HL7 Europe Patient Summary
0.0.1-ci - ci-build 150

HL7 Europe Patient Summary, 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/eps/ and changes regularly. See the Directory of published versions

Resource Profile: Allergy Intolerance (EPS)

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

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.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntoleranceUvIps(2.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
Constraints: ait-1, ait-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:abatement 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0-ballot-tc1]] Extension
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0-ballot-tc1
..... url 1..1 uri identifies the meaning of the extension
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS(2.0.0) Certainty
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type SOΣ 0..1 code Type of propensity
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... 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 SOΣ 1..1 CodeableConceptIPS(2.0.0) Code that identifies the allergy or intolerance
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional BindingsPurpose
WHO ATC - IPS candidate
Allergens Value Set candidate
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... patient SOΣ 1..1 Reference(Patient (EPS)) Who the sensitivity is for
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
... Slices for onset[x] SO 0..1 When allergy or intolerance was identified
Slice: Unordered, Closed by type:$this
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SO 0..1 dateTime Onset date
ObligationsActorSource
SHOULD:able-to-populate Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... reaction SO 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... 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: Allergens Value Set (preferred)
.... manifestation SO 1..* CodeableConceptIPS(2.0.0) Clinical symptoms/signs associated with the Event
Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional BindingsPurpose
eHDSI Reaction Allergy . candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... severity SO 0..1 code Reaction severity
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.type Base required AllergyIntoleranceType 📍4.0.1 FHIR Std.
AllergyIntolerance.criticality Base required AllergyIntoleranceCriticality 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base preferred Allergy Intolerance - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
AllergyIntolerance.reaction.​substance Base preferred Allergens Value Set 📦0.1.0-ballot HL7 Europe Hospital Discharge Report v0.1
AllergyIntolerance.reaction.​manifestation Base preferred Allergy Reaction - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(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 best practice AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AllergyIntoleranceUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntoleranceUvIps(2.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
... Slices for extension Content/Rules for all slices
.... extension:abatement 0..1 ?pkp-2? Extension
..... Slices for value[x] 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueDateTime 0..1 dateTime End date
... clinicalStatus 0..1 CodeableConceptIPS(2.0.0) Current allergy or Intolerance status
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Certainty
... criticality 0..1 code Criticality
... code 1..1 CodeableConceptIPS(2.0.0) Code that identifies the allergy or intolerance
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional BindingsPurpose
Allergens Value Set candidate
WHO ATC - IPS candidate
... patient 1..1 Reference(Patient (EPS)) Who the sensitivity is for
... Slices for onset[x] Content/Rules for all slices
.... onset[x]:onsetDateTime 0..1 dateTime Onset date
... reaction
.... substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: Allergens Value Set (preferred)
.... manifestation 1..* CodeableConceptIPS(2.0.0) Clinical symptoms/signs associated with the Event
Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional BindingsPurpose
eHDSI Reaction Allergy . candidate
.... severity 0..1 code Reaction severity

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.code Base preferred Allergy Intolerance - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
AllergyIntolerance.reaction.​substance Base preferred Allergens Value Set 📦0.1.0-ballot HL7 Europe Hospital Discharge Report v0.1
AllergyIntolerance.reaction.​manifestation Base preferred Allergy Reaction - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntoleranceUvIps(2.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
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
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:abatement 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0-ballot-tc1]] Extension
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0-ballot-tc1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri identifies the meaning of the extension
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS(2.0.0) Current allergy or Intolerance status
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS(2.0.0) Certainty
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type SOΣ 0..1 code Type of propensity
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... 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 SOΣ 1..1 CodeableConceptIPS(2.0.0) Code that identifies the allergy or intolerance
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional BindingsPurpose
WHO ATC - IPS candidate
Allergens Value Set candidate
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... patient SOΣ 1..1 Reference(Patient (EPS)) Who the sensitivity is for
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 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] SO 0..1 When allergy or intolerance was identified
Slice: Unordered, Closed by type:$this
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SO 0..1 dateTime Onset date
ObligationsActorSource
SHOULD:able-to-populate Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... 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 SO 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... 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: Allergens Value Set (preferred)
.... manifestation SO 1..* CodeableConceptIPS(2.0.0) Clinical symptoms/signs associated with the Event
Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional BindingsPurpose
eHDSI Reaction Allergy . candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... description 0..1 string Description of the event as a whole
.... onset 0..1 dateTime Date(/time) when manifestations showed
.... severity SO 0..1 code Reaction severity
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... exposureRoute 0..1 CodeableConcept How the subject was exposed to the substance
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.language Base preferred Common Languages 📍4.0.1 FHIR Std.
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.type Base required AllergyIntoleranceType 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.criticality Base required AllergyIntoleranceCriticality 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base preferred Allergy Intolerance - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
AllergyIntolerance.patient.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​substance Base preferred Allergens Value Set 📦0.1.0-ballot HL7 Europe Hospital Discharge Report v0.1
AllergyIntolerance.reaction.​manifestation Base preferred Allergy Reaction - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(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 best practice AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AllergyIntoleranceUvIps

