KR Core Implementation Guide
2.0.0 - STU 2 Korea, Republic of

KR Core Implementation Guide, published by HL7 Korea. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7korea/krcore/ and changes regularly. See the Directory of published versions

Resource Profile: KR Core AllergyIntolerance Profile

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-allergyintolerance Version: 2.0.0
Standards status: Trial-use Computable Name: KRCore_AllergyIntolerance

KR Core AllergyIntolerance Profile은 KR Core Server와 KR Core Client가 진료정보를 교류할 때 알레르기 및 불내성 정보를 표현하는 데 사용되며, 이 경우 가능한 한(SHOULD) 본 Profile을 준수해야 한다. 알레르기 및 불내성 정보를 표현할 때 본 Profile을 적용하지 않을 수 있는 경우는 특수한 상황에 한정된다. 이 경우 반드시 해당 진료정보교류 도메인 내에서 사전 합의가 이루어져야 한다.

KR CDI V2 알레르기 불내성 클래스에서 정의한 항목들과 주요 추가 정보를 구조화하기 위해 정의한 Profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance KR Core AllergyIntolerance Profile
Constraints: ait-1, ait-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 0..1 CodeableConcept 알레르기 및 불내성 상태: active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... category Σ 0..* code 알레르기 및 불내성 원인 구분: food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... code SΣ 1..1 CodeableConcept 알레르기 및 불내성의 원인 물질 및 증상
Binding: ATC Codes (preferred)
.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
.... text Σ 0..1 string 알레르기 및 불내성의 원인 물질 및 증상 서술
... patient SΣ 1..1 Reference(KR Core Patient Profile) 알레르기 및 불내성 대상 환자
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime 0..1 dateTime 알레르기 및 불내성 발생일
... reaction 0..* BackboneElement 알레르기 및 불내성 반응
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... manifestation 1..* CodeableConcept 알레르기 및 불내성 반응 증상
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
..... text Σ 0..1 string 알레르기 및 불내성 반응 증상 서술

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base preferred ATC Codes 📦1.0.2 This IG
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ait-1 error AllergyIntolerance AllergyIntolerance.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-2 error AllergyIntolerance AllergyIntolerance.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-2 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error AllergyIntolerance If 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-4 error AllergyIntolerance If 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-5 error AllergyIntolerance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance KR Core AllergyIntolerance Profile
... clinicalStatus 0..1 CodeableConcept 알레르기 및 불내성 상태: active | inactive | resolved
... category 0..* code 알레르기 및 불내성 원인 구분: food | medication | environment | biologic
... code S 1..1 CodeableConcept 알레르기 및 불내성의 원인 물질 및 증상
Binding: ATC Codes (preferred)
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
.... text 0..1 string 알레르기 및 불내성의 원인 물질 및 증상 서술
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime 0..1 dateTime 알레르기 및 불내성 발생일
... reaction 0..* BackboneElement 알레르기 및 불내성 반응
.... manifestation 1..* CodeableConcept 알레르기 및 불내성 반응 증상
..... text 0..1 string 알레르기 및 불내성 반응 증상 서술

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.code Base preferred ATC Codes 📦1.0.2 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance KR Core AllergyIntolerance Profile
Constraints: ait-1, ait-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!ΣC 0..1 CodeableConcept 알레르기 및 불내성 상태: active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type Σ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
... category Σ 0..* code 알레르기 및 불내성 원인 구분: food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... criticality Σ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
... code SΣ 1..1 CodeableConcept 알레르기 및 불내성의 원인 물질 및 증상
Binding: ATC Codes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string 알레르기 및 불내성의 원인 물질 및 증상 서술
... patient SΣ 1..1 Reference(KR Core Patient Profile) 알레르기 및 불내성 대상 환자
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime 0..1 dateTime 알레르기 및 불내성 발생일
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... recorder 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the sensitivity
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Source of the information about the allergy
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note 0..* Annotation Additional text not captured in other fields
... reaction 0..* BackboneElement 알레르기 및 불내성 반응
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
.... manifestation 1..* CodeableConcept 알레르기 및 불내성 반응 증상
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string 알레르기 및 불내성 반응 증상 서술
.... description 0..1 string Description of the event as a whole
.... onset 0..1 dateTime Date(/time) when manifestations showed
.... severity 0..1 code mild | 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..1 CodeableConcept How 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..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.language Base preferred Common Languages 📍4.0.1 FHIR Std.
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.type Base required AllergyIntoleranceType 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.criticality Base required AllergyIntoleranceCriticality 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base preferred ATC Codes 📦1.0.2 This IG
AllergyIntolerance.reaction.​substance Base example Substance Code 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ait-1 error AllergyIntolerance AllergyIntolerance.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-2 error AllergyIntolerance AllergyIntolerance.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-2 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error AllergyIntolerance If 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-4 error AllergyIntolerance If 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-5 error AllergyIntolerance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AllergyIntolerance

Summary

Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of AllergyIntolerance.onset[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance KR Core AllergyIntolerance Profile
Constraints: ait-1, ait-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 0..1 CodeableConcept 알레르기 및 불내성 상태: active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... category Σ 0..* code 알레르기 및 불내성 원인 구분: food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... code SΣ 1..1 CodeableConcept 알레르기 및 불내성의 원인 물질 및 증상
Binding: ATC Codes (preferred)
.... coding Σ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
.... text Σ 0..1 string 알레르기 및 불내성의 원인 물질 및 증상 서술
... patient SΣ 1..1 Reference(KR Core Patient Profile) 알레르기 및 불내성 대상 환자
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime 0..1 dateTime 알레르기 및 불내성 발생일
... reaction 0..* BackboneElement 알레르기 및 불내성 반응
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... manifestation 1..* CodeableConcept 알레르기 및 불내성 반응 증상
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
..... text Σ 0..1 string 알레르기 및 불내성 반응 증상 서술

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base preferred ATC Codes 📦1.0.2 This IG
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ait-1 error AllergyIntolerance AllergyIntolerance.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-2 error AllergyIntolerance AllergyIntolerance.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-2 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error AllergyIntolerance If 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-4 error AllergyIntolerance If 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-5 error AllergyIntolerance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance KR Core AllergyIntolerance Profile
... clinicalStatus 0..1 CodeableConcept 알레르기 및 불내성 상태: active | inactive | resolved
... category 0..* code 알레르기 및 불내성 원인 구분: food | medication | environment | biologic
... code S 1..1 CodeableConcept 알레르기 및 불내성의 원인 물질 및 증상
Binding: ATC Codes (preferred)
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
.... text 0..1 string 알레르기 및 불내성의 원인 물질 및 증상 서술
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime 0..1 dateTime 알레르기 및 불내성 발생일
... reaction 0..* BackboneElement 알레르기 및 불내성 반응
.... manifestation 1..* CodeableConcept 알레르기 및 불내성 반응 증상
..... text 0..1 string 알레르기 및 불내성 반응 증상 서술

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.code Base preferred ATC Codes 📦1.0.2 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance KR Core AllergyIntolerance Profile
Constraints: ait-1, ait-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!ΣC 0..1 CodeableConcept 알레르기 및 불내성 상태: active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type Σ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
... category Σ 0..* code 알레르기 및 불내성 원인 구분: food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... criticality Σ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
... code SΣ 1..1 CodeableConcept 알레르기 및 불내성의 원인 물질 및 증상
Binding: ATC Codes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string 알레르기 및 불내성의 원인 물질 및 증상 서술
... patient SΣ 1..1 Reference(KR Core Patient Profile) 알레르기 및 불내성 대상 환자
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime 0..1 dateTime 알레르기 및 불내성 발생일
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... recorder 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the sensitivity
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Source of the information about the allergy
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note 0..* Annotation Additional text not captured in other fields
... reaction 0..* BackboneElement 알레르기 및 불내성 반응
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
.... manifestation 1..* CodeableConcept 알레르기 및 불내성 반응 증상
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string 알레르기 및 불내성 반응 증상 서술
.... description 0..1 string Description of the event as a whole
.... onset 0..1 dateTime Date(/time) when manifestations showed
.... severity 0..1 code mild | 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..1 CodeableConcept How 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..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.language Base preferred Common Languages 📍4.0.1 FHIR Std.
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.type Base required AllergyIntoleranceType 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.criticality Base required AllergyIntoleranceCriticality 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base preferred ATC Codes 📦1.0.2 This IG
AllergyIntolerance.reaction.​substance Base example Substance Code 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ait-1 error AllergyIntolerance AllergyIntolerance.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-2 error AllergyIntolerance AllergyIntolerance.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-2 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error AllergyIntolerance If 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-4 error AllergyIntolerance If 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-5 error AllergyIntolerance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AllergyIntolerance

Summary

Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of AllergyIntolerance.onset[x]

 

Other representations of profile: CSV, Excel, Schematron