ch-allergyintolerance
type: StructureDefinition
node role: treeRoot
resource.id:
  value: ch-allergyintolerance
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Name Flags Card. Type Description & Constraints AllergyIntolerance S 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url abatement-dateTime-uv-ips S 0..1 dateTime Abatement datetime URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips clinicalStatus S 0..1 CodeableConcept active | inactive | resolved verificationStatus S 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error type S 0..1 code allergy | intolerance - Underlying mechanism (if known) category S 0..* code food | medication | environment | biologic criticality S 0..1 code low | high | unable-to-assess code S 1..1 CodeableConcept Code that identifies the allergy or intolerance Binding: CHAllergyIntoleranceValueSet (extensible) patient 1..1 Reference(CH Core Patient Profile) Who the sensitivity is for onsetDateTime S 0..1 dateTime When allergy or intolerance was identified recorder 0..1 Reference(CH Core Practitioner Profile | CH Core Practitioner Role Profile | CH Core Patient Profile | RelatedPerson) Who recorded the sensitivity asserter 0..1 Reference(CH Core Practitioner Profile | CH Core Practitioner Role Profile | CH Core Patient Profile | RelatedPerson) Source of the information about the allergy reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url allergyintolerance-certainty 0..1 CodeableConcept certainty: Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event. 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. allergyintolerance-dur…
domain resource.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-category
  extension.value string:
    value: Clinical.Summary
domain resource.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category
  extension.value code:
    value: patient
structure definition.url:
  value: http://fhir.ch/ig/ch-allergyintolerance/StructureDefinition/ch-allergyintolerance
structure definition.version:
  value: 1.0.0
structure definition.name:
  value: CHAllergyIntolerance
structure definition.title:
  value: CH Allergy Intolerance
structure definition.status:
  value: draft
structure definition.date:
  value: 2022-02-11T14:13:49+01:00
structure definition.publisher:
  value: HL7 Switzerland
structure definition.contact:
  index: 0
  contact detail.name:
    value: Walter Wellauer
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://www.hl7.ch
structure definition.description:
  value: This profile represents the constraints applied to the AllergyIntolerance resource in the Swiss context - in adaption of the definition by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the Swiss EPR, in a TransitionOfCare transaction or similar as an instance of an AllergyIntolerance resource constrained by this profile. It documents the relevant allergies or intolerances for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.
structure definition.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:iso:std:iso:3166
    coding.code:
      value: CH
structure definition.purpose:
  value: This profile constrains the representation of a record of an allergy or intolerance of the patient, in the context of a Swiss patient in adaption of the one specified by the IPS project of HL7 International.
structure definition.copyright:
  value: CC-BY-SA-4.0
structure definition.fhir version:
  value: 4.0.1
structure definition.mapping:
  index: 0
  structure definition.mapping.identity:
    value: rim
  structure definition.mapping.uri:
    value: http://hl7.org/v3
  structure definition.mapping.name:
    value: RIM Mapping
structure definition.mapping:
  index: 1
  structure definition.mapping.identity:
    value: w5
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/fivews
  structure definition.mapping.name:
    value: FiveWs Pattern Mapping
structure definition.mapping:
  index: 2
  structure definition.mapping.identity:
    value: v2
  structure definition.mapping.uri:
    value: http://hl7.org/v2
  structure definition.mapping.name:
    value: HL7 v2 Mapping
structure definition.kind:
  value: resource
structure definition.abstract:
  value: false
structure definition.type:
  value: AllergyIntolerance
structure definition.base definition:
  value: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
  link: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
structure definition.derivation:
  value: constraint
structure definition.snapshot:
  structure definition.snapshot.element:
    index: 0
    element.id:
      value: AllergyIntolerance
    element definition.path:
      value: AllergyIntolerance
    element definition.short:
      value: Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
    element definition.definition:
      value: Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.
    element definition.comment:
      value: Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.
    element definition.alias:
      value: Allergy
      index: 0
    element definition.alias:
      value: Intolerance
      index: 1
    element definition.alias:
      value: Adverse Reaction
      index: 2
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: AllergyIntolerance
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: ait-1
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
      element definition.constraint.expression:
        value: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
      element definition.constraint.xpath:
        value: f:verificationStatus/f:coding/f:code/@value='entered-in-error' or exists(f:clinicalStatus)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
        link: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
    element definition.constraint:
      index: 1
      element definition.constraint.key:
        value: ait-2
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
      element definition.constraint.expression:
        value: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
      element definition.constraint.xpath:
        value: not(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(f:clinicalStatus))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
        link: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
    element definition.constraint:
      index: 2
      element definition.constraint.key:
        value: dom-2
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      element definition.constraint.expression:
        value: contained.contained.empty()
      element definition.constraint.xpath:
        value: not(parent::f:contained and f:contained)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 3
      element definition.constraint.key:
        value: dom-3
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: 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
      element definition.constraint.expression:
        value: 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()
      element definition.constraint.xpath:
        value: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 4
      element definition.constraint.key:
        value: dom-4
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      element definition.constraint.expression:
        value: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource

index: 5
element definition.constraint.key:
  value: dom-5
element definition.constraint.severity:
  value: error
element definition.constraint.human:
  value: If a resource is contained in another resource, it SHALL NOT have a security label
element definition.constraint.expression:
  value: contained.meta.security.empty()
element definition.constraint.xpath:
  value: not(exists(f:contained/*/f:meta/f:security))
element definition.constraint.source:
  value: http://hl7.org/fhir/StructureDefinition/DomainResource
  link: http://hl7.org/fhir/StructureDefinition/DomainResource

index: 6
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
  extension.value boolean:
    value: true
element.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
  extension.value markdown:
    value: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
element definition.constraint.key:
  value: dom-6
element definition.constraint.severity:
  value: warning
element definition.constraint.human:
  value: A resource should have narrative for robust management
element definition.constraint.expression:
  value: text.`div`.exists()
element definition.constraint.xpath:
  value: exists(f:text/h:div)
element definition.constraint.source:
  value: http://hl7.org/fhir/StructureDefinition/DomainResource
  link: http://hl7.org/fhir/StructureDefinition/DomainResource

value: true

value: false

value: false

index: 0
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: Entity. Role, or Act

index: 1
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: Observation[classCode=OBS, moodCode=EVN]

index: 1
element.id:
  value: AllergyIntolerance.id
element definition.path:
  value: AllergyIntolerance.id
element definition.short:
  value: Logical id of this artifact
element definition.definition:
  value: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
element definition.comment:
  value: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 2
element.id:
  value: AllergyIntolerance.meta
element definition.path:
  value: AllergyIntolerance.meta
element definition.short:
  value: Metadata about the resource
element definition.definition:
  value: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.meta
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Meta
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 3
element.id:
  value: AllergyIntolerance.implicitRules
element definition.path:
  value: AllergyIntolerance.implicitRules
element definition.short:
  value: A set of rules under which this content was created
element definition.definition:
  value: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
element definition.comment:
  value: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.implicitRules
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
element definition.is summary:
  value: true

index: 4
element.id:
  value: AllergyIntolerance.language
element definition.path:
  value: AllergyIntolerance.language
element definition.short:
  value: Language of the resource content
element definition.definition:
  value: The base language in which the resource is written.
element definition.comment:
  value: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.language
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    extension.value canonical:
      value: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Language
  element.extension:
    index: 2
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: A human language.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/languages
    link: http://hl7.org/fhir/ValueSet/languages

index: 5
element.id:
  value: AllergyIntolerance.text
element definition.path:
  value: AllergyIntolerance.text
element definition.short:
  value: Text summary of the resource, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
element definition.comment:
  value: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
element definition.alias:
  value: narrative
  index: 0
element definition.alias:
  value: html
  index: 1
element definition.alias:
  value: xhtml
  index: 2
element definition.alias:
  value: display
  index: 3
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: DomainResource.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.text?

index: 6
element.id:
  value: AllergyIntolerance.contained
element definition.path:
  value: AllergyIntolerance.contained
element definition.short:
  value: Contained, inline Resources
element definition.definition:
  value: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
element definition.comment:
  value: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
element definition.alias:
  value: inline resources
  index: 0
element definition.alias:
  value: anonymous resources
  index: 1
element definition.alias:
  value: contained resources
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.contained
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Resource
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 7
element.id:
  value: AllergyIntolerance.extension
element definition.path:
  value: AllergyIntolerance.extension
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: value
    element definition.slicing.discriminator.path:
      value: url
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Extension
element definition.definition:
  value: An Extension
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 8
element.id:
  value: AllergyIntolerance.extension:abatement-datetime
element definition.path:
  value: AllergyIntolerance.extension
element definition.slice name:
  value: abatement-datetime
element definition.short:
  value: Abatement datetime
element definition.definition:
  value: The date or estimated date that the condition resolved or went into remission.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: DomainResource.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
    index: 0
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.must support:
  value: true
element definition.is modifier:
  value: false

index: 9
element.id:
  value: AllergyIntolerance.modifierExtension
element definition.path:
  value: AllergyIntolerance.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 10
element.id:
  value: AllergyIntolerance.identifier
element definition.path:
  value: AllergyIntolerance.identifier
element definition.short:
  value: External ids for this item
element definition.definition:
  value: Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
element definition.comment:
  value: This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
element definition.requirements:
  value: Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.identifier
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: IAM-7
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: id

index: 11
element.id:
  value: AllergyIntolerance.clinicalStatus
element definition.path:
  value: AllergyIntolerance.clinicalStatus
element definition.short:
  value: active | inactive | resolved
element definition.definition:
  value: The clinical status of the allergy or intolerance.
element definition.comment:
  value: Refer to [discussion](http://hl7.org/fhir/R4/extensibility.html#Special-Case) if clincalStatus is missing data. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.clinicalStatus
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.condition:
  value: ait-1
  index: 0
element definition.condition:
  value: ait-2
  index: 1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AllergyIntoleranceClinicalStatus
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The clinical status of the allergy or intolerance.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.status
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value

index: 12
element.id:
  value: AllergyIntolerance.verificationStatus
element definition.path:
  value: AllergyIntolerance.verificationStatus
element definition.short:
  value: unconfirmed | confirmed | refuted | entered-in-error
element definition.definition:
  value: Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).
element definition.comment:
  value: The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.verificationStatus
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.condition:
  value: ait-1
  index: 0
element definition.condition:
  value: ait-2
  index: 1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AllergyIntoleranceVerificationStatus
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.status
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value

index: 13
element.id:
  value: AllergyIntolerance.type
element definition.path:
  value: AllergyIntolerance.type
element definition.short:
  value: allergy | intolerance - Underlying mechanism (if known)
element definition.definition:
  value: Identification of the underlying physiological mechanism for the reaction risk.
element definition.comment:
  value: Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
element definition.alias:
  value: Category
  index: 0
element definition.alias:
  value: Class
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AllergyIntoleranceType
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Identification of the underlying physiological mechanism for a Reaction Risk.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: IAM-9
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: code

index: 14
element.id:
  value: AllergyIntolerance.category
element definition.path:
  value: AllergyIntolerance.category
element definition.short:
  value: food | medication | environment | biologic
element definition.definition:
  value: Category of the identified substance.
element definition.comment:
  value: This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to [search](http://hl7.org/fhir/R4/search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.
element definition.alias:
  value: Category
  index: 0
element definition.alias:
  value: Type
  index: 1
element definition.alias:
  value: Reaction Type
  index: 2
element definition.alias:
  value: Class
  index: 3
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AllergyIntoleranceCategory
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Category of an identified substance associated with allergies or intolerances.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: AL1-2
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: value < IntoleranceValue (Agent)

index: 15
element.id:
  value: AllergyIntolerance.criticality
element definition.path:
  value: AllergyIntolerance.criticality
element definition.short:
  value: low | high | unable-to-assess
element definition.definition:
  value: Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.
element definition.comment:
  value: The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term "severity" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.
element definition.alias:
  value: Severity
  index: 0
element definition.alias:
  value: Seriousness
  index: 1
element definition.alias:
  value: Contra-indication
  index: 2
element definition.alias:
  value: Risk
  index: 3
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.criticality
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AllergyIntoleranceCriticality
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.grade
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: AL1-4
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]

index: 16
element.id:
  value: AllergyIntolerance.code
element definition.path:
  value: AllergyIntolerance.code
element definition.short:
  value: Code that identifies the allergy or intolerance
element definition.definition:
  value: Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
element definition.comment:
  value: It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. When a substance or product code is specified for the 'code' element, the "default" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the "Causative agent" relationship. The 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.
element definition.alias:
  value: Code
  index: 0
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: extensible
  element definition.binding.value set:
    value: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
    link: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.what[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: AL1-3 / IAM-3
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: substance/product: .participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType] negated/excluded substance/product: .participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType] positive or negated/excluded condition/situation: Observation.code=ASSERTION; Observation.value

index: 17
element.id:
  value: AllergyIntolerance.patient
element definition.path:
  value: AllergyIntolerance.patient
element definition.short:
  value: Who the sensitivity is for
element definition.definition:
  value: The patient who has the allergy or intolerance.
element definition.alias:
  value: Patient
  index: 0
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.patient
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.subject[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: (PID-3)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=SBJ].role[classCode=PAT]
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.subject

index: 18
element.id:
  value: AllergyIntolerance.encounter
element definition.path:
  value: AllergyIntolerance.encounter
element definition.short:
  value: Encounter when the allergy or intolerance was asserted
element definition.definition:
  value: The encounter when the allergy or intolerance was asserted.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.encounter
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Encounter
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Encounter
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.context
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

index: 19
element.id:
  value: AllergyIntolerance.onset[x]
element definition.path:
  value: AllergyIntolerance.onset[x]
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: type
    element definition.slicing.discriminator.path:
      value: $this
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: closed
element definition.short:
  value: When allergy or intolerance was identified
element definition.definition:
  value: Estimated or actual date, date-time, or age when allergy or intolerance was identified.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.onset[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.init
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: effectiveTime.low

index: 20
element.id:
  value: AllergyIntolerance.onset[x]:onsetDateTime
element definition.path:
  value: AllergyIntolerance.onset[x]
element definition.slice name:
  value: onsetDateTime
element definition.short:
  value: When allergy or intolerance was identified
element definition.definition:
  value: Estimated or actual date, date-time, or age when allergy or intolerance was identified.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.onset[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.init
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: effectiveTime.low

index: 21
element.id:
  value: AllergyIntolerance.recordedDate
element definition.path:
  value: AllergyIntolerance.recordedDate
element definition.short:
  value: Date first version of the resource instance was recorded
element definition.definition:
  value: The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.recordedDate
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.recorded
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: IAM-13
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=AUT].time

index: 22
element.id:
  value: AllergyIntolerance.recorder
element definition.path:
  value: AllergyIntolerance.recorder
element definition.short:
  value: Who recorded the sensitivity
element definition.definition:
  value: Individual who recorded the record and takes responsibility for its content.
element definition.alias:
  value: Author
  index: 0
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.recorder
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
  element definition.type.target profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    index: 1
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
  element definition.type.target profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    index: 2
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=AUT].role

index: 23
element.id:
  value: AllergyIntolerance.asserter
element definition.path:
  value: AllergyIntolerance.asserter
element definition.short:
  value: Source of the information about the allergy
element definition.definition:
  value: The source of the information about the allergy that is recorded.
element definition.comment:
  value: The recorder takes responsibility for the content, but can reference the source from where they got it.
element definition.alias:
  value: Source
  index: 0
element definition.alias:
  value: Informant
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.asserter
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
  element definition.type.target profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    index: 1
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
  element definition.type.target profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    index: 2
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.source
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: IAM-14 (if patient) / IAM-18 (if practitioner)
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .participation[typeCode=INF].role

index: 24
element.id:
  value: AllergyIntolerance.lastOccurrence
element definition.path:
  value: AllergyIntolerance.lastOccurrence
element definition.short:
  value: Date(/time) of last known occurrence of a reaction
element definition.definition:
  value: Represents the date and/or time of the last known occurrence of a reaction event.
element definition.comment:
  value: This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.lastOccurrence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime

index: 25
element.id:
  value: AllergyIntolerance.note
element definition.path:
  value: AllergyIntolerance.note
element definition.short:
  value: Additional text not captured in other fields
element definition.definition:
  value: Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.
element definition.comment:
  value: For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and AllergyIntolerance.event.notes.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.note
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Annotation
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: subjectOf.observationEvent[code="annotation"].value

index: 26
element.id:
  value: AllergyIntolerance.reaction
element definition.path:
  value: AllergyIntolerance.reaction
element definition.short:
  value: Adverse Reaction Events linked to exposure to substance
element definition.definition:
  value: Details about each adverse reaction event linked to exposure to the identified substance.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.reaction
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]

index: 27
element.id:
  value: AllergyIntolerance.reaction.id
element definition.path:
  value: AllergyIntolerance.reaction.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 28
element.id:
  value: AllergyIntolerance.reaction.extension
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: value
    element definition.slicing.discriminator.path:
      value: url
  element definition.slicing.ordered:
    value: false
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Extension
element definition.definition:
  value: An Extension
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 29
element.id:
  value: AllergyIntolerance.reaction.extension:certainty
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: certainty
element definition.short:
  value: certainty: Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
element definition.definition:
  value: Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
element definition.comment:
  value: When certainty is missing, it means no information exists (although it could be in narrative). By contrast, the unknown code is used when there is an explicit assertion that certainty is not known, such as when a patient eats a meal and it is unknown which food caused the reaction.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: uncertaintyCode

index: 30
element.id:
  value: AllergyIntolerance.reaction.extension:duration
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: duration
element definition.short:
  value: The amount of time that the Adverse Reaction persisted
element definition.definition:
  value: The amount of time that the Adverse Reaction persisted.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false

index: 31
element.id:
  value: AllergyIntolerance.reaction.extension:location
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: location
element definition.short:
  value: The anatomical location / body site(s) where the symptoms manifested
element definition.definition:
  value: The anatomical location / body site(s) where the symptoms manifested.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-location
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-location
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false

index: 32
element.id:
  value: AllergyIntolerance.reaction.extension:exposureDate
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: exposureDate
element definition.short:
  value: Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
element definition.definition:
  value: Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
element definition.comment:
  value: Exposure can be more complicated by more than one exposure events leading to a reaction. Further details about the nature of the exposure can be provided in additional extensions, or as text in the Exposure Description extension.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false

index: 33
element.id:
  value: AllergyIntolerance.reaction.extension:exposureDuration
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: exposureDuration
element definition.short:
  value: The amount of time the individual was exposed to the Substance
element definition.definition:
  value: The amount of time the individual was exposed to the Substance.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false

index: 34
element.id:
  value: AllergyIntolerance.reaction.extension:exposureDescription
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: exposureDescription
element definition.short:
  value: Text description about exposure to the Substance
element definition.definition:
  value: Text description about exposure to the Substance.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false

index: 35
element.id:
  value: AllergyIntolerance.reaction.extension:management
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: management
element definition.short:
  value: Text description about the clinical management provided.
element definition.definition:
  value: Text description about the clinical management provided.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-management
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-management
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false

index: 36
element.id:
  value: AllergyIntolerance.reaction.modifierExtension
element definition.path:
  value: AllergyIntolerance.reaction.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 37
element.id:
  value: AllergyIntolerance.reaction.substance
element definition.path:
  value: AllergyIntolerance.reaction.substance
element definition.short:
  value: Specific substance or pharmaceutical product considered to be responsible for event
element definition.definition:
  value: Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
element definition.comment:
  value: Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible. The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, "penicillins"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, "amoxycillin"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.reaction.substance
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element definition.binding.strength:
    value: extensible
  element definition.binding.value set:
    value: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
    link: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]

index: 38
element.id:
  value: AllergyIntolerance.reaction.manifestation
element definition.path:
  value: AllergyIntolerance.reaction.manifestation
element definition.short:
  value: Clinical symptoms/signs associated with the Event
element definition.definition:
  value: Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.
element definition.comment:
  value: Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.
element definition.alias:
  value: Symptoms
  index: 0
element definition.alias:
  value: Signs
  index: 1
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.reaction.manifestation
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element definition.binding.strength:
    value: extensible
  element definition.binding.value set:
    value: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
    link: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: AL1-5
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: code

index: 39
element.id:
  value: AllergyIntolerance.reaction.description
element definition.path:
  value: AllergyIntolerance.reaction.description
element definition.short:
  value: Description of the event as a whole
element definition.definition:
  value: Text description about the reaction as a whole, including details of the manifestation if required.
element definition.comment:
  value: Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.
element definition.alias:
  value: Narrative
  index: 0
element definition.alias:
  value: Text
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.reaction.description
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: text

index: 40
element.id:
  value: AllergyIntolerance.reaction.onset
element definition.path:
  value: AllergyIntolerance.reaction.onset
element definition.short:
  value: Date(/time) when manifestations showed
element definition.definition:
  value: Record of the date and/or time of the onset of the Reaction.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.reaction.onset
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: AL1-6
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: effectiveTime.low

index: 41
element.id:
  value: AllergyIntolerance.reaction.severity
element definition.path:
  value: AllergyIntolerance.reaction.severity
element definition.short:
  value: mild | moderate | severe (of event as a whole)
element definition.definition:
  value: Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.
element definition.comment:
  value: It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.reaction.severity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AllergyIntoleranceSeverity
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]

index: 42
element.id:
  value: AllergyIntolerance.reaction.exposureRoute
element definition.path:
  value: AllergyIntolerance.reaction.exposureRoute
element definition.short:
  value: How the subject was exposed to the substance
element definition.definition:
  value: Identification of the route by which the subject was exposed to the substance.
element definition.comment:
  value: Coding of the route of exposure with a terminology should be used wherever possible.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.reaction.exposureRoute
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RouteOfAdministration
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/route-codes
    link: http://hl7.org/fhir/ValueSet/route-codes
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode

index: 43
element.id:
  value: AllergyIntolerance.reaction.note
element definition.path:
  value: AllergyIntolerance.reaction.note
element definition.short:
  value: Text about event not captured in other fields
element definition.definition:
  value: Additional text about the adverse reaction event not captured in other fields.
element definition.comment:
  value: Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: AllergyIntolerance.reaction.note
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Annotation
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: subjectOf.observationEvent[code="annotation"].value

structure definition.differential.element:
  index: 0
  element.id:
    value: AllergyIntolerance
  element definition.path:
    value: AllergyIntolerance
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 1
  element.id:
    value: AllergyIntolerance.extension
  element definition.path:
    value: AllergyIntolerance.extension
  element definition.slicing:
    element definition.slicing.discriminator:
      index: 0
      element definition.slicing.discriminator.type:
        value: value
      element definition.slicing.discriminator.path:
        value: url
    element definition.slicing.ordered:
      value: false
    element definition.slicing.rules:
      value: open
structure definition.differential.element:
  index: 2
  element.id:
    value: AllergyIntolerance.extension:abatement-datetime
  element definition.path:
    value: AllergyIntolerance.extension
  element definition.slice name:
    value: abatement-datetime
  element definition.short:
    value: Abatement datetime
  element definition.definition:
    value: The date or estimated date that the condition resolved or went into remission.
  element definition.min:
    value: 0
  element definition.max:
    value: 1
  element definition.type:
    index: 0
    element definition.type.code:
      value: Extension
    element definition.type.profile:
      value: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
      index: 0
      link: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 3
  element.id:
    value: AllergyIntolerance.clinicalStatus
  element definition.path:
    value: AllergyIntolerance.clinicalStatus
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 4
  element.id:
    value: AllergyIntolerance.verificationStatus
  element definition.path:
    value: AllergyIntolerance.verificationStatus
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 5
  element.id:
    value: AllergyIntolerance.type
  element definition.path:
    value: AllergyIntolerance.type
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 6
  element.id:
    value: AllergyIntolerance.category
  element definition.path:
    value: AllergyIntolerance.category
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 7
  element.id:
    value: AllergyIntolerance.criticality
  element definition.path:
    value: AllergyIntolerance.criticality
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 8
  element.id:
    value: AllergyIntolerance.code
  element definition.path:
    value: AllergyIntolerance.code
  element definition.min:
    value: 1
  element definition.must support:
    value: true
  element definition.binding:
    element definition.binding.strength:
      value: extensible
    element definition.binding.value set:
      value: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
      link: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
structure definition.differential.element:
  index: 9
  element.id:
    value: AllergyIntolerance.patient
  element definition.path:
    value: AllergyIntolerance.patient
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
      index: 0
      link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
structure definition.differential.element:
  index: 10
  element.id:
    value: AllergyIntolerance.onsetDateTime
  element definition.path:
    value: AllergyIntolerance.onsetDateTime
  element definition.min:
    value: 0
  element definition.max:
    value: 1
  element definition.type:
    index: 0
    element definition.type.code:
      value: dateTime
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 11
  element.id:
    value: AllergyIntolerance.recorder
  element definition.path:
    value: AllergyIntolerance.recorder
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
      index: 0
      link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    element definition.type.target profile:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
      index: 1
      link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    element definition.type.target profile:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
      index: 2
      link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    element definition.type.target profile:
      value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
      index: 3
      link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
structure definition.differential.element:
  index: 12
  element.id:
    value: AllergyIntolerance.asserter
  element definition.path:
    value: AllergyIntolerance.asserter
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
      index: 0
      link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    element definition.type.target profile:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
      index: 1
      link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    element definition.type.target profile:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
      index: 2
      link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    element definition.type.target profile:
      value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
      index: 3
      link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
structure definition.differential.element:
  index: 13
  element.id:
    value: AllergyIntolerance.reaction
  element definition.path:
    value: AllergyIntolerance.reaction
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 14
  element.id:
    value: AllergyIntolerance.reaction.extension

