WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions

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Resource Profile: ANC AllergyIntolerance

ANC AllergyIntolerance

Usages:

• Refer to this Profile: ANC CarePlan

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
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	WHOAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2, 1
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				Content/Rules for all slices
AllergyIntolerance.Slices for extension.extension:resolutionAge		0..1	Age	Age that the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
AllergyIntolerance.Slices for extension.extension:reasonRefuted	S This element must be supported. C	0..1	CodeableConcept	Explanation associated with refuted status URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
AllergyIntolerance.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
AllergyIntolerance.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
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	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
AllergyIntolerance.category	S This element must be supported. 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): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
AllergyIntolerance.code	S This element must be supported. Σ This element is included in summaries.	1..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.
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(ANC Base Patient)	Who the sensitivity is for
AllergyIntolerance.encounter	S This element must be supported.	0..1	Reference(ANC Base Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.recordedDate	S This element must be supported.	0..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder	S This element must be supported.	0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Who recorded the sensitivity
AllergyIntolerance.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Source of the information about the allergy
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.Slices for extension				Content/Rules for all slices
AllergyIntolerance.reaction.Slices for extension.extension:reaction-duration	S This element must be supported.	0..1	Duration	How long Manifestations persisted URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
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	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
AllergyIntolerance.reaction.onset	S This element must be supported.	0..1	dateTime	Date(/time) when manifestations showed
AllergyIntolerance.reaction.severity	S This element must be supported.	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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.identifier.​use	Base	required	IdentifierUse	📍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	example	AllergyIntolerance Substance/Product, Condition and Negation Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
1	error	AllergyIntolerance	extension: reasonRefuted is only permitted if status is refuted	verificationStatus.coding.code = 'refuted' or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
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 WHOAllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	WHOAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.patient		1..1	Reference(ANC Base Patient)	Who the sensitivity is for
AllergyIntolerance.encounter		0..1	Reference(ANC Base Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.recorder		0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Who recorded the sensitivity
AllergyIntolerance.asserter		0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Source of the information about the allergy
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	WHOAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2, 1
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
AllergyIntolerance.Slices for extension.extension:resolutionAge		0..1	Age	Age that the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
AllergyIntolerance.Slices for extension.extension:reasonRefuted	S This element must be supported. C	0..1	CodeableConcept	Explanation associated with refuted status URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
AllergyIntolerance.identifier.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
AllergyIntolerance.identifier.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
AllergyIntolerance.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
AllergyIntolerance.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
AllergyIntolerance.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
AllergyIntolerance.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
AllergyIntolerance.category	S This element must be supported. 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): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
AllergyIntolerance.code	S This element must be supported. Σ This element is included in summaries.	1..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.
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(ANC Base Patient)	Who the sensitivity is for
AllergyIntolerance.encounter	S This element must be supported.	0..1	Reference(ANC Base Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x]		0..1		When allergy or intolerance was identified
AllergyIntolerance.onset[x].onsetDateTime			dateTime
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.recordedDate	S This element must be supported.	0..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder	S This element must be supported.	0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Who recorded the sensitivity
AllergyIntolerance.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	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	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergyIntolerance.reaction.Slices for extension.extension:reaction-duration	S This element must be supported.	0..1	Duration	How long Manifestations persisted URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
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	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
AllergyIntolerance.reaction.description		0..1	string	Description of the event as a whole
AllergyIntolerance.reaction.onset	S This element must be supported.	0..1	dateTime	Date(/time) when manifestations showed
AllergyIntolerance.reaction.severity	S This element must be supported.	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.
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.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
AllergyIntolerance.identifier.​type	Base	extensible	IdentifierType	📍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	example	AllergyIntolerance Substance/Product, Condition and Negation Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
1	error	AllergyIntolerance	extension: reasonRefuted is only permitted if status is refuted	verificationStatus.coding.code = 'refuted' or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
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 WHOAllergyIntolerance

Summary

Structures

This structure refers to these other structures:

