FHIR Core Implementation Guide (CO)
0.1.0 - STU1
FHIR Core Implementation Guide (CO) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://co.fhir.guide/core/StructureDefinition/AllergyIntoleranceCO | Version: 0.1.0 | |||
Draft as of 2024-11-19 | Computable Name: AllergyIntoleranceCO | |||
Copyright/Legal: HL7 Colombia, CC-BY-4.0, 2024+ |
FHIR AllergyIntolerance colombian Core profile, defined by HL7 CO.
Standardize data recording and data exchange of an allergy or intolerance - CO. [ES: Estandarizar los datos de registro e intercambo de datos de una alergia o intolerancia - CO.]
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AllergyIntolerance
Path | Conformance | ValueSet | URI |
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard | |
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard | |
AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard | |
AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard | |
AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard | |
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AllergyIntolerance | C | 0..* | AllergyIntolerance | Allergy or Intolerance. ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) |
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) |
type | Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) |
category | SΣ | 1..1 | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required) |
criticality | Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required) |
code | Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example) |
text | SΣ | 1..1 | string | Textual description of the allergen |
patient | SΣ | 1..1 | Reference(Profile: Patient CO) | Who the sensitivity is for |
encounter | 0..1 | Reference(Profile: Encounter Medical Consultation CO | Profile: Emergency Encounter CO | Profile: Hospitalization Encounter CO) | Encounter when the allergy or intolerance was asserted | |
recorder | 0..1 | Reference(Profile: Practitioner CO | Profile: Practitioner Role CO) | Who recorded the sensitivity | |
asserter | Σ | 0..1 | Reference(Profile: Practitioner CO | Profile: Practitioner Role CO | Profile: Patient CO) | Source of the information about the allergy |
Documentation for this format |
Path | Conformance | ValueSet | URI |
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard | |
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard | |
AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard | |
AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard | |
AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard | |
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
AllergyIntolerance | C | 0..* | AllergyIntolerance | Allergy or Intolerance. ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External ids for this item | ||||
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) | ||||
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) | ||||
type | Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) | ||||
category | SΣ | 1..1 | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required) | ||||
criticality | Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required) | ||||
code | Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | SΣ | 1..1 | string | Textual description of the allergen | ||||
patient | SΣ | 1..1 | Reference(Profile: Patient CO) | Who the sensitivity is for | ||||
encounter | 0..1 | Reference(Profile: Encounter Medical Consultation CO | Profile: Emergency Encounter CO | Profile: Hospitalization Encounter CO) | Encounter when the allergy or intolerance was asserted | |||||
onset[x] | 0..1 | When allergy or intolerance was identified | ||||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
recordedDate | 0..1 | dateTime | Date first version of the resource instance was recorded | |||||
recorder | 0..1 | Reference(Profile: Practitioner CO | Profile: Practitioner Role CO) | Who recorded the sensitivity | |||||
asserter | Σ | 0..1 | Reference(Profile: Practitioner CO | Profile: Practitioner Role CO | Profile: Patient CO) | Source of the information about the allergy | ||||
lastOccurrence | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction | |||||
note | 0..* | Annotation | Additional text not captured in other fields | |||||
reaction | 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 | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
substance | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products). | |||||
manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event. | |||||
description | 0..1 | string | Description of the event as a whole | |||||
onset | 0..1 | dateTime | Date(/time) when manifestations showed | |||||
severity | 0..1 | code | mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations. | |||||
exposureRoute | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
note | 0..* | Annotation | Text about event not captured in other fields | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard | ||||
AllergyIntolerance.reaction.substance | example | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard | ||||
AllergyIntolerance.reaction.manifestation | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard | ||||
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AllergyIntolerance
Summary
Mandatory: 3 elements
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from AllergyIntolerance
Path | Conformance | ValueSet | URI |
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard | |
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard | |
AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard | |
AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard | |
AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard | |
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AllergyIntolerance | C | 0..* | AllergyIntolerance | Allergy or Intolerance. ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) |
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) |
type | Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) |
category | SΣ | 1..1 | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required) |
criticality | Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required) |
code | Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example) |
text | SΣ | 1..1 | string | Textual description of the allergen |
patient | SΣ | 1..1 | Reference(Profile: Patient CO) | Who the sensitivity is for |
encounter | 0..1 | Reference(Profile: Encounter Medical Consultation CO | Profile: Emergency Encounter CO | Profile: Hospitalization Encounter CO) | Encounter when the allergy or intolerance was asserted | |
recorder | 0..1 | Reference(Profile: Practitioner CO | Profile: Practitioner Role CO) | Who recorded the sensitivity | |
asserter | Σ | 0..1 | Reference(Profile: Practitioner CO | Profile: Practitioner Role CO | Profile: Patient CO) | Source of the information about the allergy |
Documentation for this format |
Path | Conformance | ValueSet | URI |
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard | |
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard | |
AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard | |
AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard | |
AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard | |
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
AllergyIntolerance | C | 0..* | AllergyIntolerance | Allergy or Intolerance. ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External ids for this item | ||||
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required) | ||||
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required) | ||||
type | Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required) | ||||
category | SΣ | 1..1 | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required) | ||||
criticality | Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required) | ||||
code | Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | SΣ | 1..1 | string | Textual description of the allergen | ||||
patient | SΣ | 1..1 | Reference(Profile: Patient CO) | Who the sensitivity is for | ||||
encounter | 0..1 | Reference(Profile: Encounter Medical Consultation CO | Profile: Emergency Encounter CO | Profile: Hospitalization Encounter CO) | Encounter when the allergy or intolerance was asserted | |||||
onset[x] | 0..1 | When allergy or intolerance was identified | ||||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
recordedDate | 0..1 | dateTime | Date first version of the resource instance was recorded | |||||
recorder | 0..1 | Reference(Profile: Practitioner CO | Profile: Practitioner Role CO) | Who recorded the sensitivity | |||||
asserter | Σ | 0..1 | Reference(Profile: Practitioner CO | Profile: Practitioner Role CO | Profile: Patient CO) | Source of the information about the allergy | ||||
lastOccurrence | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction | |||||
note | 0..* | Annotation | Additional text not captured in other fields | |||||
reaction | 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 | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
substance | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products). | |||||
manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event. | |||||
description | 0..1 | string | Description of the event as a whole | |||||
onset | 0..1 | dateTime | Date(/time) when manifestations showed | |||||
severity | 0..1 | code | mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations. | |||||
exposureRoute | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
note | 0..* | Annotation | Text about event not captured in other fields | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard | ||||
AllergyIntolerance.reaction.substance | example | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard | ||||
AllergyIntolerance.reaction.manifestation | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard | ||||
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard | ||||
AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AllergyIntolerance
Summary
Mandatory: 3 elements
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron