Guías de Implementación HL7 FHIR: CR Core, published by Ministerio de Salud de Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.1.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HIE-cr/core-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
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Resource Profile: Alergias e Intolerancias

Perfil CORE de Alergias e Intolerancias (AllergyIntolerance)

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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
clinicalStatus	?!SΣ	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required)
type	SΣ	0..1	CodeableConcept	allergy | intolerance Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	0..*	code	food | medication | environment | biologic | vaccine Binding: AllergyIntoleranceCategory (required)
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
code	SΣ	1..1	CodeableConcept	Código SNOMED-CT de la alergia o intolerancia. Binding: ConditionProblemDiagnosisCodes (required)
patient	SΣ	1..1	Reference(Paciente)	Paciente al que se le asocia la alergia o intolerancia.
onset[x]	S	0..1	dateTime	Fecha y hora de inicio de la alergia o intolerancia.
reaction	S	0..*	BackboneElement	Reacción asociada a la alergia o intolerancia.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
manifestation	S	1..*	CodeableReference(Observation)	Manifestación clínica y sintomas del evento adverso Binding: SNOMEDCTClinicalFindings (required)
severity	S	0..1	code	mild | severe Binding: AllergyIntoleranceSeverity (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification From the FHIR Standard
AllergyIntolerance.type	preferred	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|5.0.0 From the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category From the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality From the FHIR Standard
AllergyIntolerance.code	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
AllergyIntolerance.reaction.manifestation	required	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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)
clinicalStatus	S	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
verificationStatus		0..1	CodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required)
type	S	0..1	CodeableConcept	allergy | intolerance
category	S	0..*	code	food | medication | environment | biologic | vaccine Binding: AllergyIntoleranceCategory (required)
criticality	S	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
code	S	1..1	CodeableConcept	Código SNOMED-CT de la alergia o intolerancia. Binding: ConditionProblemDiagnosisCodes (required)
patient	S	1..1	Reference(Paciente)	Paciente al que se le asocia la alergia o intolerancia.
onset[x]	S	0..1	dateTime	Fecha y hora de inicio de la alergia o intolerancia.
reaction	S	0..*	BackboneElement	Reacción asociada a la alergia o intolerancia.
manifestation	S	1..*	CodeableReference(Observation)	Manifestación clínica y sintomas del evento adverso Binding: SNOMEDCTClinicalFindings (required)
severity	S	0..1	code	mild | severe Binding: AllergyIntoleranceSeverity (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification From the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category From the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality From the FHIR Standard
AllergyIntolerance.code	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
AllergyIntolerance.reaction.manifestation	required	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity From the FHIR Standard

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	0..*	Identifier	External ids for this item
clinicalStatus	?!SΣ	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required)
type	SΣ	0..1	CodeableConcept	allergy | intolerance Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	0..*	code	food | medication | environment | biologic | vaccine Binding: AllergyIntoleranceCategory (required)
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
code	SΣ	1..1	CodeableConcept	Código SNOMED-CT de la alergia o intolerancia. Binding: ConditionProblemDiagnosisCodes (required)
patient	SΣ	1..1	Reference(Paciente)	Paciente al que se le asocia la alergia o intolerancia.
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]	S	0..1	dateTime	Fecha y hora de inicio de la alergia o intolerancia.
recordedDate		0..1	dateTime	Date allergy or intolerance was first recorded
participant	Σ	0..*	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	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	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	S	0..*	BackboneElement	Reacción asociada a la alergia o intolerancia.
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	S	1..*	CodeableReference(Observation)	Manifestación clínica y sintomas del evento adverso Binding: SNOMEDCTClinicalFindings (required)
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity	S	0..1	code	mild | severe Binding: AllergyIntoleranceSeverity (required)
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 exposure to a substance.
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification From the FHIR Standard
AllergyIntolerance.type	preferred	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|5.0.0 From the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category From the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality From the FHIR Standard
AllergyIntolerance.code	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
AllergyIntolerance.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.substance	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.manifestation	required	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 1 element
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Paciente (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/patient-cr-core)

Maturity: 0

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
clinicalStatus	?!SΣ	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required)
type	SΣ	0..1	CodeableConcept	allergy | intolerance Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	0..*	code	food | medication | environment | biologic | vaccine Binding: AllergyIntoleranceCategory (required)
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
code	SΣ	1..1	CodeableConcept	Código SNOMED-CT de la alergia o intolerancia. Binding: ConditionProblemDiagnosisCodes (required)
patient	SΣ	1..1	Reference(Paciente)	Paciente al que se le asocia la alergia o intolerancia.
onset[x]	S	0..1	dateTime	Fecha y hora de inicio de la alergia o intolerancia.
reaction	S	0..*	BackboneElement	Reacción asociada a la alergia o intolerancia.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
manifestation	S	1..*	CodeableReference(Observation)	Manifestación clínica y sintomas del evento adverso Binding: SNOMEDCTClinicalFindings (required)
severity	S	0..1	code	mild | severe Binding: AllergyIntoleranceSeverity (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification From the FHIR Standard
AllergyIntolerance.type	preferred	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|5.0.0 From the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category From the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality From the FHIR Standard
AllergyIntolerance.code	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
AllergyIntolerance.reaction.manifestation	required	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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)
clinicalStatus	S	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
verificationStatus		0..1	CodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required)
type	S	0..1	CodeableConcept	allergy | intolerance
category	S	0..*	code	food | medication | environment | biologic | vaccine Binding: AllergyIntoleranceCategory (required)
criticality	S	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
code	S	1..1	CodeableConcept	Código SNOMED-CT de la alergia o intolerancia. Binding: ConditionProblemDiagnosisCodes (required)
patient	S	1..1	Reference(Paciente)	Paciente al que se le asocia la alergia o intolerancia.
onset[x]	S	0..1	dateTime	Fecha y hora de inicio de la alergia o intolerancia.
reaction	S	0..*	BackboneElement	Reacción asociada a la alergia o intolerancia.
manifestation	S	1..*	CodeableReference(Observation)	Manifestación clínica y sintomas del evento adverso Binding: SNOMEDCTClinicalFindings (required)
severity	S	0..1	code	mild | severe Binding: AllergyIntoleranceSeverity (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification From the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category From the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality From the FHIR Standard
AllergyIntolerance.code	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
AllergyIntolerance.reaction.manifestation	required	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity From the FHIR Standard

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	0..*	Identifier	External ids for this item
clinicalStatus	?!SΣ	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required)
type	SΣ	0..1	CodeableConcept	allergy | intolerance Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	0..*	code	food | medication | environment | biologic | vaccine Binding: AllergyIntoleranceCategory (required)
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
code	SΣ	1..1	CodeableConcept	Código SNOMED-CT de la alergia o intolerancia. Binding: ConditionProblemDiagnosisCodes (required)
patient	SΣ	1..1	Reference(Paciente)	Paciente al que se le asocia la alergia o intolerancia.
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]	S	0..1	dateTime	Fecha y hora de inicio de la alergia o intolerancia.
recordedDate		0..1	dateTime	Date allergy or intolerance was first recorded
participant	Σ	0..*	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	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	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	S	0..*	BackboneElement	Reacción asociada a la alergia o intolerancia.
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	S	1..*	CodeableReference(Observation)	Manifestación clínica y sintomas del evento adverso Binding: SNOMEDCTClinicalFindings (required)
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity	S	0..1	code	mild | severe Binding: AllergyIntoleranceSeverity (required)
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 exposure to a substance.
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification From the FHIR Standard
AllergyIntolerance.type	preferred	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|5.0.0 From the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category From the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality From the FHIR Standard
AllergyIntolerance.code	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
AllergyIntolerance.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.substance	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.manifestation	required	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 1 element
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Paciente (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/patient-cr-core)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron