Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.4.0 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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• Detailed Descriptions
• Mappings
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• XML
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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

Usage:

• Use this Resource Profile: Bundle Resumen Clínico
• Refer to this Resource Profile: Documento
• Examples for this Resource Profile: AllergyIntolerance/Alergia-CL-Ejemplo

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
AllergyIntolerance	C	0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
abatement		0..1	dateTime, Age, Period, Range, string	Cuando la alergia o intolerancia se resuelve. URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceVerificationStatusCodes (required) ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	code	allergy | intolerance Binding: AllergyIntoleranceType (required) ele-1: All FHIR elements must have a @value or children
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConceptIPS	Código Relacionado con la Substancia o condición generada Binding: Allergy Intolerance - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate ele-1: All FHIR elements must have a @value or children
patient	SΣ	1..1	Reference(Paciente)	Paciente afectado ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Referencia literal, interna o url absoluta ele-1: All FHIR elements must have a @value or children
onset[x]	S	0..1		Cuando la alergia fue identificada ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
reaction	S	0..*	BackboneElement	Descripción del evento adverso ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
manifestation	S	1..*	CodeableConceptIPS	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). ele-1: All FHIR elements must have a @value or children
severity	S	0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality from the FHIR Standard
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.reaction.manifestation	preferred	AllergyReactionUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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
AllergyIntolerance		0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
abatement		0..1	dateTime, Age, Period, Range, string	Cuando la alergia o intolerancia se resuelve. URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
clinicalStatus		0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto
verificationStatus		0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto
code		1..1	CodeableConceptIPS	Código Relacionado con la Substancia o condición generada Binding: Allergy Intolerance - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
patient		1..1	Reference(Paciente)	Paciente afectado
reference	S	1..1	string	Referencia literal, interna o url absoluta
onset[x]		0..1		Cuando la alergia fue identificada
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
reaction
manifestation		1..*	CodeableConceptIPS	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	Conformance	ValueSet	URI
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.reaction.manifestation	preferred	AllergyReactionUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
abatement		0..1	dateTime, Age, Period, Range, string	Cuando la alergia o intolerancia se resuelve. URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceVerificationStatusCodes (required)
type	SΣ	0..1	code	allergy | intolerance Binding: AllergyIntoleranceType (required)
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
code	SΣ	1..1	CodeableConceptIPS	Código Relacionado con la Substancia o condición generada Binding: Allergy Intolerance - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
patient	SΣ	1..1	Reference(Paciente)	Paciente afectado
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Referencia literal, interna o url absoluta
type	Σ	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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]	S	0..1		Cuando la alergia fue identificada
onsetDateTime			dateTime S
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 | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields
reaction	S	0..*	BackboneElement	Descripción del evento adverso
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
manifestation	S	1..*	CodeableConceptIPS	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).
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity	S	0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of 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	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality from the FHIR Standard
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
AllergyIntolerance.reaction.substance	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard
AllergyIntolerance.reaction.manifestation	preferred	AllergyReactionUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity from the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• 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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
abatement		0..1	dateTime, Age, Period, Range, string	Cuando la alergia o intolerancia se resuelve. URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceVerificationStatusCodes (required) ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	code	allergy | intolerance Binding: AllergyIntoleranceType (required) ele-1: All FHIR elements must have a @value or children
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConceptIPS	Código Relacionado con la Substancia o condición generada Binding: Allergy Intolerance - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate ele-1: All FHIR elements must have a @value or children
patient	SΣ	1..1	Reference(Paciente)	Paciente afectado ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Referencia literal, interna o url absoluta ele-1: All FHIR elements must have a @value or children
onset[x]	S	0..1		Cuando la alergia fue identificada ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
reaction	S	0..*	BackboneElement	Descripción del evento adverso ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
manifestation	S	1..*	CodeableConceptIPS	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). ele-1: All FHIR elements must have a @value or children
severity	S	0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality from the FHIR Standard
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.reaction.manifestation	preferred	AllergyReactionUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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
AllergyIntolerance		0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
abatement		0..1	dateTime, Age, Period, Range, string	Cuando la alergia o intolerancia se resuelve. URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
clinicalStatus		0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto
verificationStatus		0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto
code		1..1	CodeableConceptIPS	Código Relacionado con la Substancia o condición generada Binding: Allergy Intolerance - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
patient		1..1	Reference(Paciente)	Paciente afectado
reference	S	1..1	string	Referencia literal, interna o url absoluta
onset[x]		0..1		Cuando la alergia fue identificada
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
reaction
manifestation		1..*	CodeableConceptIPS	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	Conformance	ValueSet	URI
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.reaction.manifestation	preferred	AllergyReactionUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AlergiaIntCL	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
abatement		0..1	dateTime, Age, Period, Range, string	Cuando la alergia o intolerancia se resuelve. URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto - referencia a una terminología o sólo texto Binding: AllergyIntoleranceVerificationStatusCodes (required)
type	SΣ	0..1	code	allergy | intolerance Binding: AllergyIntoleranceType (required)
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
code	SΣ	1..1	CodeableConceptIPS	Código Relacionado con la Substancia o condición generada Binding: Allergy Intolerance - IPS (preferred) Additional Bindings Purpose WHO ATC - IPS candidate
patient	SΣ	1..1	Reference(Paciente)	Paciente afectado
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Referencia literal, interna o url absoluta
type	Σ	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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]	S	0..1		Cuando la alergia fue identificada
onsetDateTime			dateTime S
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 | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields
reaction	S	0..*	BackboneElement	Descripción del evento adverso
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
manifestation	S	1..*	CodeableConceptIPS	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).
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity	S	0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of 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	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality from the FHIR Standard
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
AllergyIntolerance.reaction.substance	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard
AllergyIntolerance.reaction.manifestation	preferred	AllergyReactionUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity from the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• 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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron