Generated Narrative: StructureDefinition HDRAlerts Name Flags Card. Type Description & Constraints HDRAlerts 0..* Base A.2.2 - Alerts (eHN) #xD; allergy 1..* BackboneElement A.2.2.1 - Allergy and Intolerance #xD; description 0..1 string A.2.2.1.1 - Allergy description #xD; typeOfPropensity 0..1 CodeableConcept A.2.2.1.2 - Type of propensity #xD; manifestation 0..* CodeableConcept A.2.2.1.3 - Allergy manifestation #xD; severity 0..1 CodeableConcept A.2.2.1.4 - Severity #xD; criticality 0..1 CodeableConcept A.2.2.1.5 - Criticality #xD; onsetDate 0..1 BackboneElement A.2.2.1.6 - Onset date #xD; date 0..1 dateTime Onset date #xD; code 0..1 CodeableConcept Onset date #xD; endDate 0..1 dateTime A.2.2.1.7 - End date #xD; date 0..1 dateTime End date #xD; code 0..1 CodeableConcept End date #xD; status 0..1 CodeableConcept A.2.2.1.8 - Status #xD; certainty 0..1 CodeableConcept A.2.2.1.9 - Certainty #xD; agent 1..1 CodeableConcept A.2.2.1.10 - Agent or Allergen #xD; medicalAlerts 0..* BackboneElement A.2.2.2 - Medical alerts (relevant for the respective hospital stay) #xD; <a href="StructureDefinition-HDRAlerts-definitions.html#HDRAlerts.medicalAlerts.description" title="A warning, other than included in allergies.#xA;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.#xA;Any clinical information that is imperative to know so that the life or health of the patient does not come under threat.#xA;Example 1: the patient has a rare disease that requires special treatment#xA;Example 2: Airway Alert / Difficult Intubation#xA;Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices.#xA;Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact.#xA;Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact. ">description 0..1 CodeableConcept A.2.2.2.1 - Healthcare alert description #xD; Documentation for this format
Hospital Discharge Report - Alerts - A.2.2 eHN Maturity Level: 0 Draft
Used by permission of the XpanDH project, all rights reserved Creative Commons License
A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensions that cannot be ignored even if unrecognized
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Textual description of the allergy or intolerance
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)
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.
Severity of the clinical manifestation of the allergic reaction.
Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.
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).
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.
Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence).
Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
unique id for the element within a resource (for internal references)
May be used to represent additional information that is not part of the basic definition of the resource. 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.
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Date of resolution of the allergy expressed by code (e.g. age group)
Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …
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.
A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.
A.2.2.2 - Medical alerts (relevant for the respective hospital stay)
Medical alerts (relevant for the respective hospital stay)
A.2.2.2.1 - Healthcare alert description
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.