SGHI FHIR Profile 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/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

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Resource Profile: SGHI AllergyIntolerance

Risk of harmful or undesirable physiological response which is specific to an individual and associated with exposure to a substance.

Usages:

• Examples for this Profile: AllergyIntolerance/ExampleSGHIAllergyIntolerance

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External ids for this item
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus	?!Σ	1..1	SGHICodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!Σ	1..1	SGHICodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code	Σ	1..1	SGHICodeableConcept	Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient	Σ	1..1	SGHIReference(SGHI Patient)	Who the allergy or intolerance is for
encounter		1..1	SGHIReference(SGHI Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]		1..1	dateTime	When allergy or intolerance was identified
recordedDate		1..1	dateTime	Date allergy or intolerance was first recorded
participant	Σ	1..*	BackboneElement	Who or what participated in the activities related to the allergy or intolerance and how they were involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the allergy or intolerance
reaction		1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	SGHICodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation		1..*	SGHICodeableReference(SGHI Observation)	Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description		1..1	string	Description of the event as a whole
severity		1..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.
exposureRoute		0..1	SGHICodeableConcept	How the subject was exposed to the substance Binding: All LOINC Codes (example)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
AllergyIntolerance.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0 From the FHIR Standard
AllergyIntolerance.code	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.substance	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.manifestation	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
identifier		1..*	Identifier	External ids for this item
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type		0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus		1..1	SGHICodeableConcept	active | inactive | resolved
verificationStatus		1..1	SGHICodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error
code		1..1	SGHICodeableConcept	Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient		1..1	SGHIReference(SGHI Patient)	Who the allergy or intolerance is for
encounter		1..1	SGHIReference(SGHI Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]		1..1	dateTime	When allergy or intolerance was identified
recordedDate		1..1	dateTime	Date allergy or intolerance was first recorded
participant		1..*	BackboneElement	Who or what participated in the activities related to the allergy or intolerance and how they were involved
actor		1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the allergy or intolerance
reaction		1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
substance		0..1	SGHICodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation		1..*	SGHICodeableReference(SGHI Observation)	Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description		1..1	string	Description of the event as a whole
severity		1..1	code	mild | moderate | severe (of event as a whole)
exposureRoute		0..1	SGHICodeableConcept	How the subject was exposed to the substance Binding: All LOINC Codes (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
AllergyIntolerance.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
AllergyIntolerance.code	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.substance	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.manifestation	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.exposureRoute	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External ids for this item
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus	?!Σ	1..1	SGHICodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!Σ	1..1	SGHICodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	Σ	0..1	CodeableConcept	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	Σ	1..1	SGHICodeableConcept	Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient	Σ	1..1	SGHIReference(SGHI Patient)	Who the allergy or intolerance is for
encounter		1..1	SGHIReference(SGHI Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]		1..1	dateTime	When allergy or intolerance was identified
recordedDate		1..1	dateTime	Date allergy or intolerance was first recorded
participant	Σ	1..*	BackboneElement	Who or what participated in the activities related to the allergy or intolerance and how they were involved
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the allergy or intolerance
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields
reaction		1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	SGHICodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation		1..*	SGHICodeableReference(SGHI Observation)	Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description		1..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity		1..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.
exposureRoute		0..1	SGHICodeableConcept	How the subject was exposed to the substance Binding: All LOINC Codes (example)
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
AllergyIntolerance.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
AllergyIntolerance.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0 From the FHIR Standard
AllergyIntolerance.type	preferred	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|5.0.0 From the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|5.0.0 From the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|5.0.0 From the FHIR Standard
AllergyIntolerance.code	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.substance	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.manifestation	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Summary

Mandatory: 14 elements

Structures

This structure refers to these other structures:

• SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
• SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
• SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
• SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
• SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-encounter)
• SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeable-reference)
• SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External ids for this item
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus	?!Σ	1..1	SGHICodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!Σ	1..1	SGHICodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code	Σ	1..1	SGHICodeableConcept	Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient	Σ	1..1	SGHIReference(SGHI Patient)	Who the allergy or intolerance is for
encounter		1..1	SGHIReference(SGHI Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]		1..1	dateTime	When allergy or intolerance was identified
recordedDate		1..1	dateTime	Date allergy or intolerance was first recorded
participant	Σ	1..*	BackboneElement	Who or what participated in the activities related to the allergy or intolerance and how they were involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the allergy or intolerance
reaction		1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	SGHICodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation		1..*	SGHICodeableReference(SGHI Observation)	Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description		1..1	string	Description of the event as a whole
severity		1..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.
exposureRoute		0..1	SGHICodeableConcept	How the subject was exposed to the substance Binding: All LOINC Codes (example)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
AllergyIntolerance.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0 From the FHIR Standard
AllergyIntolerance.code	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.substance	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.manifestation	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
identifier		1..*	Identifier	External ids for this item
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type		0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus		1..1	SGHICodeableConcept	active | inactive | resolved
verificationStatus		1..1	SGHICodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error
code		1..1	SGHICodeableConcept	Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient		1..1	SGHIReference(SGHI Patient)	Who the allergy or intolerance is for
encounter		1..1	SGHIReference(SGHI Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]		1..1	dateTime	When allergy or intolerance was identified
recordedDate		1..1	dateTime	Date allergy or intolerance was first recorded
participant		1..*	BackboneElement	Who or what participated in the activities related to the allergy or intolerance and how they were involved
actor		1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the allergy or intolerance
reaction		1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
substance		0..1	SGHICodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation		1..*	SGHICodeableReference(SGHI Observation)	Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description		1..1	string	Description of the event as a whole
severity		1..1	code	mild | moderate | severe (of event as a whole)
exposureRoute		0..1	SGHICodeableConcept	How the subject was exposed to the substance Binding: All LOINC Codes (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
AllergyIntolerance.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
AllergyIntolerance.code	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.substance	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.manifestation	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.exposureRoute	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External ids for this item
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus	?!Σ	1..1	SGHICodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!Σ	1..1	SGHICodeableConcept	unconfirmed | presumed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	Σ	0..1	CodeableConcept	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	Σ	1..1	SGHICodeableConcept	Code that identifies the allergy or intolerance Binding: All LOINC Codes (example)
patient	Σ	1..1	SGHIReference(SGHI Patient)	Who the allergy or intolerance is for
encounter		1..1	SGHIReference(SGHI Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]		1..1	dateTime	When allergy or intolerance was identified
recordedDate		1..1	dateTime	Date allergy or intolerance was first recorded
participant	Σ	1..*	BackboneElement	Who or what participated in the activities related to the allergy or intolerance and how they were involved
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the allergy or intolerance
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields
reaction		1..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	SGHICodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: All LOINC Codes (example)
manifestation		1..*	SGHICodeableReference(SGHI Observation)	Clinical symptoms/signs associated with the Event Binding: All LOINC Codes (example)
description		1..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity		1..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.
exposureRoute		0..1	SGHICodeableConcept	How the subject was exposed to the substance Binding: All LOINC Codes (example)
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
AllergyIntolerance.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
AllergyIntolerance.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0 From the FHIR Standard
AllergyIntolerance.type	preferred	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|5.0.0 From the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|5.0.0 From the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|5.0.0 From the FHIR Standard
AllergyIntolerance.code	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.substance	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.manifestation	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|5.0.0 From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Summary

Mandatory: 14 elements

Structures

This structure refers to these other structures:

• SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
• SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
• SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
• SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
• SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-encounter)
• SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeable-reference)
• SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)

Other representations of profile: CSV, Excel, Schematron