SIL HIE Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

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Resource Profile: HIE AllergyIntolerance

R4B AllergyIntolerance constrained for HIE capture and exchange.

Usages:

• Examples for this Profile: AllergyIntolerance/HIEAllergyIntolerance-example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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. Σ 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.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
AllergyIntolerance.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
AllergyIntolerance.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
AllergyIntolerance.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
AllergyIntolerance.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
AllergyIntolerance.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	HIECodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) Constraints: cc-text-or-code
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) Constraints: cc-text-or-code
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
AllergyIntolerance.category	S This element must be supported. Σ This element is included in summaries.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
AllergyIntolerance.criticality	S This element must be supported. Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Who the sensitivity is for
AllergyIntolerance.encounter		1..1	HIEReference(HIE Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.recordedDate	S This element must be supported.	1..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder		0..1	HIEReference(HIE Practitioner | PractitionerRole)	Who recorded the sensitivity
AllergyIntolerance.asserter	Σ This element is included in summaries.	1..1	HIEReference(HIE Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Source of the information about the allergy
AllergyIntolerance.reaction	S This element must be supported.	1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.substance	C	0..1	HIECodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products). Constraints: cc-text-or-code
AllergyIntolerance.reaction.manifestation	S This element must be supported. C	1..*	HIECodeableConcept	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event. Constraints: cc-text-or-code
AllergyIntolerance.reaction.severity	S This element must be supported.	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
AllergyIntolerance.reaction.exposureRoute	C	0..1	HIECodeableConcept	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. Constraints: cc-text-or-code
AllergyIntolerance.reaction.note		0..*	HIEAnnotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
AllergyIntolerance.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.3.0	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📦4.3.0	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📦4.3.0	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📦4.3.0	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	example	SNOMED CT Route Codes	📍4.3.0	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.exists() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code='entered-in-error').exists().not()) implies 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').exists()) implies clinicalStatus.exists().not()
cc-text-or-code	warning	AllergyIntolerance.identifier.type, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.exposureRoute	Text is optional, coding is required	coding.exists()
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.exists() and ('#'+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(uri) = '#').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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.identifier	S This element must be supported.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.use		1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
AllergyIntolerance.identifier.type		1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible)
AllergyIntolerance.identifier.system		1..1	uri	The namespace for the identifier value
AllergyIntolerance.identifier.value	S This element must be supported.	1..1	string	The value that is unique
AllergyIntolerance.identifier.assigner	S This element must be supported.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
AllergyIntolerance.clinicalStatus	S This element must be supported.	0..1	HIECodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
AllergyIntolerance.verificationStatus	S This element must be supported.	1..1	HIECodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
AllergyIntolerance.type	S This element must be supported.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
AllergyIntolerance.category	S This element must be supported.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
AllergyIntolerance.criticality	S This element must be supported.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.patient	S This element must be supported.	1..1	HIEReference(HIE Patient)	Who the sensitivity is for
AllergyIntolerance.encounter		1..1	HIEReference(HIE Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.recordedDate	S This element must be supported.	1..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder		0..1	HIEReference(HIE Practitioner | PractitionerRole)	Who recorded the sensitivity
AllergyIntolerance.asserter		1..1	HIEReference(HIE Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Source of the information about the allergy
AllergyIntolerance.reaction	S This element must be supported.	1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.substance		0..1	HIECodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	HIECodeableConcept	Clinical symptoms/signs associated with the Event
AllergyIntolerance.reaction.severity	S This element must be supported.	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
AllergyIntolerance.reaction.exposureRoute		0..1	HIECodeableConcept	How the subject was exposed to the substance
AllergyIntolerance.reaction.note		0..*	HIEAnnotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
AllergyIntolerance.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.3.0	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📦4.3.0	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📦4.3.0	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📦4.3.0	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
AllergyIntolerance.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
AllergyIntolerance.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ 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): IETF language tag Additional Bindings Purpose 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 Constraints: dom-r4b
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	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.id		0..1	id	Unique id for inter-element referencing
AllergyIntolerance.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
AllergyIntolerance.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
AllergyIntolerance.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
AllergyIntolerance.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
AllergyIntolerance.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
AllergyIntolerance.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
AllergyIntolerance.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
AllergyIntolerance.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	HIECodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) Constraints: cc-text-or-code
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) Constraints: cc-text-or-code
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
AllergyIntolerance.category	S This element must be supported. Σ This element is included in summaries.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
AllergyIntolerance.criticality	S This element must be supported. Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.code	Σ This element is included in summaries.	0..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Who the sensitivity is for
AllergyIntolerance.encounter		1..1	HIEReference(HIE 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	S This element must be supported.	1..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder		0..1	HIEReference(HIE Practitioner | PractitionerRole)	Who recorded the sensitivity
AllergyIntolerance.asserter	Σ This element is included in summaries.	1..1	HIEReference(HIE Patient | HIE Practitioner | PractitionerRole | 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	S This element must be supported.	1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.reaction.extension		0..*	Extension	Additional content defined by implementations
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.substance	C	0..1	HIECodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products). Constraints: cc-text-or-code
AllergyIntolerance.reaction.manifestation	S This element must be supported. C	1..*	HIECodeableConcept	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event. Constraints: cc-text-or-code
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	S This element must be supported.	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
AllergyIntolerance.reaction.exposureRoute	C	0..1	HIECodeableConcept	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. Constraints: cc-text-or-code
AllergyIntolerance.reaction.note		0..*	HIEAnnotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
AllergyIntolerance.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
AllergyIntolerance.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.3.0	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📦4.3.0	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📦4.3.0	FHIR Std.
AllergyIntolerance.code	Base	example	AllergyIntolerance Substance/Product, Condition and Negation Codes	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📦4.3.0	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	example	SNOMED CT Route Codes	📍4.3.0	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.exists() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code='entered-in-error').exists().not()) implies 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').exists()) implies clinicalStatus.exists().not()
cc-text-or-code	warning	AllergyIntolerance.identifier.type, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.exposureRoute	Text is optional, coding is required	coding.exists()
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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	AllergyIntolerance.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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

