Re: [Health-dev] [task #12912] Automatic retrieval of patient allergies

[Luis Falcon]

Hi Andrew !
On 11/05/2013 03:00 PM, address@hidden wrote:
> Hello Luis
> 
> Thanks for the feedback!
> 
> I agree that the SNOMED CT coding system 
> is only available as a free download in certain countries and so cannot be 
> considered for GNU Health at the moment.
> 
> I searched the ICD-10 pathology 
> section with "allergic" "allergy" "intolerance" and "adverse reaction" and 
> this 
> revealed a few more descriptions and codes which may need to be linked.
But we have to make a difference between allergies (a true immune system
triggered reaction ) and intolerance. So, for example, some people with
malabsorption syndromes usually are have some sort of food intolerance,
but are not necessarily allergic.
> 
> One 
> important code is Z88.0 - personal history of allergy to penicillin. 
Yes. That's, of course, included. I actually highlighted it on the
screenshot to make sure we don't miss it :)
> 
> Might it 
> be possible for all penicillin medication products to be flagged with this 
> code 
> in the medicament database table "adverse reaction" field. If so, it might 
> then 
> be possible to develop some decision support functionality which could check 
> the patient's allergy code with the drug database adverse reaction code. If 
> they match then a pop up warning could appear to warn the prescriber. 
> 
> "!!! 
> This patient is allergic to penicillin. Please cancel prescription or proceed 
> with extreme caution !!!"
> 
Absolutely. That is one of the beauties of having the disease groups. So
now, we can integrate another check, and that is the drug allergies.
> This might be a bit ambitious for the short term 
> development plan but it would be good to include it in the medium term plan 
> :-)
We are there, this functionality will be included in the 2.4 series :)

Thanks a lot again for your very important contributions !

Best,
> 
> 
> Regards
> 
> Andrew
> 
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