HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build Czechia flag

HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions

Resource Profile: Allergy Intolerance (HDR CZ)

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-allergyIntolerance-hdr Version: 0.0.2
Standards status: Draft Maturity Level: 1 Computable Name: CZ_AllergyIntoleranceHdr

This profile constrains the AllergyIntolerance resource for the purpose of this project.

This profile constrains the AllergyIntolerance resource for the purpose of project.

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..* CZ_AllergyIntolerance Czech Allergy Intolerance
This profile also imposes the profile Allergy Intolerance (IPS)
Constraints: ait-1, ait-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueDateTime dateTime
...... valueAge Age
...... valuePeriod Period
...... valueRange Range
...... valueString string
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required)
... 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 SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required)
... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required)
... code Σ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (preferred)
Additional BindingsPurpose
Value set of DLP Lecive pripravky candidate
Value set of DLP ATC candidate
... patient SΣ 1..1 Reference(Patient (CZ core)) Who the sensitivity is for
... note S 0..* Annotation Additional text not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical
From the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
From the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type
From the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category
From the FHIR Standard
AllergyIntolerance.codepreferredAllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
From the FHIR Standard

Constraints

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

This structure is derived from CZ_AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* CZ_AllergyIntolerance Czech Allergy Intolerance
This profile also imposes the profile Allergy Intolerance (IPS)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... Slices for value[x] 1..1 dateTime, Age, Period, Range, string Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueDateTime 0..1 dateTime End date
... code 1..1 CodeableConcept Code that identifies the allergy or intolerance

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* CZ_AllergyIntolerance Czech Allergy Intolerance
This profile also imposes the profile Allergy Intolerance (IPS)
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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueDateTime dateTime
...... valueAge Age
...... valuePeriod Period
...... valueRange Range
...... valueString string
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier External ids for this item
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required)
... 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 SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required)
... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required)
... 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 CodeableConcept Code that identifies the allergy or intolerance
Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (preferred)
Additional BindingsPurpose
Value set of DLP Lecive pripravky candidate
Value set of DLP ATC candidate
... patient SΣ 1..1 Reference(Patient (CZ core)) Who the sensitivity is for
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... recorder 0..1 Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core)) Who recorded the sensitivity
... asserter Σ 0..1 Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core)) Source of the information about the allergy
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note S 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 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 Clinical symptoms/signs associated with the Event
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
.... 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

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical
From the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
From the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type
From the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category
From the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
From the FHIR Standard
AllergyIntolerance.codepreferredAllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
From the FHIR Standard
AllergyIntolerance.reaction.substanceexampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
From the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
From the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard

Constraints

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

This structure is derived from CZ_AllergyIntolerance

Summary

Mandatory: 1 element

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* CZ_AllergyIntolerance Czech Allergy Intolerance
This profile also imposes the profile Allergy Intolerance (IPS)
Constraints: ait-1, ait-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueDateTime dateTime
...... valueAge Age
...... valuePeriod Period
...... valueRange Range
...... valueString string
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required)
... 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 SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required)
... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required)
... code Σ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (preferred)
Additional BindingsPurpose
Value set of DLP Lecive pripravky candidate
Value set of DLP ATC candidate
... patient SΣ 1..1 Reference(Patient (CZ core)) Who the sensitivity is for
... note S 0..* Annotation Additional text not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical
From the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
From the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type
From the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category
From the FHIR Standard
AllergyIntolerance.codepreferredAllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
From the FHIR Standard

Constraints

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

Differential View

This structure is derived from CZ_AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* CZ_AllergyIntolerance Czech Allergy Intolerance
This profile also imposes the profile Allergy Intolerance (IPS)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... Slices for value[x] 1..1 dateTime, Age, Period, Range, string Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueDateTime 0..1 dateTime End date
... code 1..1 CodeableConcept Code that identifies the allergy or intolerance

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* CZ_AllergyIntolerance Czech Allergy Intolerance
This profile also imposes the profile Allergy Intolerance (IPS)
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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueDateTime dateTime
...... valueAge Age
...... valuePeriod Period
...... valueRange Range
...... valueString string
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier External ids for this item
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required)
... 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 SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required)
... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required)
... 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 CodeableConcept Code that identifies the allergy or intolerance
Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (preferred)
Additional BindingsPurpose
Value set of DLP Lecive pripravky candidate
Value set of DLP ATC candidate
... patient SΣ 1..1 Reference(Patient (CZ core)) Who the sensitivity is for
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... recorder 0..1 Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core)) Who recorded the sensitivity
... asserter Σ 0..1 Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core)) Source of the information about the allergy
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note S 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 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 Clinical symptoms/signs associated with the Event
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
.... 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

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical
From the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
From the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type
From the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category
From the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
From the FHIR Standard
AllergyIntolerance.codepreferredAllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
From the FHIR Standard
AllergyIntolerance.reaction.substanceexampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
From the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
From the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard

Constraints

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

This structure is derived from CZ_AllergyIntolerance

Summary

Mandatory: 1 element

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Maturity: 1

 

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