Uzbekistan Digital Health Platform
0.11.1 - ci-build Uzbekistan flag

Uzbekistan Digital Health Platform, published by Ministry of Health of the Republic of Uzbekistan. This guide is not an authorized publication; it is the continuous build for version 0.11.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/uzinfocom-org/digital-health-ig/ and changes regularly. See the Directory of published versions

Resource Profile: UZ Core AllergyIntolerance ( Experimental )

Official URL: https://dhp.uz/fhir/core/StructureDefinition/uz-core-allergy-intolerance Version: 0.11.1
Active as of 2025-08-12 Computable Name: UZCoreAllergyIntolerance

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

UZ Core AllergyIntolerance records a patient's allergy or intolerance on the Digital Health Platform, along with any reactions it has caused. It is anchored to the Patient it belongs to and to the Encounter where it was recorded. Allergy records are surfaced in the patient summary and in the emergency minimum data set - they remain visible even when consent restricts access to other clinical data - so keeping them current is important for patient safety.

Mandatory and Must Support data elements

The elements below must always be present (mandatory) or must be supported when the data is available (Must Support) - not all are required, but your system must populate each Must Support element when it has the data and process it on receipt. This is the human-readable summary; the formal views below give the exact cardinalities, types, and terminology bindings.

Each UZ Core AllergyIntolerance Must Have

This profile adds no mandatory cardinality of its own. The only required element is the one inherited from the base resource: a patient (the person the allergy belongs to).

Each UZ Core AllergyIntolerance Must Support

  • an identifier;
  • a code identifying the allergen itself (extensible binding to the DHP allergen value set);
  • a type - allergy or intolerance (required binding);
  • a clinical status - active | inactive | resolved (required binding);
  • a verification status - how well the allergy has been confirmed (required binding);
  • a category - food, medication, environment, biologic (required binding);
  • the patient and the encounter it was recorded in;
  • the onset[x] timing and an abatement extension (0..1);
  • one or more reactions, each with a severity (required binding), manifestation (extensible), and the reaction substance (extensible).

The allergen code is the substance the patient reacts to; the per-reaction substance records the specific agent that triggered a particular reaction event - they are not the same field.

Building the JSON, step by step

Start from the record below - every value validates against this profile, so copy it and adapt. The two snippets after it show the small additions for a reaction and for marking the allergy resolved. The complete reference instance is the grass pollen allergy.

A realistic allergy record

The only strictly mandatory element is patient, but in practice you also send the allergen code, the clinicalStatus (active / inactive / resolved), the verificationStatus (how confirmed it is), the type (allergy or intolerance), the category (food / medication / environment / biologic), the encounter it was recorded in, and when it started (onset[x]). Every UZ Core resource also names the profile it claims in meta.profile. clinicalStatus, verificationStatus, and type are CodeableConcepts, each with its own HL7 system; category is a plain code list, so send the bare code:

{
  "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"
}

Each of type, category, clinicalStatus, and verificationStatus uses a required binding - the value must come from the bound value set. The allergen code has an extensible binding to the DHP allergen value set. patient and encounter are plain References to a Patient and an Encounter.

Recording a reaction

When the allergy has caused a reaction, add a reaction entry: a severity (mild / moderate / severe - required binding), one or more manifestation entries (what was observed), and optionally the substance that triggered this event. Watch the shapes - manifestation is a CodeableReference, so its coded value sits under concept, whereas substance is a plain CodeableConcept. This array slots into the resource above:

{
  "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)"
      }]
    }
  }]
}

The per-reaction substance is the specific agent that triggered this event - a separate field from the top-level allergen code.

When the allergy is no longer active

To mark an allergy as resolved, set clinicalStatus to resolved and add the allergyintolerance-abatement extension (0..1) - here as a free-text valueString. Send these in place of the active clinicalStatus on the record above:

{
  "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"
  }]
}

See Missing & suppressed data and the terminology guidance for choosing the right coded values.

For example API calls and a sample payload, see the Quick Start at the bottom of this page.

When a medication administration caused an allergic reaction, record the reaction in AllergyIntolerance.reaction and link that reaction to the MedicationAdministration using the standard openEHR-administration extension (valueReference). This link means the administration is associated with the reaction. Do not use MedicationAdministration.reason for this causal link.

When a medication was administered because of an allergy or allergic condition, record that clinical indication in MedicationAdministration.reason instead. reason explains why the medication was given; it does not state that the medication caused a reaction. These two links describe different clinical relationships and may both be present when both circumstances apply.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance 0..* AllergyIntolerance(5.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
AllergyIntolerance.contained 0..* Resource Contained, inline Resources
AllergyIntolerance.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement This element must be supported. 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Constraints: ext-1
AllergyIntolerance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
AllergyIntolerance.identifier This element must be supported. This element is included in summaries. 0..* Identifier Identifier associated with this AllergyIntolerance
AllergyIntolerance.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Binding: AllergyClinicalStatusVS (0.11.1) (required)
AllergyIntolerance.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Binding: AllergyVerificationStatusVS (0.11.1) (required)
AllergyIntolerance.type This element must be supported. This element is included in summaries. 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Binding: AllergyTypesVS (0.11.1) (required)
AllergyIntolerance.category This element must be supported. This element is included in summaries. 0..* code food | medication | environment | biologic
Binding: AllergyCategoryVS (0.11.1) (required)
AllergyIntolerance.code This element must be supported. This element is included in summaries. 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Binding: AllergenCodesVS (0.11.1) (extensible)
AllergyIntolerance.patient This element must be supported. This element is included in summaries. 1..1 Reference(UZ Core Patient(0.11.1)) Who the allergy or intolerance is for
AllergyIntolerance.encounter This element must be supported. 0..1 Reference(UZ Core Encounter(0.11.1)) Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x] This element must be supported. 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.reaction This element must be supported. 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:administration This element must be supported. 0..1 (Complex) Medication administration associated with this allergic reaction
URL: http://hl7.org/fhir/StructureDefinition/openEHR-administration
Constraints: ext-1
AllergyIntolerance.reaction.Slices for extension.extension:administration.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for extension.extension:administration.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/openEHR-administration"
AllergyIntolerance.reaction.Slices for extension.extension:administration.value[x] 1..1 Reference(UZ Core MedicationAdministration(0.11.1)) Value of extension
AllergyIntolerance.reaction.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
AllergyIntolerance.reaction.substance This element must be supported. 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: ReactionSubstanceVS (0.11.1) (extensible)
AllergyIntolerance.reaction.Slices for manifestation This element must be supported. 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Slice: Unordered, Open by value:concept.coding.system
Binding: ReactionManifestationVS (0.11.1) (preferred)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation This element must be supported. 0..* CodeableReference(Observation) Reaction manifestation from the national value set
Binding: ReactionManifestationVS (0.11.1) (required)
AllergyIntolerance.reaction.severity This element must be supported. 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyReactionSeverityVS (0.11.1) (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.11.1 This IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.11.1 This IG
AllergyIntolerance.type Base required Allergy types value set 📍0.11.1 This IG
AllergyIntolerance.category Base required Allergy category value set 📍0.11.1 This IG
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation Base preferred Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation:dhpManifestation Base required Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.11.1 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance 0..* AllergyIntolerance(5.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement This element must be supported. 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
AllergyIntolerance.identifier This element must be supported. 0..* Identifier Identifier associated with this AllergyIntolerance
