NHDR Implementation Guide Release 1.0
0.1.0 - ci-build
NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PROJ-PHILHEALTH-EA-NHDR/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions
Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-AllergyIntolerance | Version: 0.1.0 | |||
Standards status: Draft | Computable Name: PH_AllergyIntolerance | |||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
Risk of harmful or undesirable physiological response which is specific to an individual and associated with exposure to a substance.
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2 |
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?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
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Σ | 1..1 | Reference(PH Patient) | Who the sensitivity is for |
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0..1 | Reference(PH Encounter) | Encounter when the allergy or intolerance was asserted | |
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Path | Conformance | ValueSet | URI |
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard |
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()) |
This structure is derived from AllergyIntolerance
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) | |
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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1..1 | Reference(PH Patient) | Who the sensitivity is for | |
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0..1 | Reference(PH Encounter) | Encounter when the allergy or intolerance was asserted | |
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: ICD-10 Codes (required) | |
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0..0 | |||
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0..0 | |||
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Path | Conformance | ValueSet | URI |
AllergyIntolerance.reaction.manifestation | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VS From this IG |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2 |
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact |
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Σ | 0..1 | Meta | Metadata about the resource |
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Σ | 0..* | Identifier | External ids for this item |
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?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
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Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances. |
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Σ | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies. |
![]() ![]() ![]() |
Σ | 1..1 | Reference(PH Patient) | Who the sensitivity is for |
![]() ![]() ![]() |
0..1 | Reference(PH Encounter) | Encounter when the allergy or intolerance was asserted | |
![]() ![]() ![]() |
0..1 | dateTime | Date first version of the resource instance was recorded | |
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0..* | Annotation | Additional text not captured in other fields | |
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0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |
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1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: ICD-10 Codes (required) | |
![]() ![]() ![]() ![]() |
0..1 | string | Description of the event as a whole | |
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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. | |
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0..* | Annotation | Text about event not captured in other fields | |
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Path | Conformance | ValueSet | URI |
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard | |
AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 From the FHIR Standard | |
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-code From the FHIR Standard | |
AllergyIntolerance.reaction.manifestation | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VS From this IG | |
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 From the FHIR Standard |
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()) |
This structure is derived from AllergyIntolerance
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2 |
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
![]() ![]() ![]() |
Σ | 1..1 | Reference(PH Patient) | Who the sensitivity is for |
![]() ![]() ![]() |
0..1 | Reference(PH Encounter) | Encounter when the allergy or intolerance was asserted | |
![]() |
Path | Conformance | ValueSet | URI |
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard |
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()) |
Differential View
This structure is derived from AllergyIntolerance
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) | |
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
1..1 | Reference(PH Patient) | Who the sensitivity is for | |
![]() ![]() ![]() |
0..1 | Reference(PH Encounter) | Encounter when the allergy or intolerance was asserted | |
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
![]() ![]() ![]() ![]() |
0..0 | |||
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1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: ICD-10 Codes (required) | |
![]() ![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() ![]() |
0..0 | |||
![]() |
Path | Conformance | ValueSet | URI |
AllergyIntolerance.reaction.manifestation | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VS From this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2 |
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact |
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() |
Σ | 0..* | Identifier | External ids for this item |
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
![]() ![]() ![]() |
Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances. |
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies. |
![]() ![]() ![]() |
Σ | 1..1 | Reference(PH Patient) | Who the sensitivity is for |
![]() ![]() ![]() |
0..1 | Reference(PH Encounter) | Encounter when the allergy or intolerance was asserted | |
![]() ![]() ![]() |
0..1 | dateTime | Date first version of the resource instance was recorded | |
![]() ![]() ![]() |
0..* | Annotation | Additional text not captured in other fields | |
![]() ![]() ![]() |
0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |
![]() ![]() ![]() ![]() |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: ICD-10 Codes (required) | |
![]() ![]() ![]() ![]() |
0..1 | string | Description of the event as a whole | |
![]() ![]() ![]() ![]() |
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. | |
![]() ![]() ![]() ![]() |
0..* | Annotation | Text about event not captured in other fields | |
![]() |
Path | Conformance | ValueSet | URI |
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard | |
AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 From the FHIR Standard | |
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-code From the FHIR Standard | |
AllergyIntolerance.reaction.manifestation | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VS From this IG | |
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 From the FHIR Standard |
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()) |
This structure is derived from AllergyIntolerance
Other representations of profile: CSV, Excel, Schematron