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntoleranceUvIps(2.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
Constraints: ait-1, ait-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:abatement 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0-ballot-tc1]] Extension
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0-ballot-tc1
..... url 1..1 uri identifies the meaning of the extension
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS(2.0.0) Certainty
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type SOΣ 0..1 code Type of propensity
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... 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 SOΣ 1..1 CodeableConceptIPS(2.0.0) Code that identifies the allergy or intolerance
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional BindingsPurpose
WHO ATC - IPS candidate
Allergens Value Set candidate
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... patient SOΣ 1..1 Reference(Patient (EPS)) Who the sensitivity is for
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
... Slices for onset[x] SO 0..1 When allergy or intolerance was identified
Slice: Unordered, Closed by type:$this
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SO 0..1 dateTime Onset date
ObligationsActorSource
SHOULD:able-to-populate Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... reaction SO 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... 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: Allergens Value Set (preferred)
.... manifestation SO 1..* CodeableConceptIPS(2.0.0) Clinical symptoms/signs associated with the Event
Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional BindingsPurpose
eHDSI Reaction Allergy . candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... severity SO 0..1 code Reaction severity
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.type Base required AllergyIntoleranceType 📍4.0.1 FHIR Std.
AllergyIntolerance.criticality Base required AllergyIntoleranceCriticality 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base preferred Allergy Intolerance - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
AllergyIntolerance.reaction.​substance Base preferred Allergens Value Set 📦0.1.0-ballot HL7 Europe Hospital Discharge Report v0.1
AllergyIntolerance.reaction.​manifestation Base preferred Allergy Reaction - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(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 best practice AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from AllergyIntoleranceUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntoleranceUvIps(2.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
... Slices for extension Content/Rules for all slices
.... extension:abatement 0..1 ?pkp-2? Extension
..... Slices for value[x] 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueDateTime 0..1 dateTime End date
... clinicalStatus 0..1 CodeableConceptIPS(2.0.0) Current allergy or Intolerance status
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Certainty
... criticality 0..1 code Criticality
... code 1..1 CodeableConceptIPS(2.0.0) Code that identifies the allergy or intolerance
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional BindingsPurpose
Allergens Value Set candidate
WHO ATC - IPS candidate
... patient 1..1 Reference(Patient (EPS)) Who the sensitivity is for
... Slices for onset[x] Content/Rules for all slices
.... onset[x]:onsetDateTime 0..1 dateTime Onset date
... reaction
.... substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: Allergens Value Set (preferred)
.... manifestation 1..* CodeableConceptIPS(2.0.0) Clinical symptoms/signs associated with the Event
Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional BindingsPurpose
eHDSI Reaction Allergy . candidate
.... severity 0..1 code Reaction severity

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.code Base preferred Allergy Intolerance - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
AllergyIntolerance.reaction.​substance Base preferred Allergens Value Set 📦0.1.0-ballot HL7 Europe Hospital Discharge Report v0.1
AllergyIntolerance.reaction.​manifestation Base preferred Allergy Reaction - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntoleranceUvIps(2.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
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
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:abatement 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0-ballot-tc1]] Extension
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement|5.3.0-ballot-tc1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri identifies the meaning of the extension
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
...... value[x]:valueDateTime 0..1 dateTime End date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS(2.0.0) Current allergy or Intolerance status
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS(2.0.0) Certainty
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type SOΣ 0..1 code Type of propensity
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... 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 SOΣ 1..1 CodeableConceptIPS(2.0.0) Code that identifies the allergy or intolerance
Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional BindingsPurpose
WHO ATC - IPS candidate
Allergens Value Set candidate
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... patient SOΣ 1..1 Reference(Patient (EPS)) Who the sensitivity is for
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 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] SO 0..1 When allergy or intolerance was identified
Slice: Unordered, Closed by type:$this
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SO 0..1 dateTime Onset date
ObligationsActorSource
SHOULD:able-to-populate Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
... 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 SO 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... 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: Allergens Value Set (preferred)
.... manifestation SO 1..* CodeableConceptIPS(2.0.0) Clinical symptoms/signs associated with the Event
Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional BindingsPurpose
eHDSI Reaction Allergy . candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... description 0..1 string Description of the event as a whole
.... onset 0..1 dateTime Date(/time) when manifestations showed
.... severity SO 0..1 code Reaction severity
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from AllergyIntolerance (IPS)
SHALL:handle Consumer (IPS) from AllergyIntolerance (IPS)
SHOULD:display Consumer (IPS) from AllergyIntolerance (IPS)
.... exposureRoute 0..1 CodeableConcept How the subject was exposed to the substance
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.language Base preferred Common Languages 📍4.0.1 FHIR Std.
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.type Base required AllergyIntoleranceType 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.criticality Base required AllergyIntoleranceCriticality 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base preferred Allergy Intolerance - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
AllergyIntolerance.patient.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​substance Base preferred Allergens Value Set 📦0.1.0-ballot HL7 Europe Hospital Discharge Report v0.1
AllergyIntolerance.reaction.​manifestation Base preferred Allergy Reaction - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(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 best practice AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AllergyIntoleranceUvIps

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron