 101:
<BR>
<BR>
<imagemap> Bestand:Reaction-v1.0Model(2022EN).png | center  
<imagemap> Bestand:Reaction-v1.0Model(2022EN).png | center  
rect 794 194 884 264 [[#14768]]
rect 794 194 884 264 [[#2398]]
rect 653 329 743 399 [[#14766]]
rect 653 329 743 399 [[#2396]]
rect 821 399 934 470 [[#14761]]
rect 821 399 934 470 [[#2391]]
rect 438 495 551 561 [[#14760]]
rect 438 495 551 561 [[#2390]]
rect 438 425 551 475 [[HealthProfessional-v3.5.2(2022EN)]]
rect 438 425 551 475 [[HealthProfessional-v3.5.2(2022EN)]]
rect 457 90 660 128 [[#CausativeSubstanceHPKCodelist]]
rect 457 90 660 128 [[#CausativeSubstanceHPKCodelist]]
Regel 112: Regel 112:
rect 737 137 940 175 [[#CausativeSubstanceSNKCodelist]]
rect 737 137 940 175 [[#CausativeSubstanceSNKCodelist]]
rect 712 90 915 128 [[#CausativeSubstanceSSKCodelist]]
rect 712 90 915 128 [[#CausativeSubstanceSSKCodelist]]
rect 438 596 550 666 [[#14762]]
rect 438 596 550 666 [[#2392]]
rect 642 194 754 264 [[#14776]]
rect 642 194 754 264 [[#2406]]
rect 821 597 934 667 [[#14763]]
rect 821 597 934 667 [[#2393]]
rect 438 328 551 398 [[#14765]]
rect 438 328 551 398 [[#2395]]
rect 628 713 769 751 [[#ReactionPhenomenonCodelist]]
rect 628 713 769 751 [[#ReactionPhenomenonCodelist]]
rect 969 516 1089 554 [[#SeverityCodelist]]
rect 969 516 1089 554 [[#SeverityCodelist]]
rect 821 500 934 570 [[#14774]]
rect 821 500 934 570 [[#2404]]
rect 642 596 755 666 [[#14758]]
rect 642 596 755 666 [[#2388]]
rect 643 475 753 545 [[#14773]]
rect 643 475 753 545 [[#2403]]
desc none
desc none
</imagemap>
</imagemap>
Regel 130: Regel 130:
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:5.3.1
||NL-CM:5.3.1
|colspan ="6" style ="padding-left: 0px"|<span Id=14773 Title="NL: Reactie">[[Bestand: arrowdown.png | 10px | link=]]Reaction</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=2403 Title="NL: Reactie">[[Bestand: arrowdown.png | 10px | link=]]Reaction</span>
|
|
|Root concept of the Reaction information model. This root concept contains all data elements of the Reaction information model.
|Root concept of the Reaction information model. This root concept contains all data elements of the Reaction information model.
Regel 139: Regel 139:
||NL-CM:5.3.7
||NL-CM:5.3.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14758 Title="NL: ReactieVerschijnsel">[[Bestand: arrowright.png | 10px | link=]]ReactionPhenomenon</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2388 Title="NL: ReactieVerschijnsel">[[Bestand: arrowright.png | 10px | link=]]ReactionPhenomenon</span>
|0..*
|0..*
|The substantive specification of the reaction (symptoms) that occurs when the patient is exposed to the substance.​
|The substantive specification of the reaction (symptoms) that occurs when the patient is exposed to the substance.​
Regel 152: Regel 152:
||NL-CM:5.3.6
||NL-CM:5.3.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14766 Title="NL: Veroorzaker">[[Bestand: arrowdown.png | 10px | link=]]CausativeAagent</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2396 Title="NL: Veroorzaker">[[Bestand: arrowdown.png | 10px | link=]]CausativeAagent</span>
|0..1
|0..1
|Container of the CausativeAagent concept.This container contains all data elements of the CausativeAagent concept.
|Container of the CausativeAagent concept.This container contains all data elements of the CausativeAagent concept.
Regel 162: Regel 162:
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|<span Id=14768 Title="NL: Straling">[[Bestand: arrowright.png | 10px | link=]]Radiation</span>
|colspan ="4" style ="padding-left: 0px"|<span Id=2398 Title="NL: Straling">[[Bestand: arrowright.png | 10px | link=]]Radiation</span>
|0..*
|0..*
|Indicates whether it is (presumably) a reaction to radiation.
|Indicates whether it is (presumably) a reaction to radiation.
Regel 172: Regel 172:
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|<span Id=14776 Title="NL: VeroorzakendeStof">[[Bestand: arrowright.png | 10px | link=]]CausativeSubstance</span>
|colspan ="4" style ="padding-left: 0px"|<span Id=2406 Title="NL: VeroorzakendeStof">[[Bestand: arrowright.png | 10px | link=]]CausativeSubstance</span>
|0..*
|0..*
|The substance that (presumably) caused the reaction.​
|The substance that (presumably) caused the reaction.​
Regel 193: Regel 193:
||NL-CM:5.3.9
||NL-CM:5.3.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14762 Title="NL: ReactieBeschrijving">[[Bestand: arrowright.png | 10px | link=]]ReactionDescription</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2392 Title="NL: ReactieBeschrijving">[[Bestand: arrowright.png | 10px | link=]]ReactionDescription</span>
|0..1
|0..1
|Textual description of the reaction as a whole including the reaction phenomena (symptoms).
|Textual description of the reaction as a whole including the reaction phenomena (symptoms).
Regel 202: Regel 202:
||NL-CM:5.3.10
||NL-CM:5.3.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14774 Title="NL: Ernst">[[Bestand: arrowright.png | 10px | link=]]Severity</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2404 Title="NL: Ernst">[[Bestand: arrowright.png | 10px | link=]]Severity</span>
|0..1
|0..1
|The severity of the reaction as a result of exposure to the substance.
|The severity of the reaction as a result of exposure to the substance.
Regel 215: Regel 215:
||NL-CM:5.3.11
||NL-CM:5.3.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14765 Title="NL: WijzeVanBlootstelling">[[Bestand: arrowright.png | 10px | link=]]RouteOfExposure</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2395 Title="NL: WijzeVanBlootstelling">[[Bestand: arrowright.png | 10px | link=]]RouteOfExposure</span>
|0..1
|0..1
|Way in which the patient came into contact with the causative agent or the way in which the agent was administered.
|Way in which the patient came into contact with the causative agent or the way in which the agent was administered.
Regel 228: Regel 228:
||NL-CM:5.3.4
||NL-CM:5.3.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14761 Title="NL: SpecificatieBlootstelling">[[Bestand: arrowdown.png | 10px | link=]]SpecificationExposure</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2391 Title="NL: SpecificatieBlootstelling">[[Bestand: arrowdown.png | 10px | link=]]SpecificationExposure</span>
|0..*
|0..*
|Container of the SpecificationExposure concept.This container contains all data elements of the SpecificationExposure concept.
|Container of the SpecificationExposure concept.This container contains all data elements of the SpecificationExposure concept.
Regel 237: Regel 237:
||NL-CM:5.3.12
||NL-CM:5.3.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14763 Title="NL: ReactiePeriode">[[Bestand: arrowright.png | 10px | link=]]ReactionPeriod</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2393 Title="NL: ReactiePeriode">[[Bestand: arrowright.png | 10px | link=]]ReactionPeriod</span>
|0..1
|0..1
|Start Date: Date and time the response started. This may also only be a date or a partial date, if not known more precisely. TimeDuration: Duration of the reaction. End date: Date and time when the response stopped occurring. This may also only be a date or a partial date, if this is not known more precisely.​
|Start Date: Date and time the response started. This may also only be a date or a partial date, if not known more precisely. TimeDuration: Duration of the reaction. End date: Date and time when the response stopped occurring. This may also only be a date or a partial date, if this is not known more precisely.​
Regel 248: Regel 248:
||NL-CM:5.3.3
||NL-CM:5.3.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14760 Title="NL: DatumTijdVastlegging">[[Bestand: arrowright.png | 10px | link=]]DateTimeCommit</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2390 Title="NL: DatumTijdVastlegging">[[Bestand: arrowright.png | 10px | link=]]DateTimeCommit</span>
|1
|1
|The date the reaction was recorded​.
|The date the reaction was recorded​.
Regel 257: Regel 257:
||NL-CM:5.3.2
||NL-CM:5.3.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=14770 Title="NL: Auteur::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]Author::HealthProfessional</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=2400 Title="NL: Auteur::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]Author::HealthProfessional</span>
|1
|1
|Person who records the reaction, this can be a healthcare professional, patient or contact person.​
|Person who records the reaction, this can be a healthcare professional, patient or contact person.​
Regel 273: Regel 273:
''Only available in Dutch<!--noTranslation-->''
''Only available in Dutch<!--noTranslation-->''