AllergyIntolerance.clinicalStatus This element must be supported. 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Binding: AllergyClinicalStatusVS (0.11.1) (required)
AllergyIntolerance.type This element must be supported. 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Binding: AllergyTypesVS (0.11.1) (required)
AllergyIntolerance.category This element must be supported. 0..* code food | medication | environment | biologic
Binding: AllergyCategoryVS (0.11.1) (required)
AllergyIntolerance.code This element must be supported. 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Binding: AllergenCodesVS (0.11.1) (extensible)
AllergyIntolerance.patient This element must be supported. 1..1 Reference(UZ Core Patient(0.11.1)) Who the allergy or intolerance is for
AllergyIntolerance.encounter This element must be supported. 0..1 Reference(UZ Core Encounter(0.11.1)) Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x] This element must be supported. 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
AllergyIntolerance.reaction This element must be supported. 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:administration This element must be supported. 0..1 (Complex) Medication administration associated with this allergic reaction
URL: http://hl7.org/fhir/StructureDefinition/openEHR-administration
AllergyIntolerance.reaction.Slices for extension.extension:administration.value[x] 1..1 Reference(UZ Core MedicationAdministration(0.11.1)) Value of extension
AllergyIntolerance.reaction.substance This element must be supported. 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: ReactionSubstanceVS (0.11.1) (extensible)
AllergyIntolerance.reaction.Slices for manifestation This element must be supported. 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Slice: Unordered, Open by value:concept.coding.system
Binding: ReactionManifestationVS (0.11.1) (preferred)
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation This element must be supported. 0..* CodeableReference(Observation) Reaction manifestation from the national value set
Binding: ReactionManifestationVS (0.11.1) (required)
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.system 1..1 uri Identity of the terminology system
Required Pattern: https://terminology.dhp.uz/fhir/core/CodeSystem/allergy-reaction-manifestation-cs (extensions allowed)
AllergyIntolerance.reaction.severity This element must be supported. 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyReactionSeverityVS (0.11.1) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.11.1 This IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.11.1 This IG
AllergyIntolerance.type Base required Allergy types value set 📍0.11.1 This IG
AllergyIntolerance.category Base required Allergy category value set 📍0.11.1 This IG
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation Base preferred Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation:dhpManifestation Base required Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.11.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance 0..* AllergyIntolerance(5.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.id This element is included in summaries. 0..1 id Logical id of this artifact
AllergyIntolerance.meta This element is included in summaries. 0..1 Meta Metadata about the resource
AllergyIntolerance.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
AllergyIntolerance.language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
AllergyIntolerance.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
AllergyIntolerance.contained 0..* Resource Contained, inline Resources
AllergyIntolerance.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement This element must be supported. 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Constraints: ext-1
AllergyIntolerance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
AllergyIntolerance.identifier This element must be supported. This element is included in summaries. 0..* Identifier Identifier associated with this AllergyIntolerance
AllergyIntolerance.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Binding: AllergyClinicalStatusVS (0.11.1) (required)
AllergyIntolerance.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Binding: AllergyVerificationStatusVS (0.11.1) (required)
AllergyIntolerance.type This element must be supported. This element is included in summaries. 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Binding: AllergyTypesVS (0.11.1) (required)
AllergyIntolerance.category This element must be supported. This element is included in summaries. 0..* code food | medication | environment | biologic
Binding: AllergyCategoryVS (0.11.1) (required)
AllergyIntolerance.criticality This element is included in summaries. 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
AllergyIntolerance.code This element must be supported. This element is included in summaries. 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Binding: AllergenCodesVS (0.11.1) (extensible)
AllergyIntolerance.patient This element must be supported. This element is included in summaries. 1..1 Reference(UZ Core Patient(0.11.1)) Who the allergy or intolerance is for
