Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.7.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions

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Resource Profile: Alergias e Intolerancias

Este perfil restringe el recurso de Alergias e Intolerancias para representar este modelo a nivel nacional

Usages:

• Use this Profile: Bundle Resumen Clínico
• Refer to this Profile: Documento
• Examples for this Profile: AllergyIntolerance/Alergia-CL-Ejemplo
• CapabilityStatements using this Profile: CapabilityStatement Servidor del Resumen Clínico de Paciente de Chile

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
AllergyIntolerance.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement		0..1	dateTime, Age, Period, Range, string	Concepto - referencia a una terminología o sólo texto URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceClinicalStatusCodes (required)
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance Binding: AllergyIntoleranceType (required)
AllergyIntolerance.criticality	S This element must be supported. Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Código Relacionado con la Substancia o condición generada Binding: Allergies & Intolerances - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Paciente)	Paciente afectado
AllergyIntolerance.patient.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Referencia literal, interna o url absoluta
AllergyIntolerance.onset[x]	S This element must be supported.	0..1		Cuando la alergia fue identificada
AllergyIntolerance.onset[x].onsetDateTime			dateTime S This target must be supported.
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.onset[x].onsetString			string
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	Descripción del evento adverso
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: Allergy Reaction - IPS (preferred): Código para la manifestación de alergia o reacción de intolerancia del subconjunto SNOMED International Patient Set (IPS) de SNOMED CT (IPS Free Set).
AllergyIntolerance.reaction.severity	S This element must be supported.	0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required)
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	Allergies & Intolerances - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​manifestation	Base	preferred	Allergy Reaction - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📦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 AlergiaIntCL

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement		0..1	dateTime, Age, Period, Range, string	Concepto - referencia a una terminología o sólo texto URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
AllergyIntolerance.clinicalStatus		0..1	CodeableConcept	Concepto - referencia a una terminología o sólo texto
AllergyIntolerance.code		1..1	CodeableConcept	Código Relacionado con la Substancia o condición generada Binding: Allergies & Intolerances - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
AllergyIntolerance.patient		1..1	Reference(Paciente)	Paciente afectado
AllergyIntolerance.patient.reference	S This element must be supported.	1..1	string	Referencia literal, interna o url absoluta
AllergyIntolerance.onset[x]		0..1		Cuando la alergia fue identificada
AllergyIntolerance.onset[x].onsetDateTime			dateTime
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.onset[x].onsetString			string
AllergyIntolerance.reaction
AllergyIntolerance.reaction.manifestation		1..*	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: Allergy Reaction - IPS (preferred): Código para la manifestación de alergia o reacción de intolerancia del subconjunto SNOMED International Patient Set (IPS) de SNOMED CT (IPS Free Set).
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.code	Base	preferred	Allergies & Intolerances - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​manifestation	Base	preferred	Allergy Reaction - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
AllergyIntolerance.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
AllergyIntolerance.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
AllergyIntolerance.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.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
AllergyIntolerance.contained		0..*	Resource	Contained, inline Resources
AllergyIntolerance.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement		0..1	dateTime, Age, Period, Range, string	Concepto - referencia a una terminología o sólo texto URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.identifier	Σ This element is included in summaries.	0..*	Identifier	External ids for this item
AllergyIntolerance.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceClinicalStatusCodes (required)
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance Binding: AllergyIntoleranceType (required)
AllergyIntolerance.category	Σ This element is included in summaries.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
AllergyIntolerance.criticality	S This element must be supported. Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Código Relacionado con la Substancia o condición generada Binding: Allergies & Intolerances - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Paciente)	Paciente afectado
AllergyIntolerance.patient.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.patient.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
AllergyIntolerance.patient.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Referencia literal, interna o url absoluta
AllergyIntolerance.patient.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
AllergyIntolerance.patient.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
AllergyIntolerance.patient.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
AllergyIntolerance.encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x]	S This element must be supported.	0..1		Cuando la alergia fue identificada
AllergyIntolerance.onset[x].onsetDateTime			dateTime S This target must be supported.
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.onset[x].onsetString			string
AllergyIntolerance.recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
AllergyIntolerance.asserter	Σ This element is included in summaries.	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
AllergyIntolerance.lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
AllergyIntolerance.note		0..*	Annotation	Additional text not captured in other fields
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	Descripción del evento adverso
AllergyIntolerance.reaction.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.reaction.extension		0..*	Extension	Additional content defined by implementations
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.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).
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: Allergy Reaction - IPS (preferred): Código para la manifestación de alergia o reacción de intolerancia del subconjunto SNOMED International Patient Set (IPS) de SNOMED CT (IPS Free Set).
AllergyIntolerance.reaction.description		0..1	string	Description of the event as a whole
AllergyIntolerance.reaction.onset		0..1	dateTime	Date(/time) when manifestations showed
AllergyIntolerance.reaction.severity	S This element must be supported.	0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required)
AllergyIntolerance.reaction.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.
AllergyIntolerance.reaction.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	Allergies & Intolerances - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
AllergyIntolerance.patient.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	preferred	Allergy Reaction - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
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 AlergiaIntCL

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Paciente (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
AllergyIntolerance.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement		0..1	dateTime, Age, Period, Range, string	Concepto - referencia a una terminología o sólo texto URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceClinicalStatusCodes (required)
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance Binding: AllergyIntoleranceType (required)
AllergyIntolerance.criticality	S This element must be supported. Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Código Relacionado con la Substancia o condición generada Binding: Allergies & Intolerances - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Paciente)	Paciente afectado
AllergyIntolerance.patient.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Referencia literal, interna o url absoluta
AllergyIntolerance.onset[x]	S This element must be supported.	0..1		Cuando la alergia fue identificada
AllergyIntolerance.onset[x].onsetDateTime			dateTime S This target must be supported.
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.onset[x].onsetString			string
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	Descripción del evento adverso
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: Allergy Reaction - IPS (preferred): Código para la manifestación de alergia o reacción de intolerancia del subconjunto SNOMED International Patient Set (IPS) de SNOMED CT (IPS Free Set).
AllergyIntolerance.reaction.severity	S This element must be supported.	0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required)
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	Allergies & Intolerances - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​manifestation	Base	preferred	Allergy Reaction - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📦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()

Differential View

This structure is derived from AlergiaIntCL

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement		0..1	dateTime, Age, Period, Range, string	Concepto - referencia a una terminología o sólo texto URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
AllergyIntolerance.clinicalStatus		0..1	CodeableConcept	Concepto - referencia a una terminología o sólo texto
AllergyIntolerance.code		1..1	CodeableConcept	Código Relacionado con la Substancia o condición generada Binding: Allergies & Intolerances - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
AllergyIntolerance.patient		1..1	Reference(Paciente)	Paciente afectado
AllergyIntolerance.patient.reference	S This element must be supported.	1..1	string	Referencia literal, interna o url absoluta
AllergyIntolerance.onset[x]		0..1		Cuando la alergia fue identificada
AllergyIntolerance.onset[x].onsetDateTime			dateTime
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.onset[x].onsetString			string
AllergyIntolerance.reaction
AllergyIntolerance.reaction.manifestation		1..*	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: Allergy Reaction - IPS (preferred): Código para la manifestación de alergia o reacción de intolerancia del subconjunto SNOMED International Patient Set (IPS) de SNOMED CT (IPS Free Set).
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.code	Base	preferred	Allergies & Intolerances - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​manifestation	Base	preferred	Allergy Reaction - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
AllergyIntolerance.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
AllergyIntolerance.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
AllergyIntolerance.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.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
AllergyIntolerance.contained		0..*	Resource	Contained, inline Resources
AllergyIntolerance.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement		0..1	dateTime, Age, Period, Range, string	Concepto - referencia a una terminología o sólo texto URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.identifier	Σ This element is included in summaries.	0..*	Identifier	External ids for this item
AllergyIntolerance.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceClinicalStatusCodes (required)
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance Binding: AllergyIntoleranceType (required)
AllergyIntolerance.category	Σ This element is included in summaries.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
AllergyIntolerance.criticality	S This element must be supported. Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Código Relacionado con la Substancia o condición generada Binding: Allergies & Intolerances - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Paciente)	Paciente afectado
AllergyIntolerance.patient.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.patient.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
AllergyIntolerance.patient.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Referencia literal, interna o url absoluta
AllergyIntolerance.patient.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
AllergyIntolerance.patient.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
AllergyIntolerance.patient.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
AllergyIntolerance.encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x]	S This element must be supported.	0..1		Cuando la alergia fue identificada
AllergyIntolerance.onset[x].onsetDateTime			dateTime S This target must be supported.
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.onset[x].onsetString			string
AllergyIntolerance.recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
AllergyIntolerance.asserter	Σ This element is included in summaries.	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
AllergyIntolerance.lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
AllergyIntolerance.note		0..*	Annotation	Additional text not captured in other fields
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	Descripción del evento adverso
AllergyIntolerance.reaction.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.reaction.extension		0..*	Extension	Additional content defined by implementations
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.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).
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	CodeableConcept	Concepto - referencia a una terminología o sólo texto Binding: Allergy Reaction - IPS (preferred): Código para la manifestación de alergia o reacción de intolerancia del subconjunto SNOMED International Patient Set (IPS) de SNOMED CT (IPS Free Set).
AllergyIntolerance.reaction.description		0..1	string	Description of the event as a whole
AllergyIntolerance.reaction.onset		0..1	dateTime	Date(/time) when manifestations showed
AllergyIntolerance.reaction.severity	S This element must be supported.	0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required)
AllergyIntolerance.reaction.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.
AllergyIntolerance.reaction.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	Allergies & Intolerances - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
AllergyIntolerance.patient.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	preferred	Allergy Reaction - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
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 AlergiaIntCL

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Paciente (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0

Maturity: 1

Other representations of profile: CSV, Excel, Schematron