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/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

Resource Profile: PH AllergyIntolerance

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:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... patient Σ 1..1 Reference(PH Patient) Who the sensitivity is for
... encounter 0..1 Reference(PH Encounter) Encounter when the allergy or intolerance was asserted

doco 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.

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())

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... meta
.... Slices for extension Content/Rules for all slices
..... extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
..... extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
.... lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
... implicitRules 0..0
... language 0..0
... contained 0..0
... extension 0..0
... modifierExtension 0..0
... verificationStatus 0..0
... type 0..0
... criticality 0..0
... patient 1..1 Reference(PH Patient) Who the sensitivity is for
... encounter 0..1 Reference(PH Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..0
... recorder 0..0
... asserter 0..0
... lastOccurrence 0..0
... reaction
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... substance 0..0
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: ICD-10 Codes (required)
.... onset 0..0
.... exposureRoute 0..0

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.reaction.​manifestation Base required ICD-10 Codes 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
..... extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource was uploaded to the NHDR.
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... identifier Σ 0..* Identifier External ids for this item
... category Σ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... code 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.
... patient Σ 1..1 Reference(PH Patient) Who the sensitivity is for
... encounter 0..1 Reference(PH Encounter) Encounter when the allergy or intolerance was asserted
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... note 0..* Annotation Additional text not captured in other fields
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: ICD-10 Codes (required)
.... description 0..1 string Description of the event as a whole
.... severity 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
AllergyIntolerance.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base required ICD-10 Codes 📦0.1.0 This IG
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... patient Σ 1..1 Reference(PH Patient) Who the sensitivity is for
... encounter 0..1 Reference(PH Encounter) Encounter when the allergy or intolerance was asserted

doco 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.

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())

Differential View

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... meta
.... Slices for extension Content/Rules for all slices
..... extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
..... extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
.... lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
... implicitRules 0..0
... language 0..0
... contained 0..0
... extension 0..0
... modifierExtension 0..0
... verificationStatus 0..0
... type 0..0
... criticality 0..0
... patient 1..1 Reference(PH Patient) Who the sensitivity is for
... encounter 0..1 Reference(PH Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..0
... recorder 0..0
... asserter 0..0
... lastOccurrence 0..0
... reaction
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... substance 0..0
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: ICD-10 Codes (required)
.... onset 0..0
.... exposureRoute 0..0

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.reaction.​manifestation Base required ICD-10 Codes 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
..... extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource was uploaded to the NHDR.
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... identifier Σ 0..* Identifier External ids for this item
... category Σ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... code 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.
... patient Σ 1..1 Reference(PH Patient) Who the sensitivity is for
... encounter 0..1 Reference(PH Encounter) Encounter when the allergy or intolerance was asserted
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... note 0..* Annotation Additional text not captured in other fields
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: ICD-10 Codes (required)
.... description 0..1 string Description of the event as a whole
.... severity 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
AllergyIntolerance.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base required ICD-10 Codes 📦0.1.0 This IG
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()

 

Other representations of profile: CSV, Excel, Schematron