AllergyIntolerance.encounter This element must be supported. 0..1 Reference(UZ Core Encounter(0.11.1)) Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x] This element must be supported. 0..1 When allergy or intolerance was identified
AllergyIntolerance.onset[x].onsetDateTime dateTime
AllergyIntolerance.onset[x].onsetAge Age
AllergyIntolerance.onset[x].onsetPeriod Period
AllergyIntolerance.onset[x].onsetRange Range
AllergyIntolerance.onset[x].onsetString string
AllergyIntolerance.recordedDate 0..1 dateTime Date allergy or intolerance was first recorded
AllergyIntolerance.participant This element is included in summaries. 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
AllergyIntolerance.participant.id 0..1 string Unique id for inter-element referencing
AllergyIntolerance.participant.extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
AllergyIntolerance.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
AllergyIntolerance.participant.function This element is included in summaries. 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType (extensible)
AllergyIntolerance.participant.actor This element is included in summaries. 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the allergy or intolerance
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 This element must be supported. 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.id 0..1 string Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:administration This element must be supported. 0..1 (Complex) Medication administration associated with this allergic reaction
URL: http://hl7.org/fhir/StructureDefinition/openEHR-administration
Constraints: ext-1
AllergyIntolerance.reaction.Slices for extension.extension:administration.id 0..1 id Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for extension.extension:administration.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for extension.extension:administration.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/openEHR-administration"
AllergyIntolerance.reaction.Slices for extension.extension:administration.value[x] 1..1 Reference(UZ Core MedicationAdministration(0.11.1)) Value of extension
AllergyIntolerance.reaction.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
AllergyIntolerance.reaction.substance This element must be supported. 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: ReactionSubstanceVS (0.11.1) (extensible)
AllergyIntolerance.reaction.Slices for manifestation This element must be supported. 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Slice: Unordered, Open by value:concept.coding.system
Binding: ReactionManifestationVS (0.11.1) (preferred)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation This element must be supported. 0..* CodeableReference(Observation) Reaction manifestation from the national value set
Binding: ReactionManifestationVS (0.11.1) (required)
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.id 0..1 id Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept This element is included in summaries. 0..1 CodeableConcept Reference to a concept (by class)
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.id 0..1 id Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.id 0..1 id Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: https://terminology.dhp.uz/fhir/core/CodeSystem/allergy-reaction-manifestation-cs (extensions allowed)
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.code This element is included in summaries. C 0..1 code Symbol in syntax defined by the system
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.display This element is included in summaries. C 0..1 string Representation defined by the system
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.text This element is included in summaries. 0..1 string Plain text representation of the concept
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.reference This element is included in summaries. 0..1 Reference() Reference to a resource (by instance)
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 This element must be supported. 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyReactionSeverityVS (0.11.1) (required)
AllergyIntolerance.reaction.exposureRoute 0..1 CodeableConcept How the subject was exposed to the substance
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of exposure to a substance.
AllergyIntolerance.reaction.note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.language Base required All Languages 📍5.0.0 FHIR Std.
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.11.1 This IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.11.1 This IG
AllergyIntolerance.type Base required Allergy types value set 📍0.11.1 This IG
AllergyIntolerance.category Base required Allergy category value set 📍0.11.1 This IG
AllergyIntolerance.criticality Base required Allergy Intolerance Criticality 📍5.0.0 FHIR Std.
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.11.1 This IG
AllergyIntolerance.participant.​function Base extensible Participation Role Type 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation Base preferred Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation:dhpManifestation Base required Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from AllergyIntolerance

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of AllergyIntolerance.reaction.manifestation

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance 0..* AllergyIntolerance(5.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
AllergyIntolerance.contained 0..* Resource Contained, inline Resources
AllergyIntolerance.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement This element must be supported. 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Constraints: ext-1
AllergyIntolerance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
AllergyIntolerance.identifier This element must be supported. This element is included in summaries. 0..* Identifier Identifier associated with this AllergyIntolerance
AllergyIntolerance.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Binding: AllergyClinicalStatusVS (0.11.1) (required)
AllergyIntolerance.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Binding: AllergyVerificationStatusVS (0.11.1) (required)
AllergyIntolerance.type This element must be supported. This element is included in summaries. 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Binding: AllergyTypesVS (0.11.1) (required)
AllergyIntolerance.category This element must be supported. This element is included in summaries. 0..* code food | medication | environment | biologic
Binding: AllergyCategoryVS (0.11.1) (required)
AllergyIntolerance.code This element must be supported. This element is included in summaries. 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Binding: AllergenCodesVS (0.11.1) (extensible)
AllergyIntolerance.patient This element must be supported. This element is included in summaries. 1..1 Reference(UZ Core Patient(0.11.1)) Who the allergy or intolerance is for
AllergyIntolerance.encounter This element must be supported. 0..1 Reference(UZ Core Encounter(0.11.1)) Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x] This element must be supported. 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.reaction This element must be supported. 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:administration This element must be supported. 0..1 (Complex) Medication administration associated with this allergic reaction
URL: http://hl7.org/fhir/StructureDefinition/openEHR-administration
Constraints: ext-1
AllergyIntolerance.reaction.Slices for extension.extension:administration.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for extension.extension:administration.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/openEHR-administration"
AllergyIntolerance.reaction.Slices for extension.extension:administration.value[x] 1..1 Reference(UZ Core MedicationAdministration(0.11.1)) Value of extension
AllergyIntolerance.reaction.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
AllergyIntolerance.reaction.substance This element must be supported. 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: ReactionSubstanceVS (0.11.1) (extensible)
AllergyIntolerance.reaction.Slices for manifestation This element must be supported. 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Slice: Unordered, Open by value:concept.coding.system
Binding: ReactionManifestationVS (0.11.1) (preferred)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation This element must be supported. 0..* CodeableReference(Observation) Reaction manifestation from the national value set
Binding: ReactionManifestationVS (0.11.1) (required)
AllergyIntolerance.reaction.severity This element must be supported. 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyReactionSeverityVS (0.11.1) (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.11.1 This IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.11.1 This IG
AllergyIntolerance.type Base required Allergy types value set 📍0.11.1 This IG
AllergyIntolerance.category Base required Allergy category value set 📍0.11.1 This IG
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation Base preferred Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation:dhpManifestation Base required Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.11.1 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance 0..* AllergyIntolerance(5.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement This element must be supported. 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
AllergyIntolerance.identifier This element must be supported. 0..* Identifier Identifier associated with this AllergyIntolerance
AllergyIntolerance.clinicalStatus This element must be supported. 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Binding: AllergyClinicalStatusVS (0.11.1) (required)
AllergyIntolerance.verificationStatus This element must be supported. 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Binding: AllergyVerificationStatusVS (0.11.1) (required)
AllergyIntolerance.type This element must be supported. 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Binding: AllergyTypesVS (0.11.1) (required)
AllergyIntolerance.category This element must be supported. 0..* code food | medication | environment | biologic
Binding: AllergyCategoryVS (0.11.1) (required)
AllergyIntolerance.code This element must be supported. 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Binding: AllergenCodesVS (0.11.1) (extensible)
AllergyIntolerance.patient This element must be supported. 1..1 Reference(UZ Core Patient(0.11.1)) Who the allergy or intolerance is for
AllergyIntolerance.encounter This element must be supported. 0..1 Reference(UZ Core Encounter(0.11.1)) Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x] This element must be supported. 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
AllergyIntolerance.reaction This element must be supported. 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:administration This element must be supported. 0..1 (Complex) Medication administration associated with this allergic reaction
