HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build
HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build
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
| Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-allergyintolerance-obl-hdr | Version: 0.0.2 | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: CZ_AllergyIntoleranceObligationsHdr | ||
This profile defines the obligations for the CZ_AllergyIntoleranceHdr profile used in the HDR CZ project.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  AllergyIntolerance |
C | 0..* | CZ_AllergyIntoleranceHdr | 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 | ||||||||||||||||
 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
| ||||||||||||||||
  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
| ||||||||||||||||
   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 |
?!OΣC | 1..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
| ||||||||||||||||
| 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.
| ||||||||||||||||
| type |
SOΣ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
| ||||||||||||||||
| category |
SΣ | 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.
| ||||||||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (preferred)
| ||||||||||||||||
 patient |
SΣ | 1..1 | Reference(Patient (CZ core)) | Who the sensitivity is for | ||||||||||||||||
 onset[x] |
O | 0..1 | When allergy or intolerance was identified
| |||||||||||||||||
| onsetDateTime |
dateTime | |||||||||||||||||||
| onsetAge |
Age | |||||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||||
| onsetRange |
Range | |||||||||||||||||||
 onsetString |
string | |||||||||||||||||||
| lastOccurrence |
O | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
| ||||||||||||||||
| note |
S | 0..* | Annotation | Additional text not captured in other fields | ||||||||||||||||
| Documentation for this format | ||||||||||||||||||||
| 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.category | Base | required | AllergyIntoleranceCategory | 📦4.0.1 | FHIR Std. |
| AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | FHIR Std. |
| AllergyIntolerance.code | Base | preferred | AllergyIntolerance Substance/Product, Condition and Negation Codes | 📦4.0.1 | FHIR Std. |
| 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: | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | CZ_AllergyIntoleranceHdr | 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 | ||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||||
| 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
| ||||||||||||||||
| 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
| ||||||||||||||||
| id |
0..1 | id | 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 |
?!OΣC | 1..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
| ||||||||||||||||
| 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.
| ||||||||||||||||
| type |
SOΣ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
| ||||||||||||||||
| category |
SΣ | 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.
| ||||||||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (preferred)
| ||||||||||||||||
| 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] |
O | 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 |
O | 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 |
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.
| ||||||||||||||||
| 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 | ||||||||||||||||||||
| 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 | AllergyIntolerance Substance/Product, Condition and Negation Codes | 📦4.0.1 | FHIR Std. |
| 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. |
| 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
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | CZ_AllergyIntoleranceHdr | 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 | ||||||||||||||||
| 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
| ||||||||||||||||
| 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
| ||||||||||||||||
| 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 |
?!OΣC | 1..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
| ||||||||||||||||
| 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.
| ||||||||||||||||
| type |
SOΣ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
| ||||||||||||||||
| category |
SΣ | 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.
| ||||||||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (preferred)
| ||||||||||||||||
| patient |
SΣ | 1..1 | Reference(Patient (CZ core)) | Who the sensitivity is for | ||||||||||||||||
| onset[x] |
O | 0..1 | When allergy or intolerance was identified
| |||||||||||||||||
| onsetDateTime |
dateTime | |||||||||||||||||||
| onsetAge |
Age | |||||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||||
| onsetRange |
Range | |||||||||||||||||||
| onsetString |
string | |||||||||||||||||||
| lastOccurrence |
O | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
| ||||||||||||||||
| note |
S | 0..* | Annotation | Additional text not captured in other fields | ||||||||||||||||
| Documentation for this format | ||||||||||||||||||||
| 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.category | Base | required | AllergyIntoleranceCategory | 📦4.0.1 | FHIR Std. |
| AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | FHIR Std. |
| AllergyIntolerance.code | Base | preferred | AllergyIntolerance Substance/Product, Condition and Negation Codes | 📦4.0.1 | FHIR Std. |
| 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: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
0..* | CZ_AllergyIntoleranceHdr | Czech Allergy Intolerance This profile also imposes the profile Allergy Intolerance (IPS) | |||||||||||
 text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:abatement |
O | 0..1 | Abatement(5.2.0) | When the allergy or intolerance resolved
| ||||||||||
| clinicalStatus |
O | 1..1 | CodeableConcept | active | inactive | resolved
| ||||||||||
| verificationStatus |
O | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error
| ||||||||||
| type |
O | 0..1 | code | allergy | intolerance - Underlying mechanism (if known)
| ||||||||||
| criticality |
O | 0..1 | code | low | high | unable-to-assess
| ||||||||||
| code |
O | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance
| ||||||||||
| onset[x] |
O | 0..1 | dateTime, Age, Period, Range, string | When allergy or intolerance was identified
| ||||||||||
| lastOccurrence |
O | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
| ||||||||||
| reaction |
||||||||||||||
| manifestation |
O | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event
| ||||||||||
| Documentation for this format | ||||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | CZ_AllergyIntoleranceHdr | 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 | ||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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| 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
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| 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
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| id |
0..1 | id | 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 |
?!OΣC | 1..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
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| 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.
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| type |
SOΣ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
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| category |
SΣ | 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.
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| code |
OΣ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (preferred)
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| 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] |
O | 0..1 | When allergy or intolerance was identified
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| 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
| ||||||||||||||||
| 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 |
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.
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| 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 | ||||||||||||||||||||
| 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 | AllergyIntolerance Substance/Product, Condition and Negation Codes | 📦4.0.1 | FHIR Std. |
| 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. |
| 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()
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This structure is derived from CZ_AllergyIntoleranceHdr
Other representations of profile: CSV, Excel, Schematron