ARCHETYPE Drug allergy (openEHR-EHR-EVALUATION.drugallergy.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.drugallergy.v1
ConceptDrug allergy
DescriptionDetails of an an allergy or other adverse reaction to a drug or other medicinal substance.
UseThis archetype is very closely aligned to the CfH GP2GP Drug allergy archetype and should be used to record allergies, intolerances and adverse reactions to drugs and other medicinal substances. It is designed primarily for use with in a UK primary care context but may be suitable for use within secondary care, particularly where the prime requirement is to record propensity to drug allergy for decision support purposes.
MisuseThis archetype should not be used to record adverse reactions or allergies to non-medicinal substances such as foodstuffs, pollens or animals.
PurposeTo record details of a known or suspected allergy or other adverse reaction, intolerance to a drug or medicinal substance, drug group or trade family group of drugs.
ReferencesNHS Scotland SCI-XML schema http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm

DoH, UK NHS Message Implementation Guidance, http://www.uktcregistration.nss.cfh.nhs.uk/trud3/user/guest/group/0/pack/23;jsessionid=D52317DAD88F60096DFF3113BA604F1A
Copyright© openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2012-09-12
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2012-09-12
Other Details (Language Independent)
  • References: NHS Scotland SCI-XML schema http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm DoH, UK NHS Message Implementation Guidance, http://www.uktcregistration.nss.cfh.nhs.uk/trud3/user/guest/group/0/pack/23;jsessionid=D52317DAD88F60096DFF3113BA604F1A
  • MD5-CAM-1.0.1: FBD57278DBCC612BF8FF04A47B972710
Keywordsallergy, adverse, intolerance
LifecycleInitial
Language useden
Citeable Identifier1013.1.955
protocol
Record provenanceRecord provenance: Details of the provenance of the record e.g. source, name and role of author, care setting.
Include:
openEHR-EHR-CLUSTER.record_provenance.v1 and specialisations
data
Causative agentCausative agent: Details of the agent or medicinal substance believed to be the cause of the adverse reaction or allergy.
For GP2GP V2 use, there are 4 permissible ways to express a Causative agent: Drug Group (SNOMED-CT), dm+d VMP/AMP (dm+d), Ingredient (SNOMED-CT), TradeFamily/TradeFamilyGroup (SNOMED-CT). It is MANDATORY that one and only one of these must always be selected. Optionally, in addition a SNOMED AllergyCode may be sent as a mapping, but can never be sent on its own. For legacy use other codes are permissible such as FDB Agent codes, EMIS Drug codes and READ codes.
Constraint:
CausativeAgent
[A causative agent term from one of the approved terminology subsets.]

Constraint bindings:
[DM+D]
subset=VMP/AMP
[READ]
subset=Allergy code
[SNOMED-CT]
subset=Allergy code; dm+d Ingredient; Trade family ; Trade Family Group
[FDB]
subset=Agent
[EMIS_DRUGS]
subset=Agent
ReactionReaction: An optional pre-coodinated unqualified SNOMED-CT code for the nature of the reaction produced by the drug allergy.
Constraint:
Clinical Finding
[Any SNOMED-CT term in the Clinical Finding hierarchy.]

Constraint binding:
[SNOMED-CT]
subset=ClinicalFinding
CertaintyCertainty: The certainty with which the reaction is deemed to be be due to allergy to the agent. This item has a Translation Set= Read Code (V2 or CTV3) and Snomed Code to ensure forwards and backwards compatability.
  • Unlikely [The reaction was unlikely to have been caused by the agent.]
    [SNOMED-CT::1491118016]
  • Likely [The reaction was likely to have been caused by the agent.]
    [SNOMED-CT::5961011]
  • Certain [The agent was thought to have been certain to have caused the reaction but has not been confirmed by testing.]
    [SNOMED-CT::255545003 | Definite]
  • Confirmed [The rection to the agent has been confirmed by testing.]
    [SNOMED-CT::410605003 | Confirmed present]
SeveritySeverity: The severity of the reaction.
This item has a Translation Set = Read Code (V2 or CTV3) and Snomed Code to ensure forwards and backwards compatability.
Date of onsetDate of onset: The date of onset of the reaction.
From Welsh IHR model
CommentComment: Any additional comment about the allergy.
From Welsh IHR model
Other contributorsLeo Fogarty, GP2GP project, NHS England
John Williams, GP2GP project, NHS England
Translators