SNOMED CT Implementation Guide for FHIR, published by SNOMED on FHIR project group. This is not an authorized publication; it is the continuous build for version 0.0.1). This version is based on the current content of https://github.com/IHTSDO/snomed-ig/ and changes regularly. See the Directory of published versions
Resource Profile: AllergyIntoleranceSubstanceFocused
Profile of Allergy Intolerance resource with bindings to SNOMED CT Substances as well as additional constraints to avoid overlap with the binding.
The official URL for this profile is:
http://snomed.info/fhir/StructureDefinition/AllergyIntolerance-SubstanceFocused
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AllergyIntolerance
This structure is derived from AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  AllergyIntolerance | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) | |
  category | 0..0 | |||
 code | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: SubstanceCode (extensible) | |
  coding | ||||
  system | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
| reaction | ||||
| substance | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (extensible) | |
| manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (extensible) | |
| exposureRoute | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (extensible) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | I | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) |
 id | Σ | 0..1 | string | Logical id of this artifact |
 meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | I | 0..* | Extension | Additional content defined by implementations |
 modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | Identifier | External ids for this item |
| clinicalStatus | ?!ΣI | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) |
| verificationStatus | ?!ΣI | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) |
| type | ΣI | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) |
| criticality | ΣI | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required) |
| code | ΣI | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: SubstanceCode (extensible) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| version | ΣI | 0..1 | string | Version of the system - if relevant |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system |
| display | ΣI | 0..1 | string | Representation defined by the system |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
 patient | ΣI | 1..1 | Reference(Patient) | Who the sensitivity is for |
| encounter | I | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted |
 onset[x] | I | 0..1 | When allergy or intolerance was identified | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| recordedDate | I | 0..1 | dateTime | Date first version of the resource instance was recorded |
| recorder | I | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity |
| asserter | ΣI | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy |
| lastOccurrence | I | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction |
| note | I | 0..* | Annotation | Additional text not captured in other fields |
| reaction | I | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| substance | I | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (extensible) |
| manifestation | I | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (extensible) |
| description | I | 0..1 | string | Description of the event as a whole |
| onset | I | 0..1 | dateTime | Date(/time) when manifestations showed |
| severity | I | 0..1 | code | mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required) |
| exposureRoute | I | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (extensible) |
| note | I | 0..* | Annotation | Text about event not captured in other fields |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | I | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) |
| Documentation for this format | ||||
This structure is derived from AllergyIntolerance
Differential View
This structure is derived from AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) | |
| category | 0..0 | |||
| code | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: SubstanceCode (extensible) | |
| coding | ||||
| system | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
| reaction | ||||
| substance | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (extensible) | |
| manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (extensible) | |
| exposureRoute | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (extensible) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | I | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | Identifier | External ids for this item |
| clinicalStatus | ?!ΣI | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) |
| verificationStatus | ?!ΣI | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) |
| type | ΣI | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) |
| criticality | ΣI | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required) |
| code | ΣI | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: SubstanceCode (extensible) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| version | ΣI | 0..1 | string | Version of the system - if relevant |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system |
| display | ΣI | 0..1 | string | Representation defined by the system |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| patient | ΣI | 1..1 | Reference(Patient) | Who the sensitivity is for |
| encounter | I | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted |
| onset[x] | I | 0..1 | When allergy or intolerance was identified | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| recordedDate | I | 0..1 | dateTime | Date first version of the resource instance was recorded |
| recorder | I | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity |
| asserter | ΣI | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy |
| lastOccurrence | I | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction |
| note | I | 0..* | Annotation | Additional text not captured in other fields |
| reaction | I | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| substance | I | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (extensible) |
| manifestation | I | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (extensible) |
| description | I | 0..1 | string | Description of the event as a whole |
| onset | I | 0..1 | dateTime | Date(/time) when manifestations showed |
| severity | I | 0..1 | code | mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required) |
| exposureRoute | I | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (extensible) |
| note | I | 0..* | Annotation | Text about event not captured in other fields |
| Documentation for this format | ||||
Other representations of profile: Schematron
Terminology Bindings
| Path | Conformance | ValueSet |
| AllergyIntolerance.language | preferred | CommonLanguages Max Binding: AllLanguages |
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes |
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes |
| AllergyIntolerance.type | required | AllergyIntoleranceType |
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticality |
| AllergyIntolerance.code | extensible | SubstanceCode |
| AllergyIntolerance.reaction.substance | extensible | SubstanceCode |
| AllergyIntolerance.reaction.manifestation | extensible | SNOMEDCTClinicalFindings |
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity |
| AllergyIntolerance.reaction.exposureRoute | extensible | SNOMEDCTRouteCodes |