CH Core (R4)
7.0.0-ballot - ballot Switzerland flag

CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions

Resource Profile: CH Core AllergyIntolerance

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-allergyintolerance Version: 7.0.0-ballot
Active as of 2026-10-21 Computable Name: CHCoreAllergyIntolerance

Copyright/Legal: CC0-1.0

Base definition of the AllergyIntolerance resource for use in Swiss specific use cases.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
AllergyIntolerance.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
AllergyIntolerance.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
AllergyIntolerance.clinicalStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
AllergyIntolerance.verificationStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept unconfirmed | 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.
AllergyIntolerance.code This element is included in summaries. 0..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (preferred)
AllergyIntolerance.patient This element is included in summaries. 1..1 Reference(CH Core Patient) Who the sensitivity is for
AllergyIntolerance.recorder 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Who recorded the sensitivity
AllergyIntolerance.asserter This element is included in summaries. 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Source of the information about the allergy

doco 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.code Base preferred CH AllergyIntolerance 📦3.4.0 CH Term v3.4

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 AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.code 0..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (preferred)
AllergyIntolerance.patient 1..1 Reference(CH Core Patient) Who the sensitivity is for
AllergyIntolerance.recorder 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Who recorded the sensitivity
AllergyIntolerance.reaction
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:certainty 0..1 CodeableConcept Certainty that the substance was the cause of the manifestation
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.
AllergyIntolerance.reaction.Slices for extension.extension:duration 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
AllergyIntolerance.reaction.Slices for extension.extension:location 0..1 CodeableConcept Body site of manifestations
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts
AllergyIntolerance.reaction.Slices for extension.extension:exposureDate 0..1 dateTime Date(/time) of first exposure to Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
AllergyIntolerance.reaction.Slices for extension.extension:exposureDuration 0..1 Duration Amount of time individual was exposed to Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
AllergyIntolerance.reaction.Slices for extension.extension:exposureDescription 0..1 string Text description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
AllergyIntolerance.reaction.Slices for extension.extension:management 0..1 string Clinical Management Description
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
AllergyIntolerance.reaction.substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (preferred)
AllergyIntolerance.reaction.manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.code Base preferred CH AllergyIntolerance 📦3.4.0 CH Term v3.4
AllergyIntolerance.reaction.​substance Base preferred CH AllergyIntolerance Reaction Substance 📦3.4.0 CH Term v3.4
AllergyIntolerance.reaction.​manifestation Base preferred CH AllergyIntolerance Reaction Manifestation 📦3.4.0 CH Term v3.4
NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
AllergyIntolerance.id This element is included in summaries. 0..1 id Logical id of this artifact
AllergyIntolerance.meta This element is included in summaries. 0..1 Meta Metadata about the resource
AllergyIntolerance.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
AllergyIntolerance.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
AllergyIntolerance.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
AllergyIntolerance.contained 0..* Resource Contained, inline Resources
AllergyIntolerance.extension 0..* Extension Additional content defined by implementations
AllergyIntolerance.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
AllergyIntolerance.identifier This element is included in summaries. 0..* Identifier External ids for this item
AllergyIntolerance.clinicalStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
AllergyIntolerance.verificationStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept unconfirmed | 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.
AllergyIntolerance.type This element is included in summaries. 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
AllergyIntolerance.category This element is included in summaries. 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
AllergyIntolerance.criticality This element is included in summaries. 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
AllergyIntolerance.code This element is included in summaries. 0..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (preferred)
AllergyIntolerance.patient This element is included in summaries. 1..1 Reference(CH Core Patient) Who the sensitivity is for
AllergyIntolerance.encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x] 0..1 When allergy or intolerance was identified
AllergyIntolerance.onset[x].onsetDateTime dateTime
AllergyIntolerance.onset[x].onsetAge Age
AllergyIntolerance.onset[x].onsetPeriod Period
AllergyIntolerance.onset[x].onsetRange Range
AllergyIntolerance.onset[x].onsetString string
AllergyIntolerance.recordedDate 0..1 dateTime Date first version of the resource instance was recorded
AllergyIntolerance.recorder 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Who recorded the sensitivity
AllergyIntolerance.asserter This element is included in summaries. 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Source of the information about the allergy
AllergyIntolerance.lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
AllergyIntolerance.note 0..* Annotation Additional text not captured in other fields
AllergyIntolerance.reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.id 0..1 string Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:certainty 0..1 CodeableConcept Certainty that the substance was the cause of the manifestation
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.
AllergyIntolerance.reaction.Slices for extension.extension:duration 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
AllergyIntolerance.reaction.Slices for extension.extension:location 0..1 CodeableConcept Body site of manifestations
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts
AllergyIntolerance.reaction.Slices for extension.extension:exposureDate 0..1 dateTime Date(/time) of first exposure to Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
AllergyIntolerance.reaction.Slices for extension.extension:exposureDuration 0..1 Duration Amount of time individual was exposed to Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
AllergyIntolerance.reaction.Slices for extension.extension:exposureDescription 0..1 string Text description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
AllergyIntolerance.reaction.Slices for extension.extension:management 0..1 string Clinical Management Description
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
AllergyIntolerance.reaction.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (preferred)
AllergyIntolerance.reaction.manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (preferred)
AllergyIntolerance.reaction.description 0..1 string Description of the event as a whole
AllergyIntolerance.reaction.onset 0..1 dateTime Date(/time) when manifestations showed
AllergyIntolerance.reaction.severity 0..1 code mild | 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.
AllergyIntolerance.reaction.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.
AllergyIntolerance.reaction.note 0..* Annotation Text about event not captured in other fields

