Generated Narrative: StructureDefinition EHDSAllergyIntoleranceCore Name Flags Card. Type Description & Constraints EHDSAllergyIntoleranceCore 0..* EHDSDataSet Allergy intolerance model Elements defined in Ancestors:header Instances of this logical model can be the target of a Reference #xD; description 0..1 string Textual description of the allergy or intolerance #xD; reaction 0..* Base Adverse Reaction Events linked to exposure to substance. #xD; manifestation 0..* CodeableConcept Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction). Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, alternative in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.11 eHDSIReactionAllergy (SCT, alternative in MH@EU); ICD-11 MMS #xD; severity 0..1 CodeableConcept Severity of the clinical manifestation of the allergic reaction. Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/reaction-event-severity (HL7, Required in HL7 FHIR) #xD; agentOrAllergen 1..1 CodeableConcept A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 eHDSIActiveIngredient (ATC, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.61 eHDSISubstance (EMA SMS, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.19 eHDSIAllergenNoDrug (SCT, used in MH@EU); ICD-11 Allergens #xD; typeOfPropensity 0..1 CodeableConcept This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance) Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.18 eHDSIAdverseEventType (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-type (HL7, required in HL7 FHIR) #xD; criticality 0..1 CodeableConcept Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.57 eHDSICriticality (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality (HL7, required in HL7 FHIR) #xD; onsetDate 0..1 dateTime When allergy or intolerance was identified #xD; endDate 0..1 dateTime Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) #xD; certainty 0..1 CodeableConcept Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.58 eHDSIAllergyCertainty (HL7, used in MH@EU) ; http://hl7.org/fhir/ValueSet/allergyintolerance-verification (HL7, required in HL7 FHIR) #xD; status 0..1 CodeableConcept Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc. Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.59 eHDSIAllergyStatus (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergyintolerance-clinical (HL7, required in HL7 FHIR) #xD; Documentation for this format
EHDS refined base model for allergy/intolerance
Common header for all patient-related data
Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Date and time of the last update to the resource (may be used for technical corrections).
Reason for the current status of the resource.
Language in which the resource is written. Language is expressed by the IETF language tag.
Textual description of the allergy or intolerance
Adverse Reaction Events linked to exposure to substance.
ISO IPS (explicit), implicitly in eHN PS Guideline, MH@EU
Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).
The element is present in eHN PS GL, MyHealth@EU specifications and ISO IPS. Element name and description is taken from eHN PS GL. Cardinality in MyHealth@EU for this element, used here, is one manifestation per severity and onset, while the cardinality in FHIR IPS IG allows multiple manifestations per severity and onset.
1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, alternative in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.11 eHDSIReactionAllergy (SCT, alternative in MH@EU); ICD-11 MMS
Severity of the clinical manifestation of the allergic reaction.
The element is present in eHN PS GL, MyHealth@EU specifications and ISO IPS. Element name and description is taken from eHN PS GL.
1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/reaction-event-severity (HL7, Required in HL7 FHIR)
A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.
This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)
1.3.6.1.4.1.12559.11.10.1.3.1.42.18 eHDSIAdverseEventType (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-type (HL7, required in HL7 FHIR)
Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
1.3.6.1.4.1.12559.11.10.1.3.1.42.57 eHDSICriticality (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality (HL7, required in HL7 FHIR)
When allergy or intolerance was identified
Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition
1.3.6.1.4.1.12559.11.10.1.3.1.42.58 eHDSIAllergyCertainty (HL7, used in MH@EU) ; http://hl7.org/fhir/ValueSet/allergyintolerance-verification (HL7, required in HL7 FHIR)
Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc.
1.3.6.1.4.1.12559.11.10.1.3.1.42.59 eHDSIAllergyStatus (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergyintolerance-clinical (HL7, required in HL7 FHIR)