SMART Base Clinical
1.0.0 - ci-build International flag

SMART Base Clinical, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-base-clinical/ and changes regularly. See the Directory of published versions

Resource Profile: WHO SMART Guidelines AllergyIntolerance

Official URL: http://smart.who.int/base-clinical/StructureDefinition/sg-allergyintolerance Version: 1.0.0
Draft as of 2024-12-02 Computable Name: SGAllergyIntolerance

The WHO SMART Guidelines AllergyIntolerance profile defines conformance requirements and exchange expectations for AllergyIntolerance resources in WHO Smart Guidelines content.

Usage:

Formal Views of Profile Content

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

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
ali-1: extension: reasonRefuted is only permitted if status is refuted
... Slices for extension Content/Rules for all slices
.... resolutionAge S 0..1 Age Age that the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
.... reasonRefuted SC 0..1 CodeableConcept Explanation associated with refuted status
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
... identifier S 1..* Identifier External ids for this item
.... use S 1..1 code usual | official | temp | secondary | old (If known)
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... clinicalStatus S 0..1 CodeableConcept active | inactive | resolved
... type S 0..1 code allergy | intolerance - Underlying mechanism (if known)
... category S 0..* code food | medication | environment | biologic
... criticality S 0..1 code low | high | unable-to-assess
... code S 1..1 CodeableConcept Code that identifies the allergy or intolerance
... patient S 1..1 Reference(WHO SMART Guidelines Patient) Who the sensitivity is for
... encounter S 0..1 Reference(WHO SMART Guidelines Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... recordedDate S 0..1 dateTime Date first version of the resource instance was recorded
... recorder S 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Who recorded the sensitivity
... asserter S 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Source of the information about the allergy
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... Slices for extension Content/Rules for all slices
..... reaction-duration S 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... manifestation S 1..* CodeableConcept Clinical symptoms/signs associated with the Event
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ali-1errorAllergyIntoleranceextension: reasonRefuted is only permitted if status is refuted
: verificationStatus.coding.code.contains('refuted') or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* AllergyIntolerance 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
ali-1: extension: reasonRefuted is only permitted if status is refuted
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... resolutionAge S 0..1 Age Age that the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
.... reasonRefuted SC 0..1 CodeableConcept Explanation associated with refuted status
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC 0..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.

... type SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ 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): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ 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.

... patient SΣ 1..1 Reference(WHO SMART Guidelines Patient) Who the sensitivity is for
... encounter S 0..1 Reference(WHO SMART Guidelines Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... recordedDate S 0..1 dateTime Date first version of the resource instance was recorded
... recorder S 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Who recorded the sensitivity
... asserter SΣ 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Source of the information about the allergy
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... Slices for extension Content/Rules for all slices
..... reaction-duration S 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... manifestation S 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.


.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeexampleAllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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()
ali-1errorAllergyIntoleranceextension: reasonRefuted is only permitted if status is refuted
: verificationStatus.coding.code.contains('refuted') or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* AllergyIntolerance 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
ali-1: extension: reasonRefuted is only permitted if status is refuted
... 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
... 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
.... resolutionAge S 0..1 Age Age that the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
.... reasonRefuted SC 0..1 CodeableConcept Explanation associated with refuted status
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier External ids for this item
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 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.

.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC 0..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.

... type SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ 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): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ 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.

... patient SΣ 1..1 Reference(WHO SMART Guidelines Patient) Who the sensitivity is for
... encounter S 0..1 Reference(WHO SMART Guidelines Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... recordedDate S 0..1 dateTime Date first version of the resource instance was recorded
... recorder S 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Who recorded the sensitivity
... asserter SΣ 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) 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 Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... reaction-duration S 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... 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..* 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.


.... description 0..1 string Description of the event as a whole
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 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.

.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
AllergyIntolerance.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
AllergyIntolerance.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeexampleAllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
AllergyIntolerance.reaction.substanceexampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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()
ali-1errorAllergyIntoleranceextension: reasonRefuted is only permitted if status is refuted
: verificationStatus.coding.code.contains('refuted') or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
ali-1: extension: reasonRefuted is only permitted if status is refuted
... Slices for extension Content/Rules for all slices
.... resolutionAge S 0..1 Age Age that the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
.... reasonRefuted SC 0..1 CodeableConcept Explanation associated with refuted status
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
... identifier S 1..* Identifier External ids for this item
.... use S 1..1 code usual | official | temp | secondary | old (If known)
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... clinicalStatus S 0..1 CodeableConcept active | inactive | resolved
... type S 0..1 code allergy | intolerance - Underlying mechanism (if known)
... category S 0..* code food | medication | environment | biologic
... criticality S 0..1 code low | high | unable-to-assess
... code S 1..1 CodeableConcept Code that identifies the allergy or intolerance
... patient S 1..1 Reference(WHO SMART Guidelines Patient) Who the sensitivity is for
... encounter S 0..1 Reference(WHO SMART Guidelines Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... recordedDate S 0..1 dateTime Date first version of the resource instance was recorded
... recorder S 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Who recorded the sensitivity
... asserter S 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Source of the information about the allergy
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... Slices for extension Content/Rules for all slices
..... reaction-duration S 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... manifestation S 1..* CodeableConcept Clinical symptoms/signs associated with the Event
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ali-1errorAllergyIntoleranceextension: reasonRefuted is only permitted if status is refuted
: verificationStatus.coding.code.contains('refuted') or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* AllergyIntolerance 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
ali-1: extension: reasonRefuted is only permitted if status is refuted
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... resolutionAge S 0..1 Age Age that the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
.... reasonRefuted SC 0..1 CodeableConcept Explanation associated with refuted status
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC 0..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.

... type SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ 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): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ 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.

... patient SΣ 1..1 Reference(WHO SMART Guidelines Patient) Who the sensitivity is for
... encounter S 0..1 Reference(WHO SMART Guidelines Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... recordedDate S 0..1 dateTime Date first version of the resource instance was recorded
... recorder S 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Who recorded the sensitivity
... asserter SΣ 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Source of the information about the allergy
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... Slices for extension Content/Rules for all slices
..... reaction-duration S 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... manifestation S 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.


.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeexampleAllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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()
ali-1errorAllergyIntoleranceextension: reasonRefuted is only permitted if status is refuted
: verificationStatus.coding.code.contains('refuted') or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* AllergyIntolerance 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
ali-1: extension: reasonRefuted is only permitted if status is refuted
... 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
... 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
.... resolutionAge S 0..1 Age Age that the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
.... reasonRefuted SC 0..1 CodeableConcept Explanation associated with refuted status
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier External ids for this item
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 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.

.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC 0..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.

... type SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ 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): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ 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.

... patient SΣ 1..1 Reference(WHO SMART Guidelines Patient) Who the sensitivity is for
... encounter S 0..1 Reference(WHO SMART Guidelines Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... recordedDate S 0..1 dateTime Date first version of the resource instance was recorded
... recorder S 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) Who recorded the sensitivity
... asserter SΣ 0..1 Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) 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 Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... reaction-duration S 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... 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..* 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.


.... description 0..1 string Description of the event as a whole
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 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.

.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
AllergyIntolerance.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
AllergyIntolerance.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeexampleAllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
AllergyIntolerance.reaction.substanceexampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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()
ali-1errorAllergyIntoleranceextension: reasonRefuted is only permitted if status is refuted
: verificationStatus.coding.code.contains('refuted') or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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