FR Document Core (FHIR)
0.1.0 - ci-build

FR Document Core (FHIR), publié par Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. Ce guide n'est pas une publication autorisée ; C'est la version en intégration continue pour la version 0.1.0 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/ansforge/interop-IG-fhir-document-core/ et change régulièrement. Voir le répertoire des versions publiées

## Profil de ressource: AllergyIntolerance - FR Allergy and intolerance Document - Descriptions détaillées

Draft à partir de 2026-08-07

Définitions pour le fr-allergy-intolerance-document profil de ressource

- Tableau des éléments clés
- Tableau différentiel (differential)
- Tableau récapitulatif (snapshot)

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. AllergyIntolerance
Définition | Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.
Court | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Commentaires | Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | Allergy, Intolerance, Adverse Reaction
Invariants | ait-1: 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: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) ait-1: 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: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. AllergyIntolerance.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. AllergyIntolerance.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. AllergyIntolerance.identifier
Définition | Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Court | IdentifiantExternal ids for this item
Commentaires | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. AllergyIntolerance.clinicalStatus
Définition | The clinical status of the allergy or intolerance.
Court | Statut cliniqueactive | inactive | resolved
Commentaires | Refer to discussion if clincalStatus is missing data. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ait-1, ait-2
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1` ) The clinical status of the allergy or intolerance.
Type | CodeableConcept
Est modificateur | true parce que This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. AllergyIntolerance.verificationStatus
Définition | Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).
Court | Certitudeunconfirmed | confirmed | refuted | entered-in-error
Commentaires | The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ait-1, ait-2
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1` ) Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
Type | CodeableConcept
Est modificateur | true parce que This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. AllergyIntolerance.type
Définition | Identification of the underlying physiological mechanism for the reaction risk.
Court | allergy | intolerance - Underlying mechanism (if known)
Commentaires | Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1` ) Identification of the underlying physiological mechanism for a Reaction Risk.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | Category, Class
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. AllergyIntolerance.type.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.type.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
16. AllergyIntolerance.type.extension:type
Nom de la slice | type
Définition | R5: `AllergyIntolerance.type` additional types (CodeableConcept) additional types from child elements (coding)
Court | Type d'allergie ou d'intolérance
Commentaires | Element `AllergyIntolerance.type` is mapped to FHIR R4 element `AllergyIntolerance.type` as `SourceIsBroaderThanTarget`. The mappings for `AllergyIntolerance.type` do not cover the following types: CodeableConcept. The mappings for `AllergyIntolerance.type` do not cover the following types based on type expansion: coding. Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(R5: type additional types) (Type d'extension : CodeableConcept)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. AllergyIntolerance.type.extension:type.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.type.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
20. AllergyIntolerance.type.extension:type.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type`
22. AllergyIntolerance.type.extension:type.value[x]
Définition | Identification of the underlying physiological mechanism for the reaction risk. Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | allergy | intolerance - Underlying mechanism (if known)Value of extension
Commentaires | Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de Pour les codes, voir FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-intolerance-type-document|0.1.0` )
Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. AllergyIntolerance.criticality
Définition | Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.
Court | Criticitélow | high | unable-to-assess
Commentaires | The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term "severity" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1` ) Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | Severity, Seriousness, Contra-indication, Risk
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. AllergyIntolerance.code
Définition | Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
Court | agent allergiqueCode that identifies the allergy or intolerance
Commentaires | It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. When a substance or product code is specified for the 'code' element, the "default" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the "Causative agent" relationship. The 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.
Contrôle | 10..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir FRValueSetAllergyCodeDocument (0.1.0)http://hl7.org/fhir/ValueSet/allergyintolerance-code|4.0.1 (extensible to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-code|0.1.0` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | Code
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. AllergyIntolerance.patient
Définition | The patient who has the allergy or intolerance.
Court | Patient concerné par l'allergie ou intoléranceWho the sensitivity is for
Contrôle | 1..1
Type | Reference(FR Patient INS Document, FR Patient Document, Patient)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Noms alternatifs | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. AllergyIntolerance.onset[x]
Définition | Estimated or actual date, date-time, or age when allergy or intolerance was identified.
Court | Date d'identification d'allergie ou d'intoléranceWhen allergy or intolerance was identified
Contrôle | 0..1
Type | Choix de : dateTime, Age, Period, Range, string
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.onset[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
32. AllergyIntolerance.onset[x]:onsetPeriod
Nom de la slice | onsetPeriod
Définition | Estimated or actual date, date-time, or age when allergy or intolerance was identified.
Court | Dates de début et de finWhen allergy or intolerance was identified
Contrôle | 0..1
Type | Period, dateTime, string, Range, Age
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. AllergyIntolerance.onset[x]:onsetPeriod.start
Définition | The start of the period. The boundary is inclusive.
Court | Starting time with inclusive boundary
Commentaires | If the low element is missing, the meaning is that the low boundary is not known.
Contrôle | 10..1 Cet élément est affecté par les invariants suivants : per-1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. AllergyIntolerance.reaction
Définition | Details about each adverse reaction event linked to exposure to the identified substance.
Court | Réaction observéeAdverse Reaction Events linked to exposure to substance
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. AllergyIntolerance.reaction.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. AllergyIntolerance.reaction.substance
Définition | Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
Court | Substance responsable de la réactionSpecific substance or pharmaceutical product considered to be responsible for event
Commentaires | Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible. The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, "penicillins"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, "amoxycillin"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir FRValueSetAllergySubstanceDocument (0.1.0)http://hl7.org/fhir/ValueSet/substance-code|4.0.1 (required to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-substance|0.1.0` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. AllergyIntolerance.reaction.manifestation
Définition | Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.
Court | Symptômes/signes cliniques associés à l’événementClinical symptoms/signs associated with the Event
Commentaires | Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.
Contrôle | 1..*
Binding | Pour des exemples de codes, voir SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1 (example to `http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1` ) Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Noms alternatifs | Symptoms, Signs
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. AllergyIntolerance.reaction.onset
Définition | Record of the date and/or time of the onset of the Reaction.
Court | Dates de début et de fin du problèmeDate(/time) when manifestations showed
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. AllergyIntolerance.reaction.severity
Définition | Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.
Court | Sévéritémild | moderate | severe (of event as a whole)
Commentaires | It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 (required to `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` ) Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. AllergyIntolerance.reaction.note
Définition | Additional text about the adverse reaction event not captured in other fields.
Court | CommentaireText about event not captured in other fields
Commentaires | Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.
Contrôle | 0..*
Type | Annotation
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. AllergyIntolerance
2. AllergyIntolerance.identifier
Court | Identifiant
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
4. AllergyIntolerance.clinicalStatus
Court | Statut clinique
Doit être pris en charge (Must Support) | true
6. AllergyIntolerance.verificationStatus
Court | Certitude
Doit être pris en charge (Must Support) | true
8. AllergyIntolerance.type
Doit être pris en charge (Must Support) | true
10. AllergyIntolerance.type.extension
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.type.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
12. AllergyIntolerance.type.extension:type
Nom de la slice | type
Court | Type d'allergie ou d'intolérance
Contrôle | 0..1
Type | Extension(R5: type additional types) (Type d'extension : CodeableConcept)
14. AllergyIntolerance.type.extension:type.extension
Contrôle | 0..0
16. AllergyIntolerance.type.extension:type.value[x]
Binding | Les codes DEVRAIENT (SHOULD) être pris de FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-intolerance-type-document|0.1.0` )
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
18. AllergyIntolerance.criticality
Court | Criticité
Doit être pris en charge (Must Support) | true
20. AllergyIntolerance.code
Court | agent allergique
Contrôle | 1..?
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FRValueSetAllergyCodeDocument (0.1.0) (extensible to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-code|0.1.0` )
Doit être pris en charge (Must Support) | true
22. AllergyIntolerance.patient
Court | Patient concerné par l'allergie ou intolérance
Type | Reference(FR Patient INS Document, FR Patient Document)
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
24. AllergyIntolerance.onset[x]
Court | Date d'identification d'allergie ou d'intolérance
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Doit être pris en charge (Must Support) | true
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.onset[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
26. AllergyIntolerance.onset[x]:onsetPeriod
Nom de la slice | onsetPeriod
Court | Dates de début et de fin
Contrôle | 0..1
Type | Period
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Doit être pris en charge (Must Support) | true
28. AllergyIntolerance.onset[x]:onsetPeriod.start
Contrôle | 1..?
30. AllergyIntolerance.reaction
Court | Réaction observée
Doit être pris en charge (Must Support) | true
32. AllergyIntolerance.reaction.substance
Court | Substance responsable de la réaction
Binding | Les codes DOIVENT (SHALL) être pris de FRValueSetAllergySubstanceDocument (0.1.0) (required to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-substance|0.1.0` )
Doit être pris en charge (Must Support) | true
34. AllergyIntolerance.reaction.manifestation
Court | Symptômes/signes cliniques associés à l’événement
Doit être pris en charge (Must Support) | true
36. AllergyIntolerance.reaction.onset
Court | Dates de début et de fin du problème
Doit être pris en charge (Must Support) | true
38. AllergyIntolerance.reaction.severity
Court | Sévérité
Doit être pris en charge (Must Support) | true
40. AllergyIntolerance.reaction.note
Court | Commentaire
Doit être pris en charge (Must Support) | true

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. AllergyIntolerance
Définition | Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.
Court | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Commentaires | Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | Allergy, Intolerance, Adverse Reaction
Invariants | ait-1: 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: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. AllergyIntolerance.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Court | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Contrôle | 0..1
Type | id
Est modificateur | false
Résumé | true
4. AllergyIntolerance.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Court | Metadata about the resource
Contrôle | 0..1
Type | Meta
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. AllergyIntolerance.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. AllergyIntolerance.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. AllergyIntolerance.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Court | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Contrôle | 0..1
Type | Narrative
Est modificateur | false
Résumé | false
Noms alternatifs | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. AllergyIntolerance.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Court | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Contrôle | 0..*
Type | Resource
Est modificateur | false
Résumé | false
Noms alternatifs | inline resources, anonymous resources, contained resources
14. AllergyIntolerance.extension
Définition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. AllergyIntolerance.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. AllergyIntolerance.identifier
Définition | Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Court | Identifiant
Commentaires | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. AllergyIntolerance.clinicalStatus
Définition | The clinical status of the allergy or intolerance.
Court | Statut clinique
Commentaires | Refer to discussion if clincalStatus is missing data. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ait-1, ait-2
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceClinicalStatusCodes (required to `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1` ) The clinical status of the allergy or intolerance.
Type | CodeableConcept
Est modificateur | true parce que This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. AllergyIntolerance.verificationStatus
Définition | Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).
Court | Certitude
Commentaires | The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ait-1, ait-2
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceVerificationStatusCodes (required to `http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1` ) Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
Type | CodeableConcept
Est modificateur | true parce que This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. AllergyIntolerance.type
Définition | Identification of the underlying physiological mechanism for the reaction risk.
Court | allergy | intolerance - Underlying mechanism (if known)
Commentaires | Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceType (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1` ) Identification of the underlying physiological mechanism for a Reaction Risk.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | Category, Class
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. AllergyIntolerance.type.id
Définition | unique id for the element within a resource (for internal references)
Court | xml:id (or equivalent in JSON)
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
28. AllergyIntolerance.type.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.type.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
30. AllergyIntolerance.type.extension:type
Nom de la slice | type
Définition | R5: `AllergyIntolerance.type` additional types (CodeableConcept) additional types from child elements (coding)
Court | Type d'allergie ou d'intolérance
Commentaires | Element `AllergyIntolerance.type` is mapped to FHIR R4 element `AllergyIntolerance.type` as `SourceIsBroaderThanTarget`. The mappings for `AllergyIntolerance.type` do not cover the following types: CodeableConcept. The mappings for `AllergyIntolerance.type` do not cover the following types based on type expansion: coding. Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(R5: type additional types) (Type d'extension : CodeableConcept)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
32. AllergyIntolerance.type.extension:type.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
34. AllergyIntolerance.type.extension:type.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.type.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
36. AllergyIntolerance.type.extension:type.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type`
38. AllergyIntolerance.type.extension:type.value[x]
Définition | Identification of the underlying physiological mechanism for the reaction risk.
Court | allergy | intolerance - Underlying mechanism (if known)
Commentaires | Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-intolerance-type-document|0.1.0` )
Type | CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. AllergyIntolerance.type.value
Définition | Primitive value for code
Court | Primitive value for code
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
42. AllergyIntolerance.category
Définition | Category of the identified substance.
Court | food | medication | environment | biologic
Commentaires | This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to search for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.
Contrôle | 0..*
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceCategory (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1` ) Category of an identified substance associated with allergies or intolerances.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Noms alternatifs | Category, Type, Reaction Type, Class
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. AllergyIntolerance.criticality
Définition | Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.
Court | Criticité
Commentaires | The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term "severity" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceCriticality (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1` ) Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | Severity, Seriousness, Contra-indication, Risk
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. AllergyIntolerance.code
Définition | Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
Court | agent allergique
Commentaires | It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. When a substance or product code is specified for the 'code' element, the "default" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the "Causative agent" relationship. The 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FRValueSetAllergyCodeDocument (0.1.0) (extensible to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-code|0.1.0` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | Code
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. AllergyIntolerance.patient