doco 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 CH AllergyIntolerance 📦3.4.0 CH Term v3.4
AllergyIntolerance.reaction.​substance Base preferred CH AllergyIntolerance Reaction Substance 📦3.4.0 CH Term v3.4
AllergyIntolerance.reaction.​manifestation Base preferred CH AllergyIntolerance Reaction Manifestation 📦3.4.0 CH Term v3.4
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
AllergyIntolerance.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
AllergyIntolerance.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
AllergyIntolerance.clinicalStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
AllergyIntolerance.verificationStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept unconfirmed | 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.
AllergyIntolerance.code This element is included in summaries. 0..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (preferred)
AllergyIntolerance.patient This element is included in summaries. 1..1 Reference(CH Core Patient) Who the sensitivity is for
AllergyIntolerance.recorder 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Who recorded the sensitivity
AllergyIntolerance.asserter This element is included in summaries. 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Source of the information about the allergy

doco 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.code Base preferred CH AllergyIntolerance 📦3.4.0 CH Term v3.4

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 AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.code 0..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (preferred)
AllergyIntolerance.patient 1..1 Reference(CH Core Patient) Who the sensitivity is for
AllergyIntolerance.recorder 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Who recorded the sensitivity
AllergyIntolerance.asserter 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Source of the information about the allergy
AllergyIntolerance.reaction
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:certainty 0..1 CodeableConcept Certainty that the substance was the cause of the manifestation
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.
AllergyIntolerance.reaction.Slices for extension.extension:duration 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
AllergyIntolerance.reaction.Slices for extension.extension:location 0..1 CodeableConcept Body site of manifestations
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts
AllergyIntolerance.reaction.Slices for extension.extension:exposureDate 0..1 dateTime Date(/time) of first exposure to Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
AllergyIntolerance.reaction.Slices for extension.extension:exposureDuration 0..1 Duration Amount of time individual was exposed to Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
AllergyIntolerance.reaction.Slices for extension.extension:exposureDescription 0..1 string Text description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
AllergyIntolerance.reaction.Slices for extension.extension:management 0..1 string Clinical Management Description
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
AllergyIntolerance.reaction.substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (preferred)
AllergyIntolerance.reaction.manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.code Base preferred CH AllergyIntolerance 📦3.4.0 CH Term v3.4
AllergyIntolerance.reaction.​substance Base preferred CH AllergyIntolerance Reaction Substance 📦3.4.0 CH Term v3.4
AllergyIntolerance.reaction.​manifestation Base preferred CH AllergyIntolerance Reaction Manifestation 📦3.4.0 CH Term v3.4

