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.Hypersensitivity 
Version: 1.0
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023
Metadata
| DCM::CoderList |
Werkgroep Overgevoeligheid
|
| DCM::ContactInformation.Address |
*
|
| DCM::ContactInformation.Name |
*
|
| DCM::ContactInformation.Telecom |
*
|
| DCM::ContentAuthorList |
Werkgroep Overgevoeligheid
|
| DCM::CreationDate |
4-10-2021
|
| DCM::DeprecatedDate |
|
| DCM::DescriptionLanguage |
nl
|
| DCM::EndorsingAuthority.Address |
|
| DCM::EndorsingAuthority.Name |
PM
|
| DCM::EndorsingAuthority.Telecom |
|
| DCM::Id |
2.16.840.1.113883.2.4.3.11.60.40.3.8.4
|
| DCM::KeywordList |
Allergie,Overgevoeligheid
|
| DCM::LifecycleStatus |
Final
|
| DCM::ModelerList |
Werkgroep Overgevoeligheid
|
| DCM::Name |
nl.zorg.Overgevoeligheid
|
| DCM::PublicationDate |
15-10-2023
|
| DCM::PublicationStatus |
Prepublished
|
| DCM::ReviewerList |
Werkgroep Overgevoeligheid
|
| DCM::RevisionDate |
|
| DCM::Supersedes |
|
| DCM::Version |
1.0
|
| HCIM::PublicationLanguage |
EN
|
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-12-2021)
.
Concept
A hypersensitivity describes a substance or group of substances that is monitored so that a hypersensitivity reaction can be prevented.
Purpose
- A drug hypersensitivity is recorded so that prescribers, providers and administrators can take it into account when prescribing, dispensing and administering medication. It is recorded in such a way that a medication monitoring system can give a warning at the right time. Other sensitivities such as food, contact, inhalation, insect venom and occupational allergens are recorded so that healthcare providers can take them into account in a general sense.
- It is important to share sensitivities with other caregivers of the patient so that they too can provide care in a safe manner. For that purpose, it is possible to record and exchange additional information so that the receiving party can appreciate the hypersensitivity. For example, by describing the method of determination, and also a description of (a) reaction(s) to the substance.
- A (drug) hypersensitivity is not the same as a problem or episode. That's because a hypersensitivity is captured specifically from the context of surveillance. A (drug) hypersensitivity is therefore not recorded in the context of diagnostics or in the context of treatment of a (drug) hypersensitivity.
Evidence Base
- In order to be able to register and handle hypersensitivities in the work process of prescribers and pharmacists (in pharmacovigilance), the available codings in the G-standard and SHB are used for medicines in the Netherlands. The working method is laid down in the agreement set Registration and transfer of drug hypersensitivities.
- For hypersensitivity to food, articles (such as bandages and plasters), plants and animals, five reference lists based on SNOMED CT containing food allergens, inhalation allergens, insect venom allergens, occupational allergens and contact allergens are used. Free text is also possible.
Information Model
| Type |
Id |
Concept |
Card. |
Definition |
DefinitionCode |
Reference
|
|
NL-CM:8.4.1
|
 Hypersensitivity
|
|
Root concept of the Hypersensitivity information model. This root concept contains all data elements of the Hypersensitivity information model.
|
|
|
|
NL-CM:8.4.2
|
|
 Reaction
|
0..*
|
Root concept of the Reaction information model. This root concept contains all data elements of the Reaction information model.
|
|
|
|
NL-CM:8.4.3
|
|
DateTimeClosure
|
0..1
|
The date and time when it was decided to stop monitoring.
|
|
|
|
|
NL-CM:8.4.4
|
|
FirstAuthor::HealthProfessional
|
1
|
The healthcare professional who first started monitoring the hypersensitivity.
|
|
|
|
NL-CM:8.4.5
|
|
WayOfDetermination
|
0..1
|
The way in which the hypersensitivity is determined.
|
|
|
|
NL-CM:8.4.6
|
|
SourceDescription
|
0..1
|
The description of how the information was obtained, such as receiving a letter from a specialist or an interview with the patient.
|
|
|
|
|
NL-CM:8.4.7
|
|
ReasonForClosure
|
0..1
|
Reason why the hypersensitivity is closed.
|
|
|
|
|
NL-CM:8.4.8
|
|
Agent
|
1
|
The substance or group of substances that is monitored.
|
|
|
|
|
NL-CM:8.4.9
|
|
HypersensitivityCategory
|
0..*
|
Identifies the hypersensitivity category such as medication, food or environment.
|
|
|
|
|
NL-CM:8.4.10
|
|
HypersensitivityStatus
|
0..1
|
Statement on the status of the patient’s hypersensitivity.
|
|
|
|
|
NL-CM:8.4.11
|
|
StartDateTime
|
0..1
|
Date and time when the hypersensitivity first manifested itself in a reaction. This can be an exact date and time, but also a global indication of the date (for example, only year or year and month).