URL: http://hl7.org/fhir/StructureDefinition/openEHR-administration
AllergyIntolerance.reaction.Slices for extension.extension:administration.value[x] 1..1 Reference(UZ Core MedicationAdministration(0.11.1)) Value of extension
AllergyIntolerance.reaction.substance This element must be supported. 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: ReactionSubstanceVS (0.11.1) (extensible)
AllergyIntolerance.reaction.Slices for manifestation This element must be supported. 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Slice: Unordered, Open by value:concept.coding.system
Binding: ReactionManifestationVS (0.11.1) (preferred)
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation This element must be supported. 0..* CodeableReference(Observation) Reaction manifestation from the national value set
Binding: ReactionManifestationVS (0.11.1) (required)
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.system 1..1 uri Identity of the terminology system
Required Pattern: https://terminology.dhp.uz/fhir/core/CodeSystem/allergy-reaction-manifestation-cs (extensions allowed)
AllergyIntolerance.reaction.severity This element must be supported. 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyReactionSeverityVS (0.11.1) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.11.1 This IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.11.1 This IG
AllergyIntolerance.type Base required Allergy types value set 📍0.11.1 This IG
AllergyIntolerance.category Base required Allergy category value set 📍0.11.1 This IG
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation Base preferred Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation:dhpManifestation Base required Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.11.1 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
AllergyIntolerance 0..* AllergyIntolerance(5.0.0) Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
AllergyIntolerance.id This element is included in summaries. 0..1 id Logical id of this artifact
AllergyIntolerance.meta This element is included in summaries. 0..1 Meta Metadata about the resource
AllergyIntolerance.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
AllergyIntolerance.language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
AllergyIntolerance.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
AllergyIntolerance.contained 0..* Resource Contained, inline Resources
AllergyIntolerance.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.Slices for extension.extension:abatement This element must be supported. 0..1 dateTime, Age, Period, Range, string When the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Constraints: ext-1
AllergyIntolerance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
AllergyIntolerance.identifier This element must be supported. This element is included in summaries. 0..* Identifier Identifier associated with this AllergyIntolerance
AllergyIntolerance.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 CodeableConcept This field indicates the current clinical status of the allergy or intolerance.
Binding: AllergyClinicalStatusVS (0.11.1) (required)
AllergyIntolerance.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 CodeableConcept This field reflects how well the reported allergy has been confirmed.
Binding: AllergyVerificationStatusVS (0.11.1) (required)
AllergyIntolerance.type This element must be supported. This element is included in summaries. 0..1 CodeableConcept The type field in the Uz DHP AllergyIntolerance resource indicates whether the patient's condition is an allergy or an intolerance.
Binding: AllergyTypesVS (0.11.1) (required)
AllergyIntolerance.category This element must be supported. This element is included in summaries. 0..* code food | medication | environment | biologic
Binding: AllergyCategoryVS (0.11.1) (required)
AllergyIntolerance.criticality This element is included in summaries. 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
AllergyIntolerance.code This element must be supported. This element is included in summaries. 0..1 CodeableConcept Code identifying the allergy or intolerance. This is the allergen itself, i.e., the substance to which the patient is allergic.
Binding: AllergenCodesVS (0.11.1) (extensible)
AllergyIntolerance.patient This element must be supported. This element is included in summaries. 1..1 Reference(UZ Core Patient(0.11.1)) Who the allergy or intolerance is for
AllergyIntolerance.encounter This element must be supported. 0..1 Reference(UZ Core Encounter(0.11.1)) Encounter when the allergy or intolerance was asserted
AllergyIntolerance.onset[x] This element must be supported. 0..1 When allergy or intolerance was identified
AllergyIntolerance.onset[x].onsetDateTime dateTime
AllergyIntolerance.onset[x].onsetAge Age
AllergyIntolerance.onset[x].onsetPeriod Period
AllergyIntolerance.onset[x].onsetRange Range
AllergyIntolerance.onset[x].onsetString string
AllergyIntolerance.recordedDate 0..1 dateTime Date allergy or intolerance was first recorded
AllergyIntolerance.participant This element is included in summaries. 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
AllergyIntolerance.participant.id 0..1 string Unique id for inter-element referencing
AllergyIntolerance.participant.extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
AllergyIntolerance.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
AllergyIntolerance.participant.function This element is included in summaries. 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType (extensible)
AllergyIntolerance.participant.actor This element is included in summaries. 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the allergy or intolerance