Définition | The patient who has the allergy or intolerance.
Court | Patient concerné par l'allergie ou intolérance
Contrôle | 1..1
Type | Reference(FR Patient INS Document, FR Patient Document)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Noms alternatifs | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. AllergyIntolerance.encounter
Définition | The encounter when the allergy or intolerance was asserted.
Court | Encounter when the allergy or intolerance was asserted
Contrôle | 0..1
Type | Reference(Encounter)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. AllergyIntolerance.onset[x]
Définition | Estimated or actual date, date-time, or age when allergy or intolerance was identified.
Court | Date d'identification d'allergie ou d'intolérance
Contrôle | 0..1
Type | Choix de : dateTime, Age, Period, Range, string
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.onset[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
54. AllergyIntolerance.onset[x]:onsetPeriod
Nom de la slice | onsetPeriod
Définition | Estimated or actual date, date-time, or age when allergy or intolerance was identified.
Court | Dates de début et de fin
Contrôle | 0..1
Type | Period
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. AllergyIntolerance.onset[x]:onsetPeriod.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
58. AllergyIntolerance.onset[x]:onsetPeriod.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `AllergyIntolerance.onset[x].extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
60. AllergyIntolerance.onset[x]:onsetPeriod.start
Définition | The start of the period. The boundary is inclusive.
Court | Starting time with inclusive boundary
Commentaires | If the low element is missing, the meaning is that the low boundary is not known.
Contrôle | 1..1 Cet élément est affecté par les invariants suivants : per-1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. AllergyIntolerance.onset[x]:onsetPeriod.end
Définition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Court | End time with inclusive boundary, if not ongoing
Commentaires | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : per-1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Signification si manquant | If the end of the period is missing, it means that the period is ongoing
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. AllergyIntolerance.recordedDate
Définition | The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.
Court | Date first version of the resource instance was recorded
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. AllergyIntolerance.recorder
Définition | Individual who recorded the record and takes responsibility for its content.
Court | Who recorded the sensitivity
Contrôle | 0..1
Type | Reference(Practitioner, PractitionerRole, Patient, RelatedPerson)
Est modificateur | false
Résumé | false
Noms alternatifs | Author
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. AllergyIntolerance.asserter
Définition | The source of the information about the allergy that is recorded.
Court | Source of the information about the allergy
Commentaires | The recorder takes responsibility for the content, but can reference the source from where they got it.
Contrôle | 0..1
Type | Reference(Patient, RelatedPerson, Practitioner, PractitionerRole)
Est modificateur | false
Résumé | true
Noms alternatifs | Source, Informant
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. AllergyIntolerance.lastOccurrence
Définition | Represents the date and/or time of the last known occurrence of a reaction event.
Court | Date(/time) of last known occurrence of a reaction
Commentaires | This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. AllergyIntolerance.note
Définition | Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.
Court | Additional text not captured in other fields
Commentaires | For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and AllergyIntolerance.event.notes.
Contrôle | 0..*
Type | Annotation
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. AllergyIntolerance.reaction
Définition | Details about each adverse reaction event linked to exposure to the identified substance.
Court | Réaction observée
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. AllergyIntolerance.reaction.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
78. AllergyIntolerance.reaction.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
80. AllergyIntolerance.reaction.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
82. AllergyIntolerance.reaction.substance
Définition | Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
Court | Substance responsable de la réaction
Commentaires | Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible. The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, "penicillins"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, "amoxycillin"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de FRValueSetAllergySubstanceDocument (0.1.0) (required to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-allergy-substance|0.1.0` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. AllergyIntolerance.reaction.manifestation
Définition | Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.
Court | Symptômes/signes cliniques associés à l’événement
Commentaires | Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.
Contrôle | 1..*
Binding | Pour des exemples de codes, voir SNOMEDCTClinicalFindings (example to `http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1` ) Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Noms alternatifs | Symptoms, Signs
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. AllergyIntolerance.reaction.description
Définition | Text description about the reaction as a whole, including details of the manifestation if required.
Court | Description of the event as a whole
Commentaires | Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Noms alternatifs | Narrative, Text
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. AllergyIntolerance.reaction.onset
Définition | Record of the date and/or time of the onset of the Reaction.
Court | Dates de début et de fin du problème
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. AllergyIntolerance.reaction.severity
Définition | Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.
Court | Sévérité
Commentaires | It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de AllergyIntoleranceSeverity (required to `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` ) Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. AllergyIntolerance.reaction.exposureRoute
Définition | Identification of the route by which the subject was exposed to the substance.
Court | How the subject was exposed to the substance
Commentaires | Coding of the route of exposure with a terminology should be used wherever possible.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTRouteCodes (example to `http://hl7.org/fhir/ValueSet/route-codes|4.0.1` ) A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. AllergyIntolerance.reaction.note
Définition | Additional text about the adverse reaction event not captured in other fields.
Court | Commentaire
Commentaires | Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.
Contrôle | 0..*
Type | Annotation
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)