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
AllergyIntolerance.id This element is included in summaries. 0..1 id Logical id of this artifact
AllergyIntolerance.meta This element is included in summaries. 0..1 Meta Metadata about the resource
AllergyIntolerance.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
AllergyIntolerance.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
AllergyIntolerance.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
AllergyIntolerance.contained 0..* Resource Contained, inline Resources
AllergyIntolerance.extension 0..* Extension Additional content defined by implementations
AllergyIntolerance.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
AllergyIntolerance.identifier This element is included in summaries. 0..* Identifier External ids for this item
AllergyIntolerance.clinicalStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
AllergyIntolerance.verificationStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept unconfirmed | 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.
AllergyIntolerance.type This element is included in summaries. 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
AllergyIntolerance.category This element is included in summaries. 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
AllergyIntolerance.criticality This element is included in summaries. 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
AllergyIntolerance.code This element is included in summaries. 0..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (preferred)
AllergyIntolerance.patient This element is included in summaries. 1..1 Reference(CH Core Patient) Who the sensitivity is for
AllergyIntolerance.encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x] 0..1 When allergy or intolerance was identified
AllergyIntolerance.onset[x].onsetDateTime dateTime
AllergyIntolerance.onset[x].onsetAge Age
AllergyIntolerance.onset[x].onsetPeriod Period
AllergyIntolerance.onset[x].onsetRange Range
AllergyIntolerance.onset[x].onsetString string
AllergyIntolerance.recordedDate 0..1 dateTime Date first version of the resource instance was recorded
AllergyIntolerance.recorder 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Who recorded the sensitivity
AllergyIntolerance.asserter This element is included in summaries. 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | CH Core RelatedPerson) Source of the information about the allergy
AllergyIntolerance.lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
AllergyIntolerance.note 0..* Annotation Additional text not captured in other fields
AllergyIntolerance.reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.id 0..1 string Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:certainty 0..1 CodeableConcept Certainty that the substance was the cause of the manifestation
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.
AllergyIntolerance.reaction.Slices for extension.extension:duration 0..1 Duration How long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
AllergyIntolerance.reaction.Slices for extension.extension:location 0..1 CodeableConcept Body site of manifestations
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts
AllergyIntolerance.reaction.Slices for extension.extension:exposureDate 0..1 dateTime Date(/time) of first exposure to Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
AllergyIntolerance.reaction.Slices for extension.extension:exposureDuration 0..1 Duration Amount of time individual was exposed to Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
AllergyIntolerance.reaction.Slices for extension.extension:exposureDescription 0..1 string Text description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
AllergyIntolerance.reaction.Slices for extension.extension:management 0..1 string Clinical Management Description
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
AllergyIntolerance.reaction.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (preferred)
AllergyIntolerance.reaction.manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (preferred)
AllergyIntolerance.reaction.description 0..1 string Description of the event as a whole
AllergyIntolerance.reaction.onset 0..1 dateTime Date(/time) when manifestations showed
AllergyIntolerance.reaction.severity 0..1 code mild | 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.
AllergyIntolerance.reaction.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.
AllergyIntolerance.reaction.note 0..* Annotation Text about event not captured in other fields

doco 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 CH AllergyIntolerance 📦3.4.0 CH Term v3.4
AllergyIntolerance.reaction.​substance Base preferred CH AllergyIntolerance Reaction Substance 📦3.4.0 CH Term v3.4
AllergyIntolerance.reaction.​manifestation Base preferred CH AllergyIntolerance Reaction Manifestation 📦3.4.0 CH Term v3.4
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()

 

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