• ANC Base Patient (http://smart.who.int/anc/StructureDefinition/anc-base-patient)
• ANC Base Encounter (http://smart.who.int/anc/StructureDefinition/anc-base-encounter)
• ANC Practitioner (http://smart.who.int/anc/StructureDefinition/anc-practitioner)
• ANC PractitionerRole (http://smart.who.int/anc/StructureDefinition/anc-practitionerrole)
• ANC RelatedPerson (http://smart.who.int/anc/StructureDefinition/anc-relatedperson)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	WHOAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2, 1
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				Content/Rules for all slices
AllergyIntolerance.Slices for extension.extension:resolutionAge		0..1	Age	Age that the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
AllergyIntolerance.Slices for extension.extension:reasonRefuted	S This element must be supported. C	0..1	CodeableConcept	Explanation associated with refuted status URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
AllergyIntolerance.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
AllergyIntolerance.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
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	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
AllergyIntolerance.category	S This element must be supported. 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): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
AllergyIntolerance.code	S This element must be supported. Σ This element is included in summaries.	1..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.
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(ANC Base Patient)	Who the sensitivity is for
AllergyIntolerance.encounter	S This element must be supported.	0..1	Reference(ANC Base Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.recordedDate	S This element must be supported.	0..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder	S This element must be supported.	0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Who recorded the sensitivity
AllergyIntolerance.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Source of the information about the allergy
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.Slices for extension				Content/Rules for all slices
AllergyIntolerance.reaction.Slices for extension.extension:reaction-duration	S This element must be supported.	0..1	Duration	How long Manifestations persisted URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
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	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
AllergyIntolerance.reaction.onset	S This element must be supported.	0..1	dateTime	Date(/time) when manifestations showed
AllergyIntolerance.reaction.severity	S This element must be supported.	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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.identifier.​use	Base	required	IdentifierUse	📍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	example	AllergyIntolerance Substance/Product, Condition and Negation Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
1	error	AllergyIntolerance	extension: reasonRefuted is only permitted if status is refuted	verificationStatus.coding.code = 'refuted' or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
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 WHOAllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	WHOAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.patient		1..1	Reference(ANC Base Patient)	Who the sensitivity is for
AllergyIntolerance.encounter		0..1	Reference(ANC Base Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.recorder		0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Who recorded the sensitivity
AllergyIntolerance.asserter		0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Source of the information about the allergy
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	WHOAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2, 1
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
AllergyIntolerance.Slices for extension.extension:resolutionAge		0..1	Age	Age that the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
AllergyIntolerance.Slices for extension.extension:reasonRefuted	S This element must be supported. C	0..1	CodeableConcept	Explanation associated with refuted status URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
AllergyIntolerance.identifier.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
AllergyIntolerance.identifier.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
AllergyIntolerance.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
AllergyIntolerance.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
AllergyIntolerance.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
AllergyIntolerance.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
AllergyIntolerance.category	S This element must be supported. 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): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
AllergyIntolerance.code	S This element must be supported. Σ This element is included in summaries.	1..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.
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(ANC Base Patient)	Who the sensitivity is for
AllergyIntolerance.encounter	S This element must be supported.	0..1	Reference(ANC Base Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x]		0..1		When allergy or intolerance was identified
AllergyIntolerance.onset[x].onsetDateTime			dateTime
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.recordedDate	S This element must be supported.	0..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder	S This element must be supported.	0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	Who recorded the sensitivity
AllergyIntolerance.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson)	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	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergyIntolerance.reaction.Slices for extension.extension:reaction-duration	S This element must be supported.	0..1	Duration	How long Manifestations persisted URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
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	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
AllergyIntolerance.reaction.description		0..1	string	Description of the event as a whole
AllergyIntolerance.reaction.onset	S This element must be supported.	0..1	dateTime	Date(/time) when manifestations showed
AllergyIntolerance.reaction.severity	S This element must be supported.	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.
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.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
AllergyIntolerance.identifier.​type	Base	extensible	IdentifierType	📍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	example	AllergyIntolerance Substance/Product, Condition and Negation Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
1	error	AllergyIntolerance	extension: reasonRefuted is only permitted if status is refuted	verificationStatus.coding.code = 'refuted' or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
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 WHOAllergyIntolerance

Summary

Structures

This structure refers to these other structures:

• ANC Base Patient (http://smart.who.int/anc/StructureDefinition/anc-base-patient)
• ANC Base Encounter (http://smart.who.int/anc/StructureDefinition/anc-base-encounter)
• ANC Practitioner (http://smart.who.int/anc/StructureDefinition/anc-practitioner)
• ANC PractitionerRole (http://smart.who.int/anc/StructureDefinition/anc-practitionerrole)
• ANC RelatedPerson (http://smart.who.int/anc/StructureDefinition/anc-relatedperson)

Other representations of profile: CSV, Excel, Schematron