HL7 Europe Base Profiles
0.0.1-ci - ci-build 150

HL7 Europe Base Profiles, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base/ and changes regularly. See the Directory of published versions

Resource Profile: Allergy Intolerance (EU PS)

Official URL: http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-eps Version: 0.0.1-ci
Standards status: Draft Maturity Level: 1 Computable Name: AllergyIntoleranceEpsEu

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

This profile constrains the AllergyIntolerance resource for the purpose of the European patient summary.

This profile constrains the AllergyIntolerance resource for the purpose of the European patient summary.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... Slices for value[x] 1..1 dateTime, Age, Period, Range, string Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueDateTime 0..1 dateTime End date
... clinicalStatus 0..1 CodeableConceptIPS Current allergy or Intolerance status
... verificationStatus 0..1 CodeableConceptIPS Certainty
... criticality 0..1 code Criticality
... code 1..1 CodeableConceptIPS Add Voc binding
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.

Additional BindingsPurpose
WHO ATC - IPS candidate
... patient 1..1 Reference(Patient (EU base)) Who the allergy or intolerance is for
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime 0..1 dateTime Onset date
... reaction
.... manifestation 1..* CodeableReference(Observation) Add Voc binding
.... severity 0..1 code Severity

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AllergyIntolerance.codeexampleSubstanceProductAndConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
Additional Bindings Purpose Documentation
WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS)
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
...... valueDateTime dateTime
...... valueAge Age
...... valuePeriod Period
...... valueRange Range
...... valueString string
...... value[x]:valueDateTime 0..1 dateTime End date
ele-1: All FHIR elements must have a @value or children
... clinicalStatus 0..1 CodeableConceptIPS Current allergy or Intolerance status
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.


ele-1: All FHIR elements must have a @value or children
... verificationStatus 0..1 CodeableConceptIPS Certainty
Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.


ele-1: All FHIR elements must have a @value or children
... type Σ 0..1 CodeableConcept Type of propensity
Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.


ele-1: All FHIR elements must have a @value or children
... criticality Σ 0..1 code Criticality
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.


ele-1: All FHIR elements must have a @value or children
... code 1..1 CodeableConceptIPS Add Voc binding
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.

Additional BindingsPurpose
WHO ATC - IPS candidate

ele-1: All FHIR elements must have a @value or children
... patient Σ 1..1 Reference(Patient (EU base)) Who the allergy or intolerance is for
ele-1: All FHIR elements must have a @value or children
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime 0..1 dateTime Onset date
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatus
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0
from the FHIR Standard
AllergyIntolerance.typepreferredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|5.0.0
from the FHIR Standard
AllergyIntolerance.codeexampleSubstanceProductAndConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
Additional Bindings Purpose Documentation
WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueDateTime dateTime
...... valueAge Age
...... valuePeriod Period
...... valueRange Range
...... valueString string
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus 0..1 CodeableConceptIPS Current allergy or Intolerance status
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus 0..1 CodeableConceptIPS Certainty
Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type Σ 0..1 CodeableConcept Type of propensity
Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.

... category Σ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality Σ 0..1 code Criticality
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code 1..1 CodeableConceptIPS Add Voc binding
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.

Additional BindingsPurpose
WHO ATC - IPS candidate
... patient Σ 1..1 Reference(Patient (EU base)) Who the allergy or intolerance is for
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient") - must be a resource in resources
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier ΣC 0..1 Identifier Logical reference, when literal reference is not known
.... display ΣC 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime 0..1 dateTime Onset date
... recordedDate 0..1 dateTime Date allergy or intolerance was first recorded
... participant Σ 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType (extensible)
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the allergy or intolerance
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note 0..* Annotation Additional text not captured in other fields
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).

.... manifestation 1..* CodeableReference(Observation) Add Voc binding
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 0..1 dateTime Date(/time) when manifestations showed
.... severity 0..1 code Severity
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 exposure to a substance.

