XpanDH Patient Summary, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-ps/ and changes regularly. See the Directory of published versions

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Resource Profile: Allergy Intolerance (EU PS)

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:

• Use this Profile: Bundle (EU PS)
• Refer to this Profile: Composition (EU PS)

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) 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-datetime		0..1	dateTime	End date URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus		0..1	CodeableConceptIPS	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus		0..1	CodeableConceptIPS	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	SΣ	0..1	code	Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
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	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Allergens or no known or unknown conditions (preferred) Additional Bindings Purpose Allergy Intolerance - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Allergies - IPS candidate
patient	SΣ	1..1	Reference(Patient (EU PS))	Who the sensitivity is for
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]	S	0..1		When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	S	0..1	dateTime S	Onset date
reaction	S	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
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 (preferred)
manifestation	S	1..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Reaction Allergy (preferred)
severity	S	0..1	code	Severity Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
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	Allergens or no known or unknown conditions	📦0.1.0	This IG
AllergyIntolerance.reaction.​substance	Base	preferred	Allergens	📦0.1.0	This IG
AllergyIntolerance.reaction.​manifestation	Base	preferred	Reaction Allergy	📦0.1.0	This IG
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Slices for extension				Content/Rules for all slices
extension:abatement-datetime		0..1	AbatementDateTimeUvIps	End date
clinicalStatus		0..1	CodeableConceptIPS	Current allergy or Intolerance status
verificationStatus		0..1	CodeableConceptIPS	Certainty
type		0..1	code	Type of propensity
criticality		0..1	code	Criticality
code		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Allergens or no known or unknown conditions (preferred)
patient		1..1	Reference(Patient (EU PS))	Who the sensitivity is for
Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime		0..1	dateTime	Onset date
reaction
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Allergens (preferred)
manifestation		1..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Reaction Allergy (preferred)
severity		0..1	code	Severity
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.code	Base	preferred	Allergens or no known or unknown conditions	📦0.1.0	This IG
AllergyIntolerance.reaction.​substance	Base	preferred	Allergens	📦0.1.0	This IG
AllergyIntolerance.reaction.​manifestation	Base	preferred	Reaction Allergy	📦0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) 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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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-datetime		0..1	dateTime	End date URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus		0..1	CodeableConceptIPS	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus		0..1	CodeableConceptIPS	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	SΣ	0..1	code	Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Allergens or no known or unknown conditions (preferred) Additional Bindings Purpose Allergy Intolerance - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Allergies - IPS candidate
patient	SΣ	1..1	Reference(Patient (EU PS))	Who the sensitivity is for
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	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
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]	S	0..1		When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	S	0..1	dateTime S	Onset date
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	S	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Allergens (preferred)
manifestation	S	1..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Reaction Allergy (preferred)
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity	S	0..1	code	Severity Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note		0..*	Annotation	Text about event not captured in other fields
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	Allergens or no known or unknown conditions	📦0.1.0	This IG
AllergyIntolerance.patient.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	preferred	Allergens	📦0.1.0	This IG
AllergyIntolerance.reaction.​manifestation	Base	preferred	Reaction Allergy	📦0.1.0	This IG
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:

• Patient (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Patient-ps-xpandh)

Slices

This structure defines the following Slices:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) 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-datetime		0..1	dateTime	End date URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus		0..1	CodeableConceptIPS	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus		0..1	CodeableConceptIPS	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	SΣ	0..1	code	Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
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	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Allergens or no known or unknown conditions (preferred) Additional Bindings Purpose Allergy Intolerance - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Allergies - IPS candidate
patient	SΣ	1..1	Reference(Patient (EU PS))	Who the sensitivity is for
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]	S	0..1		When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	S	0..1	dateTime S	Onset date
reaction	S	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
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 (preferred)
manifestation	S	1..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Reaction Allergy (preferred)
severity	S	0..1	code	Severity Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
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	Allergens or no known or unknown conditions	📦0.1.0	This IG
AllergyIntolerance.reaction.​substance	Base	preferred	Allergens	📦0.1.0	This IG
AllergyIntolerance.reaction.​manifestation	Base	preferred	Reaction Allergy	📦0.1.0	This IG
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Slices for extension				Content/Rules for all slices
extension:abatement-datetime		0..1	AbatementDateTimeUvIps	End date
clinicalStatus		0..1	CodeableConceptIPS	Current allergy or Intolerance status
verificationStatus		0..1	CodeableConceptIPS	Certainty
type		0..1	code	Type of propensity
criticality		0..1	code	Criticality
code		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Allergens or no known or unknown conditions (preferred)
patient		1..1	Reference(Patient (EU PS))	Who the sensitivity is for
Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime		0..1	dateTime	Onset date
reaction
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Allergens (preferred)
manifestation		1..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Reaction Allergy (preferred)
severity		0..1	code	Severity
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.code	Base	preferred	Allergens or no known or unknown conditions	📦0.1.0	This IG
AllergyIntolerance.reaction.​substance	Base	preferred	Allergens	📦0.1.0	This IG
AllergyIntolerance.reaction.​manifestation	Base	preferred	Reaction Allergy	📦0.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) 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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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-datetime		0..1	dateTime	End date URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus		0..1	CodeableConceptIPS	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus		0..1	CodeableConceptIPS	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	SΣ	0..1	code	Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Allergens or no known or unknown conditions (preferred) Additional Bindings Purpose Allergy Intolerance - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Allergies - IPS candidate
patient	SΣ	1..1	Reference(Patient (EU PS))	Who the sensitivity is for
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	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
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]	S	0..1		When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	S	0..1	dateTime S	Onset date
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	S	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Allergens (preferred)
manifestation	S	1..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Reaction Allergy (preferred)
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity	S	0..1	code	Severity Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note		0..*	Annotation	Text about event not captured in other fields
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	Allergens or no known or unknown conditions	📦0.1.0	This IG
AllergyIntolerance.patient.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	preferred	Allergens	📦0.1.0	This IG
AllergyIntolerance.reaction.​manifestation	Base	preferred	Reaction Allergy	📦0.1.0	This IG
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:

• Patient (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Patient-ps-xpandh)

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron