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Allergy and Intolerances Project Update: EHR Domain Analysis Model from HL7 WG Meeting 2013

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This document outlines the significant updates from the Allergy and Intolerances Project presented at the HL7 Working Group Meeting in Atlanta, 2013. The Domain Analysis Model for Electronic Health Records (EHR) was balloted in January and May 2013 and is now ready for publication. It features various use cases related to allergies and intolerances, including observed new allergies, allergic reactions to medical devices, and reconciliation of allergy lists. Additionally, it discusses harmonization of terminology for EHR and Personal Health Records (PHR) and seeks co-sponsorship for further development.

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Allergy and Intolerances Project Update: EHR Domain Analysis Model from HL7 WG Meeting 2013

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  1. Allergy and Intolerances Project HL7 WG Meeting 2013 Atlanta Update to EHR WG

  2. Domain Analysis Model • Balloted in January and May 2013 (Informative) • Now ready for publication • Use cases: • Observed new allergy • New reported intolerance • Allergic reaction to a device • Misattribution of an allergy • Known allergy is resolved • Unable to determine triggering agent • No known history of allergy or intolerances • Allergy and intolerance information not asked • Patient documents allergy in a PHR • Reconciliation of allergy/intolerance list (new in May ballot)

  3. EHR/PHR Crosswalk • Allergy glossary harmonized with EHR glossary • Allergy and intolerances included in EHR and PHR functional models • NOTE: Preferences were moved to O & O Diet Orders DAM • Clinical models for preferences will be handled by Patient Care as a separate project

  4. Phase Two – Clinical Models • Project Scope: • Map identified class models to the RIM • Develop an implementation guide • Terminology to support clinical models • Outcome – DSTU to support exchange of allergy and intolerance clinical documentation • Seeking EHR co-sponsorship

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