CH AllergyIntolerance (R4)
3.0.0-ci-build - ci-build Switzerland flag

CH AllergyIntolerance (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-allergyintolerance/ and changes regularly. See the Directory of published versions

Resource Profile: CH AllergyIntolerance

Official URL: http://fhir.ch/ig/ch-allergyintolerance/StructureDefinition/ch-allergyintolerance Version: 3.0.0-ci-build
Active as of 2024-03-01 Computable Name: CHAllergyIntolerance

Copyright/Legal: CC0-1.0

This profile represents the constraints applied to the AllergyIntolerance resource in the Swiss context - in adaption of the definition by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the Swiss EPR, in a TransitionOfCare transaction or similar as an instance of an AllergyIntolerance resource constrained by this profile. It documents the relevant allergies or intolerances for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.

This profile constrains the representation of a record of an allergy or intolerance of the patient, in the context of a Swiss patient in adaption of the one specified by the IPS project of HL7 International.

Usage:

Formal Views of Profile Content

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

This structure is derived from CHCoreAllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance S0..*CHCoreAllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... abatement-datetime S0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... clinicalStatus S0..1CodeableConceptactive | inactive | resolved
... type S0..1codeallergy | intolerance - Underlying mechanism (if known)
... category S0..*codefood | medication | environment | biologic
... criticality S0..1codelow | high | unable-to-assess
... code S1..1CodeableConceptCode that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... Slices for onset[x] 0..1dateTime, Age, Period, Range, stringWhen allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S0..1dateTimeWhen allergy or intolerance was identified
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... extension:certainty 0..1certaintyStatement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
.... extension:duration 0..1durationThe amount of time that the Adverse Reaction persisted
.... extension:location 0..1locationThe anatomical location / body site(s) where the symptoms manifested
.... extension:exposureDate 0..1exposureDateRecord of the date and/or time of the first exposure to the Substance for this Reaction Event.
.... extension:exposureDuration 0..1exposureDurationThe amount of time the individual was exposed to the Substance
.... extension:management 0..1managementText description about the clinical management provided.
.... substance S0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... onset S0..1dateTimeDate(/time) when manifestations showed
.... severity S0..1codemild | moderate | severe (of event as a whole)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC0..*CHCoreAllergyIntoleranceAllergy 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
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... abatement-datetime S0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... clinicalStatus ?!SΣC0..1CodeableConceptactive | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ0..*codefood | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality SΣ0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ1..1CodeableConceptCode that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... patient Σ1..1Reference(CH Core Patient)Who the sensitivity is for
... Slices for onset[x] 0..1When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
.... onset[x]:onsetDateTime S0..1dateTimeWhen allergy or intolerance was identified
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... certainty 0..1CodeableConceptStatement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty
Binding: AllergyIntoleranceCertainty (extensible): Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event.


.... duration 0..1DurationThe amount of time that the Adverse Reaction persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... location 0..1CodeableConceptThe anatomical location / body site(s) where the symptoms manifested
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.


.... exposureDate 0..1dateTimeRecord of the date and/or time of the first exposure to the Substance for this Reaction Event.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
.... exposureDuration 0..1DurationThe amount of time the individual was exposed to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
.... exposureDescription 0..1stringText description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
.... management 0..1stringText description about the clinical management provided.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... substance S0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... onset S0..1dateTimeDate(/time) when manifestations showed
.... severity S0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC0..*CHCoreAllergyIntoleranceAllergy 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 Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... abatement-datetime S0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal ids for this item
... clinicalStatus ?!SΣC0..1CodeableConceptactive | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ0..*codefood | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality SΣ0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ1..1CodeableConceptCode that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... patient Σ1..1Reference(CH Core Patient)Who the sensitivity is for
... encounter 0..1Reference(Encounter)Encounter when the allergy or intolerance was asserted
... Slices for onset[x] 0..1When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
.... onset[x]:onsetDateTime S0..1dateTimeWhen allergy or intolerance was identified
... recordedDate 0..1dateTimeDate first version of the resource instance was recorded
... recorder 0..1Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson)Who recorded the sensitivity
... asserter Σ0..1Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson)Source of the information about the allergy
... lastOccurrence 0..1dateTimeDate(/time) of last known occurrence of a reaction
... note 0..*AnnotationAdditional text not captured in other fields
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... certainty 0..1CodeableConceptStatement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty
Binding: AllergyIntoleranceCertainty (extensible): Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event.


.... duration 0..1DurationThe amount of time that the Adverse Reaction persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... location 0..1CodeableConceptThe anatomical location / body site(s) where the symptoms manifested
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.


.... exposureDate 0..1dateTimeRecord of the date and/or time of the first exposure to the Substance for this Reaction Event.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
.... exposureDuration 0..1DurationThe amount of time the individual was exposed to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
.... exposureDescription 0..1stringText description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
.... management 0..1stringText description about the clinical management provided.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... substance S0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... description 0..1stringDescription of the event as a whole
.... onset S0..1dateTimeDate(/time) when manifestations showed
.... severity S0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

.... exposureRoute 0..1CodeableConceptHow 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..*AnnotationText about event not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CHCoreAllergyIntolerance

Summary

Mandatory: 1 element
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element AllergyIntolerance.onset[x] is sliced based on the value of type:$this

Differential View

This structure is derived from CHCoreAllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance S0..*CHCoreAllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... abatement-datetime S0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... clinicalStatus S0..1CodeableConceptactive | inactive | resolved
... type S0..1codeallergy | intolerance - Underlying mechanism (if known)
... category S0..*codefood | medication | environment | biologic
... criticality S0..1codelow | high | unable-to-assess
... code S1..1CodeableConceptCode that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... Slices for onset[x] 0..1dateTime, Age, Period, Range, stringWhen allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S0..1dateTimeWhen allergy or intolerance was identified
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... extension:certainty 0..1certaintyStatement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
.... extension:duration 0..1durationThe amount of time that the Adverse Reaction persisted
.... extension:location 0..1locationThe anatomical location / body site(s) where the symptoms manifested
.... extension:exposureDate 0..1exposureDateRecord of the date and/or time of the first exposure to the Substance for this Reaction Event.
.... extension:exposureDuration 0..1exposureDurationThe amount of time the individual was exposed to the Substance
.... extension:management 0..1managementText description about the clinical management provided.
.... substance S0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... onset S0..1dateTimeDate(/time) when manifestations showed
.... severity S0..1codemild | moderate | severe (of event as a whole)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC0..*CHCoreAllergyIntoleranceAllergy 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
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... abatement-datetime S0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... clinicalStatus ?!SΣC0..1CodeableConceptactive | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ0..*codefood | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality SΣ0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ1..1CodeableConceptCode that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... patient Σ1..1Reference(CH Core Patient)Who the sensitivity is for
... Slices for onset[x] 0..1When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
.... onset[x]:onsetDateTime S0..1dateTimeWhen allergy or intolerance was identified
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... certainty 0..1CodeableConceptStatement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty
Binding: AllergyIntoleranceCertainty (extensible): Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event.


.... duration 0..1DurationThe amount of time that the Adverse Reaction persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... location 0..1CodeableConceptThe anatomical location / body site(s) where the symptoms manifested
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.


.... exposureDate 0..1dateTimeRecord of the date and/or time of the first exposure to the Substance for this Reaction Event.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
.... exposureDuration 0..1DurationThe amount of time the individual was exposed to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
.... exposureDescription 0..1stringText description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
.... management 0..1stringText description about the clinical management provided.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... substance S0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... onset S0..1dateTimeDate(/time) when manifestations showed
.... severity S0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC0..*CHCoreAllergyIntoleranceAllergy 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 Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... abatement-datetime S0..1dateTimeAbatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal ids for this item
... clinicalStatus ?!SΣC0..1CodeableConceptactive | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ0..*codefood | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality SΣ0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ1..1CodeableConceptCode that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... patient Σ1..1Reference(CH Core Patient)Who the sensitivity is for
... encounter 0..1Reference(Encounter)Encounter when the allergy or intolerance was asserted
... Slices for onset[x] 0..1When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
.... onset[x]:onsetDateTime S0..1dateTimeWhen allergy or intolerance was identified
... recordedDate 0..1dateTimeDate first version of the resource instance was recorded
... recorder 0..1Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson)Who recorded the sensitivity
... asserter Σ0..1Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson)Source of the information about the allergy
... lastOccurrence 0..1dateTimeDate(/time) of last known occurrence of a reaction
... note 0..*AnnotationAdditional text not captured in other fields
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... certainty 0..1CodeableConceptStatement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty
Binding: AllergyIntoleranceCertainty (extensible): Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event.


.... duration 0..1DurationThe amount of time that the Adverse Reaction persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... location 0..1CodeableConceptThe anatomical location / body site(s) where the symptoms manifested
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.


.... exposureDate 0..1dateTimeRecord of the date and/or time of the first exposure to the Substance for this Reaction Event.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
.... exposureDuration 0..1DurationThe amount of time the individual was exposed to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
.... exposureDescription 0..1stringText description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
.... management 0..1stringText description about the clinical management provided.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... substance S0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... description 0..1stringDescription of the event as a whole
.... onset S0..1dateTimeDate(/time) when manifestations showed
.... severity S0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

.... exposureRoute 0..1CodeableConceptHow 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..*AnnotationText about event not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CHCoreAllergyIntolerance

Summary

Mandatory: 1 element
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element AllergyIntolerance.onset[x] is sliced based on the value of type:$this

 

Other representations of profile: CSV, Excel, Schematron