Stream: implementers
Topic: Medication administered in AllergyIntolerance
ravindra kondiparthi (Nov 20 2019 at 18:11):
Is there a recommendation to capture to medication administered information in AllergyIntolerance FHIR resource?
Thanks
Ravi
Lloyd McKenzie (Nov 20 2019 at 18:57):
Can you explain the context better - are you looking for the medication that caused a particular reaction and you want more than just the med - you also want dose or other info?
ravindra kondiparthi (Nov 20 2019 at 19:15):
I want to map the medication given(administered) for an allergic reaction.
Example: I have an allergic reaction because of peanuts(some other food) and doctor recommended to take medicine X .
is there a way to map medicine X in AllergyIntolerance resource?
Thanks
Ravo
Jean Duteau (Nov 20 2019 at 19:19):
No, but you can reference the reaction in the actual administration or order.
Jean Duteau (Nov 20 2019 at 19:21):
the MedicationRequest.reasonReference or MedicationAdministration.reasonReference can point to a Condition or Observation which would convey the actual reaction
ravindra kondiparthi (Nov 20 2019 at 19:34):
Thanks Jean!!
are their any plans to add AllergyIntolerance to MedicationAdministration.reasonReference? If not I have to use condition or observation to store allergy information..
Jose Costa Teixeira (Nov 20 2019 at 20:27):
So do you want to express "a patient should take this medication because they are allergic to peanuts"?
Jose Costa Teixeira (Nov 20 2019 at 20:30):
Or "a patient has taken this unplanned medication because there was an allergy"?
Jose Costa Teixeira (Nov 20 2019 at 20:30):
Because if you say "doctor recommended" then you have a medicationrequest.
Jean Duteau (Nov 20 2019 at 20:48):
@Jose Costa Teixeira i read it as "take medication X because of your reaction" and not necessarily because of the allergy itself.
@ravindra kondiparthi I don't think we'd add the AllergyIntolerance because I don't think the allergy would be the cause of the medrequest/admin. but the reaction should be. I do realize that there is a missing element because we currently can't point an allergy at the reaction
ravindra kondiparthi (Nov 20 2019 at 21:07):
Yes my use case is user reporting "took medication X because of allergy(can be peanuts..etc)"
Richard Townley-O'Neill (Nov 21 2019 at 03:31):
@ravindra kondiparthi
If you just want to say that the medicine was taken because of an allergy to peanuts, that can be said using reasonCode.
If you want to include the details of the allergy you will need to
- use an extension on MedicationAdministration based on reasonReference, called something like reasonAllergy, or
- use a Condition to hold the allergy information, and refer to it with reasonReference
I suggest you create a Jira issue to have a solution documented in R5.
Last updated: Apr 12 2022 at 19:14 UTC
