International Patient Summary Implementation Guide
1.1.0 - CI Build International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

Resource Profile: Allergy Intolerance (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips Version: 1.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: AllergyIntoleranceUvIps

This profile represents the constraints applied to the AllergyIntolerance resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the patient summary as an instance of an AllergyIntolerance resource constrained by this profile.

It documents the relevant allergies or intolerances (conditions) for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.

This profile constrains the representation of a record of an allergy or intolerance of the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
... abatement-datetime 0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... clinicalStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... criticality 0..1codelow | high | unable-to-assess
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.

Additional BindingsPurpose
Allergy Intolerance - SNOMED CT IPS Free Setcandidate
WHO ATC - IPScandidate
Absent or Unknown Allergies - IPScandidate
... patient S1..1Reference(Patient (IPS))Who the sensitivity is for
.... reference S1..1stringLiteral reference, Relative, internal or absolute URL
... onset[x] S0..1When allergy or intolerance was identified
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... manifestation S1..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).

.... severity S0..1codemild | moderate | severe (of event as a whole)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
AllergyIntolerance.codepreferredAllergyIntoleranceUvIps
Additional Bindings Purpose Documentation
Allergy Intolerance - SNOMED CT IPS Free Set candidate

Type of the substance/product, allergy or intolerance condition.

WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Absent or Unknown Allergies - IPS candidate

Absent and unknown codes for allergy or intolerance.

AllergyIntolerance.reaction.manifestationpreferredAllergyReactionSnomedCtIpsFreeSet
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance C0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... abatement-datetime 0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... criticality Σ0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.

Additional BindingsPurpose
Allergy Intolerance - SNOMED CT IPS Free Setcandidate
WHO ATC - IPScandidate
Absent or Unknown Allergies - IPScandidate
... patient SΣ1..1Reference(Patient (IPS))Who the sensitivity is for
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
... onset[x] S0..1When allergy or intolerance was identified
.... onsetDateTimedateTime
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... manifestation S1..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).


.... severity S0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.typerequiredAllergyIntoleranceType
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
AllergyIntolerance.codepreferredAllergyIntoleranceUvIps
Additional Bindings Purpose Documentation
Allergy Intolerance - SNOMED CT IPS Free Set candidate

Type of the substance/product, allergy or intolerance condition.

WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Absent or Unknown Allergies - IPS candidate

Absent and unknown codes for allergy or intolerance.

AllergyIntolerance.reaction.manifestationpreferredAllergyReactionSnomedCtIpsFreeSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance C0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... abatement-datetime 0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal ids for this item
... clinicalStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category Σ0..*codefood | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality Σ0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.

Additional BindingsPurpose
Allergy Intolerance - SNOMED CT IPS Free Setcandidate
WHO ATC - IPScandidate
Absent or Unknown Allergies - IPScandidate
... patient SΣ1..1Reference(Patient (IPS))Who the sensitivity is for
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter 0..1Reference(Encounter)Encounter when the allergy or intolerance was asserted
... onset[x] S0..1When allergy or intolerance was identified
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... recordedDate 0..1dateTimeDate first version of the resource instance was recorded
... recorder 0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the sensitivity
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Source of the information about the allergy
... lastOccurrence 0..1dateTimeDate(/time) of last known occurrence of a reaction
... note 0..*AnnotationAdditional text not captured in other fields
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... substance 0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).

.... manifestation S1..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).


.... description 0..1stringDescription of the event as a whole
.... onset 0..1dateTimeDate(/time) when manifestations showed
.... severity S0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

.... exposureRoute 0..1CodeableConceptHow the subject was exposed to the substance
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... note 0..*AnnotationText about event not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
AllergyIntolerance.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.typerequiredAllergyIntoleranceType
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
AllergyIntolerance.codepreferredAllergyIntoleranceUvIps
Additional Bindings Purpose Documentation
Allergy Intolerance - SNOMED CT IPS Free Set candidate

Type of the substance/product, allergy or intolerance condition.

WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Absent or Unknown Allergies - IPS candidate

Absent and unknown codes for allergy or intolerance.

AllergyIntolerance.patient.typeextensibleResourceType
AllergyIntolerance.reaction.substanceexampleSubstanceCode
AllergyIntolerance.reaction.manifestationpreferredAllergyReactionSnomedCtIpsFreeSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from AllergyIntolerance

Summary

Mandatory: 2 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 2

Differential View

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
... abatement-datetime 0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... clinicalStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... criticality 0..1codelow | high | unable-to-assess
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.

Additional BindingsPurpose
Allergy Intolerance - SNOMED CT IPS Free Setcandidate
WHO ATC - IPScandidate
Absent or Unknown Allergies - IPScandidate
... patient S1..1Reference(Patient (IPS))Who the sensitivity is for
.... reference S1..1stringLiteral reference, Relative, internal or absolute URL
... onset[x] S0..1When allergy or intolerance was identified
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... manifestation S1..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).

.... severity S0..1codemild | moderate | severe (of event as a whole)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
AllergyIntolerance.codepreferredAllergyIntoleranceUvIps
Additional Bindings Purpose Documentation
Allergy Intolerance - SNOMED CT IPS Free Set candidate

Type of the substance/product, allergy or intolerance condition.

WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Absent or Unknown Allergies - IPS candidate

Absent and unknown codes for allergy or intolerance.

AllergyIntolerance.reaction.manifestationpreferredAllergyReactionSnomedCtIpsFreeSet

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance C0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... abatement-datetime 0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... criticality Σ0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.

Additional BindingsPurpose
Allergy Intolerance - SNOMED CT IPS Free Setcandidate
WHO ATC - IPScandidate
Absent or Unknown Allergies - IPScandidate
... patient SΣ1..1Reference(Patient (IPS))Who the sensitivity is for
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
... onset[x] S0..1When allergy or intolerance was identified
.... onsetDateTimedateTime
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... manifestation S1..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).


.... severity S0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.typerequiredAllergyIntoleranceType
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
AllergyIntolerance.codepreferredAllergyIntoleranceUvIps
Additional Bindings Purpose Documentation
Allergy Intolerance - SNOMED CT IPS Free Set candidate

Type of the substance/product, allergy or intolerance condition.

WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Absent or Unknown Allergies - IPS candidate

Absent and unknown codes for allergy or intolerance.

AllergyIntolerance.reaction.manifestationpreferredAllergyReactionSnomedCtIpsFreeSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance C0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... abatement-datetime 0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal ids for this item
... clinicalStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category Σ0..*codefood | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality Σ0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.

Additional BindingsPurpose
Allergy Intolerance - SNOMED CT IPS Free Setcandidate
WHO ATC - IPScandidate
Absent or Unknown Allergies - IPScandidate
... patient SΣ1..1Reference(Patient (IPS))Who the sensitivity is for
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter 0..1Reference(Encounter)Encounter when the allergy or intolerance was asserted
... onset[x] S0..1When allergy or intolerance was identified
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... recordedDate 0..1dateTimeDate first version of the resource instance was recorded
... recorder 0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the sensitivity
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Source of the information about the allergy
... lastOccurrence 0..1dateTimeDate(/time) of last known occurrence of a reaction
... note 0..*AnnotationAdditional text not captured in other fields
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... substance 0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).

.... manifestation S1..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).


.... description 0..1stringDescription of the event as a whole
.... onset 0..1dateTimeDate(/time) when manifestations showed
.... severity S0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

.... exposureRoute 0..1CodeableConceptHow the subject was exposed to the substance
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... note 0..*AnnotationText about event not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
AllergyIntolerance.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.typerequiredAllergyIntoleranceType
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
AllergyIntolerance.codepreferredAllergyIntoleranceUvIps
Additional Bindings Purpose Documentation
Allergy Intolerance - SNOMED CT IPS Free Set candidate

Type of the substance/product, allergy or intolerance condition.

WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Absent or Unknown Allergies - IPS candidate

Absent and unknown codes for allergy or intolerance.

AllergyIntolerance.patient.typeextensibleResourceType
AllergyIntolerance.reaction.substanceexampleSubstanceCode
AllergyIntolerance.reaction.manifestationpreferredAllergyReactionSnomedCtIpsFreeSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from AllergyIntolerance

Summary

Mandatory: 2 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron