Implementation Guide CH VACD
5.0.0-ballot - ballot
Implementation Guide CH VACD
5.0.0-ballot - ballot
This page is part of the CH VACD (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-allergyintolerances | Version: 5.0.0-ballot | |||
| Draft as of 2024-05-17 | Computable Name: CHVACDAllergyIntolerance | |||
Copyright/Legal: CC0-1.0 |
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Definition of the AllergyIntolerance part for vaccination record documents.
By aggregation of different Immunization Administration documents, dupplicates could be detected. If so, the entries in the Vaccination Record document (as result of the aggregation) should be completed with the extension CH VACD Extension Merging Conflict Entry Reference. The criterias of duplicate detection can be found here.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHCoreAllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  AllergyIntolerance |
0..* | CHCoreAllergyIntolerance | CH VACD Recommendation Allergy Intolerance | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   relatesTo |
0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |
 conflict |
0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference | |
  identifier |
1..* | Identifier | AllergyIntolerance item ID | |
| code |
S | 0..1 | CodeableConcept | Allergy Intolerance code Binding: Allergies and Intolerance values for Immunization (extensible): The code for allergy. |
| patient |
S | 1..1 | Reference(CH Core Patient) | Who the sensitivity is for |
 recorder |
S | 0..1 | Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Who recorded the sensitivity |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| AllergyIntolerance.code | extensible | AllergiesAndIntolerancesForImmunizationhttp://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-immunization-allergyintolerances-vsfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | CHCoreAllergyIntolerance | CH VACD Recommendation Allergy 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 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| relatesTo |
0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |
| conflict |
S | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
Σ | 1..* | Identifier | AllergyIntolerance item ID |
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. |
| code |
SΣ | 0..1 | CodeableConcept | Allergy Intolerance code Binding: Allergies and Intolerance values for Immunization (extensible): The code for allergy. |
 patient |
SΣ | 1..1 | Reference(CH Core Patient) | Who the sensitivity is for |
| recorder |
S | 0..1 | Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Who recorded the sensitivity |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | |
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | |
| AllergyIntolerance.code | extensible | AllergiesAndIntolerancesForImmunizationhttp://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-immunization-allergyintolerances-vsfrom this IG |
| 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..* | CHCoreAllergyIntolerance | CH VACD Recommendation Allergy 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| relatesTo |
0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |||||
| conflict |
S | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | AllergyIntolerance item ID | ||||
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. | ||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. | ||||
| type |
Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk. | ||||
| category |
Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances. | ||||
| criticality |
Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. | ||||
| code |
SΣ | 0..1 | CodeableConcept | Allergy Intolerance code Binding: Allergies and Intolerance values for Immunization (extensible): The code for allergy. | ||||
| patient |
SΣ | 1..1 | Reference(CH Core Patient) | Who the sensitivity is for | ||||
| encounter |
0..1 | Reference(Encounter) | 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 |
S | 0..1 | Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Who recorded the sensitivity | ||||
| asserter |
Σ | 0..1 | Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) | 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| certainty |
0..1 | CodeableConcept | Certainty that the substance was the cause of the manifestation URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty Binding: AllergyIntoleranceCertainty (extensible): Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event. | |||||
| duration |
0..1 | Duration | How long Manifestations persisted URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration | |||||
| location |
0..1 | CodeableConcept | Body site of manifestations URL: http://hl7.org/fhir/StructureDefinition/openEHR-location Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts | |||||
| exposureDate |
0..1 | dateTime | Date(/time) of first exposure to Substance URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate | |||||
| exposureDuration |
0..1 | Duration | Amount of time individual was exposed to Substance URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration | |||||
| exposureDescription |
0..1 | string | Text description about exposure to the Substance URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription | |||||
| management |
0..1 | string | Clinical Management Description URL: http://hl7.org/fhir/StructureDefinition/openEHR-management | |||||
| 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: CH AllergyIntolerance Reaction Substance (preferred) | |||||
| manifestation |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: CH AllergyIntolerance Reaction Manifestation (preferred) | |||||
| 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/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | extensible | AllergiesAndIntolerancesForImmunizationhttp://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-immunization-allergyintolerances-vsfrom this IG | ||||