value: AllergyIntolerance.reaction.extension

element definition.slicing.discriminator:
  index: 0
  element definition.slicing.discriminator.type:
    value: value
  element definition.slicing.discriminator.path:
    value: url
element definition.slicing.ordered:
  value: false
element definition.slicing.rules:
  value: open

index: 15
element.id:
  value: AllergyIntolerance.reaction.extension:certainty
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: certainty
element definition.short:
  value: certainty: Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty

index: 16
element.id:
  value: AllergyIntolerance.reaction.extension:duration
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: duration
element definition.short:
  value: The amount of time that the Adverse Reaction persisted
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration

index: 17
element.id:
  value: AllergyIntolerance.reaction.extension:location
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: location
element definition.short:
  value: The anatomical location / body site(s) where the symptoms manifested
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-location
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-location

index: 18
element.id:
  value: AllergyIntolerance.reaction.extension:exposureDate
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: exposureDate
element definition.short:
  value: Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate

index: 19
element.id:
  value: AllergyIntolerance.reaction.extension:exposureDuration
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: exposureDuration
element definition.short:
  value: The amount of time the individual was exposed to the Substance
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration

index: 20
element.id:
  value: AllergyIntolerance.reaction.extension:exposureDescription
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: exposureDescription
element definition.short:
  value: Text description about exposure to the Substance
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription

index: 21
element.id:
  value: AllergyIntolerance.reaction.extension:management
element definition.path:
  value: AllergyIntolerance.reaction.extension
element definition.slice name:
  value: management
element definition.short:
  value: Text description about the clinical management provided.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/openEHR-management
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/openEHR-management

index: 22
element.id:
  value: AllergyIntolerance.reaction.substance
element definition.path:
  value: AllergyIntolerance.reaction.substance
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: extensible
  element definition.binding.value set:
    value: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
    link: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet

index: 23
element.id:
  value: AllergyIntolerance.reaction.manifestation
element definition.path:
  value: AllergyIntolerance.reaction.manifestation
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: extensible
  element definition.binding.value set:
    value: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
    link: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet

index: 24
element.id:
  value: AllergyIntolerance.reaction.onset
element definition.path:
  value: AllergyIntolerance.reaction.onset
element definition.must support:
  value: true

index: 25
element.id:
  value: AllergyIntolerance.reaction.severity
element definition.path:
  value: AllergyIntolerance.reaction.severity
element definition.must support:
  value: true