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 This element must be supported. 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
AllergyIntolerance.reaction.id 0..1 string Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for extension.extension:administration This element must be supported. 0..1 (Complex) Medication administration associated with this allergic reaction
URL: http://hl7.org/fhir/StructureDefinition/openEHR-administration
Constraints: ext-1
AllergyIntolerance.reaction.Slices for extension.extension:administration.id 0..1 id Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for extension.extension:administration.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for extension.extension:administration.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/openEHR-administration"
AllergyIntolerance.reaction.Slices for extension.extension:administration.value[x] 1..1 Reference(UZ Core MedicationAdministration(0.11.1)) Value of extension
AllergyIntolerance.reaction.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
AllergyIntolerance.reaction.substance This element must be supported. 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: ReactionSubstanceVS (0.11.1) (extensible)
AllergyIntolerance.reaction.Slices for manifestation This element must be supported. 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Slice: Unordered, Open by value:concept.coding.system
Binding: ReactionManifestationVS (0.11.1) (preferred)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation This element must be supported. 0..* CodeableReference(Observation) Reaction manifestation from the national value set
Binding: ReactionManifestationVS (0.11.1) (required)
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.id 0..1 id Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept This element is included in summaries. 0..1 CodeableConcept Reference to a concept (by class)
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.id 0..1 id Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.id 0..1 id Unique id for inter-element referencing
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: https://terminology.dhp.uz/fhir/core/CodeSystem/allergy-reaction-manifestation-cs (extensions allowed)
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.code This element is included in summaries. C 0..1 code Symbol in syntax defined by the system
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.display This element is included in summaries. C 0..1 string Representation defined by the system
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.concept.text This element is included in summaries. 0..1 string Plain text representation of the concept
AllergyIntolerance.reaction.Slices for manifestation.manifestation:dhpManifestation.reference This element is included in summaries. 0..1 Reference() Reference to a resource (by instance)
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 This element must be supported. 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyReactionSeverityVS (0.11.1) (required)
AllergyIntolerance.reaction.exposureRoute 0..1 CodeableConcept How the subject was exposed to the substance
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of exposure to a substance.
AllergyIntolerance.reaction.note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.language Base required All Languages 📍5.0.0 FHIR Std.
AllergyIntolerance.clinicalStatus Base required Allergy clinical status value set 📍0.11.1 This IG
AllergyIntolerance.verificationStatus Base required Allergy verification status value set 📍0.11.1 This IG
AllergyIntolerance.type Base required Allergy types value set 📍0.11.1 This IG
AllergyIntolerance.category Base required Allergy category value set 📍0.11.1 This IG
AllergyIntolerance.criticality Base required Allergy Intolerance Criticality 📍5.0.0 FHIR Std.
AllergyIntolerance.code Base extensible Allergen codes value set 📍0.11.1 This IG
AllergyIntolerance.participant.​function Base extensible Participation Role Type 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​substance Base extensible Allergy reaction substance value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation Base preferred Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​manifestation:dhpManifestation Base required Allergy reaction manifestation value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​severity Base required Allergy reaction severity value set 📍0.11.1 This IG
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from AllergyIntolerance

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of AllergyIntolerance.reaction.manifestation

 

Other representations of profile: CSV, Excel, Schematron

Quick Start

Common API interactions for this profile. Requests require a JWT access token - see Security and authentication. [base] is the FHIR server base URL; | separates system from value and must be URL-encoded as %7C.

Read by server id

GET [base]/AllergyIntolerance/[id]

Find allergies and intolerances

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

Create

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]" }
}

Update (e.g. mark resolved, or confirm a previously unconfirmed allergy) - PUT the full resource back with the new status:

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

See the CapabilityStatement for all supported search parameters.

Allergy relationship: MedicationAdministration.reason means the medication was administered for that clinical indication, such as treating an allergy. It does not record a reaction caused by the medication. For an allergic reaction caused by this administration, document the reaction in the patient's AllergyIntolerance and link its reaction to this administration using the standard openEHR-administration extension.