Representing Patient Allergies and Intolerances; Food Substances

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Standard	SNOMED CT®	Final	Production		No	Free	N/A

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
Feedback is requested as to the extent the suggested value sets using SNOMED CT parent and child codes for food allergens are sufficient to meet the needs for starter value set.	Adverse Clinical Reaction (2.16.840.1.113883.3.2074.1.1.30) (SNOMED CT® value set) Propensity to adverse reactions to food (disorder) (SNOMEDCT 418471000) is parent SNOMED CT code to: Food allergy (disorder) (SNOMEDCT 414285001) Food intolerance (disorder) (SNOMEDCT 235719002) Food Allergen (2.16.840.1.113762.1.4.1156.1) (SNOMED CT® value set-Steward Partners Healthcare) Common dietary substances for allergy and intolerance documentation (2.16.840.1.113762.1.4.1186.3) (SNOMED CT® value set-Steward HL7 Patient Care Work Group)

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

Feedback is requested as to the extent the suggested value sets using SNOMED CT parent and child codes for food allergens are sufficient to meet the needs for starter value set.

Adverse Clinical Reaction (2.16.840.1.113883.3.2074.1.1.30) (SNOMED CT® value set)
Propensity to adverse reactions to food (disorder) (SNOMEDCT 418471000) is parent SNOMED CT code to:
- Food allergy (disorder) (SNOMEDCT 414285001)
- Food intolerance (disorder) (SNOMEDCT 235719002)
Food Allergen (2.16.840.1.113762.1.4.1156.1) (SNOMED CT® value set-Steward Partners Healthcare)
Common dietary substances for allergy and intolerance documentation (2.16.840.1.113762.1.4.1186.3) (SNOMED CT® value set-Steward HL7 Patient Care Work Group)

Comment

Submitted by mattreid on 2020-03-26

The AMA requests that the…

The AMA requests that the Current Procedural Terminology (CPT) code set be added to the standards listed in Section I: Representing Patient Allergies and Intolerances; Food Substances. The Allergy and Clinical Immunology CPT codes (95004 – 95199) identify patient assessment and intervention for allergy testing, ingestion challenge testing, and allergen immunotherapy, including food substances. CPT is a comprehensive and regularly curated uniform language that accurately describes medical, surgical, and diagnostic services and provides for reliable communication among users. It has an extremely robust and mature development process with open and transparent meetings and clinical input from national medical specialties and relevant stakeholders. It is the most widely adopted outpatient procedure code set. Use of the CPT code set is federally required under HIPAA.

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Representing Patient Allergies and Intolerances; Food Substances

Comment

The AMA requests that the…