Единая платформа цифрового здравоохранения Узбекистана
0.5.0 - ci-build Uzbekistan флаг

Uzbekistan Digital Health Platform, опубликовано Ministry of Health of the Republic of Uzbekistan. Это руководство не является санкционированной публикацией; это непрерывная сборка для версии 0.5.0, созданной FHIR (HL7® FHIR® Standard) CI Build. Эта версия основана на нынешнем содержании https://github.com/uzinfocom-org/digital-health-ig/ и регулярно изменяется. Смотрите каталог опубликованных версий

Профиль ресурса: UZ Core AllergyIntolerance ( Экспериментальный )

Официальный URL: https://dhp.uz/fhir/core/StructureDefinition/uz-core-allergy-intolerance Версия: 0.5.0
Active по состоянию на 2025-08-12 Вычисляемое имя: UZCoreAllergyIntolerance

Uzbekistan Core profile for AllergyIntolerance, representing clinical records of allergy or intolerance within the national health information exchange.

Машинный перевод, требуется проверка человеком. Эта страница автоматически переведена с английского языка с помощью искусственного интеллекта и пока не проверена редактором. При любых расхождениях приоритет имеет оригинальная англоязычная версия.

UZ Core AllergyIntolerance фиксирует аллергию или непереносимость пациента на Цифровой платформе здравоохранения, а также любые вызванные ею реакции. Запись привязана к Patient, которому она принадлежит, и к Encounter, в рамках которого она была зафиксирована. Записи об аллергиях отображаются в сводке о пациенте и в минимальном наборе данных для неотложной помощи - они остаются видимыми даже тогда, когда согласие ограничивает доступ к другим клиническим данным, - поэтому поддержание их в актуальном состоянии важно для безопасности пациента.

Обязательные элементы данных и элементы Must Support

Приведённые ниже элементы должны всегда присутствовать (обязательные) или должны поддерживаться при наличии данных (Must Support) - не все они обязательны, но ваша система должна заполнять каждый элемент Must Support, когда у неё есть соответствующие данные, и обрабатывать его при получении. Это сводка для чтения человеком; приведённые ниже формальные представления дают точные кардинальности, типы и терминологические связки.

Каждый UZ Core AllergyIntolerance Must Have

Данный профиль не добавляет собственной обязательной кардинальности. Единственный обязательный элемент - это унаследованный от базового ресурса: пациент (лицо, которому принадлежит аллергия).

Каждый UZ Core AllergyIntolerance Must Support

  • идентификатор;
  • код, определяющий сам аллерген (extensible-связка с набором значений аллергенов DHP);
  • тип - аллергия или непереносимость (required-связка);
  • клинический статус - активный | неактивный | разрешившийся (required-связка);
  • статус верификации - насколько точно подтверждена аллергия (required-связка);
  • категория - пища, лекарство, окружающая среда, биологический агент (required-связка);
  • пациент и контакт, в рамках которого она была зафиксирована;
  • сроки onset[x] и расширение abatement (0..1);
  • одну или несколько реакций, каждая с указанием тяжести (required-связка), проявления (extensible) и вещества, вызвавшего реакцию (extensible).

Аллергенный code - это вещество, на которое реагирует пациент; substance на уровне реакции фиксирует конкретный агент, спровоцировавший определённое событие реакции, - это не одно и то же поле.

Построение JSON, шаг за шагом

Начните с приведённой ниже записи - каждое значение проходит валидацию по этому профилю, поэтому скопируйте её и адаптируйте. Два следующих за ней фрагмента показывают небольшие дополнения для реакции и для пометки аллергии как разрешившейся. Полный эталонный экземпляр - аллергия на пыльцу трав.

Реалистичная запись об аллергии

Единственный строго обязательный элемент - это patient, но на практике вы также отправляете аллергенный code, clinicalStatus (активный / неактивный / разрешившийся), verificationStatus (насколько он подтверждён), type (аллергия или непереносимость), category (пища / лекарство / окружающая среда / биологический агент), encounter, в рамках которого она была зафиксирована, и время начала (onset[x]). Каждый ресурс UZ Core также указывает профиль, которому он соответствует, в meta.profile. clinicalStatus, verificationStatus и type - это CodeableConcept, каждый со своей собственной HL7-system; category - это простой список code, поэтому отправляйте только код:

{
  "resourceType": "AllergyIntolerance",
  "meta": {
    "profile": ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-allergy-intolerance"]
  },
  "clinicalStatus": {
    "coding": [{
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
      "code": "active"
    }]
  },
  "verificationStatus": {
    "coding": [{
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
      "code": "confirmed"
    }]
  },
  "type": {
    "coding": [{ "system": "http://hl7.org/fhir/allergy-intolerance-type", "code": "allergy" }]
  },
  "category": ["environment"],
  "code": {
    "coding": [{
      "system": "https://terminology.dhp.uz/fhir/core/CodeSystem/allergen-codes-cs",
      "code": "aller-0010-00001",
      "display": "Grass pollen"
    }]
  },
  "patient": { "reference": "Patient/example-salim" },
  "encounter": { "reference": "Encounter/example-encounter" },
  "onsetDateTime": "2025-07-10"
}

Каждый из элементов type, category, clinicalStatus и verificationStatus использует required-связку - значение должно браться из связанного набора значений. Аллергенный code имеет extensible-связку с набором значений аллергенов DHP. patient и encounter - это простые Reference на Patient и Encounter.

Регистрация реакции

Когда аллергия вызвала реакцию, добавьте запись reaction: severity (лёгкая / умеренная / тяжёлая - required-связка), одну или несколько записей manifestation (что наблюдалось) и опционально substance, спровоцировавшее это событие. Следите за структурами - manifestation - это CodeableReference, поэтому его кодированное значение находится под concept, тогда как substance - это простой CodeableConcept. Этот массив встраивается в приведённый выше ресурс:

{
  "reaction": [{
    "severity": "severe",
    "manifestation": [{
      "concept": {
        "coding": [{
          "system": "https://terminology.dhp.uz/fhir/core/CodeSystem/allergy-reaction-manifestation-cs",
          "code": "aller-0006-00004",
          "display": "Shortness of breath"
        }]
      }
    }],
    "substance": {
      "coding": [{
        "system": "https://terminology.dhp.uz/fhir/core/CodeSystem/allergy-reaction-substance-cs",
        "code": "aller-0010-00031",
        "display": "Walnut, pollen (Jug r_pollen)"
      }]
    }
  }]
}

substance на уровне реакции - это конкретный агент, спровоцировавший это событие, - отдельное поле от аллергенного code верхнего уровня.

Когда аллергия больше не активна

Чтобы пометить аллергию как разрешившуюся, установите clinicalStatus в значение resolved и добавьте расширение allergyintolerance-abatement (0..1) - здесь в виде свободного текста valueString. Отправьте их вместо активного clinicalStatus в приведённой выше записи:

{
  "clinicalStatus": {
    "coding": [{
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
      "code": "resolved"
    }]
  },
  "extension": [{
    "url": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement",
    "valueString": "Symptoms resolved after antihistamine course"
  }]
}

См. Отсутствующие и скрытые данные и руководство по терминологии для выбора правильных кодированных значений.

​Примеры вызовов API и образец полезной нагрузки см. в разделе Быстрый старт внизу этой страницы.

Использование:

You can also check for usages in the FHIR IG Statistics

Формальные представления содержимого профиля

Описание профилей, дифференциалов, снимков и их представлений.

НаименованиеФлагиКарта.ТипОписание и ограничения    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance(5.0.0) 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
... Разрезы для extension 0..* Extension Extension
Разрез: Не упорядочено, Открыто от value:url
Constraints: ext-1
.... extension:abatement S 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Constraints: ext-1
... identifier SΣ 0..* Identifier Identifier associated with this AllergyIntolerance
... clinicalStatus ?!SΣ 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Привязка: AllergyClinicalStatusVS (0.5.0) (required)
... verificationStatus ?!SΣ 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Привязка: AllergyVerificationStatusVS (0.5.0) (required)
... type SΣ 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Привязка: AllergyTypesVS (0.5.0) (required)
... category SΣ 0..* code food | medication | environment | biologic
Привязка: AllergyCategoryVS (0.5.0) (required)
... code SΣ 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Привязка: AllergenCodesVS (0.5.0) (extensible)
... patient SΣ 1..1 Reference(UZ Core Patient(0.5.0)) Who the allergy or intolerance is for
... encounter S 0..1 Reference(UZ Core Encounter(0.5.0)) Encounter when the allergy or intolerance was asserted
... onset[x] S 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Привязка: ReactionSubstanceVS (0.5.0) (extensible)
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Привязка: ReactionManifestationVS (0.5.0) (extensible)
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Привязка: AllergyReactionSeverityVS (0.5.0) (required)

doco Документация для этого формата

Привязки к терминологии

Путь Статус Использование ValueSet Версия Источник
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.5.0 этот IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.5.0 этот IG
AllergyIntolerance.type Base required Allergy types value set 📍0.5.0 этот IG
AllergyIntolerance.category Base required Allergy category value set 📍0.5.0 этот IG
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​manifestation Base extensible Allergy reaction manifestation value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.5.0 этот IG

Ограничения

Id Градация Путь(и) Описание Выражение
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 лучшая практика AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error AllergyIntolerance.implicitRules, AllergyIntolerance.extension, AllergyIntolerance.extension:abatement, AllergyIntolerance.modifierExtension, AllergyIntolerance.identifier, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.type, AllergyIntolerance.category, AllergyIntolerance.code, AllergyIntolerance.patient, AllergyIntolerance.encounter, AllergyIntolerance.onset[x], AllergyIntolerance.reaction, AllergyIntolerance.reaction.modifierExtension, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.severity All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error AllergyIntolerance.extension, AllergyIntolerance.extension:abatement, AllergyIntolerance.modifierExtension, AllergyIntolerance.reaction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

НаименованиеФлагиКарта.ТипОписание и ограничения    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance(5.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... Разрезы для extension 0..* Extension Extension
Разрез: Не упорядочено, Открыто от value:url
.... extension:abatement S 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
... identifier S 0..* Identifier Identifier associated with this AllergyIntolerance
... clinicalStatus S 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Привязка: AllergyClinicalStatusVS (0.5.0) (required)
... type S 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Привязка: AllergyTypesVS (0.5.0) (required)
... category S 0..* code food | medication | environment | biologic
Привязка: AllergyCategoryVS (0.5.0) (required)
... code S 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Привязка: AllergenCodesVS (0.5.0) (extensible)
... patient S 1..1 Reference(UZ Core Patient(0.5.0)) Who the allergy or intolerance is for
... encounter S 0..1 Reference(UZ Core Encounter(0.5.0)) Encounter when the allergy or intolerance was asserted
... onset[x] S 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Привязка: ReactionSubstanceVS (0.5.0) (extensible)
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Привязка: ReactionManifestationVS (0.5.0) (extensible)
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Привязка: AllergyReactionSeverityVS (0.5.0) (required)

doco Документация для этого формата

Терминологические привязки (дифференциал)

Путь Статус Использование ValueSet Версия Источник
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.5.0 этот IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.5.0 этот IG
AllergyIntolerance.type Base required Allergy types value set 📍0.5.0 этот IG
AllergyIntolerance.category Base required Allergy category value set 📍0.5.0 этот IG
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​manifestation Base extensible Allergy reaction manifestation value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.5.0 этот IG
НаименованиеФлагиКарта.ТипОписание и ограничения    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance(5.0.0) 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
... 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
... Разрезы для extension 0..* Extension Extension
Разрез: Не упорядочено, Открыто от value:url
Constraints: ext-1
.... extension:abatement S 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Identifier associated with this AllergyIntolerance
... clinicalStatus ?!SΣ 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Привязка: AllergyClinicalStatusVS (0.5.0) (required)
... verificationStatus ?!SΣ 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Привязка: AllergyVerificationStatusVS (0.5.0) (required)
... type SΣ 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Привязка: AllergyTypesVS (0.5.0) (required)
... category SΣ 0..* code food | medication | environment | biologic
Привязка: AllergyCategoryVS (0.5.0) (required)
... criticality Σ 0..1 code low | high | unable-to-assess
Привязка: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
... code SΣ 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Привязка: AllergenCodesVS (0.5.0) (extensible)
... patient SΣ 1..1 Reference(UZ Core Patient(0.5.0)) Who the allergy or intolerance is for
... encounter S 0..1 Reference(UZ Core Encounter(0.5.0)) Encounter when the allergy or intolerance was asserted
... onset[x] S 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... recordedDate 0..1 dateTime Date allergy or intolerance was first recorded
... participant Σ 0..* 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... function Σ 0..1 CodeableConcept Type of involvement
Привязка: ParticipationRoleType (extensible)
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) 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 S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Привязка: ReactionSubstanceVS (0.5.0) (extensible)
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Привязка: ReactionManifestationVS (0.5.0) (extensible)
.... description 0..1 string Description of the event as a whole
.... onset 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Привязка: AllergyReactionSeverityVS (0.5.0) (required)
.... exposureRoute 0..1 CodeableConcept How the subject was exposed to the substance
Привязка: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of exposure to a substance.
.... note 0..* Annotation Text about event not captured in other fields

doco Документация для этого формата

Привязки к терминологии

Путь Статус Использование ValueSet Версия Источник
AllergyIntolerance.language Base required All Languages 📍5.0.0 Стандарт FHIR
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.5.0 этот IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.5.0 этот IG
AllergyIntolerance.type Base required Allergy types value set 📍0.5.0 этот IG
AllergyIntolerance.category Base required Allergy category value set 📍0.5.0 этот IG
AllergyIntolerance.criticality Base required Allergy Intolerance Criticality 📍5.0.0 Стандарт FHIR
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.5.0 этот IG
AllergyIntolerance.participant.​function Base extensible Participation Role Type 📍5.0.0 Стандарт FHIR
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​manifestation Base extensible Allergy reaction manifestation value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍5.0.0 Стандарт FHIR

Ограничения

Id Градация Путь(и) Описание Выражение
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 лучшая практика AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error AllergyIntolerance.meta, AllergyIntolerance.implicitRules, AllergyIntolerance.language, AllergyIntolerance.text, AllergyIntolerance.extension, AllergyIntolerance.extension:abatement, AllergyIntolerance.modifierExtension, AllergyIntolerance.identifier, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.type, AllergyIntolerance.category, AllergyIntolerance.criticality, AllergyIntolerance.code, AllergyIntolerance.patient, AllergyIntolerance.encounter, AllergyIntolerance.onset[x], AllergyIntolerance.recordedDate, AllergyIntolerance.participant, AllergyIntolerance.participant.extension, AllergyIntolerance.participant.modifierExtension, AllergyIntolerance.participant.function, AllergyIntolerance.participant.actor, AllergyIntolerance.lastOccurrence, AllergyIntolerance.note, AllergyIntolerance.reaction, AllergyIntolerance.reaction.extension, AllergyIntolerance.reaction.modifierExtension, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.description, AllergyIntolerance.reaction.onset, AllergyIntolerance.reaction.severity, AllergyIntolerance.reaction.exposureRoute, AllergyIntolerance.reaction.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error AllergyIntolerance.extension, AllergyIntolerance.extension:abatement, AllergyIntolerance.modifierExtension, AllergyIntolerance.participant.extension, AllergyIntolerance.participant.modifierExtension, AllergyIntolerance.reaction.extension, AllergyIntolerance.reaction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Обязательная поддержка: 14 элементs

Структуры

Эта структура относится к этим другим структурам:

Расширения

Эта структура ссылается на эти расширения:

Просмотр ключевых элементов

НаименованиеФлагиКарта.ТипОписание и ограничения    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance(5.0.0) 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
... Разрезы для extension 0..* Extension Extension
Разрез: Не упорядочено, Открыто от value:url
Constraints: ext-1
.... extension:abatement S 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Constraints: ext-1
... identifier SΣ 0..* Identifier Identifier associated with this AllergyIntolerance
... clinicalStatus ?!SΣ 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Привязка: AllergyClinicalStatusVS (0.5.0) (required)
... verificationStatus ?!SΣ 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Привязка: AllergyVerificationStatusVS (0.5.0) (required)
... type SΣ 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Привязка: AllergyTypesVS (0.5.0) (required)
... category SΣ 0..* code food | medication | environment | biologic
Привязка: AllergyCategoryVS (0.5.0) (required)
... code SΣ 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Привязка: AllergenCodesVS (0.5.0) (extensible)
... patient SΣ 1..1 Reference(UZ Core Patient(0.5.0)) Who the allergy or intolerance is for
... encounter S 0..1 Reference(UZ Core Encounter(0.5.0)) Encounter when the allergy or intolerance was asserted
... onset[x] S 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Привязка: ReactionSubstanceVS (0.5.0) (extensible)
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Привязка: ReactionManifestationVS (0.5.0) (extensible)
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Привязка: AllergyReactionSeverityVS (0.5.0) (required)

doco Документация для этого формата

Привязки к терминологии

Путь Статус Использование ValueSet Версия Источник
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.5.0 этот IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.5.0 этот IG
AllergyIntolerance.type Base required Allergy types value set 📍0.5.0 этот IG
AllergyIntolerance.category Base required Allergy category value set 📍0.5.0 этот IG
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​manifestation Base extensible Allergy reaction manifestation value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.5.0 этот IG

Ограничения

Id Градация Путь(и) Описание Выражение
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 лучшая практика AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error AllergyIntolerance.implicitRules, AllergyIntolerance.extension, AllergyIntolerance.extension:abatement, AllergyIntolerance.modifierExtension, AllergyIntolerance.identifier, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.type, AllergyIntolerance.category, AllergyIntolerance.code, AllergyIntolerance.patient, AllergyIntolerance.encounter, AllergyIntolerance.onset[x], AllergyIntolerance.reaction, AllergyIntolerance.reaction.modifierExtension, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.severity All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error AllergyIntolerance.extension, AllergyIntolerance.extension:abatement, AllergyIntolerance.modifierExtension, AllergyIntolerance.reaction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Дифференциальный вид

НаименованиеФлагиКарта.ТипОписание и ограничения    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance(5.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... Разрезы для extension 0..* Extension Extension
Разрез: Не упорядочено, Открыто от value:url
.... extension:abatement S 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
... identifier S 0..* Identifier Identifier associated with this AllergyIntolerance
... clinicalStatus S 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Привязка: AllergyClinicalStatusVS (0.5.0) (required)
... type S 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Привязка: AllergyTypesVS (0.5.0) (required)
... category S 0..* code food | medication | environment | biologic
Привязка: AllergyCategoryVS (0.5.0) (required)
... code S 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Привязка: AllergenCodesVS (0.5.0) (extensible)
... patient S 1..1 Reference(UZ Core Patient(0.5.0)) Who the allergy or intolerance is for
... encounter S 0..1 Reference(UZ Core Encounter(0.5.0)) Encounter when the allergy or intolerance was asserted
... onset[x] S 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Привязка: ReactionSubstanceVS (0.5.0) (extensible)
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Привязка: ReactionManifestationVS (0.5.0) (extensible)
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Привязка: AllergyReactionSeverityVS (0.5.0) (required)

doco Документация для этого формата

Терминологические привязки (дифференциал)

Путь Статус Использование ValueSet Версия Источник
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.5.0 этот IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.5.0 этот IG
AllergyIntolerance.type Base required Allergy types value set 📍0.5.0 этот IG
AllergyIntolerance.category Base required Allergy category value set 📍0.5.0 этот IG
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​manifestation Base extensible Allergy reaction manifestation value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.5.0 этот IG

Обзор моментальных снимковView

НаименованиеФлагиКарта.ТипОписание и ограничения    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance(5.0.0) 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
... 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
... Разрезы для extension 0..* Extension Extension
Разрез: Не упорядочено, Открыто от value:url
Constraints: ext-1
.... extension:abatement S 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Identifier associated with this AllergyIntolerance
... clinicalStatus ?!SΣ 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Привязка: AllergyClinicalStatusVS (0.5.0) (required)
... verificationStatus ?!SΣ 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Привязка: AllergyVerificationStatusVS (0.5.0) (required)
... type SΣ 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Привязка: AllergyTypesVS (0.5.0) (required)
... category SΣ 0..* code food | medication | environment | biologic
Привязка: AllergyCategoryVS (0.5.0) (required)
... criticality Σ 0..1 code low | high | unable-to-assess
Привязка: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
... code SΣ 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Привязка: AllergenCodesVS (0.5.0) (extensible)
... patient SΣ 1..1 Reference(UZ Core Patient(0.5.0)) Who the allergy or intolerance is for
... encounter S 0..1 Reference(UZ Core Encounter(0.5.0)) Encounter when the allergy or intolerance was asserted
... onset[x] S 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... recordedDate 0..1 dateTime Date allergy or intolerance was first recorded
... participant Σ 0..* 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... function Σ 0..1 CodeableConcept Type of involvement
Привязка: ParticipationRoleType (extensible)
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) 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 S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Привязка: ReactionSubstanceVS (0.5.0) (extensible)
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Привязка: ReactionManifestationVS (0.5.0) (extensible)
.... description 0..1 string Description of the event as a whole
.... onset 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Привязка: AllergyReactionSeverityVS (0.5.0) (required)
.... exposureRoute 0..1 CodeableConcept How the subject was exposed to the substance
Привязка: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of exposure to a substance.
.... note 0..* Annotation Text about event not captured in other fields

doco Документация для этого формата

Привязки к терминологии

Путь Статус Использование ValueSet Версия Источник
AllergyIntolerance.language Base required All Languages 📍5.0.0 Стандарт FHIR
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.5.0 этот IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.5.0 этот IG
AllergyIntolerance.type Base required Allergy types value set 📍0.5.0 этот IG
AllergyIntolerance.category Base required Allergy category value set 📍0.5.0 этот IG
AllergyIntolerance.criticality Base required Allergy Intolerance Criticality 📍5.0.0 Стандарт FHIR
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.5.0 этот IG
AllergyIntolerance.participant.​function Base extensible Participation Role Type 📍5.0.0 Стандарт FHIR
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​manifestation Base extensible Allergy reaction manifestation value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.5.0 этот IG
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍5.0.0 Стандарт FHIR

Ограничения

Id Градация Путь(и) Описание Выражение
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 лучшая практика AllergyIntolerance A resource should have narrative for robust management text.`div`.exists()
ele-1 error AllergyIntolerance.meta, AllergyIntolerance.implicitRules, AllergyIntolerance.language, AllergyIntolerance.text, AllergyIntolerance.extension, AllergyIntolerance.extension:abatement, AllergyIntolerance.modifierExtension, AllergyIntolerance.identifier, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, AllergyIntolerance.type, AllergyIntolerance.category, AllergyIntolerance.criticality, AllergyIntolerance.code, AllergyIntolerance.patient, AllergyIntolerance.encounter, AllergyIntolerance.onset[x], AllergyIntolerance.recordedDate, AllergyIntolerance.participant, AllergyIntolerance.participant.extension, AllergyIntolerance.participant.modifierExtension, AllergyIntolerance.participant.function, AllergyIntolerance.participant.actor, AllergyIntolerance.lastOccurrence, AllergyIntolerance.note, AllergyIntolerance.reaction, AllergyIntolerance.reaction.extension, AllergyIntolerance.reaction.modifierExtension, AllergyIntolerance.reaction.substance, AllergyIntolerance.reaction.manifestation, AllergyIntolerance.reaction.description, AllergyIntolerance.reaction.onset, AllergyIntolerance.reaction.severity, AllergyIntolerance.reaction.exposureRoute, AllergyIntolerance.reaction.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error AllergyIntolerance.extension, AllergyIntolerance.extension:abatement, AllergyIntolerance.modifierExtension, AllergyIntolerance.participant.extension, AllergyIntolerance.participant.modifierExtension, AllergyIntolerance.reaction.extension, AllergyIntolerance.reaction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Обязательная поддержка: 14 элементs

Структуры

Эта структура относится к этим другим структурам:

Расширения

Эта структура ссылается на эти расширения:

 

Другие представления профиля: CSV, Excel, Schematron

Машинный перевод, требуется проверка человеком. Эта страница автоматически переведена с английского языка с помощью искусственного интеллекта и пока не проверена редактором. При любых расхождениях приоритет имеет оригинальная англоязычная версия.

Быстрый старт

Типовые взаимодействия с API для данного профиля. Запросы требуют JWT-токена доступа - см. Безопасность и аутентификация. [base] - это базовый URL FHIR-сервера; | отделяет систему от значения и должен быть закодирован в URL как %7C.

Чтение по идентификатору сервера

GET [base]/AllergyIntolerance/[id]

Поиск аллергий и непереносимостей

GET [base]/AllergyIntolerance?patient=Patient/[id]
GET [base]/AllergyIntolerance?patient=Patient/[id]&clinical-status=active
GET [base]/AllergyIntolerance?patient=Patient/[id]&category=medication
GET [base]/AllergyIntolerance?patient=Patient/[id]&criticality=high
GET [base]/AllergyIntolerance?patient=Patient/[id]&verification-status=confirmed
GET [base]/AllergyIntolerance?patient=Patient/[id]&code=http://snomed.info/sct%7C256277009

Создание

POST [base]/AllergyIntolerance
{
  "resourceType": "AllergyIntolerance",
  "meta": {
    "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-allergy-intolerance" ]
  },
  "clinicalStatus": { ... },
  "verificationStatus": { ... },
  "type": { "coding": [ { "code": "allergy" } ] },
  "category": [ "environment" ],
  "code": { ... },
  "patient": { "reference": "Patient/[id]" }
}

Обновление (например, отметить resolved или подтвердить ранее unconfirmed аллергию) - выполните PUT всего ресурса обратно с новым статусом:

PUT [base]/AllergyIntolerance/[id]
If-Match: W/"3"   # the ETag from your last read; 412 if it changed since

См. CapabilityStatement для всех поддерживаемых параметров поиска.

Связанные материалы