.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatus
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0
from the FHIR Standard
AllergyIntolerance.typepreferredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|5.0.0
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|5.0.0
from the FHIR Standard
AllergyIntolerance.codeexampleSubstanceProductAndConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
Additional Bindings Purpose Documentation
WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

AllergyIntolerance.patient.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
AllergyIntolerance.participant.functionextensibleParticipationRoleType
http://hl7.org/fhir/ValueSet/participation-role-type
from the FHIR Standard
AllergyIntolerance.reaction.substanceexampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|5.0.0
from the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from AllergyIntolerance

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Maturity: 1

Differential View

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... Slices for value[x] 1..1 dateTime, Age, Period, Range, string Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueDateTime 0..1 dateTime End date
... clinicalStatus 0..1 CodeableConceptIPS Current allergy or Intolerance status
... verificationStatus 0..1 CodeableConceptIPS Certainty
... criticality 0..1 code Criticality
... code 1..1 CodeableConceptIPS Add Voc binding
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.

Additional BindingsPurpose
WHO ATC - IPS candidate
... patient 1..1 Reference(Patient (EU base)) Who the allergy or intolerance is for
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime 0..1 dateTime Onset date
... reaction
.... manifestation 1..* CodeableReference(Observation) Add Voc binding
.... severity 0..1 code Severity

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AllergyIntolerance.codeexampleSubstanceProductAndConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
Additional Bindings Purpose Documentation
WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS)
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
...... valueDateTime dateTime
...... valueAge Age
...... valuePeriod Period
...... valueRange Range
...... valueString string
...... value[x]:valueDateTime 0..1 dateTime End date
ele-1: All FHIR elements must have a @value or children
... clinicalStatus 0..1 CodeableConceptIPS Current allergy or Intolerance status
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.


ele-1: All FHIR elements must have a @value or children
... verificationStatus 0..1 CodeableConceptIPS Certainty
Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.


ele-1: All FHIR elements must have a @value or children
... type Σ 0..1 CodeableConcept Type of propensity
Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.


ele-1: All FHIR elements must have a @value or children
... criticality Σ 0..1 code Criticality
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.


ele-1: All FHIR elements must have a @value or children
... code 1..1 CodeableConceptIPS Add Voc binding
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.

Additional BindingsPurpose
WHO ATC - IPS candidate

ele-1: All FHIR elements must have a @value or children
... patient Σ 1..1 Reference(Patient (EU base)) Who the allergy or intolerance is for
ele-1: All FHIR elements must have a @value or children
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime 0..1 dateTime Onset date
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatus
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0
from the FHIR Standard
AllergyIntolerance.typepreferredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|5.0.0
from the FHIR Standard
AllergyIntolerance.codeexampleSubstanceProductAndConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
Additional Bindings Purpose Documentation
WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... abatement 0..1 (Complex) When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
..... Slices for value[x] 1..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueDateTime dateTime
...... valueAge Age
...... valuePeriod Period
...... valueRange Range
...... valueString string
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus 0..1 CodeableConceptIPS Current allergy or Intolerance status
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus 0..1 CodeableConceptIPS Certainty
Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type Σ 0..1 CodeableConcept Type of propensity
Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.

... category Σ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality Σ 0..1 code Criticality
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code 1..1 CodeableConceptIPS Add Voc binding
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.

Additional BindingsPurpose
WHO ATC - IPS candidate
... patient Σ 1..1 Reference(Patient (EU base)) Who the allergy or intolerance is for
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient") - must be a resource in resources
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier ΣC 0..1 Identifier Logical reference, when literal reference is not known
.... display ΣC 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime 0..1 dateTime Onset date
... recordedDate 0..1 dateTime Date allergy or intolerance was first recorded
... participant Σ 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType (extensible)
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the allergy or intolerance
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note 0..* Annotation Additional text not captured in other fields
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).

.... manifestation 1..* CodeableReference(Observation) Add Voc binding
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 0..1 dateTime Date(/time) when manifestations showed
.... severity 0..1 code Severity
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 exposure to a substance.

.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatus
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0
from the FHIR Standard
AllergyIntolerance.typepreferredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|5.0.0
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|5.0.0
from the FHIR Standard
AllergyIntolerance.codeexampleSubstanceProductAndConditionAndNegationCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-code
from the FHIR Standard
Additional Bindings Purpose Documentation
WHO ATC - IPS candidate

Type of the substance/product, allergy or intolerance condition.

AllergyIntolerance.patient.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
AllergyIntolerance.participant.functionextensibleParticipationRoleType
http://hl7.org/fhir/ValueSet/participation-role-type
from the FHIR Standard
AllergyIntolerance.reaction.substanceexampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|5.0.0
from the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from AllergyIntolerance

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron