Provisional Allergies - Terminology edition

[davidmiller]

Raised in discussion today - is "provisional" the correct terminology for an allergy that has not been confirmed?

Thoughts from all please - I have no opinions on this!

Pings:

@7575colli @jonnylambourne @michaeledwardmarks @GabPoll @ollyharvey @drcjar @sbhatt @wai2k @

[wai2k]

This is really one for nhshackday google group. Loads of knowledgable people there. Does Carl not know the answer.

On CDR on believe the term is 'suspected'

[wai2k]

http://www.hl7.org/implement/standards/fhir/allergyintolerance.html

Might be useful.

or if you want to use openEHR archetypes

http://www.openehr.org/ckm/ Search: 'Adverse Reaction'

On 30 April 2014 22:05, Wai Keong Wong wongwaikeong@gmail.com wrote:

This is really one for nhshackday google group. Loads of knowledgable people there. Does Carl not know the answer.

On CDR on believe the term is 'suspected'

On 30 Apr 2014, at 21:19, David Miller notifications@github.com wrote:

Raised in discussion today - is "provisional" the correct terminology for an allergy that has not been confirmed?

Thoughts from all please - I have no opinions on this!

Pings:

@7575colli https://github.com/7575colli @jonnylambournehttps://github.com/jonnylambourne @michaeledwardmarks https://github.com/michaeledwardmarks @GabPollhttps://github.com/GabPoll @ollyharvey https://github.com/ollyharvey @drcjarhttps://github.com/drcjar @sbhatt https://github.com/sbhatt @wai2k https://github.com/wai2k @

— Reply to this email directly or view it on GitHubhttps://github.com/openhealthcare/elcid/issues/222 .

[jonnylambourne]

agreed provisional not quite the right term (applies ok to 'condition', as the diagnosis is usually 'provisional pending investigation' - this is less often the case with allergy

terms could be: 'unconfirmed' or 'possible', reflecting uncertainty always useful to have some capacity to enter free text (as is the case on CDR) e.g. allergy = penicillin - 'unconfirmed' - mother reports rash in childhood

[7575colli]

I discussed with Preet who's preference, like mine is 'suspected'

[wai2k]

My take is that you should sync with the HL7 terms and/or CDR for future data interoperability purposes

On 7 May 2014, at 21:58, 7575colli notifications@github.com wrote:

I discussed with Preet who's preference, like mine is 'suspected'

— Reply to this email directly or view it on GitHub.

[michaeledwardmarks]

The HL7 terms are: suspected A suspected sensitivity to a substance. confirmed The sensitivity has been confirmed and is active. refuted The sensitivity has been shown to never have existed. resolved The sensitivity used to exist but no longer does.

Suggest we use these which would be in agreement with @7575colli and @wai2k

[jonnylambourne]

agreed

---

From: Michael Marks notifications@github.com To: openhealthcare/elcid elcid@noreply.github.com Cc: jonnylambourne jonnylambourne@yahoo.com Sent: Thursday, May 8, 2014 10:23 PM Subject: Re: [elcid] Provisional Allergies - Terminology edition (#222)

The HL7 terms are: suspected A suspected sensitivity to a substance. confirmed The sensitivity has been confirmed and is active. refuted The sensitivity has been shown to never have existed. resolved The sensitivity used to exist but no longer does. Suggest we use these which would be in agreement with @7575colli and @wai2k — Reply to this email directly or view it on GitHub.

[wai2k]

Agreed!

On 8 May 2014 22:23, Michael Marks notifications@github.com wrote:

The HL7 terms are: suspected A suspected sensitivity to a substance. confirmed The sensitivity has been confirmed and is active. refuted The sensitivity has been shown to never have existed. resolved The sensitivity used to exist but no longer does.

Suggest we use these which would be in agreement with @7575collihttps://github.com/7575colliand @wai2k https://github.com/wai2k

— Reply to this email directly or view it on GitHubhttps://github.com/openhealthcare/elcid/issues/222#issuecomment-42608121 .

[7575colli]

Agreed

Kind regards,

Steve Collins

OPAT Lead Clinical Nurse Specialist, UCLH

Direct line telephone:02034567890 | Mobile:07535 327416 | Email:Steve.Collins@uclh.nhs.uk Hospital for Tropical Diseases, Outpateint Parenteral Antimicrobial Therapy, Mortimer Market Clinic, Capper Street, London WC1E 6JB We are committed to delivering top-quality patient care, excellent education and world class research safety kindness teamwork improving UCLH website | Media | Become a member |Support our charities | Contact UCLH Find us on Facebook | Follow us on Twitter |Subscribe on YouTube

On 8 May 2014, at 22:38, "jonnylambourne" notifications@github.com wrote:

agreed

---

From: Michael Marks notifications@github.com To: openhealthcare/elcid elcid@noreply.github.com Cc: jonnylambourne jonnylambourne@yahoo.com Sent: Thursday, May 8, 2014 10:23 PM Subject: Re: [elcid] Provisional Allergies - Terminology edition (#222)

The HL7 terms are: suspected A suspected sensitivity to a substance. confirmed The sensitivity has been confirmed and is active. refuted The sensitivity has been shown to never have existed. resolved The sensitivity used to exist but no longer does. Suggest we use these which would be in agreement with @7575colli and @wai2k — Reply to this email directly or view it on GitHub. — Reply to this email directly or view it on GitHub.

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[davidmiller]

Changed on elcid-opat!