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.

Usage:

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

Formal Views of Profile Content

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

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

This structure is derived from AllergyIntoleranceUvIps

Name	Flags	Card.	Type	Description & Constraints
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	Conformance	ValueSet	URI
AllergyIntolerance.code	preferred	EHDSIAllergyCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergyCode from this IG
AllergyIntolerance.reaction.substance	preferred	EHDSIAllergens http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergens from this IG
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergy http://terminology.ehdsi.eu/ValueSet/eHDSIReactionAllergy from this IG

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
abatement-datetime		0..1	dateTime	End date URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus		0..1	CodeableConceptIPS	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. ele-1: All FHIR elements must have a @value or children
verificationStatus		0..1	CodeableConceptIPS	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	code	Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk. ele-1: All FHIR elements must have a @value or children
criticality	Σ	0..1	code	Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. ele-1: All FHIR elements must have a @value or children
code	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 ele-1: All FHIR elements must have a @value or children
patient	SΣ	1..1	Reference(Patient (EU PS))	Who the sensitivity is for ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for onset[x]	S	0..1		When allergy or intolerance was identified Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onset[x]:onsetDateTime	S	0..1	dateTime	Onset date ele-1: All FHIR elements must have a @value or children
reaction	S	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Allergens (preferred) ele-1: All FHIR elements must have a @value or children
manifestation	S	1..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Reaction Allergy (preferred) ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	preferred	EHDSIAllergyCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergyCode from this IG
AllergyIntolerance.reaction.substance	preferred	EHDSIAllergens http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergens from this IG
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergy http://terminology.ehdsi.eu/ValueSet/eHDSIReactionAllergy from this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	preferred	EHDSIAllergyCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergyCode from this IG
AllergyIntolerance.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
AllergyIntolerance.reaction.substance	preferred	EHDSIAllergens http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergens from this IG
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergy http://terminology.ehdsi.eu/ValueSet/eHDSIReactionAllergy from this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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]

Differential View

This structure is derived from AllergyIntoleranceUvIps

Name	Flags	Card.	Type	Description & Constraints
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	Conformance	ValueSet	URI
AllergyIntolerance.code	preferred	EHDSIAllergyCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergyCode from this IG
AllergyIntolerance.reaction.substance	preferred	EHDSIAllergens http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergens from this IG
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergy http://terminology.ehdsi.eu/ValueSet/eHDSIReactionAllergy from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
abatement-datetime		0..1	dateTime	End date URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus		0..1	CodeableConceptIPS	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. ele-1: All FHIR elements must have a @value or children
verificationStatus		0..1	CodeableConceptIPS	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	code	Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk. ele-1: All FHIR elements must have a @value or children
criticality	Σ	0..1	code	Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. ele-1: All FHIR elements must have a @value or children
code	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 ele-1: All FHIR elements must have a @value or children
patient	SΣ	1..1	Reference(Patient (EU PS))	Who the sensitivity is for ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for onset[x]	S	0..1		When allergy or intolerance was identified Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onset[x]:onsetDateTime	S	0..1	dateTime	Onset date ele-1: All FHIR elements must have a @value or children
reaction	S	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Allergens (preferred) ele-1: All FHIR elements must have a @value or children
manifestation	S	1..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Reaction Allergy (preferred) ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	preferred	EHDSIAllergyCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergyCode from this IG
AllergyIntolerance.reaction.substance	preferred	EHDSIAllergens http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergens from this IG
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergy http://terminology.ehdsi.eu/ValueSet/eHDSIReactionAllergy from this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntoleranceUvIps	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	preferred	EHDSIAllergyCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergyCode from this IG
AllergyIntolerance.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
AllergyIntolerance.reaction.substance	preferred	EHDSIAllergens http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIAllergens from this IG
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergy http://terminology.ehdsi.eu/ValueSet/eHDSIReactionAllergy from this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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