HL7 Europe Hospital Discharge Report, 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/hdr/ and changes regularly. See the Directory of published versions
Draft as of 2024-11-06 |
Definitions for the Alerts logical model.
Guidance on how to interpret the contents of this table can be found here
0. Alerts | |
Definition | Hospital Discharge Report - Alerts - A.2.2 eHN |
Short | A.2.2 - Alerts (eHN) |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. Alerts.allergy | |
Definition | A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay). |
Short | A.2.2.1 - Allergy and Intolerance |
Control | 1..* |
Type | BackboneElement |
4. Alerts.allergy.description | |
Definition | Textual description of the allergy or intolerance |
Short | A.2.2.1.1 - Allergy description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
6. Alerts.allergy.typeOfPropensity | |
Definition | 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) |
Short | A.2.2.1.2 - Type of propensity |
Control | 0..1 |
Type | CodeableConcept |
8. Alerts.allergy.manifestation | |
Definition | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided. |
Short | A.2.2.1.3 - Allergy manifestation |
Control | 0..* |
Type | CodeableConcept |
10. Alerts.allergy.severity | |
Definition | Severity of the clinical manifestation of the allergic reaction. |
Short | A.2.2.1.4 - Severity |
Control | 0..1 |
Type | CodeableConcept |
12. Alerts.allergy.criticality | |
Definition | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. |
Short | A.2.2.1.5 - Criticality |
Control | 0..1 |
Type | CodeableConcept |
14. Alerts.allergy.onsetDate | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence). |
Short | A.2.2.1.6 - Onset date |
Control | 0..1 |
Type | BackboneElement |
16. Alerts.allergy.onsetDate.date | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date. |
Short | Onset date |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
18. Alerts.allergy.onsetDate.code | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence). |
Short | Onset date (code) |
Control | 0..1 |
Type | CodeableConcept |
20. Alerts.allergy.endDate | |
Definition | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) |
Short | A.2.2.1.7 - End date |
Control | 0..1 |
Type | BackboneElement |
22. Alerts.allergy.endDate.date | |
Definition | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) |
Short | End date |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
24. Alerts.allergy.endDate.code | |
Definition | Date of resolution of the allergy expressed by code (e.g. age group) |
Short | End date (code) |
Control | 0..1 |
Type | CodeableConcept |
26. Alerts.allergy.status | |
Definition | Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on … |
Short | A.2.2.1.8 - Status |
Control | 0..1 |
Type | CodeableConcept |
28. Alerts.allergy.certainty | |
Definition | 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. |
Short | A.2.2.1.9 - Certainty |
Control | 0..1 |
Type | CodeableConcept |
30. Alerts.allergy.agent | |
Definition | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. |
Short | A.2.2.1.10 - Agent or Allergen |
Control | 1..1 |
Type | CodeableConcept |
32. Alerts.medicalAlerts | |
Definition | Medical alerts (relevant for the respective hospital stay) |
Short | A.2.2.2 - Medical alerts (relevant for the respective hospital stay) |
Control | 0..* |
Type | BackboneElement |
34. Alerts.medicalAlerts.description | |
Definition | A warning, other than included in allergies. The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text. Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. Example 1: the patient has a rare disease that requires special treatment Example 2: Airway Alert / Difficult Intubation Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact. |
Short | A.2.2.2.1 - Healthcare alert description |
Control | 0..1 |
Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be found here
0. Alerts | |
Definition | Hospital Discharge Report - Alerts - A.2.2 eHN |
Short | A.2.2 - Alerts (eHN) |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. Alerts.allergy | |
Definition | A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay). |
Short | A.2.2.1 - Allergy and Intolerance |
Control | 1..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
4. Alerts.allergy.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
6. Alerts.allergy.description | |
Definition | Textual description of the allergy or intolerance |
Short | A.2.2.1.1 - Allergy description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
8. Alerts.allergy.typeOfPropensity | |
Definition | 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) |
Short | A.2.2.1.2 - Type of propensity |
Control | 0..1 |
Type | CodeableConcept |
10. Alerts.allergy.manifestation | |
Definition | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided. |
Short | A.2.2.1.3 - Allergy manifestation |
Control | 0..* |
Type | CodeableConcept |
12. Alerts.allergy.severity | |
Definition | Severity of the clinical manifestation of the allergic reaction. |
Short | A.2.2.1.4 - Severity |
Control | 0..1 |
Type | CodeableConcept |
14. Alerts.allergy.criticality | |
Definition | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. |
Short | A.2.2.1.5 - Criticality |
Control | 0..1 |
Type | CodeableConcept |
16. Alerts.allergy.onsetDate | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence). |
Short | A.2.2.1.6 - Onset date |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
18. Alerts.allergy.onsetDate.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
20. Alerts.allergy.onsetDate.date | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date. |
Short | Onset date |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
22. Alerts.allergy.onsetDate.code | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence). |
Short | Onset date (code) |
Control | 0..1 |
Type | CodeableConcept |
24. Alerts.allergy.endDate | |
Definition | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) |
Short | A.2.2.1.7 - End date |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
26. Alerts.allergy.endDate.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
28. Alerts.allergy.endDate.date | |
Definition | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) |
Short | End date |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
30. Alerts.allergy.endDate.code | |
Definition | Date of resolution of the allergy expressed by code (e.g. age group) |
Short | End date (code) |
Control | 0..1 |
Type | CodeableConcept |
32. Alerts.allergy.status | |
Definition | Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on … |
Short | A.2.2.1.8 - Status |
Control | 0..1 |
Type | CodeableConcept |
34. Alerts.allergy.certainty | |
Definition | 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. |
Short | A.2.2.1.9 - Certainty |
Control | 0..1 |
Type | CodeableConcept |
36. Alerts.allergy.agent | |
Definition | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. |
Short | A.2.2.1.10 - Agent or Allergen |
Control | 1..1 |
Type | CodeableConcept |
38. Alerts.medicalAlerts | |
Definition | Medical alerts (relevant for the respective hospital stay) |
Short | A.2.2.2 - Medical alerts (relevant for the respective hospital stay) |
Control | 0..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
40. Alerts.medicalAlerts.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
42. Alerts.medicalAlerts.description | |
Definition | A warning, other than included in allergies. The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text. Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. Example 1: the patient has a rare disease that requires special treatment Example 2: Airway Alert / Difficult Intubation Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact. |
Short | A.2.2.2.1 - Healthcare alert description |
Control | 0..1 |
Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be found here
0. Alerts | |
Definition | Hospital Discharge Report - Alerts - A.2.2 eHN |
Short | A.2.2 - Alerts (eHN) |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. Alerts.allergy | |
Definition | A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay). |
Short | A.2.2.1 - Allergy and Intolerance |
Control | 1..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
4. Alerts.allergy.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
6. Alerts.allergy.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on Alerts.allergy.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
8. Alerts.allergy.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
10. Alerts.allergy.description | |
Definition | Textual description of the allergy or intolerance |
Short | A.2.2.1.1 - Allergy description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
12. Alerts.allergy.typeOfPropensity | |
Definition | 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) |
Short | A.2.2.1.2 - Type of propensity |
Control | 0..1 |
Type | CodeableConcept |
14. Alerts.allergy.manifestation | |
Definition | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided. |
Short | A.2.2.1.3 - Allergy manifestation |
Control | 0..* |
Type | CodeableConcept |
16. Alerts.allergy.severity | |
Definition | Severity of the clinical manifestation of the allergic reaction. |
Short | A.2.2.1.4 - Severity |
Control | 0..1 |
Type | CodeableConcept |
18. Alerts.allergy.criticality | |
Definition | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. |
Short | A.2.2.1.5 - Criticality |
Control | 0..1 |
Type | CodeableConcept |
20. Alerts.allergy.onsetDate | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence). |
Short | A.2.2.1.6 - Onset date |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
22. Alerts.allergy.onsetDate.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
24. Alerts.allergy.onsetDate.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on Alerts.allergy.onsetDate.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
26. Alerts.allergy.onsetDate.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
28. Alerts.allergy.onsetDate.date | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date. |
Short | Onset date |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
30. Alerts.allergy.onsetDate.code | |
Definition | Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence). |
Short | Onset date (code) |
Control | 0..1 |
Type | CodeableConcept |
32. Alerts.allergy.endDate | |
Definition | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) |
Short | A.2.2.1.7 - End date |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
34. Alerts.allergy.endDate.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
36. Alerts.allergy.endDate.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on Alerts.allergy.endDate.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
38. Alerts.allergy.endDate.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
40. Alerts.allergy.endDate.date | |
Definition | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) |
Short | End date |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
42. Alerts.allergy.endDate.code | |
Definition | Date of resolution of the allergy expressed by code (e.g. age group) |
Short | End date (code) |
Control | 0..1 |
Type | CodeableConcept |
44. Alerts.allergy.status | |
Definition | Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on … |
Short | A.2.2.1.8 - Status |
Control | 0..1 |
Type | CodeableConcept |
46. Alerts.allergy.certainty | |
Definition | 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. |
Short | A.2.2.1.9 - Certainty |
Control | 0..1 |
Type | CodeableConcept |
48. Alerts.allergy.agent | |
Definition | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. |
Short | A.2.2.1.10 - Agent or Allergen |
Control | 1..1 |
Type | CodeableConcept |
50. Alerts.medicalAlerts | |
Definition | Medical alerts (relevant for the respective hospital stay) |
Short | A.2.2.2 - Medical alerts (relevant for the respective hospital stay) |
Control | 0..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
52. Alerts.medicalAlerts.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
54. Alerts.medicalAlerts.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on Alerts.medicalAlerts.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
56. Alerts.medicalAlerts.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
58. Alerts.medicalAlerts.description | |
Definition | A warning, other than included in allergies. The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text. Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. Example 1: the patient has a rare disease that requires special treatment Example 2: Airway Alert / Difficult Intubation Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact. |
Short | A.2.2.2.1 - Healthcare alert description |
Control | 0..1 |
Type | CodeableConcept |