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

URL officielle: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-allergy-intolerance-document | Version: 0.1.0 | Surligner les changements ?
Draft à partir de 2026-08-07 | Nom computable: FRAllergyIntoleranceDocument

FRAllergyIntoleranceDocument est un profil utilisé pourdécrire une allergie ou une hypersensibilité non allergique ou une intolérance ou une idiosyncrasie.

Utilisations:

- Exemples pour ce/t/te Profil: AllergyIntolerance/example-allergy-intolerance-data-absent-reason

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

### Vues formelles du contenu du profil

Description des profils, des différentiels, des instantanés et de leurs représentations.

- Tableau des éléments clés
- Tableau différentiel (differential)
- Tableau récapitulatif (snapshot)
- Statistiques/Références
- Tous

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance(4.0.1) | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 0..* | Identifier | Identifiant
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | Statut clinique Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Certitude Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | S Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:type |  | 0..1 | (Complexe) | Type d'allergie ou d'intolérance URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type"
value[x] |  | 0..1 | CodeableConcept | allergy | intolerance - Underlying mechanism (if known) Binding: FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred)
criticality | S Σ | 0..1 | code | Criticité Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | S Σ | 1..1 | CodeableConcept | agent allergique Binding: FRValueSetAllergyCodeDocument (0.1.0) (extensible)
patient | S Σ | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné par l'allergie ou intolérance
Slices pour onset[x] | S | 0..1 |  | Date d'identification d'allergie ou d'intolérance Slice: Non ordonné, Ouvert par type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetPeriod | S | 0..1 | Period | Dates de début et de fin
start | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
reaction | S | 0..* | BackboneElement | Réaction observée
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
substance | S | 0..1 | CodeableConcept | Substance responsable de la réaction Binding: FRValueSetAllergySubstanceDocument (0.1.0) (required)
manifestation | S | 1..* | CodeableConcept | Symptômes/signes cliniques associés à l’événement Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
onset | S | 0..1 | dateTime | Dates de début et de fin du problème
severity | S | 0..1 | code | Sévérité Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
note | S | 0..* | Annotation | Commentaire
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | Std. FHIR
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | Std. FHIR
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | Std. FHIR
AllergyIntolerance.type.​extension:type.value[x] | Base | preferred | ValueSet - FR ValueSet Allergy Intolerance Type Document | 📍0.1.0 | cet IG
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | Std. FHIR
AllergyIntolerance.code | Base | extensible | ValueSet – FR ValueSet Allergy Code Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​substance | Base | required | ValueSet – FR ValueSet Allergy Substance Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​manifestation | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | Std. FHIR
AllergyIntolerance.reaction.​severity | Base | required | AllergyIntoleranceSeverity | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | AllergyIntolerance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | AllergyIntolerance.implicitRules, AllergyIntolerance.modifierExtension, AllergyIntolerance.identifier, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.type, AllergyIntolerance.type.extension, AllergyIntolerance.type.extension:type, AllergyIntolerance.type.extension:type.value[x], AllergyIntolerance.criticality, AllergyIntolerance.code, AllergyIntolerance.patient, AllergyIntolerance.onset[x], AllergyIntolerance.onset[x]:onsetPeriod, AllergyIntolerance.onset[x]:onsetPeriod.start, AllergyIntolerance.reaction, AllergyIntolerance.reaction.modifierExtension, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.onset, AllergyIntolerance.reaction.severity, AllergyIntolerance.reaction.note | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | AllergyIntolerance.modifierExtension, AllergyIntolerance.type.extension, AllergyIntolerance.type.extension:type, AllergyIntolerance.reaction.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Cette structure est dérivée de AllergyIntolerance

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance(4.0.1) | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
identifier |  | 0..* | Identifier | Identifiant
clinicalStatus | S | 0..1 | CodeableConcept | Statut clinique
verificationStatus | S | 0..1 | CodeableConcept | Certitude
type | S | 0..1 | code | allergy | intolerance - Underlying mechanism (if known)
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:type |  | 0..1 | (Complexe) | Type d'allergie ou d'intolérance URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type
extension |  | 0..0 |  | Extension
value[x] |  | 0..1 | CodeableConcept | allergy | intolerance - Underlying mechanism (if known) Binding: FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred)
criticality | S | 0..1 | code | Criticité
code | S | 1..1 | CodeableConcept | agent allergique Binding: FRValueSetAllergyCodeDocument (0.1.0) (extensible)
patient | S | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné par l'allergie ou intolérance
Slices pour onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | Date d'identification d'allergie ou d'intolérance Slice: Non ordonné, Ouvert par type:$this
onset[x]:onsetPeriod | S | 0..1 | Period | Dates de début et de fin
start |  | 1..1 | dateTime | Starting time with inclusive boundary
reaction | S | 0..* | BackboneElement | Réaction observée
substance | S | 0..1 | CodeableConcept | Substance responsable de la réaction Binding: FRValueSetAllergySubstanceDocument (0.1.0) (required)
manifestation | S | 1..* | CodeableConcept | Symptômes/signes cliniques associés à l’événement
onset | S | 0..1 | dateTime | Dates de début et de fin du problème
severity | S | 0..1 | code | Sévérité
note | S | 0..* | Annotation | Commentaire
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
AllergyIntolerance.type.​extension:type.value[x] | Base | preferred | ValueSet - FR ValueSet Allergy Intolerance Type Document | 📍0.1.0 | cet IG
AllergyIntolerance.code | Base | extensible | ValueSet – FR ValueSet Allergy Code Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​substance | Base | required | ValueSet – FR ValueSet Allergy Substance Document | 📍0.1.0 | cet IG

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance(4.0.1) | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 0..* | Identifier | Identifiant
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | Statut clinique Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Certitude Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | S Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:type |  | 0..1 | (Complexe) | Type d'allergie ou d'intolérance URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type"
value[x] |  | 0..1 | CodeableConcept | allergy | intolerance - Underlying mechanism (if known) Binding: FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred)
value |  | 0..1 | string | Primitive value for code
category | Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality | S Σ | 0..1 | code | Criticité Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | S Σ | 1..1 | CodeableConcept | agent allergique Binding: FRValueSetAllergyCodeDocument (0.1.0) (extensible)
patient | S Σ | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné par l'allergie ou intolérance
encounter |  | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted
Slices pour onset[x] | S | 0..1 |  | Date d'identification d'allergie ou d'intolérance Slice: Non ordonné, Ouvert par type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetPeriod | S | 0..1 | Period | Dates de début et de fin
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
start | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
recordedDate |  | 0..1 | dateTime | Date first version of the resource instance was recorded
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy
lastOccurrence |  | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
note |  | 0..* | Annotation | Additional text not captured in other fields
reaction | S | 0..* | BackboneElement | Réaction observée
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
substance | S | 0..1 | CodeableConcept | Substance responsable de la réaction Binding: FRValueSetAllergySubstanceDocument (0.1.0) (required)
manifestation | S | 1..* | CodeableConcept | Symptômes/signes cliniques associés à l’événement Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
description |  | 0..1 | string | Description of the event as a whole
onset | S | 0..1 | dateTime | Dates de début et de fin du problème
severity | S | 0..1 | code | Sévérité Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute |  | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note | S | 0..* | Annotation | Commentaire
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
AllergyIntolerance.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | Std. FHIR
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | Std. FHIR
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | Std. FHIR
AllergyIntolerance.type.​extension:type.value[x] | Base | preferred | ValueSet - FR ValueSet Allergy Intolerance Type Document | 📍0.1.0 | cet IG
AllergyIntolerance.category | Base | required | AllergyIntoleranceCategory | 📍4.0.1 | Std. FHIR
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | Std. FHIR
AllergyIntolerance.code | Base | extensible | ValueSet – FR ValueSet Allergy Code Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​substance | Base | required | ValueSet – FR ValueSet Allergy Substance Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​manifestation | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | Std. FHIR
AllergyIntolerance.reaction.​severity | Base | required | AllergyIntoleranceSeverity | 📍4.0.1 | Std. FHIR
AllergyIntolerance.reaction.​exposureRoute | Base | example | SNOMED CT Route Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | AllergyIntolerance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | AllergyIntolerance.meta, AllergyIntolerance.implicitRules, AllergyIntolerance.language, AllergyIntolerance.text, AllergyIntolerance.extension, AllergyIntolerance.modifierExtension, AllergyIntolerance.identifier, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.type, AllergyIntolerance.type.extension, AllergyIntolerance.type.extension:type, AllergyIntolerance.type.extension:type.value[x], AllergyIntolerance.category, AllergyIntolerance.criticality, AllergyIntolerance.code, AllergyIntolerance.patient, AllergyIntolerance.encounter, AllergyIntolerance.onset[x], AllergyIntolerance.onset[x]:onsetPeriod, AllergyIntolerance.onset[x]:onsetPeriod.extension, AllergyIntolerance.onset[x]:onsetPeriod.start, AllergyIntolerance.onset[x]:onsetPeriod.end, AllergyIntolerance.recordedDate, AllergyIntolerance.recorder, AllergyIntolerance.asserter, AllergyIntolerance.lastOccurrence, AllergyIntolerance.note, AllergyIntolerance.reaction, AllergyIntolerance.reaction.extension, AllergyIntolerance.reaction.modifierExtension, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.description, AllergyIntolerance.reaction.onset, AllergyIntolerance.reaction.severity, AllergyIntolerance.reaction.exposureRoute, AllergyIntolerance.reaction.note | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | AllergyIntolerance.extension, AllergyIntolerance.modifierExtension, AllergyIntolerance.type.extension, AllergyIntolerance.type.extension:type, AllergyIntolerance.onset[x]:onsetPeriod.extension, AllergyIntolerance.reaction.extension, AllergyIntolerance.reaction.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Cette structure est dérivée de AllergyIntolerance

Résumé

Obligatoire : 1 élément(1 élément obligatoire(s) imbriqué(s))
Must-Support : 14 éléments
Interdit : 1 élément

Structures

Cette structure fait référence à ces autres structures:

- FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
- FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)

Extensions

Cette structure fait référence à ces extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type|0.1.0

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of AllergyIntolerance.onset[x]

Vue des éléments clés

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance(4.0.1) | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 0..* | Identifier | Identifiant
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | Statut clinique Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Certitude Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | S Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:type |  | 0..1 | (Complexe) | Type d'allergie ou d'intolérance URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type"
value[x] |  | 0..1 | CodeableConcept | allergy | intolerance - Underlying mechanism (if known) Binding: FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred)
criticality | S Σ | 0..1 | code | Criticité Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | S Σ | 1..1 | CodeableConcept | agent allergique Binding: FRValueSetAllergyCodeDocument (0.1.0) (extensible)
patient | S Σ | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné par l'allergie ou intolérance
Slices pour onset[x] | S | 0..1 |  | Date d'identification d'allergie ou d'intolérance Slice: Non ordonné, Ouvert par type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetPeriod | S | 0..1 | Period | Dates de début et de fin
start | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
reaction | S | 0..* | BackboneElement | Réaction observée
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
substance | S | 0..1 | CodeableConcept | Substance responsable de la réaction Binding: FRValueSetAllergySubstanceDocument (0.1.0) (required)
manifestation | S | 1..* | CodeableConcept | Symptômes/signes cliniques associés à l’événement Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
onset | S | 0..1 | dateTime | Dates de début et de fin du problème
severity | S | 0..1 | code | Sévérité Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
note | S | 0..* | Annotation | Commentaire
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | Std. FHIR
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | Std. FHIR
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | Std. FHIR
AllergyIntolerance.type.​extension:type.value[x] | Base | preferred | ValueSet - FR ValueSet Allergy Intolerance Type Document | 📍0.1.0 | cet IG
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | Std. FHIR
AllergyIntolerance.code | Base | extensible | ValueSet – FR ValueSet Allergy Code Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​substance | Base | required | ValueSet – FR ValueSet Allergy Substance Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​manifestation | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | Std. FHIR
AllergyIntolerance.reaction.​severity | Base | required | AllergyIntoleranceSeverity | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | AllergyIntolerance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | AllergyIntolerance.implicitRules, AllergyIntolerance.modifierExtension, AllergyIntolerance.identifier, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.type, AllergyIntolerance.type.extension, AllergyIntolerance.type.extension:type, AllergyIntolerance.type.extension:type.value[x], AllergyIntolerance.criticality, AllergyIntolerance.code, AllergyIntolerance.patient, AllergyIntolerance.onset[x], AllergyIntolerance.onset[x]:onsetPeriod, AllergyIntolerance.onset[x]:onsetPeriod.start, AllergyIntolerance.reaction, AllergyIntolerance.reaction.modifierExtension, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.onset, AllergyIntolerance.reaction.severity, AllergyIntolerance.reaction.note | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | AllergyIntolerance.modifierExtension, AllergyIntolerance.type.extension, AllergyIntolerance.type.extension:type, AllergyIntolerance.reaction.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Vue différentielle

Cette structure est dérivée de AllergyIntolerance

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance(4.0.1) | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
identifier |  | 0..* | Identifier | Identifiant
clinicalStatus | S | 0..1 | CodeableConcept | Statut clinique
verificationStatus | S | 0..1 | CodeableConcept | Certitude
type | S | 0..1 | code | allergy | intolerance - Underlying mechanism (if known)
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:type |  | 0..1 | (Complexe) | Type d'allergie ou d'intolérance URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type
extension |  | 0..0 |  | Extension
value[x] |  | 0..1 | CodeableConcept | allergy | intolerance - Underlying mechanism (if known) Binding: FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred)
criticality | S | 0..1 | code | Criticité
code | S | 1..1 | CodeableConcept | agent allergique Binding: FRValueSetAllergyCodeDocument (0.1.0) (extensible)
patient | S | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné par l'allergie ou intolérance
Slices pour onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | Date d'identification d'allergie ou d'intolérance Slice: Non ordonné, Ouvert par type:$this
onset[x]:onsetPeriod | S | 0..1 | Period | Dates de début et de fin
start |  | 1..1 | dateTime | Starting time with inclusive boundary
reaction | S | 0..* | BackboneElement | Réaction observée
substance | S | 0..1 | CodeableConcept | Substance responsable de la réaction Binding: FRValueSetAllergySubstanceDocument (0.1.0) (required)
manifestation | S | 1..* | CodeableConcept | Symptômes/signes cliniques associés à l’événement
onset | S | 0..1 | dateTime | Dates de début et de fin du problème
severity | S | 0..1 | code | Sévérité
note | S | 0..* | Annotation | Commentaire
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
AllergyIntolerance.type.​extension:type.value[x] | Base | preferred | ValueSet - FR ValueSet Allergy Intolerance Type Document | 📍0.1.0 | cet IG
AllergyIntolerance.code | Base | extensible | ValueSet – FR ValueSet Allergy Code Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​substance | Base | required | ValueSet – FR ValueSet Allergy Substance Document | 📍0.1.0 | cet IG

Vue d'ensembleView

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance(4.0.1) | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 0..* | Identifier | Identifiant
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | Statut clinique Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Certitude Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | S Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:type |  | 0..1 | (Complexe) | Type d'allergie ou d'intolérance URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type"
value[x] |  | 0..1 | CodeableConcept | allergy | intolerance - Underlying mechanism (if known) Binding: FRValueSetAllergyInoleranceTypeDocument (0.1.0) (preferred)
value |  | 0..1 | string | Primitive value for code
category | Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality | S Σ | 0..1 | code | Criticité Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | S Σ | 1..1 | CodeableConcept | agent allergique Binding: FRValueSetAllergyCodeDocument (0.1.0) (extensible)
patient | S Σ | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné par l'allergie ou intolérance
encounter |  | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted
Slices pour onset[x] | S | 0..1 |  | Date d'identification d'allergie ou d'intolérance Slice: Non ordonné, Ouvert par type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetPeriod | S | 0..1 | Period | Dates de début et de fin
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
start | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
recordedDate |  | 0..1 | dateTime | Date first version of the resource instance was recorded
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy
lastOccurrence |  | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
note |  | 0..* | Annotation | Additional text not captured in other fields
reaction | S | 0..* | BackboneElement | Réaction observée
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
substance | S | 0..1 | CodeableConcept | Substance responsable de la réaction Binding: FRValueSetAllergySubstanceDocument (0.1.0) (required)
manifestation | S | 1..* | CodeableConcept | Symptômes/signes cliniques associés à l’événement Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
description |  | 0..1 | string | Description of the event as a whole
onset | S | 0..1 | dateTime | Dates de début et de fin du problème
severity | S | 0..1 | code | Sévérité Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute |  | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note | S | 0..* | Annotation | Commentaire
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
AllergyIntolerance.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | Std. FHIR
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | Std. FHIR
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | Std. FHIR
AllergyIntolerance.type.​extension:type.value[x] | Base | preferred | ValueSet - FR ValueSet Allergy Intolerance Type Document | 📍0.1.0 | cet IG
AllergyIntolerance.category | Base | required | AllergyIntoleranceCategory | 📍4.0.1 | Std. FHIR
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | Std. FHIR
AllergyIntolerance.code | Base | extensible | ValueSet – FR ValueSet Allergy Code Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​substance | Base | required | ValueSet – FR ValueSet Allergy Substance Document | 📍0.1.0 | cet IG
AllergyIntolerance.reaction.​manifestation | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | Std. FHIR
AllergyIntolerance.reaction.​severity | Base | required | AllergyIntoleranceSeverity | 📍4.0.1 | Std. FHIR
AllergyIntolerance.reaction.​exposureRoute | Base | example | SNOMED CT Route Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | AllergyIntolerance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | AllergyIntolerance.meta, AllergyIntolerance.implicitRules, AllergyIntolerance.language, AllergyIntolerance.text, AllergyIntolerance.extension, AllergyIntolerance.modifierExtension, AllergyIntolerance.identifier, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.type, AllergyIntolerance.type.extension, AllergyIntolerance.type.extension:type, AllergyIntolerance.type.extension:type.value[x], AllergyIntolerance.category, AllergyIntolerance.criticality, AllergyIntolerance.code, AllergyIntolerance.patient, AllergyIntolerance.encounter, AllergyIntolerance.onset[x], AllergyIntolerance.onset[x]:onsetPeriod, AllergyIntolerance.onset[x]:onsetPeriod.extension, AllergyIntolerance.onset[x]:onsetPeriod.start, AllergyIntolerance.onset[x]:onsetPeriod.end, AllergyIntolerance.recordedDate, AllergyIntolerance.recorder, AllergyIntolerance.asserter, AllergyIntolerance.lastOccurrence, AllergyIntolerance.note, AllergyIntolerance.reaction, AllergyIntolerance.reaction.extension, AllergyIntolerance.reaction.modifierExtension, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.description, AllergyIntolerance.reaction.onset, AllergyIntolerance.reaction.severity, AllergyIntolerance.reaction.exposureRoute, AllergyIntolerance.reaction.note | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | AllergyIntolerance.extension, AllergyIntolerance.modifierExtension, AllergyIntolerance.type.extension, AllergyIntolerance.type.extension:type, AllergyIntolerance.onset[x]:onsetPeriod.extension, AllergyIntolerance.reaction.extension, AllergyIntolerance.reaction.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Cette structure est dérivée de AllergyIntolerance

Résumé

Obligatoire : 1 élément(1 élément obligatoire(s) imbriqué(s))
Must-Support : 14 éléments
Interdit : 1 élément

Structures

Cette structure fait référence à ces autres structures:

- FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
- FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)

Extensions

Cette structure fait référence à ces extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type|0.1.0

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of AllergyIntolerance.onset[x]

Autres représentations du profil : CSV, Excel, Schematron