SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

## Resource Profile: SGHI AllergyIntolerance

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/allergyintolerance | Version: 0.1.0
Draft as of 2026-05-21 | Computable Name: SGHIAllergyIntolerance

Risk of harmful or undesirable physiological response which is specific to an individual and associated with exposure to a substance.

Usages:

- Examples for this Profile: AllergyIntolerance/ExampleSGHIAllergyIntolerance

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | External ids for this item
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
clinicalStatus | ?!Σ | 1..1 | SGHICodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ | 1..1 | SGHICodeableConcept | unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code | Σ | 1..1 | SGHICodeableConcept | Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient | Σ | 1..1 | SGHIReference(SGHI Patient) | Who the allergy or intolerance is for
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] |  | 1..1 | dateTime | When allergy or intolerance was identified
recordedDate |  | 1..1 | dateTime | Date allergy or intolerance was first recorded
participant | Σ | 1..* | BackboneElement | Who or what participated in the activities related to the allergy or intolerance and how they were involved
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who or what participated in the activities related to the allergy or intolerance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
AllergyIntolerance.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍5.0.0 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status | 📍5.0.0 | FHIR Std.
AllergyIntolerance.code | Base | example | All LOINC Codes | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
identifier |  | 1..* | Identifier | External ids for this item
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
clinicalStatus |  | 1..1 | SGHICodeableConcept | active | inactive | resolved
verificationStatus |  | 1..1 | SGHICodeableConcept | unconfirmed | presumed | confirmed | refuted | entered-in-error
code |  | 1..1 | SGHICodeableConcept | Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient |  | 1..1 | SGHIReference(SGHI Patient) | Who the allergy or intolerance is for
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] |  | 1..1 | dateTime | When allergy or intolerance was identified
recordedDate |  | 1..1 | dateTime | Date allergy or intolerance was first recorded
participant |  | 1..* | BackboneElement | Who or what participated in the activities related to the allergy or intolerance and how they were involved
actor |  | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who or what participated in the activities related to the allergy or intolerance
reaction |  |  |  |
substance |  | 0..1 | SGHICodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation |  | 1..* | SGHICodeableReference(SGHI Observation) | Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description |  | 1..1 | string | Description of the event as a whole
severity |  | 1..1 | code | mild | moderate | severe (of event as a whole)
exposureRoute |  | 0..1 | SGHICodeableConcept | How the subject was exposed to the substance Binding: All LOINC Codes (example)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
AllergyIntolerance.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
AllergyIntolerance.code | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​substance | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​manifestation | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​exposureRoute | Base | example | All LOINC Codes | 📦0.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
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
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | External ids for this item
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
clinicalStatus | ?!Σ | 1..1 | SGHICodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ | 1..1 | SGHICodeableConcept | unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | Σ | 0..1 | CodeableConcept | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
category | Σ | 0..* | code | 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 | Σ | 1..1 | SGHICodeableConcept | Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient | Σ | 1..1 | SGHIReference(SGHI Patient) | Who the allergy or intolerance is for
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] |  | 1..1 | dateTime | When allergy or intolerance was identified
recordedDate |  | 1..1 | dateTime | Date allergy or intolerance was first recorded
participant | Σ | 1..* | BackboneElement | Who or what participated in the activities related to the allergy or intolerance and how they were involved
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
function | Σ | 0..1 | CodeableConcept | Type of involvement Binding: ParticipationRoleType (extensible)
actor | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who or what participated in the activities related to the allergy or intolerance
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 | Adverse Reaction Events linked to exposure to substance
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 | SGHICodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation |  | 1..* | SGHICodeableReference(SGHI Observation) | Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description |  | 1..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Date(/time) when manifestations showed
severity |  | 1..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 | SGHICodeableConcept | How the subject was exposed to the substance Binding: All LOINC Codes (example)
note |  | 0..* | Annotation | Text about event not captured in other fields
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
AllergyIntolerance.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
AllergyIntolerance.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍5.0.0 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status | 📍5.0.0 | FHIR Std.
AllergyIntolerance.type | Base | preferred | Allergy Intolerance Type | 📍5.0.0 | FHIR Std.
AllergyIntolerance.category | Base | required | Allergy Intolerance Category | 📍5.0.0 | FHIR Std.
AllergyIntolerance.criticality | Base | required | Allergy Intolerance Criticality | 📍5.0.0 | FHIR Std.
AllergyIntolerance.code | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.participant.​function | Base | extensible | Participation Role Type | 📍5.0.0 | FHIR Std.
AllergyIntolerance.reaction.​substance | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​manifestation | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​severity | Base | required | Allergy Intolerance Severity | 📍5.0.0 | FHIR Std.
AllergyIntolerance.reaction.​exposureRoute | Base | example | All LOINC Codes | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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: 11 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/encounter)
- SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeable-reference)
- SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/observation)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | External ids for this item
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
clinicalStatus | ?!Σ | 1..1 | SGHICodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ | 1..1 | SGHICodeableConcept | unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code | Σ | 1..1 | SGHICodeableConcept | Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient | Σ | 1..1 | SGHIReference(SGHI Patient) | Who the allergy or intolerance is for
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] |  | 1..1 | dateTime | When allergy or intolerance was identified
recordedDate |  | 1..1 | dateTime | Date allergy or intolerance was first recorded
participant | Σ | 1..* | BackboneElement | Who or what participated in the activities related to the allergy or intolerance and how they were involved
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who or what participated in the activities related to the allergy or intolerance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
AllergyIntolerance.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍5.0.0 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status | 📍5.0.0 | FHIR Std.
AllergyIntolerance.code | Base | example | All LOINC Codes | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
identifier |  | 1..* | Identifier | External ids for this item
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
clinicalStatus |  | 1..1 | SGHICodeableConcept | active | inactive | resolved
verificationStatus |  | 1..1 | SGHICodeableConcept | unconfirmed | presumed | confirmed | refuted | entered-in-error
code |  | 1..1 | SGHICodeableConcept | Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient |  | 1..1 | SGHIReference(SGHI Patient) | Who the allergy or intolerance is for
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] |  | 1..1 | dateTime | When allergy or intolerance was identified
recordedDate |  | 1..1 | dateTime | Date allergy or intolerance was first recorded
participant |  | 1..* | BackboneElement | Who or what participated in the activities related to the allergy or intolerance and how they were involved
actor |  | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who or what participated in the activities related to the allergy or intolerance
reaction |  |  |  |
substance |  | 0..1 | SGHICodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation |  | 1..* | SGHICodeableReference(SGHI Observation) | Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description |  | 1..1 | string | Description of the event as a whole
severity |  | 1..1 | code | mild | moderate | severe (of event as a whole)
exposureRoute |  | 0..1 | SGHICodeableConcept | How the subject was exposed to the substance Binding: All LOINC Codes (example)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
AllergyIntolerance.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
AllergyIntolerance.code | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​substance | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​manifestation | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​exposureRoute | Base | example | All LOINC Codes | 📦0.1.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
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
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | External ids for this item
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
clinicalStatus | ?!Σ | 1..1 | SGHICodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ | 1..1 | SGHICodeableConcept | unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | Σ | 0..1 | CodeableConcept | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
category | Σ | 0..* | code | 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 | Σ | 1..1 | SGHICodeableConcept | Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient | Σ | 1..1 | SGHIReference(SGHI Patient) | Who the allergy or intolerance is for
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] |  | 1..1 | dateTime | When allergy or intolerance was identified
recordedDate |  | 1..1 | dateTime | Date allergy or intolerance was first recorded
participant | Σ | 1..* | BackboneElement | Who or what participated in the activities related to the allergy or intolerance and how they were involved
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
function | Σ | 0..1 | CodeableConcept | Type of involvement Binding: ParticipationRoleType (extensible)
actor | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who or what participated in the activities related to the allergy or intolerance
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 | Adverse Reaction Events linked to exposure to substance
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 | SGHICodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation |  | 1..* | SGHICodeableReference(SGHI Observation) | Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description |  | 1..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Date(/time) when manifestations showed
severity |  | 1..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 | SGHICodeableConcept | How the subject was exposed to the substance Binding: All LOINC Codes (example)
note |  | 0..* | Annotation | Text about event not captured in other fields
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
AllergyIntolerance.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
AllergyIntolerance.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍5.0.0 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status | 📍5.0.0 | FHIR Std.
AllergyIntolerance.type | Base | preferred | Allergy Intolerance Type | 📍5.0.0 | FHIR Std.
AllergyIntolerance.category | Base | required | Allergy Intolerance Category | 📍5.0.0 | FHIR Std.
AllergyIntolerance.criticality | Base | required | Allergy Intolerance Criticality | 📍5.0.0 | FHIR Std.
AllergyIntolerance.code | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.participant.​function | Base | extensible | Participation Role Type | 📍5.0.0 | FHIR Std.
AllergyIntolerance.reaction.​substance | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​manifestation | Base | example | All LOINC Codes | 📦0.1.0 | This IG
AllergyIntolerance.reaction.​severity | Base | required | Allergy Intolerance Severity | 📍5.0.0 | FHIR Std.
AllergyIntolerance.reaction.​exposureRoute | Base | example | All LOINC Codes | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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: 11 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/encounter)
- SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeable-reference)
- SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/observation)

Other representations of profile: CSV, Excel, Schematron