1---2name: allergies-immunizations3description: Generate allergy intolerances with SNOMED codes, reactions, severity, and criticality; plus immunization records with CVX codes, pediatric vaccine schedules. Use when user mentions allergies, immunizations, vaccines, allergy intolerance, penicillin allergy, anaphylaxis, or vaccination.4---5
6# Allergies and Immunizations
7
8## Allergy Intolerance
9- Types: allergy, intolerance. Categories: food, medication, environment, biologic.
10- Common allergies with proper SNOMED codes:
11 * Penicillin (91936005), Sulfonamide (387406002), Aspirin (387458008)
12 * Latex (111088007), Peanut (91935009), Shellfish (227037002), Egg (91930004)
13 * Bee venom (288328004), Dust mite (260147004), Pollen (256259004)
14- Reactions with manifestation codes: Urticaria (126485001), Anaphylaxis (39579001),
15 Angioedema (41291007), Rash (271807003), Nausea (422587007), Dyspnea (267036007)
16- Criticality: low, high, unable-to-assess.
17- Clinical status: active, inactive, resolved. Verification: confirmed, unconfirmed.
18- Include patients with NKDA (No Known Drug Allergies) using code 716186003.
19
20## Immunizations
21- Common vaccines with proper CVX codes (http://hl7.org/fhir/sid/cvx):
22 * Influenza (140, 150, 161), COVID-19 mRNA (207, 208, 211, 213, 228, 229, 230, 300, 301),
23 * Tdap (115), Td (138), MMR (03), Varicella (21), Hepatitis B (43, 44, 45),
24 * Pneumococcal (33, 109, 133, 152, 215, 216), Shingrix (187), HPV (62, 165),
25 * Polio (10, 89), Rotavirus (116, 119), DTaP (20, 106, 107, 110)
26- Status: completed, entered-in-error, not-done.
27- For not-done: include statusReason (immunity, medical-precaution, patient-objection, etc.)
28- Site: Left arm (LA), Right arm (RA), Left thigh (LT), etc.
29- Route: Intramuscular (C28161), Subcutaneous (C38299), Oral (C38288).
30- Include occurrenceDateTime and recorded date.
31- Pediatric patients: generate age-appropriate vaccine schedules per CDC guidelines.
32