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This section outlines the key use cases supported by the work delivered in this project.

It describes the ways in which a user (clinician, information manager, or other) interacts with a system, and it presents the expected behaviors of a system that applies the solutions (methods, model, subsets etc.) that are outcomes of this project.

This section should focus on the benefits that the systems are intended to provide, or the tasks that they are intended to support - more than focus on describing system functionalities.

Notes on target audience for this chapter:

  • All audiences described for this guide should be able to read this section to understand how the deliverables of this work is expected to work.

Allergic, hypersensitive, and intolerant reactions can be avoided by preventing the prescription or and administration of, or exposure to known trigger substances. The proper documentation of known allergic, hypersensitivity, or intolerance episodes is critical to making this knowledge available at the point of care and supporting decision-making that would prevent future situations. Information needs to be recorded with the right level of detail and context to support these processes

This page summarizes the key use cases covered by this guide. See section 4.3 for detailed examples. 

Use Case 1: Documentation of Information Related to Allergy, Hypersensitivity, and Intolerance

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Scenario 1.1: Documentation of an adverse reaction to a drug substance

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SNOMED CT can be used to document drug allergies in the allergy list and serve as an alert trigger to providers. This will allow providers to quickly and accurately identify drugs that a patient may be allergic to, for instance as they prescribe. SNOMED CT is used to identify potential allergy triggers in the patient's medical history and assist providers in determining the safest and most effective treatment options for the patient.

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Healthcare providers should be able to record the details of a patient's food intolerance accurately. This information includes the type of food, examination results, signs, and symptoms produced by the intolerance, time frames, etc., allowing for clear and consistent documentation and communication between healthcare providers. This can improve patient care by facilitating a more accurate understanding of intolerance events and facilitating the identification of potential risk factors. Additionally, the use of SNOMED CT can support research and data analysis on food intolerance, food allergies and cross reactivities.

Scenario 1.4: Documentation of animal allergy

Healthcare providers should be able to record the details of a patient's animal accurately. This information includes the type of animal, exposure, examination results, signs and symptoms produced by the allergy, time frames, etc., allowing for clear and consistent documentation and communication between healthcare providers. This can improve patient care by facilitating a more accurate understanding of intolerance his/her environmental allergic events and facilitating the identification of potential risk factors /situations. Additionally, the use of SNOMED CT can support research and data analysis on animal allergy.

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SNOMED CT can be used to document non-medicinal substance allergies in the allergy list, which can cross-react with ingredients of medications or be an excipient in medications andthus serve as an alert to providers when prescribing a drug treatment. This will allow providers to quickly and accurately identify drug classes or specific branded drugsor drug forms a patient may be allergic to based on previously recorded allergies to non-medicinal ingredients. SNOMED CT is used to identify potential allergy triggers in the patient's medical history and assist providers in determining the safest and most effective treatment options for the patient.

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Healthcare providers should be able to record allergic reactions to other non-medicinal substances accurately. This information includes the type of non-medicinal substance, examination results, signs, and symptoms produced by the reaction, time frames, etc., allowing for clear and consistent documentation and communication between healthcare providers. This can improve patient care and general life by facilitating a more accurate understanding of allergic reactions and facilitating the identification of potential risk factors, situations or products to avoid in everyday life or protection equipment needed during professional exposure. Additionally, the use of SNOMED CT can support research and data analysis on allergic reactions.

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Healthcare providers should be able to record when a patient reports that he/she has no allergy history, with the data and time of the report.

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Scenario 3.1: Potential adverse reaction alerts

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Electronic health records should be able to

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leverage the stored information to run clinical decision support systems

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to alert clinicians of potential adverse reactions due to allergy, hypersensitivity and intolerance.