Stream: implementers
Topic: AdverseEvent for an Allergy Reaction
Will Jones (Dec 03 2018 at 15:27):
Hopefully a basic query.
Should an Allergy reaction event by recorded as an AdverseEvent resource that then references the related AllergyIntolerance resource?
Yunwei Wang (Dec 03 2018 at 15:40):
There is AllergyIntolerance.reaction
Will Jones (Dec 04 2018 at 09:24):
AllergyIntolerance.reaction is being interpreted as being used to model how severe the reaction to the allergy intolerance is rather than each event of that allergy intolerance.
Jose Costa Teixeira (Dec 09 2018 at 15:50):
AdverseEvent - Yes, AllergyIntolerance - Not really...?
Jose Costa Teixeira (Dec 09 2018 at 15:51):
AllergyIntolerance describes how someone is alergic to Polen or to Paracetamol. I think it does not describe a particular ocurrence of an allergic reaction
Richard Townley-O'Neill (Dec 09 2018 at 23:31):
The R4 definition of AllergyIntolerance.reaction is "Details about each adverse reaction event linked to exposure to the identified substance."
I would create an AllergyIntolerance with one reaction for each event of having an allergic reaction to the substance. So the resource says Allergic to Pollen, and the reactions say "on 1st Jan 2018 - rash - severe", "on 3rd March - itchy eyes - mild" etc.
Lloyd McKenzie (Dec 11 2018 at 02:13):
AllergyIntolerance.reaction is 0..*. Each repetition represents a separate reaction instance. Severity of the overall susceptability is conveyed by criticality, not anything in .reaction
Peter Jordan (Dec 11 2018 at 03:26):
My understanding is that severity is an attribute of the reaction; criticality is the degree of risk in the event of future exposure to the relevant substance.
Lloyd McKenzie (Dec 11 2018 at 03:59):
Right, but it's severity of a specific reaction instance, not in general. For "in general", all you have is criticality.
Jose Costa Teixeira (Dec 11 2018 at 04:18):
So AllergyIntolerance is both a condition and events possibly associated with that condition? Sounds strange
Lloyd McKenzie (Dec 11 2018 at 04:48):
AllergyIntolerance is a Condition and it allows for capturing a subset of data about events that provide evidence for and context for that condition.
Will Jones (Dec 11 2018 at 11:15):
Thanks for this, very useful as always!
WeiDing (Dec 11 2018 at 11:40):
What should I do if I want to store 10 patients' data into the database at once?
Lloyd McKenzie (Dec 11 2018 at 16:00):
Look at the batch or transaction operations.
Last updated: Apr 12 2022 at 19:14 UTC