{|class="wikitable" width="595px" style= "font-size: 9.5pt;"
Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Reactie-v1.0(NL)_Voorbeeld.docx
|-style=vertical-align:top;
|colspan="4" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Reactie</b></font>
|-style=vertical-align:top;
| style="width: 34%; "|ReactieErnst
| style="width: 31%; "|Ernstig
| style="width: 34%; "|Matig
|-style=vertical-align:top;
| style="width: 34%; "|ReactieTijdstip
| style="width: 31%; "|12-10-2020
| style="width: 34%; "|02-06-2021
|-style=vertical-align:top;
| style="width: 34%; "|ReactieSymptomen
| style="width: 31%; "|Trombocytopenie
| style="width: 34%; "|Jeuk
|-style=vertical-align:top;
| style="width: 34%; "|Veroorzakendestof
| style="width: 31%; "|Fragmin
| style="width: 34%; "|Amoxicilline
|-style=vertical-align:top;
| style="width: 34%; "|DatumTijdVastlegging
| style="width: 31%; "|13-10-2020 13:15
| style="width: 34%; "|03-06-2021 12:00
|-style=vertical-align:top;
| style="width: 34%; "|Auteur::Zorgverlener
| style="width: 31%; "|Mevr. Zaal
| style="width: 34%; "|Dhr. Jacobs
|-style=vertical-align:top;
|colspan="3" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>EersteAuteur</b></font><font color=#FFFFFF><b>::Zorgverlener</b></font>
|-style=vertical-align:top;
| style="width: 34%; "|<b>Naam</b>
| style="width: 31%; "|Mevr. Zaal
| style="width: 34%; "|Mevr. Zaal
|-style=vertical-align:top;
| style="width: 34%; "|<b>Specialisme</b>
| style="width: 31%; "|SEH-arts
| style="width: 34%; "|SEH-arts
|-style=vertical-align:top;
|colspan="3" style="background-color: #2E74B5; width: 100%; "|
|-style=vertical-align:top;
| style="width: 34%; "|ReactieBeschrijving
| style="width: 31%; "|<noWiki>-</noWiki>
| style="width: 34%; "|Over het hele lichaam.
|}
 
