Looking for a good recommendation on how to indicate a “Fatal” severity.
Background: We currently collect allergy severity that is closer to the C-CDA specs which includes Fatal. There’s a concern is we try to do a mapping of “Fatal” to “Severe” that we would lose the significant risk this value has with the patient.
From what I understand reading the specs –
• Severity has a Required binding – can only be Mild | Moderate | Severe
• Because of the Required binding, expanding on this value set would be frowned upon
The only thing I can think of doing would to –
• Utilize a Note or Description field to indicate this Severity, or
• Add some sort of “extension” within the reaction element
My first preference would be to extend the severity value set that would closer match the C-CDA specs; which includes 6 values.