|
|
|
|
|
NL-CM:8.4.12
|
|
Criticality
|
1
|
The healthcare professional's assessment of whether the hypersensitivity is a contraindication to intended or unintended exposure to the substance, group of substances or environmental factor to which the patient is hypersensitive.
|
|
|
|
|
NL-CM:8.4.13
|
|
StartSurveillanceDateTime
|
1
|
Date and time when the first author started monitoring the hypersensitivity.
|
|
|
|
|
NL-CM:8.4.14
|
|
Comment
|
0..1
|
Textual explanation of the hypersensitivity which cannot be entered in any of the other fields.
|
| 48767-8 Annotation comment [Interpretation] Narrative
|
|
|
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page 
Example Instances
Only available in Dutch
| Overgevoeligheid
|
| Stof
|
Amoxicilline/clavulaanzuur
|
Penicillines
|
| Overgevoeligheidscategorie
|
Geneesmiddelen
|
Geneesmiddelen
|
| EersteAuteur::Zorgverlener
|
| Naam
|
Mevr. Zaal
|
Mevr. Zaal
|
| Specialisme
|
SEH-arts
|
SEH-arts
|
|
|
| Risicobeoordeling
|
Laag
|
Ernstig
|
| Manier van vast stellen
|
Vastgesteld op basis van het klinisch beeld
|
Op basis van anamnese
|
| Omschrijving van de bron
|
Gesprek met patiënt
|
-
|
| Toelichting
|
-
|
-
|
| Begindatumtijd
|
25-10-2021
|
25-10-2021
|
| Startbewakingdatumtijd
|
25-10-2021
|
25-10-2021
|
| Datum van afsluiten
|
-
|
-
|
| Overgevoeligheidstatus
|
Actief
|
Actief
|
| Reactie
|
| ReactieErnst
|
Ernstig
|
Matig
|
| ReactieTijdstip
|
12-10-2020
|
02-06-2021
|
| ReactieSymptomen
|
Trombocytopenie
|
Jeuk
|
| Veroorzakendestof
|
Amoxicilline/clavulaanzuur
|
Penicillines
|
|
|
|
|
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
AgentAllergicAgentCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.2
|
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
|
AgentHPKCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.3
|
Binding: Required
|
| Conceptname
|
Codesystem name |
Codesystem OID
|
| All values
|
G-Standaard Handels Product Kode (HPK)
|
2.16.840.1.113883.2.4.4.7
|
AgentSNKCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.4
|
Binding: Required
|
| Conceptname
|
Codesystem name |
Codesystem OID
|
| All values
|
G-standaard Stofnaamcode (SNK)
|
2.16.840.1.113883.2.4.4.1.750
|
AgentSSKCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.5
|
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
|
AgentThesaurus122Codelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.6
|
Binding: Required
|
| Conceptname
|
Codesystem name |
Codesystem OID
|
| All values
|
G-standaard Ongewenste medicatiegroepen
|
2.16.840.1.113883.2.4.4.1.902.122
|
CriticalExtentCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.9
|
Binding: Required
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Mild
|
255604002
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Laag
|
| Severe
|
24484000
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Hoog
|
| Geen oordeel
|
NTB
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Geen oordeel
|
HypersensitivityCategoryCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.7
|
Binding: Required
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Propensity to adverse reactions to food
|
418471000
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Voedselallergeen
|
| Propensity to adverse reactions to drug
|
419511003
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Geneesmiddel
|
| Propensity to adverse reaction to occupational allergen
|
157541000146109
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Beroepsallergeen
|
| Propensity to adverse reaction to inhalation allergen
|
157521000146103
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Inhalatieallergeen
|
| Propensity to adverse reaction to contact allergen
|
157531000146101
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Contactallergeen
|
| Propensity to adverse reaction to insect venom
|
157511000146108
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Insectengifallergeen
|
HypersensitivityStatusCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.8
|
Binding: Required
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Active
|
55561003
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Actief
|
| Inactive
|
73425007
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Inactief
|
WayOfDeterminationCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.4.1
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Vastgesteld op basis van het klinisch beeld en aanvullend onderzoek
|
NTB
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Vastgesteld op basis van het klinisch beeld en aanvullend onderzoek
|
| Vastgesteld op basis van het klinisch beeld
|
NTB
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Vastgesteld op basis van het klinisch beeld
|
| Op basis van de anamnese
|
NTB
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Op basis van de anamnese
|
This information model in other releases
Information model references
This information model refers to
This information model is used in
- --
Technical specifications in HL7v3 CDA and HL7 FHIR
To exchange information based on health and care information models, additional, more technical specifications are required.
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
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Prerelease 2023-1
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
This page is generated on 31/10/2023 18:35:42 with ZibExtraction v. 9.3.8704.31782