==Issues==
==Issues==
<b>No known allergies</b>
<b>No known allergies</b>
Regel 357: Regel 313:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Alle waarden
|All values
|G-Standaard Handels Product Kode (HPK)
|G-Standaard Handels Product Kode (HPK)
|2.16.840.1.113883.2.4.4.7
|2.16.840.1.113883.2.4.4.7
Regel 372: Regel 328:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Alle waarden
|All values
|G-standaard Stofnaamcode (SNK)
|G-standaard Stofnaamcode (SNK)
|2.16.840.1.113883.2.4.4.1.750
|2.16.840.1.113883.2.4.4.1.750
Regel 387: Regel 343:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Alle waarden
|All values
|G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK)
|G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK)
|2.16.840.1.113883.2.4.4.1.725
|2.16.840.1.113883.2.4.4.1.725
Regel 402: Regel 358:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Alle waarden
|All values
|G-standaard Ongewenste medicatiegroepen
|G-standaard Ongewenste medicatiegroepen
|2.16.840.1.113883.2.4.4.1.902.122
|2.16.840.1.113883.2.4.4.1.902.122
Regel 497: Regel 453:
|Diarree
|Diarree
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Medicatiegeïnduceerde erythema multiforme (disorder)">Drug-induced erythema multiforme</span>
|<span title = "Medicatiege&#239;nduceerde erythema multiforme (disorder)">Drug-induced erythema multiforme</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=297942002 297942002]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=297942002 297942002]
|SNOMED CT
|SNOMED CT
Regel 549: Regel 505:
|Licht
|Licht
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Matig (qualifier value)">Moderate</span>
|<span title = "Matig (qualifier value)">Moderate severity</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=6736007 6736007]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=6736007 6736007]
|SNOMED CT
|SNOMED CT
Regel 572: Regel 528:
*[[Hypersensitivity-v1.0(2022EN)|Hypersensitivity-v1.0]]
*[[Hypersensitivity-v1.0(2022EN)|Hypersensitivity-v1.0]]
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
To exchange information based on health and care information models, additional, more technical specifications are required.&lt;BR&gt;
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|5.3}}</li>
<li>HL7&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|5.3}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022|Reactie}}</li>
</ul>
</ul>
==Downloads<!--ftDownloadTitle-->==
==Downloads<!--ftDownloadTitle-->==
Regel 584: Regel 540:
SNOMED CT and LOINC codes are based on:
SNOMED CT and LOINC codes are based on:
<ul>
<ul>
<li>SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)</li>
<li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li>
<li>LOINC version 2.67</li>
<li>LOINC version 2.76</li>
</ul>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 10/06/2022 12:44:14 with ZibExtraction v. 8.0.8196.20371<!--ftDate--> <BR>
This page is generated on 27/03/2024 11:11:04 with ZibExtraction v. 9.3.8851.20230<!--ftDate--> <BR>
-----
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 27 mrt 2024 om 11:25


