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 0.1.0 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

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Resource Profile: Allergy Intolerance Obligations (HDR CZ)

This profile defines the obligations for the CZ_AllergyIntoleranceHdr profile used in the HDR CZ project.

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
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	CZ_AllergyIntoleranceHdr	Czech Allergy Intolerance This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0) Constraints: ait-1, ait-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	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 Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
Slices for extension				Content/Rules for all slices
extension:abatement	O	0..1	(Complex)	When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
extension		0..0		Extension Slice: Unordered, Open by value:url
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	?!OΣC	1..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
verificationStatus	?!OΣC	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
type	OΣ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
criticality	OΣ	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
code	OΣ	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (preferred) Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
patient	Σ	1..1	Reference(Patient (CZ core))	Who the sensitivity is for
onset[x]	O	0..1		When allergy or intolerance was identified Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
lastOccurrence	O	0..1	dateTime	Date(/time) of last known occurrence of a reaction Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.0.1	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.0.1	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📍4.0.1	FHIR Std.
AllergyIntolerance.code	Base	preferred	eHDSI Agent or Allergen With Exceptions	📦0.3.0-ballot	HL7 Czech Base and Core Implementation Guide vnull

Constraints

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

This structure is derived from CZ_AllergyIntoleranceHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	CZ_AllergyIntoleranceHdr	Czech Allergy Intolerance This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
Slices for extension				Content/Rules for all slices
extension:abatement	O	0..1	Abatement	When the allergy or intolerance resolved Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
clinicalStatus	O	1..1	CodeableConcept	active | inactive | resolved Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
verificationStatus	O	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
type	O	0..1	code	allergy | intolerance - Underlying mechanism (if known) Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
criticality	O	0..1	code	low | high | unable-to-assess Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
code	O	1..1	CodeableConcept	Code that identifies the allergy or intolerance Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
onset[x]	O	0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
lastOccurrence	O	0..1	dateTime	Date(/time) of last known occurrence of a reaction Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
reaction
manifestation	O	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	CZ_AllergyIntoleranceHdr	Czech Allergy Intolerance This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0) 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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	O	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 Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:abatement	O	0..1	(Complex)	When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
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	?!OΣC	1..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
verificationStatus	?!OΣC	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
type	OΣ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
criticality	OΣ	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
code	OΣ	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (preferred) Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
patient	Σ	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]	O	0..1		When allergy or intolerance was identified Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
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	O	0..1	dateTime	Date(/time) of last known occurrence of a reaction Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
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	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	O	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.0.1	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.0.1	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📦4.0.1	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📍4.0.1	FHIR Std.
AllergyIntolerance.code	Base	preferred	eHDSI Agent or Allergen With Exceptions	📦0.3.0-ballot	HL7 Czech Base and Core Implementation Guide vnull
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from CZ_AllergyIntoleranceHdr

Summary

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	CZ_AllergyIntoleranceHdr	Czech Allergy Intolerance This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0) Constraints: ait-1, ait-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	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 Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
Slices for extension				Content/Rules for all slices
extension:abatement	O	0..1	(Complex)	When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
extension		0..0		Extension Slice: Unordered, Open by value:url
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	?!OΣC	1..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
verificationStatus	?!OΣC	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
type	OΣ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
criticality	OΣ	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
code	OΣ	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (preferred) Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
patient	Σ	1..1	Reference(Patient (CZ core))	Who the sensitivity is for
onset[x]	O	0..1		When allergy or intolerance was identified Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
lastOccurrence	O	0..1	dateTime	Date(/time) of last known occurrence of a reaction Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.0.1	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.0.1	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📍4.0.1	FHIR Std.
AllergyIntolerance.code	Base	preferred	eHDSI Agent or Allergen With Exceptions	📦0.3.0-ballot	HL7 Czech Base and Core Implementation Guide vnull

Constraints

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

Differential View

This structure is derived from CZ_AllergyIntoleranceHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	CZ_AllergyIntoleranceHdr	Czech Allergy Intolerance This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
Slices for extension				Content/Rules for all slices
extension:abatement	O	0..1	Abatement	When the allergy or intolerance resolved Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
clinicalStatus	O	1..1	CodeableConcept	active | inactive | resolved Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
verificationStatus	O	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
type	O	0..1	code	allergy | intolerance - Underlying mechanism (if known) Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
criticality	O	0..1	code	low | high | unable-to-assess Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
code	O	1..1	CodeableConcept	Code that identifies the allergy or intolerance Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
onset[x]	O	0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
lastOccurrence	O	0..1	dateTime	Date(/time) of last known occurrence of a reaction Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
reaction
manifestation	O	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	CZ_AllergyIntoleranceHdr	Czech Allergy Intolerance This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0) 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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	O	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 Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:abatement	O	0..1	(Complex)	When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
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	?!OΣC	1..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
verificationStatus	?!OΣC	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
type	OΣ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
criticality	OΣ	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
code	OΣ	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (preferred) Obligations Actor SHOULD:able-to-populate Creator_L2 SHOULD:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
patient	Σ	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]	O	0..1		When allergy or intolerance was identified Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
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	O	0..1	dateTime	Date(/time) of last known occurrence of a reaction Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
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	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	O	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHALL:populate-if-known Creator_L3 SHALL:display Consumer_L3
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.0.1	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.0.1	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📦4.0.1	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📍4.0.1	FHIR Std.
AllergyIntolerance.code	Base	preferred	eHDSI Agent or Allergen With Exceptions	📦0.3.0-ballot	HL7 Czech Base and Core Implementation Guide vnull
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from CZ_AllergyIntoleranceHdr

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron