CH AllergyIntolerance (R4)
3.0.0-ballot - ballot Switzerland flag

This page is part of the CH-AllergyIntolerance (R4) (v3.0.0-ballot: STU 3 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH AllergyIntolerance

Official URL: http://fhir.ch/ig/ch-allergyintolerance/StructureDefinition/ch-allergyintolerance Version: 3.0.0-ballot
Active as of 2024-05-17 Computable Name: CHAllergyIntolerance

Copyright/Legal: CC0-1.0

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.

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.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CHCoreAllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance S 0..* CHCoreAllergyIntolerance 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 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
... 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: CH AllergyIntolerance (extensible)
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S 0..1 dateTime When allergy or intolerance was identified
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... Slices for extension Content/Rules for all slices
..... extension:certainty 0..1 AICertainty(5.1.0) Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
..... extension:duration 0..1 AIDuration(5.1.0) The amount of time that the Adverse Reaction persisted
..... extension:location 0..1 AILocation(5.1.0) The anatomical location / body site(s) where the symptoms manifested
..... extension:exposureDate 0..1 AIExposureDate(5.1.0) Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
..... extension:exposureDuration 0..1 AIExposureDuration(5.1.0) The amount of time the individual was exposed to the Substance
..... extension:management 0..1 AIManagement(5.1.0) Text description about the clinical management provided.
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* CHCoreAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... abatement-datetime S 0..1 dateTime Abatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality SΣ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... patient Σ 1..1 Reference(CH Core Patient) Who the sensitivity is for
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime S 0..1 dateTime When allergy or intolerance was identified
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... Slices for extension Content/Rules for all slices
..... certainty 0..1 CodeableConcept 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.


..... duration 0..1 Duration The amount of time that the Adverse Reaction persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
..... location 0..1 CodeableConcept The anatomical location / body site(s) where the symptoms manifested
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts


..... exposureDate 0..1 dateTime Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
..... exposureDuration 0..1 Duration The amount of time the individual was exposed to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
..... exposureDescription 0..1 string Text description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
..... management 0..1 string Text description about the clinical management provided.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* CHCoreAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... abatement-datetime S 0..1 dateTime Abatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality SΣ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... patient Σ 1..1 Reference(CH Core Patient) Who the sensitivity is for
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime S 0..1 dateTime When allergy or intolerance was identified
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... recorder 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) Who recorded the sensitivity
... asserter Σ 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) Source of the information about the allergy
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note 0..* Annotation Additional text not captured in other fields
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... certainty 0..1 CodeableConcept 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.


..... duration 0..1 Duration The amount of time that the Adverse Reaction persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
..... location 0..1 CodeableConcept The anatomical location / body site(s) where the symptoms manifested
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts


..... exposureDate 0..1 dateTime Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
..... exposureDuration 0..1 Duration The amount of time the individual was exposed to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
..... exposureDescription 0..1 string Text description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
..... management 0..1 string Text description about the clinical management provided.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... description 0..1 string Description of the event as a whole
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

.... exposureRoute 0..1 CodeableConcept How the subject was exposed to the substance
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CHCoreAllergyIntolerance

Summary

Mandatory: 1 element
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of AllergyIntolerance.onset[x]

Differential View

This structure is derived from CHCoreAllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance S 0..* CHCoreAllergyIntolerance 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 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
... 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: CH AllergyIntolerance (extensible)
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S 0..1 dateTime When allergy or intolerance was identified
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... Slices for extension Content/Rules for all slices
..... extension:certainty 0..1 AICertainty(5.1.0) Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.
..... extension:duration 0..1 AIDuration(5.1.0) The amount of time that the Adverse Reaction persisted
..... extension:location 0..1 AILocation(5.1.0) The anatomical location / body site(s) where the symptoms manifested
..... extension:exposureDate 0..1 AIExposureDate(5.1.0) Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
..... extension:exposureDuration 0..1 AIExposureDuration(5.1.0) The amount of time the individual was exposed to the Substance
..... extension:management 0..1 AIManagement(5.1.0) Text description about the clinical management provided.
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* CHCoreAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... abatement-datetime S 0..1 dateTime Abatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality SΣ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... patient Σ 1..1 Reference(CH Core Patient) Who the sensitivity is for
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime S 0..1 dateTime When allergy or intolerance was identified
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... Slices for extension Content/Rules for all slices
..... certainty 0..1 CodeableConcept 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.


..... duration 0..1 Duration The amount of time that the Adverse Reaction persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
..... location 0..1 CodeableConcept The anatomical location / body site(s) where the symptoms manifested
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts


..... exposureDate 0..1 dateTime Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
..... exposureDuration 0..1 Duration The amount of time the individual was exposed to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
..... exposureDescription 0..1 string Text description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
..... management 0..1 string Text description about the clinical management provided.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SC 0..* CHCoreAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... abatement-datetime S 0..1 dateTime Abatement datetime
URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

... type SΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... criticality SΣ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

... code SΣ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: CH AllergyIntolerance (extensible)
... patient Σ 1..1 Reference(CH Core Patient) Who the sensitivity is for
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... Slices for onset[x] 0..1 When allergy or intolerance was identified
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime S 0..1 dateTime When allergy or intolerance was identified
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... recorder 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) Who recorded the sensitivity
... asserter Σ 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson) Source of the information about the allergy
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note 0..* Annotation Additional text not captured in other fields
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... certainty 0..1 CodeableConcept 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.


..... duration 0..1 Duration The amount of time that the Adverse Reaction persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
..... location 0..1 CodeableConcept The anatomical location / body site(s) where the symptoms manifested
URL: http://hl7.org/fhir/StructureDefinition/openEHR-location
Binding: SNOMEDCTBodyStructures (extensible): SNOMED CT Body site concepts


..... exposureDate 0..1 dateTime Record of the date and/or time of the first exposure to the Substance for this Reaction Event.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate
..... exposureDuration 0..1 Duration The amount of time the individual was exposed to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration
..... exposureDescription 0..1 string Text description about exposure to the Substance
URL: http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription
..... management 0..1 string Text description about the clinical management provided.
URL: http://hl7.org/fhir/StructureDefinition/openEHR-management
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance S 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: CH AllergyIntolerance Reaction Substance (extensible)
.... manifestation S 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: CH AllergyIntolerance Reaction Manifestation (extensible)
.... description 0..1 string Description of the event as a whole
.... onset S 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

.... exposureRoute 0..1 CodeableConcept How the subject was exposed to the substance
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
from the FHIR Standard
AllergyIntolerance.codeextensibleCHAllergyIntoleranceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet
AllergyIntolerance.reaction.substanceextensibleCHAllergyIntoleranceReactionSubstanceValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet
AllergyIntolerance.reaction.manifestationextensibleCHAllergyIntoleranceReactionManifestationValueSet
http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard
AllergyIntolerance.reaction.exposureRouteexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2errorAllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CHCoreAllergyIntolerance

Summary

Mandatory: 1 element
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of AllergyIntolerance.onset[x]

 

Other representations of profile: CSV, Excel, Schematron