Allergy & Intolerance substance September 2017 ballot outline

Statement of problem

Substance codes too numerous to manage effectivley; specifically, C-CDA UI design message validation correct level of specificity errors based on

Goal: short list, heuristic easy to pick 99% of time easy to validate also correct level of specificity based on immunological understanding of cross-reactivity omit junk (fish, seafood)

Considerations not pharmacovigilance. compare FHIR properties. length - ask about useful length system tbd. so far realm-specific.

collection describe data (period, source) string not code. prior to map. therefore some junk. duplication weighting distribution mapping threshold. junk, significance.

issues found boundaries: caffeine, eggs, herbals: no system. if rxnorm, else sct biologics - blood religious. vaccine: cvx too specific (russ . . .) salts no classes: NDF criteria not cross-reactive; use SCT. check Goss. route: salicylates, iodine, cross-reactive: penicillin redefine clinical: iodine, contrast. Keep iodine topical, iodine contrast(?), add high-osmolality metal, influenza, kinds of tape

QA process heuristic multiples ballot

findings list dispersion by institution top X% in Y#