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Enhancement
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Resolution: Done
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Minor
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None
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None
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Device, Adverse Event, Device, Allergy, Device, Intolerance, Diagnostic Study, Adverse Event, Diagnostic Study, Intolerance, Immunization, Allergy, Immunization, Intolerance, Intervention, Adverse Event, Intervention, Intolerance, Laboratory Test, Adverse Event, Laboratory Test, Intolerance, Medication, Adverse Effects, Medication, Allergy, Medication, Intolerance, Procedure, Adverse Event, Procedure, Intolerance, Substance, Adverse Event, Substance, Allergy, Substance, Intolerance
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Clarify representation of allergy, intolerance and adverse event concepts. Also allow measure developers to specify type or severity of allergy rather than just describing a generic type of reaction. The current QDM specification is too generic.
EHR systems and interoperability standards address allergy, intolerance and adverse events as classes rather than subcomponents of other categories as expressed in QDM. To be consistent with workflow QDM should address the concepts in the same way. As existing standards combine Allergy/Intolerance and separately address Adverse Reactions, QDM should do the same. That means removing existing QDM datatypes that address allergy, intolerance or adverse events/effects and add 2 datatypes: Allergy/Intolerance and Adverse Events. And add attributes: Substance (causative agent), Type (type of allergy), Onset dateTime and Abatement dateTime.