Harmful or undesired physiological responses associated with exposure to a substance.

Data Element
Criticality
Description

Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
Submitted By: Sandi Mitchell / J P Systems, Inc.
Data Element Information
Use Case Description(s)
Use Case Description To ensure interoperability across the healthcare ecosystem, national standardizing bodies must align. For example, if one standard body requires allergy criticality, then all standard bodies should require that same data element.
Estimate the breadth of applicability of the use case(s) for this data element Level 1
ONC Priority
  • None of the above
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) HL7 FHIR R4 Allergy Intolerance Criticality, Rx Norm, SNOMED CT, National Drug Code (NDC)
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality
Additional Specifications HL7 FHIR R4 Allergy Intolerance Criticality
Current Use (Level 1) Captured, stored, or accessed in at least one production EHR or HIT module
Extent of exchange (Level 1) Between two production EHRs or other HIT modules using available interoperability standards
Supporting Artifacts HL7 FHIR R4
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) None
Restrictions on Use (e.g. licensing, user fees) None
Privacy and Security Concerns Standard HIPAA concerns.
Estimate of Overall Burden Minimal burden to implement since the data element is already being exchanged. This data element impacts patient safety to ensure clinicians understand the criticality of the patient's allergy.
Other Implementation Challenges Educational awareness for clinicians will be necessary since this field has replaced severity in clinical practice.
ONC Evaluation Details
Each submitted Data Element has been evaluated based on the following criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Criterion #1
Maturity - Current Standards		 Level 2 - Data element is represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2
Maturity - Current Use 		Level 1 - Data element is captured, stored, or accessed in at least one production EHR or HIT module.
Criterion #3
Maturity - Current Exchange		 Level 1 - Data element is electronically exchanged between two production EHRs or other HIT modules using available interoperability standards.
Criterion #4
Use Case(s) - Breadth of Applicability		 Level 2 - Use cases apply to most care settings or specialties.

Comment

Log in or register to post comments