1357 lines
35 KiB
JSON
1357 lines
35 KiB
JSON
{
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"name": "Allergy Incidence",
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"remarks": [
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"This submodule onsets various allergies and is intended to be called ",
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"by the main allergies module."
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],
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"states": {
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"Initial": {
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"type": "Initial",
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"direct_transition": "Chance_of_Peanut_Allergy"
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},
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"Chance_of_Peanut_Allergy": {
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"type": "Simple",
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"remarks": [
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"======================================================================",
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" PEANUT ALLERGY ",
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"======================================================================",
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"Allergy to peanuts and tree nuts in the general population is, respectively, 0.6 percent and 0.4 percent, ",
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"with the rate in children under age 18 (0.8 percent and 0.2 percent) slightly different from adults (0.6 percent and 0.5 percent respectively). "
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],
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"complex_transition": [
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{
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"condition": {
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"condition_type": "Attribute",
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"attribute": "atopic",
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"operator": "is not nil"
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},
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"distributions": [
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{
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"distribution": 0.25,
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"transition": "Peanut_Allergy"
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},
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{
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"distribution": 0.75,
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"transition": "Chance_of_TreeNut_Allergy"
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}
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]
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},
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{
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"distributions": [
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{
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"distribution": 0.006,
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"transition": "Peanut_Allergy"
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},
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{
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"distribution": 0.994,
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"transition": "Chance_of_TreeNut_Allergy"
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}
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]
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}
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]
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},
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"Peanut_Allergy": {
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"type": "AllergyOnset",
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"allergy_type": "allergy",
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"category": "food",
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"target_encounter": "Allergist_Initial_Visit",
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"assign_to_attribute": "food_allergy",
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"codes": [
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{
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"system": "SNOMED-CT",
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"code": "762952008",
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"display": "Peanut (substance)"
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}
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],
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"reactions": [
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "49727002",
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"display": "Cough (finding)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.21
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},
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{
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"level": "none",
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"value": 0.79
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "402387002",
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"display": "Allergic angioedema (disorder)"
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},
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"possible_severities": [
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{
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"level": "moderate",
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"value": 0.58
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},
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{
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"level": "none",
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"value": 0.42000000000000004
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "267036007",
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"display": "Dyspnea (finding)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.4
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},
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{
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"level": "none",
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"value": 0.6
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "247472004",
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"display": "Wheal (finding)"
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},
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"possible_severities": [
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{
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"level": "moderate",
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"value": 0.67
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},
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{
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"level": "none",
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"value": 0.32999999999999996
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "39579001",
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"display": "Anaphylaxis (disorder)"
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},
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"possible_severities": [
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{
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"level": "severe",
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"value": 0.18
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},
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{
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"level": "none",
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"value": 0.8200000000000001
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "271807003",
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"display": "Eruption of skin (disorder)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.32
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},
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{
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"level": "none",
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"value": 0.6799999999999999
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "300359004",
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"display": "Finding of vomiting (finding)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.27
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},
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{
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"level": "none",
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"value": 0.73
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "62315008",
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"display": "Diarrhea (finding)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.13
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},
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{
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"level": "none",
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"value": 0.87
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "56018004",
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"display": "Wheezing (finding)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.37
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},
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{
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"level": "none",
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"value": 0.63
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}
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]
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}
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],
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"direct_transition": "Chance_of_TreeNut_Allergy"
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},
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"Chance_of_TreeNut_Allergy": {
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"type": "Simple",
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"remarks": [
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"======================================================================",
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" NUT ALLERGY ",
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"======================================================================",
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"Allergy to peanuts and tree nuts in the general population is, respectively, 0.6 percent and 0.4 percent, ",
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"with the rate in children under age 18 (0.8 percent and 0.2 percent) slightly different from adults (0.6 percent and 0.5 percent respectively). "
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],
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"complex_transition": [
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{
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"condition": {
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"condition_type": "Attribute",
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"attribute": "atopic",
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"operator": "is not nil"
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},
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"distributions": [
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{
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"distribution": 0.25,
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"transition": "TreeNut_Allergy"
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},
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{
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"distribution": 0.75,
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"transition": "Chance_of_Fish_Allergy"
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}
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]
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},
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{
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"distributions": [
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{
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"distribution": 0.004,
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"transition": "TreeNut_Allergy"
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},
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{
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"distribution": 0.996,
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"transition": "Chance_of_Fish_Allergy"
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}
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]
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}
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]
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},
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"TreeNut_Allergy": {
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"type": "AllergyOnset",
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"allergy_type": "allergy",
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"category": "food",
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"target_encounter": "Allergist_Initial_Visit",
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"assign_to_attribute": "food_allergy",
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"codes": [
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{
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"system": "SNOMED-CT",
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"code": "442571000124108",
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"display": "Tree nut (substance)"
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}
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],
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"reactions": [
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "49727002",
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"display": "Cough (finding)"
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},
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"possible_severities": [
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{
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"level": "moderate",
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"value": 0.4
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},
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{
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"level": "none",
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"value": 0.6
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "402387002",
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"display": "Allergic angioedema (disorder)"
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},
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"possible_severities": [
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{
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"level": "moderate",
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"value": 0.91
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},
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{
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"level": "none",
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"value": 0.08999999999999997
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "267036007",
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"display": "Dyspnea (finding)"
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},
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"possible_severities": [
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{
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"level": "moderate",
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"value": 0.48
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},
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{
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"level": "none",
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"value": 0.52
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "247472004",
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"display": "Wheal (finding)"
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},
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"possible_severities": [
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{
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"level": "moderate",
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"value": 0.98
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},
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{
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"level": "none",
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"value": 0.020000000000000018
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "39579001",
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"display": "Anaphylaxis (disorder)"
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},
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"possible_severities": [
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{
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"level": "severe",
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"value": 0.74
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},
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{
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"level": "none",
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"value": 0.26
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "271807003",
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"display": "Eruption of skin (disorder)"
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},
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"possible_severities": [
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{
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"level": "moderate",
|
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"value": 0.98
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|
},
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|
{
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"level": "none",
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"value": 0.020000000000000018
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}
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]
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},
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{
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|
"reaction": {
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|
"system": "SNOMED-CT",
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"code": "300359004",
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"display": "Finding of vomiting (finding)"
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|
},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.24
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},
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{
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"level": "none",
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"value": 0.76
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "878820003",
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"display": "Rhinoconjunctivitis (disorder)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.33
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},
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{
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"level": "none",
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"value": 0.6699999999999999
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "418290006",
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"display": "Itching (finding)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.9
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},
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{
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"level": "none",
|
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"value": 0.09999999999999998
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}
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]
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}
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],
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"direct_transition": "Chance_of_Fish_Allergy"
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},
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"Chance_of_Fish_Allergy": {
|
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"type": "Simple",
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"remarks": [
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"======================================================================",
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" FISH ALLERGY ",
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|
"======================================================================",
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"The prevalence of seafood allergy in the general population is 0.4 percent to fish, 2.0 percent to shellfish and 0.2 percent to both.",
|
|
"Seafood allergy is less common in children (0.6 percent) than adults (2.8 percent). "
|
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],
|
|
"complex_transition": [
|
|
{
|
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"condition": {
|
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"condition_type": "Attribute",
|
|
"attribute": "atopic",
|
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"operator": "is not nil"
|
|
},
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.25,
|
|
"transition": "Fish_Allergy"
|
|
},
|
|
{
|
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"distribution": 0.75,
|
|
"transition": "Chance_of_Shellfish_Allergy"
|
|
}
|
|
]
|
|
},
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{
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"distributions": [
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{
|
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"distribution": 0.004,
|
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"transition": "Fish_Allergy"
|
|
},
|
|
{
|
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"distribution": 0.996,
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"transition": "Chance_of_Shellfish_Allergy"
|
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}
|
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]
|
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}
|
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]
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},
|
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"Fish_Allergy": {
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"type": "AllergyOnset",
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"allergy_type": "allergy",
|
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"category": "food",
|
|
"target_encounter": "Allergist_Initial_Visit",
|
|
"assign_to_attribute": "food_allergy",
|
|
"codes": [
|
|
{
|
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"system": "SNOMED-CT",
|
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"code": "735971005",
|
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"display": "Fish (substance)"
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}
|
|
],
|
|
"reactions": [
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "267036007",
|
|
"display": "Dyspnea (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.67
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.32999999999999996
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "271807003",
|
|
"display": "Eruption of skin (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.83
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.17000000000000004
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "300359004",
|
|
"display": "Finding of vomiting (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.33
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.6699999999999999
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "878820003",
|
|
"display": "Rhinoconjunctivitis (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.5
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.5
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"direct_transition": "Chance_of_Shellfish_Allergy"
|
|
},
|
|
"Chance_of_Shellfish_Allergy": {
|
|
"type": "Simple",
|
|
"remarks": [
|
|
"======================================================================",
|
|
" SHELLFISH ALLERGY ",
|
|
"======================================================================",
|
|
"The prevalence of seafood allergy in the general population is 0.4 percent to fish, 2.0 percent to shellfish and 0.2 percent to both.",
|
|
"Seafood allergy is less common in children (0.6 percent) than adults (2.8 percent). "
|
|
],
|
|
"complex_transition": [
|
|
{
|
|
"condition": {
|
|
"condition_type": "Attribute",
|
|
"attribute": "atopic",
|
|
"operator": "is not nil"
|
|
},
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.25,
|
|
"transition": "Shellfish_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.75,
|
|
"transition": "Chance_of_Wheat_Allergy"
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.02,
|
|
"transition": "Shellfish_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.98,
|
|
"transition": "Chance_of_Wheat_Allergy"
|
|
}
|
|
]
|
|
}
|
|
]
|
|
},
|
|
"Shellfish_Allergy": {
|
|
"type": "AllergyOnset",
|
|
"allergy_type": "allergy",
|
|
"category": "food",
|
|
"target_encounter": "Allergist_Initial_Visit",
|
|
"assign_to_attribute": "food_allergy",
|
|
"codes": [
|
|
{
|
|
"system": "SNOMED-CT",
|
|
"code": "735029006",
|
|
"display": "Shellfish (substance)"
|
|
}
|
|
],
|
|
"reactions": [
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "49727002",
|
|
"display": "Cough (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.58
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.42000000000000004
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "402387002",
|
|
"display": "Allergic angioedema (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.55
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.44999999999999996
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "267036007",
|
|
"display": "Dyspnea (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.27
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.73
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "247472004",
|
|
"display": "Wheal (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.58
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.42000000000000004
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "39579001",
|
|
"display": "Anaphylaxis (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "severe",
|
|
"value": 0.35
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.65
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "271807003",
|
|
"display": "Eruption of skin (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.82
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.18000000000000005
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "878820003",
|
|
"display": "Rhinoconjunctivitis (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.04
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.96
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "418290006",
|
|
"display": "Itching (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.57
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.43000000000000005
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "62315008",
|
|
"display": "Diarrhea (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.5
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.5
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "422587007",
|
|
"display": "Nausea (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.3
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.7
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"direct_transition": "Chance_of_Wheat_Allergy"
|
|
},
|
|
"Chance_of_Wheat_Allergy": {
|
|
"type": "Simple",
|
|
"remarks": [
|
|
"======================================================================",
|
|
" WHEAT ALLERGY ",
|
|
"======================================================================",
|
|
"Wheat allergy is different than celiac disease. There are few studies on prevalence of wheat allergy.",
|
|
"A recent study 0.4% of US adults reported an allergy to wheat diagnosed via a doctor [6]. The prevalence ",
|
|
"of wheat allergy is highest amongst children in the US, ranging from 0.4% to 1.0% of the population.",
|
|
"http://www.drschaer-institute.com/us/wheat-allergy/epidemiology-1043.html",
|
|
"Wheat allergy is typically outgrown by adulthood — about 65 percent of children with a wheat allergy ",
|
|
"will outgrow it by the time they are 12. Based on prevalences we assume that adult onset of ",
|
|
"the allergy is rare enough to ignore."