Summary

Mandatory: 10 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• HIE CodeableConcept (https://nshr.dha.go.ke/fhir/StructureDefinition/codeable-concept)
• HIE Reference (https://nshr.dha.go.ke/fhir/StructureDefinition/reference)
• HIE Organization (https://nshr.dha.go.ke/fhir/StructureDefinition/organization)
• HIE Patient (https://nshr.dha.go.ke/fhir/StructureDefinition/patient)
• HIE Encounter (https://nshr.dha.go.ke/fhir/StructureDefinition/encounter)
• HIE Practitioner (https://nshr.dha.go.ke/fhir/StructureDefinition/practitioner)
• HIE Annotation (https://nshr.dha.go.ke/fhir/StructureDefinition/annotation)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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. Σ 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.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
AllergyIntolerance.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
AllergyIntolerance.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
AllergyIntolerance.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
AllergyIntolerance.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
AllergyIntolerance.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	HIECodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) Constraints: cc-text-or-code
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) Constraints: cc-text-or-code
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
AllergyIntolerance.category	S This element must be supported. Σ This element is included in summaries.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
AllergyIntolerance.criticality	S This element must be supported. Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Who the sensitivity is for
AllergyIntolerance.encounter		1..1	HIEReference(HIE Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.recordedDate	S This element must be supported.	1..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder		0..1	HIEReference(HIE Practitioner | PractitionerRole)	Who recorded the sensitivity
AllergyIntolerance.asserter	Σ This element is included in summaries.	1..1	HIEReference(HIE Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Source of the information about the allergy
AllergyIntolerance.reaction	S This element must be supported.	1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.substance	C	0..1	HIECodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products). Constraints: cc-text-or-code
AllergyIntolerance.reaction.manifestation	S This element must be supported. C	1..*	HIECodeableConcept	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event. Constraints: cc-text-or-code
AllergyIntolerance.reaction.severity	S This element must be supported.	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
AllergyIntolerance.reaction.exposureRoute	C	0..1	HIECodeableConcept	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. Constraints: cc-text-or-code
AllergyIntolerance.reaction.note		0..*	HIEAnnotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
AllergyIntolerance.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.3.0	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📦4.3.0	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📦4.3.0	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📦4.3.0	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	example	SNOMED CT Route Codes	📍4.3.0	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.exists() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code='entered-in-error').exists().not()) implies 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').exists()) implies clinicalStatus.exists().not()
cc-text-or-code	warning	AllergyIntolerance.identifier.type, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.exposureRoute	Text is optional, coding is required	coding.exists()
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.exists() and ('#'+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(uri) = '#').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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.identifier	S This element must be supported.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.use		1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
AllergyIntolerance.identifier.type		1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible)
AllergyIntolerance.identifier.system		1..1	uri	The namespace for the identifier value
AllergyIntolerance.identifier.value	S This element must be supported.	1..1	string	The value that is unique
AllergyIntolerance.identifier.assigner	S This element must be supported.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
AllergyIntolerance.clinicalStatus	S This element must be supported.	0..1	HIECodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required)
AllergyIntolerance.verificationStatus	S This element must be supported.	1..1	HIECodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
AllergyIntolerance.type	S This element must be supported.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
AllergyIntolerance.category	S This element must be supported.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
AllergyIntolerance.criticality	S This element must be supported.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.patient	S This element must be supported.	1..1	HIEReference(HIE Patient)	Who the sensitivity is for
AllergyIntolerance.encounter		1..1	HIEReference(HIE Encounter)	Encounter when the allergy or intolerance was asserted
AllergyIntolerance.recordedDate	S This element must be supported.	1..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder		0..1	HIEReference(HIE Practitioner | PractitionerRole)	Who recorded the sensitivity
AllergyIntolerance.asserter		1..1	HIEReference(HIE Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Source of the information about the allergy
AllergyIntolerance.reaction	S This element must be supported.	1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.substance		0..1	HIECodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	HIECodeableConcept	Clinical symptoms/signs associated with the Event
AllergyIntolerance.reaction.severity	S This element must be supported.	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
AllergyIntolerance.reaction.exposureRoute		0..1	HIECodeableConcept	How the subject was exposed to the substance
AllergyIntolerance.reaction.note		0..*	HIEAnnotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
AllergyIntolerance.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.3.0	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📦4.3.0	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📦4.3.0	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📦4.3.0	FHIR Std.

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
AllergyIntolerance.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
AllergyIntolerance.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ 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): IETF language tag Additional Bindings Purpose 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 Constraints: dom-r4b
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	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External ids for this item
AllergyIntolerance.identifier.id		0..1	id	Unique id for inter-element referencing
AllergyIntolerance.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
AllergyIntolerance.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
AllergyIntolerance.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
AllergyIntolerance.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
AllergyIntolerance.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
AllergyIntolerance.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
AllergyIntolerance.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
AllergyIntolerance.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	HIECodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) Constraints: cc-text-or-code
AllergyIntolerance.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) Constraints: cc-text-or-code
AllergyIntolerance.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required)
AllergyIntolerance.category	S This element must be supported. Σ This element is included in summaries.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
AllergyIntolerance.criticality	S This element must be supported. Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required)
AllergyIntolerance.code	Σ This element is included in summaries.	0..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Who the sensitivity is for
AllergyIntolerance.encounter		1..1	HIEReference(HIE 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	S This element must be supported.	1..1	dateTime	Date first version of the resource instance was recorded
AllergyIntolerance.recorder		0..1	HIEReference(HIE Practitioner | PractitionerRole)	Who recorded the sensitivity
AllergyIntolerance.asserter	Σ This element is included in summaries.	1..1	HIEReference(HIE Patient | HIE Practitioner | PractitionerRole | 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	S This element must be supported.	1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.reaction.extension		0..*	Extension	Additional content defined by implementations
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.substance	C	0..1	HIECodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products). Constraints: cc-text-or-code
AllergyIntolerance.reaction.manifestation	S This element must be supported. C	1..*	HIECodeableConcept	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event. Constraints: cc-text-or-code
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	S This element must be supported.	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
AllergyIntolerance.reaction.exposureRoute	C	0..1	HIECodeableConcept	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. Constraints: cc-text-or-code
AllergyIntolerance.reaction.note		0..*	HIEAnnotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
AllergyIntolerance.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
AllergyIntolerance.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📦4.3.0	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📦4.3.0	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📦4.3.0	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📦4.3.0	FHIR Std.
AllergyIntolerance.code	Base	example	AllergyIntolerance Substance/Product, Condition and Negation Codes	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	example	Substance Code	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	example	SNOMED CT Clinical Findings	📍4.3.0	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📦4.3.0	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	example	SNOMED CT Route Codes	📍4.3.0	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.exists() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code='entered-in-error').exists().not()) implies 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').exists()) implies clinicalStatus.exists().not()
cc-text-or-code	warning	AllergyIntolerance.identifier.type, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.exposureRoute	Text is optional, coding is required	coding.exists()
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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	AllergyIntolerance.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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

Summary

Mandatory: 10 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• HIE CodeableConcept (https://nshr.dha.go.ke/fhir/StructureDefinition/codeable-concept)
• HIE Reference (https://nshr.dha.go.ke/fhir/StructureDefinition/reference)
• HIE Organization (https://nshr.dha.go.ke/fhir/StructureDefinition/organization)
• HIE Patient (https://nshr.dha.go.ke/fhir/StructureDefinition/patient)
• HIE Encounter (https://nshr.dha.go.ke/fhir/StructureDefinition/encounter)
• HIE Practitioner (https://nshr.dha.go.ke/fhir/StructureDefinition/practitioner)
• HIE Annotation (https://nshr.dha.go.ke/fhir/StructureDefinition/annotation)

Other representations of profile: CSV, Excel, Schematron