Hello, Thus far for provincial implementations we are leveraging product and substance concepts to document allergens. We seek to align to FHIR concepts for allergy where applicable and required and also looking to leverage the
IPS AllergyIntolerance
value set which uses concepts from:all descendants of 762766007 | Edible substance (substance); all descendants of 406455002 | Allergen class (substance); all descendants of 425620007 | Metal (substance); all descendants of 373873005 | Pharmaceutical / biologic product (product).
The FHIR example terminology bindings for the allergeny intolerance code uses codes from all these hierchies.
Include codes from
snomed.info/sct where concept is-a 418038007 (Propensity to adverse reactions to substance)
•Include codes from
snomed.info/sct where concept is-a 267425008 (Lactose intolerance)
•Include codes from
snomed.info/sct where concept is-a 29736007 (Syndrome of carbohydrate intolerance)
•Include codes from
snomed.info/sct where concept is-a 340519003 (Lysine intolerance)
•Include codes from
snomed.info/sct where concept is-a 190753003 (Sucrose intolerance)
•Include codes from
snomed.info/sct where concept is-a 413427002 (Acquired fructose intolerance)
•Include codes from
snomed.info/sct where concept is-a 716186003 (No known allergy)
Would recommend that there should be solicited feedback from other Ontario/CA stakeholders such as OHA members (hospitals), HIS vendors to fully assess potential impact of such change being proposed. Thank you.