Stream: implementers
Topic: Allergy Risk
Jose Costa Teixeira (Mar 24 2020 at 11:25):
Where do we capture "exposure to this substance can put the patient in anaphylactic shock?"
Jason Walonoski (Mar 24 2020 at 13:06):
AllergyIntolerance.reaction
Rob Hausam (Mar 24 2020 at 13:41):
@Jason Walonoski No, AllergyIntolerance.reaction is for "I was given this drug and I developed anaphylactic shock". We don't actually have anything that fully corresponds to what @Jose Costa Teixeira is asking for, because it's rather unpredictable what reaction will occur on a particular future exposure, regardless of how high the risk. It could be that on the first exposure I got a rash, but with the second exposure I did develop anaphylactic shock - or even vice versa. So what we have to capture that risk of a serious or life-threatening reaction (including but not limited to anaphylactic shock) is AllergyIntolerance.criticality.
Jose Costa Teixeira (Mar 24 2020 at 13:43):
yes, correct. Problem with critiality is that it is a code. We can say this allergy is serious, but we don't know if that seriousness means "blindness", "death if no epipen" or "patient will get really upset".
Rob Hausam (Mar 24 2020 at 14:05):
Yes, but that does reflect reality - we don't know what the future reaction is going to be. Something like "patient will get really upset" at best would be indicating some kind of intolerance (although that's a stretch), but it definitely wouldn't be considered high criticality. I think that would need to be recorded as a patient preference and/or a flag - something like that.
Last updated: Apr 12 2022 at 19:14 UTC