| AllergyIntolerance.reaction.substance | preferred | CHAllergyIntoleranceReactionSubstanceValueSethttp://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet | ||||
| AllergyIntolerance.reaction.manifestation | preferred | CHAllergyIntoleranceReactionManifestationValueSethttp://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom 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 CHCoreAllergyIntolerance
Differential View
This structure is derived from CHCoreAllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance |
0..* | CHCoreAllergyIntolerance | CH VACD Recommendation Allergy Intolerance | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| relatesTo |
0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |
| conflict |
0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference | |
| identifier |
1..* | Identifier | AllergyIntolerance item ID | |
| code |
S | 0..1 | CodeableConcept | Allergy Intolerance code Binding: Allergies and Intolerance values for Immunization (extensible): The code for allergy. |
| patient |
S | 1..1 | Reference(CH Core Patient) | Who the sensitivity is for |
| recorder |
S | 0..1 | Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Who recorded the sensitivity |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| AllergyIntolerance.code | extensible | AllergiesAndIntolerancesForImmunizationhttp://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-immunization-allergyintolerances-vsfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | CHCoreAllergyIntolerance | CH VACD Recommendation Allergy 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 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| relatesTo |
0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |
| conflict |
S | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 1..* | Identifier | AllergyIntolerance item ID |
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. |
| code |
SΣ | 0..1 | CodeableConcept | Allergy Intolerance code Binding: Allergies and Intolerance values for Immunization (extensible): The code for allergy. |
| patient |
SΣ | 1..1 | Reference(CH Core Patient) | Who the sensitivity is for |
| recorder |
S | 0..1 | Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Who recorded the sensitivity |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | |
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | |
| AllergyIntolerance.code | extensible | AllergiesAndIntolerancesForImmunizationhttp://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-immunization-allergyintolerances-vsfrom this IG |
| 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..* | CHCoreAllergyIntolerance | CH VACD Recommendation Allergy 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| relatesTo |
0..1 | (Complex) | Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references | |||||
| conflict |
S | 0..* | (Complex) | Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | AllergyIntolerance item ID | ||||
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. | ||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. | ||||
| type |
Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk. | ||||
| category |
Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances. | ||||
| criticality |
Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. | ||||
| code |
SΣ | 0..1 | CodeableConcept | Allergy Intolerance code Binding: Allergies and Intolerance values for Immunization (extensible): The code for allergy. | ||||
| patient |
SΣ | 1..1 | Reference(CH Core Patient) | Who the sensitivity is for | ||||
| encounter |
0..1 | Reference(Encounter) | 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 |
S | 0..1 | Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Who recorded the sensitivity | ||||
| asserter |
Σ | 0..1 | Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) | 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| certainty |
0..1 | CodeableConcept | Certainty that the substance was the cause of the manifestation URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty Binding: AllergyIntoleranceCertainty (extensible): Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event. | |||||
| duration |
0..1 | Duration | How long Manifestations persisted URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration | |||||
| location |
0..1 | CodeableConcept | Body site of manifestations URL: http://hl7.org/fhir/StructureDefinition/openEHR-location Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts | |||||
| exposureDate |
0..1 | dateTime | Date(/time) of first exposure to Substance URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate | |||||
| exposureDuration |
0..1 | Duration | Amount of time individual was exposed to Substance URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration | |||||
| exposureDescription |
0..1 | string | Text description about exposure to the Substance URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription | |||||
| management |
0..1 | string | Clinical Management Description URL: http://hl7.org/fhir/StructureDefinition/openEHR-management | |||||
| 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: CH AllergyIntolerance Reaction Substance (preferred) | |||||
| manifestation |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: CH AllergyIntolerance Reaction Manifestation (preferred) | |||||
| 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/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | extensible | AllergiesAndIntolerancesForImmunizationhttp://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-immunization-allergyintolerances-vsfrom this IG | ||||
| AllergyIntolerance.reaction.substance | preferred | CHAllergyIntoleranceReactionSubstanceValueSethttp://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet | ||||
| AllergyIntolerance.reaction.manifestation | preferred | CHAllergyIntoleranceReactionManifestationValueSethttp://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom 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 CHCoreAllergyIntolerance
Other representations of profile: CSV, Excel, Schematron