| Code | Display | Definition |
| KPS.B.DE.1 |
Agent or Allergen |
Substance to which the patient has a hypersensitivity (drug, food, chemical, etc.) |
| KPS.B.DE.2 |
Allergy Description |
Narrative description of the allergy or intolerance |
| KPS.B.DE.3 |
Type of Propensity |
Describes if this is an allergy, intolerance, or unknown |
| allergy |
Allergy |
Hypersensitive reaction(s) to a substance (Type I or similar) |
| intolerance |
Intolerance |
Adverse reactions not judged to be allergy-like |
| unknownPropensity |
Unknown |
Cannot determine if allergy or intolerance |
| KPS.B.DE.4 |
Allergy Manifestation |
Description of clinical signs like angioedema or anaphylaxis |
| KPS.B.DE.5 |
Severity |
Severity of the reaction |
| severe |
Severe |
Causes severe physiological effects |
| moderate |
Moderate |
Causes moderate physiological effects |
| mild |
Mild |
Causes mild physiological effects |
| KPS.B.DE.6 |
Criticality |
Potential for life-threatening adverse reactions |
| KPS.B.DE.7 |
Onset Date |
Date when allergy was observed |
| onsetAge |
Onset Age |
Age of patient when allergy began |
| KPS.B.DE.8 |
End Date |
Date when allergy was resolved |
| KPS.B.DE.9 |
Allergy Status |
Current allergy status |
| active |
Active |
Currently at risk |
| inactive |
Inactive |
No longer at risk |
| resolved |
Resolved |
Clinically resolved by testing or re-exposure |
| KPS.B.DE.10 |
Allergy Certainty |
Certainty of allergy assertion |
| confirmedAllergy |
Confirmed |
High certainty, e.g., test confirmed |
| unconfirmedAllergy |
Unconfirmed |
Low certainty |
| refutedAllergy |
Refuted |
Disproven through clinical review |
| enteredInError |
Entered in Error |
Mistakenly entered record |
| KPS.B.DE.11 |
Healthcare Alert Description |
Narrative for any critical medical alert |
| alertCode |
Alert Code |
Code to represent the alert |
| lowPriority |
Low Priority |
Low clinical importance |
| mediumPriority |
Medium Priority |
Moderate clinical importance |
| highPriority |
High Priority |
High clinical importance |
| alertStatusActive |
Active |
Currently applicable alert |
| alertStatusInactive |
Inactive |
Alert no longer applies |
| alertStatusError |
Entered in Error |
Invalid alert entry |
| KPS.B.DE.12 |
Problem Description |
Previously resolved, inactive, or closed problems |
| KPS.B.DE.13 |
Problem Onset Date |
Date when problem started |
| KPS.B.DE.14 |
Problem End Date |
Resolution date of problem |
| KPS.B.DE.15 |
Resolution Circumstances |
Narrative for how the problem was resolved |
| KPS.B.DE.16 |
Medical History |
Anamnesis and relevant narrative |
| KPS.B.DE.17 |
Problem/Condition |
Currently relevant conditions |
| clinicalStatusActive |
Active |
Currently experiencing symptoms |
| clinicalStatusRecurrence |
Recurrence |
Reappearance of a previously resolved condition |
| clinicalStatusRelapse |
Relapse |
Return of condition after improvement |
| confirmed |
Confirmed |
Sufficient evidence |
| unconfirmed |
Unconfirmed |
Insufficient evidence |
| differential |
Differential |
Possible diagnoses |
| conditionCategoryEncounter |
Encounter Diagnosis |
Diagnosed during an encounter |
| conditionCategoryProblem |
Problem List Item |
Ongoing/chronic condition |
| conditionSeveritySevere |
Severe |
Significantly limits function |
| conditionSeverityModerate |
Moderate |
Notable impact on daily life |
| conditionSeverityMild |
Mild |
Minimal impact |
| bodySite |
Body Site |
Anatomical location |
| KPS.B.DE.18 |
Current Condition Onset Date |
Date of condition onset |
| onsetAgeCondition |
Onset Age |
Age at onset of condition |
| KPS.B.DE.19 |
Diagnosis Assertion Status |
Certainty of diagnosis |
| KPS.B.DE.20 |
Social History Observation |
Health-relevant lifestyle observations |
| KPS.B.DE.21 |
Social History Reference Date Range |
Time span of the observation |
| KPS.B.DE.22 |
Pregnancy Status |
Pregnancy state of a woman |
| KPS.B.DE.23 |
Pregnant |
Confirmed pregnancy |
| KPS.B.DE.24 |
Not Pregnant |
Not currently pregnant |
| KPS.B.DE.25 |
Possible/Unknown Pregnancy |
Pregnancy unknown |
| KPS.B.DE.26 |
Observation Date |
Date of pregnancy state observation |
| KPS.B.DE.27 |
Expected Delivery Date |
Due date of the pregnancy |
| KPS.B.DE.28 |
Previous Pregnancies Status |
Whether the woman had previous pregnancies |
| KPS.B.DE.29 |
Yes |
Previous pregnancies confirmed |
| KPS.B.DE.30 |
No |
No previous pregnancies |
| KPS.B.DE.31 |
Unknown |
Status unknown |
| KPS.B.DE.32 |
Outcome Date |
Date of pregnancy outcome |
| KPS.B.DE.33 |
Outcome |
Outcome of the pregnancy |
| liveBirth |
Live |
Live birth |
| preterm |
Pre-term |
Born before 37 weeks |
| term |
Term |
Born at 37–42 weeks |
| postterm |
Post Term |
≥42 weeks |
| stillLiving |
Still Living |
Baby is currently alive |
| inducedAbortion |
Induced Abortion |
Medically terminated |
| spontaneousAbortion |
Spontaneous Abortion |
Miscarriage |
| ectopicPregnancy |
Ectopic Pregnancy |
Pregnancy outside the uterus |
| molarPregnancy |
Molar Pregnancy |
Gestational trophoblastic disease |
| stillbirth |
Still-birth |
Loss ≥20 weeks |
| KPS.B.DE.34 |
Number of Children |
Children in the specific pregnancy |
| KPS.B.DE.35 |
Travel Destination |
Place visited |
| KPS.B.DE.36 |
Travel Period |
Date of entry and departure |