|
|
],
|
|
"complex_transition": [
|
|
{
|
|
"condition": {
|
|
"condition_type": "Attribute",
|
|
"attribute": "atopic",
|
|
"operator": "is not nil"
|
|
},
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.25,
|
|
"transition": "Wheat_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.75,
|
|
"transition": "Chance_of_Eggs_Allergy"
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.006,
|
|
"transition": "Wheat_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.994,
|
|
"transition": "Chance_of_Eggs_Allergy"
|
|
}
|
|
]
|
|
}
|
|
]
|
|
},
|
|
"Wheat_Allergy": {
|
|
"type": "AllergyOnset",
|
|
"allergy_type": "allergy",
|
|
"category": "food",
|
|
"target_encounter": "Allergist_Initial_Visit",
|
|
"assign_to_attribute": "food_allergy",
|
|
"codes": [
|
|
{
|
|
"system": "SNOMED-CT",
|
|
"code": "412071004",
|
|
"display": "Wheat (substance)"
|
|
}
|
|
],
|
|
"reactions": [
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "267036007",
|
|
"display": "Dyspnea (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.21
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.79
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "39579001",
|
|
"display": "Anaphylaxis (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "severe",
|
|
"value": 0.25
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.75
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "271807003",
|
|
"display": "Eruption of skin (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.9
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.1
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "62315008",
|
|
"display": "Diarrhea (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.21
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.79
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"direct_transition": "Chance_of_Eggs_Allergy"
|
|
},
|
|
"Chance_of_Eggs_Allergy": {
|
|
"type": "Simple",
|
|
"remarks": [
|
|
"======================================================================",
|
|
" EGG ALLERGY ",
|
|
"======================================================================",
|
|
"Experts estimate that as many as 2 percent of children are allergic to eggs. ",
|
|
"Fortunately, studies show that about 70 percent of children with an egg allergy ",
|
|
"will outgrow the condition by age 16.",
|
|
"http://acaai.org/allergies/types/food-allergies/types-food-allergy/egg-allergy",
|
|
"Based on prevalences we assume that adult onset of the allergy is rare enough to ignore."
|
|
],
|
|
"complex_transition": [
|
|
{
|
|
"condition": {
|
|
"condition_type": "Attribute",
|
|
"attribute": "atopic",
|
|
"operator": "is not nil"
|
|
},
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.25,
|
|
"transition": "Eggs_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.75,
|
|
"transition": "Chance_of_Soy_Allergy"
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.006,
|
|
"transition": "Eggs_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.994,
|
|
"transition": "Chance_of_Soy_Allergy"
|
|
}
|
|
]
|
|
}
|
|
]
|
|
},
|
|
"Eggs_Allergy": {
|
|
"type": "AllergyOnset",
|
|
"allergy_type": "allergy",
|
|
"category": "food",
|
|
"target_encounter": "Allergist_Initial_Visit",
|
|
"assign_to_attribute": "food_allergy",
|
|
"codes": [
|
|
{
|
|
"system": "SNOMED-CT",
|
|
"code": "102263004",
|
|
"display": "Eggs (edible) (substance)"
|
|
}
|
|
],
|
|
"reactions": [
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "39579001",
|
|
"display": "Anaphylaxis (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "severe",
|
|
"value": 0.09
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.91
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "271807003",
|
|
"display": "Eruption of skin (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.05
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.95
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "402387002",
|
|
"display": "Allergic angioedema (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.12
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.88
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "247472004",
|
|
"display": "Wheal (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.46
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.54
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "300359004",
|
|
"display": "Finding of vomiting (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.05
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.95
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"direct_transition": "Chance_of_Soy_Allergy"
|
|
},
|
|
"Chance_of_Soy_Allergy": {
|
|
"type": "Simple",
|
|
"remarks": [
|
|
"======================================================================",
|
|
" SOY ALLERGY ",
|
|
"======================================================================",
|
|
"Soy allergies are uncommon but closely related to peanut and milk allergies. ",
|
|
"http://www.soyconnection.com/newsletters/soy-connection/health-nutrition/articles/Estimating-Prevalence-Of-Soy-Protein-Allergy"
|
|
],
|
|
"complex_transition": [
|
|
{
|
|
"condition": {
|
|
"condition_type": "Attribute",
|
|
"attribute": "atopic",
|
|
"operator": "is not nil"
|
|
},
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.1,
|
|
"transition": "Soy_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.9,
|
|
"transition": "Chance_of_Dairy_Allergy"
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.002,
|
|
"transition": "Soy_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.998,
|
|
"transition": "Chance_of_Dairy_Allergy"
|
|
}
|
|
]
|
|
}
|
|
]
|
|
},
|
|
"Soy_Allergy": {
|
|
"type": "AllergyOnset",
|
|
"allergy_type": "allergy",
|
|
"category": "food",
|
|
"target_encounter": "Allergist_Initial_Visit",
|
|
"assign_to_attribute": "food_allergy",
|
|
"codes": [
|
|
{
|
|
"system": "SNOMED-CT",
|
|
"code": "256355007",
|
|
"display": "Glycine max (substance)"
|
|
}
|
|
],
|
|
"reactions": [
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "247472004",
|
|
"display": "Wheal (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.07
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.9299999999999999
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "300359004",
|
|
"display": "Finding of vomiting (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.5
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.5
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "62315008",
|
|
"display": "Diarrhea (finding)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "mild",
|
|
"value": 0.5
|
|
},
|
|
{
|
|
"level": "none",
|
|
"value": 0.5
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"direct_transition": "Chance_of_Dairy_Allergy"
|
|
},
|
|
"Chance_of_Dairy_Allergy": {
|
|
"type": "Simple",
|
|
"remarks": [
|
|
"======================================================================",
|
|
" DAIRY ALLERGY ",
|
|
"======================================================================",
|
|
"The prevalence of dairy/milk allergy in the general population is 1-2% for young ",
|
|
"children and 0.2-0.4% in the general population. About 80 percent of children are ",
|
|
"likely to outgrow their milk allergy before they are 16. Based on prevalence we ",
|
|
"assume that adult onset of the allergy is rare enough to ignore."
|
|
],
|
|
"complex_transition": [
|
|
{
|
|
"condition": {
|
|
"condition_type": "Attribute",
|
|
"attribute": "atopic",
|
|
"operator": "is not nil"
|
|
},
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.25,
|
|
"transition": "Dairy_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.75,
|
|
"transition": "Food_Allergy_Incidence_Terminal"
|
|
}
|
|
]
|
|
},
|
|
{
|
|
"distributions": [
|
|
{
|
|
"distribution": 0.0015,
|
|
"transition": "Dairy_Allergy"
|
|
},
|
|
{
|
|
"distribution": 0.9985,
|
|
"transition": "Food_Allergy_Incidence_Terminal"
|
|
}
|
|
]
|
|
}
|
|
]
|
|
},
|
|
"Dairy_Allergy": {
|
|
"type": "AllergyOnset",
|
|
"allergy_type": "allergy",
|
|
"category": "food",
|
|
"target_encounter": "Allergist_Initial_Visit",
|
|
"assign_to_attribute": "food_allergy",
|
|
"codes": [
|
|
{
|
|
"system": "SNOMED-CT",
|
|
"code": "3718001",
|
|
"display": "Cow's milk (substance)"
|
|
}
|
|
],
|
|
"reactions": [
|
|
{
|
|
"reaction": {
|
|
"system": "SNOMED-CT",
|
|
"code": "402387002",
|
|
"display": "Allergic angioedema (disorder)"
|
|
},
|
|
"possible_severities": [
|
|
{
|
|
"level": "moderate",
|
|
"value": 0.07
|
|
},
|
|
{
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"level": "none",
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"value": 0.9299999999999999
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "247472004",
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"display": "Wheal (finding)"
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},
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{
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"level": "mild",
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"value": 0.62
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},
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{
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"level": "none",
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"value": 0.38
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "39579001",
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"display": "Anaphylaxis (disorder)"
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},
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"possible_severities": [
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{
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"level": "severe",
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"value": 0.09
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},
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{
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"level": "none",
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"value": 0.91
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "271807003",
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"display": "Eruption of skin (disorder)"
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},
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"possible_severities": [
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{
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"level": "moderate",
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"value": 0.04
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},
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{
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"level": "none",
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"value": 0.96
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "300359004",
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"display": "Finding of vomiting (finding)"
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},
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{
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"level": "moderate",
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"value": 0.2
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},
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{
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"level": "none",
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"value": 0.8
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "62315008",
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"display": "Diarrhea (finding)"
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},
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"possible_severities": [
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{
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"level": "mild",
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"value": 0.3
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},
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{
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|
"level": "none",
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|
"value": 0.7
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}
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]
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},
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{
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"reaction": {
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"system": "SNOMED-CT",
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"code": "56018004",
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"display": "Wheezing (finding)"
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},
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{
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|
"level": "mild",
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"value": 0.1
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},
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|
{
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|
"level": "none",
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"value": 0.9
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}
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|
]
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}
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|
],
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"direct_transition": "Food_Allergy_Incidence_Terminal"
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},
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"Food_Allergy_Incidence_Terminal": {
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"type": "Terminal"
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}
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}
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} |