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.Reaction NL.png
Version: 1.0
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 15-10-2023

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Werkgroep Overgevoeligheid
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep Overgevoelighed
DCM::CreationDate 4-11-2021
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.5.3
DCM::KeywordList Reactie
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep overgevoeligheid
DCM::Name nl.zorg.Reactie
DCM::PublicationDate 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList
DCM::RevisionDate 16-11-2021
DCM::Supersedes
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-12-2021) .

Concept

An allergy or intolerance describes a patient’s tendency towards hypersensitivity to a certain substance, so that an unwanted physiological reaction is expected after exposure to the substance, while most people would not exhibit such a reaction to that amount. The observed physiological changes are usually the result of an immunological reaction.
The substances can be categorized as follows:

  • Medicine
  • Medicine category
  • Ingredient/addition
  • Nutrition
  • Environmental factor
  • Animal
  • Plants
  • Chemicals
  • Inhaled allergenic

Purpose

Documenting and communicating allergies and intolerances is an important part of medical registration. It concerns the core of patient safety in general and medication safety in particular. In the execution of research, treatment and care, these patient characteristics constantly have to be taken into account.
In principle, allergies and intolerances are also disorders and also could be entered as a problem. Nevertheless, these are usually entered separately.
Allergies/Intolerances have a lot in common with warnings (Alert). An important difference is that with allergies and intolerances, a lot of detailed information is recorded on things such as the reactions to the causative substance. Furthermore, not every warning is a problem or medical condition. Every allergy/intolerance is, however, while not every allergy or intolerance implies a warning.

Evidence Base

For all allergies in the Netherlands, the codes available in the G standard are used to register and complete medicinal allergies in the work process of prescribers and pharmacists (in medication monitoring). This is outlined in the document “Allergies and unwanted substances IR V-2-3-1”.

This code is insufficient when it comes to reactions to exposure to food products, items (such as bandages and band-aids), plants and animals. For these items, the standard allows the use of free text or the use of SNOMED CT code. However, no validated value set is currently available for this purpose for SNOMED CT.

Information Model


#2398#2396#2391#2390HealthProfessional-v3.5.2(2022EN)#CausativeSubstanceHPKCodelist#CausativeSubstanceAllergicAgentCodelist#RouteOfExposureCodelist#CausativeSubstanceThesaurus122Codelist#CausativeSubstanceSNKCodelist#CausativeSubstanceSSKCodelist#2392#2406#2393#2395#ReactionPhenomenonCodelist#SeverityCodelist#2404#2388#2403Reaction-v1.0Model(2022EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:5.3.1 Arrowdown.pngReaction Root concept of the Reaction information model. This root concept contains all data elements of the Reaction information model.
CD.png NL-CM:5.3.7 Arrowright.pngReactionPhenomenon 0..* The substantive specification of the reaction (symptoms) that occurs when the patient is exposed to the substance.​
List2.png ReactionPhenomenonCodelist
Folder.png NL-CM:5.3.6 Arrowdown.pngCausativeAagent 0..1 Container of the CausativeAagent concept.This container contains all data elements of the CausativeAagent concept.
BL.png NL-CM:5.3.5 Arrowright.pngRadiation 0..* Indicates whether it is (presumably) a reaction to radiation.
CD.png NL-CM:5.3.8 Arrowright.pngCausativeSubstance 0..* The substance that (presumably) caused the reaction.​
List2.png CausativeSubstanceAllergicAgentCodelist
List2.png CausativeSubstanceHPKCodelist
List2.png CausativeSubstanceSNKCodelist
List2.png CausativeSubstanceSSKCodelist
List2.png CausativeSubstanceThesaurus122Codelist
ST.png NL-CM:5.3.9 Arrowright.pngReactionDescription 0..1 Textual description of the reaction as a whole including the reaction phenomena (symptoms).
CD.png NL-CM:5.3.10 Arrowright.pngSeverity 0..1 The severity of the reaction as a result of exposure to the substance.
List2.png SeverityCodelist
CD.png NL-CM:5.3.11 Arrowright.pngRouteOfExposure 0..1 Way in which the patient came into contact with the causative agent or the way in which the agent was administered.
List2.png RouteOfExposureCodelist
Folder.png NL-CM:5.3.4 Arrowdown.pngSpecificationExposure 0..* Container of the SpecificationExposure concept.This container contains all data elements of the SpecificationExposure concept.
TS.png NL-CM:5.3.12 Arrowright.pngReactionPeriod 0..1 Start Date: Date and time the response started. This may also only be a date or a partial date, if not known more precisely. TimeDuration: Duration of the reaction. End date: Date and time when the response stopped occurring. This may also only be a date or a partial date, if this is not known more precisely.​


TS.png NL-CM:5.3.3 Arrowright.pngDateTimeCommit 1 The date the reaction was recorded​.
Verwijzing.png NL-CM:5.3.2 Arrowright.pngAuthor::HealthProfessional 1 Person who records the reaction, this can be a healthcare professional, patient or contact person.​
Block.png HealthProfessional

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

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Reactie-v1.0(NL)_Voorbeeld.docx

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

CausativeSubstanceAllergicAgentCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.3.1 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

CausativeSubstanceHPKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.3.2 Binding: Required
Conceptname Codesystem name Codesystem OID
All values G-Standaard Handels Product Kode (HPK) 2.16.840.1.113883.2.4.4.7

CausativeSubstanceSNKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.3.3 Binding: Required
Conceptname Codesystem name Codesystem OID
All values G-standaard Stofnaamcode (SNK) 2.16.840.1.113883.2.4.4.1.750

CausativeSubstanceSSKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.3.4 Binding: Required
Conceptname Codesystem name Codesystem OID
All values G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) 2.16.840.1.113883.2.4.4.1.725

CausativeSubstanceThesaurus122Codelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.3.5 Binding: Required
Conceptname Codesystem name Codesystem OID
All values G-standaard Ongewenste medicatiegroepen 2.16.840.1.113883.2.4.4.1.902.122

ReactionPhenomenonCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.3.7 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Anaphylaxis 39579001 SNOMED CT 2.16.840.1.113883.6.96 Anafylaxie
Angioedema 41291007 SNOMED CT 2.16.840.1.113883.6.96 Angio-oedeem
Upper respiratory tract hypersensitivity reaction 490008 SNOMED CT 2.16.840.1.113883.6.96 Overgevoeligheidsreactie van de bovenste luchtwegen
Dyspnea 267036007 SNOMED CT 2.16.840.1.113883.6.96 Kortademigheid
Bronchospasm 4386001 SNOMED CT 2.16.840.1.113883.6.96 Bronchospasme
Urticaria 126485001 SNOMED CT 2.16.840.1.113883.6.96 Urticaria
Contact dermatitis 40275004 SNOMED CT 2.16.840.1.113883.6.96 Contactdermatitis
Itching of skin 418363000 SNOMED CT 2.16.840.1.113883.6.96 Jeuk
Eruption 271807003 SNOMED CT 2.16.840.1.113883.6.96 Exantheem
Allergic conjunctivitis 473460002 SNOMED CT 2.16.840.1.113883.6.96 Allergische conjunctivitis
Lyell syndrome 768962006 SNOMED CT 2.16.840.1.113883.6.96 Syndroom van Lyle
Nausea and vomiting 16932000 SNOMED CT 2.16.840.1.113883.6.96 Misselijk en braken
Diarrhea 62315008 SNOMED CT 2.16.840.1.113883.6.96 Diarree
Drug-induced erythema multiforme 297942002 SNOMED CT 2.16.840.1.113883.6.96 Door medicatie veroorzaakte erythema multiforme
Fever 386661006 SNOMED CT 2.16.840.1.113883.6.96 Koorts
Overig OTH NullFlavor 2.16.840.1.113883.5.1008 Overig

RouteOfExposureCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.3.6 Binding: Required
Conceptname Codesystem name Codesystem OID
SNOMED CT: <284009009|Route of administration value| SNOMED CT 2.16.840.1.113883.6.96

SeverityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.3.8 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Mild 255604002 SNOMED CT 2.16.840.1.113883.6.96 Licht
Moderate severity 6736007 SNOMED CT 2.16.840.1.113883.6.96 Matig
Severe 24484000 SNOMED CT 2.16.840.1.113883.6.96 Ernstig

This information model in other releases

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.<BR> 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 2022-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
  • LOINC version 2.76

Conditions for use are located on the mainpage List2.png
This page is generated on 27/03/2024 11:11:04 with ZibExtraction v. 9.3.8851.20230

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