MyHealth@EU HDR Allergy Intolerance model - XML Representation - MyHealth@Eu Hospital Discharge Report v9.1.0

MyHealth@Eu Hospital Discharge Report - Local Development build (v9.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Logical Model: MyHealthEuHdrAllergyIntolerance - XML Profile

Draft as of 2026-04-17
XML representation of the MyHealthEuHdrAllergyIntolerance logical model.
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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="MyHealthEuHdrAllergyIntolerance"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition MyHealthEuHdrAllergyIntolerance</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance" title="MyHealthEu refined model for allergy or intolerance in the context of hospital discharge report.">MyHealthEuHdrAllergyIntolerance</a><a name="MyHealthEuHdrAllergyIntolerance"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSAllergyIntolerance.html">EHDSAllergyIntolerance</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">MyHealth@EU HDR Allergy Intolerance model<br/><br/>Elements defined in Ancestors:<a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSDataSet.html" title="Basic metadata for this information">header</a>, <a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSAllergyIntolerance.html" title="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., &quot;Latex&quot;), an allergy or intolerance condition (e.g., &quot;Latex allergy&quot;), or a negated/excluded code for a specific substance or class (e.g., &quot;No latex allergy&quot;)
  It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. ">agentOrAllergen</a>, <a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSAllergyIntolerance.html" title="Additional information about the allergy or intolerance">note</a>, <a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSAllergyIntolerance.html" title="Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.">criticality</a>, <a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSAllergyIntolerance.html" title="Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition">certainty</a>, <a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSAllergyIntolerance.html" title="When allergy or intolerance was identified">onsetDate</a>, <a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSAllergyIntolerance.html" title="Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)">endDate</a>, <a href="http://www.xt-ehr.eu/fhir/models/0.3.0/StructureDefinition-EHDSAllergyIntolerance.html" title="Adverse reaction events linked to exposure to substance.">reaction</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance.agentOrAllergen">agentOrAllergen</a><a name="MyHealthEuHdrAllergyIntolerance.agentOrAllergen"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Code that identifies the allergy or intolerance</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle" title="Obligation Codes: correctly handle">handle</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-handler-eu-hdr.html">HDR Handler</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance.criticality">criticality</a><a name="MyHealthEuHdrAllergyIntolerance.criticality"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>MAY</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-handler-eu-hdr.html">HDR Handler</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance.certainty">certainty</a><a name="MyHealthEuHdrAllergyIntolerance.certainty"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>MAY</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-handler-eu-hdr.html">HDR Handler</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance.onsetDate">onsetDate</a><a name="MyHealthEuHdrAllergyIntolerance.onsetDate"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">When allergy or intolerance was identified</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>MAY</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-handler-eu-hdr.html">HDR Handler</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance.endDate">endDate</a><a name="MyHealthEuHdrAllergyIntolerance.endDate"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>MAY</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-handler-eu-hdr.html">HDR Handler</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance.reaction">reaction</a><a name="MyHealthEuHdrAllergyIntolerance.reaction"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Base</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Adverse reaction events linked to exposure to substance.</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>MAY</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-handler-eu-hdr.html">HDR Handler</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance.reaction.manifestation">manifestation</a><a name="MyHealthEuHdrAllergyIntolerance.reaction.manifestation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>MAY</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-handler-eu-hdr.html">HDR Handler</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-MyHealthEuHdrAllergyIntolerance-definitions.html#MyHealthEuHdrAllergyIntolerance.reaction.severity">severity</a><a name="MyHealthEuHdrAllergyIntolerance.reaction.severity"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Severity of the clinical manifestation of the allergic reaction.</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>MAY</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-handler-eu-hdr.html">HDR Handler</a></td></tr></table></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance"/>
  <version value="9.1.0"/>
  <name value="MyHealthEuHdrAllergyIntolerance"/>
  <title value="MyHealth@EU HDR Allergy Intolerance model"/>
  <status value="draft"/>
  <date value="2026-04-17T14:28:45+00:00"/>
  <publisher value="MyHealth@Eu"/>
  <contact>
    <name value="MyHealth@Eu"/>
    <telecom>
      <system value="url"/>
      <value
             value="https://health.ec.europa.eu/other-pages/basic-page/myhealtheu-flyer-addressed-patients-and-health-professionals_en"/>
    </telecom>
  </contact>
  <description
               value="MyHealthEu refined model for allergy or intolerance in the context of hospital discharge report."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="150"/>
      <display value="Europe"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance"/>
  <baseDefinition
                  value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAllergyIntolerance"/>
  <derivation value="specialization"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="0.3.0"/>
    </extension>
    <element id="MyHealthEuHdrAllergyIntolerance">
      <path value="MyHealthEuHdrAllergyIntolerance"/>
      <short value="MyHealth@EU HDR Allergy Intolerance model"/>
      <definition
                  value="MyHealthEu refined model for allergy or intolerance in the context of hospital discharge report."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.header">
      <path value="MyHealthEuHdrAllergyIntolerance.header"/>
      <short value="Basic metadata for this information"/>
      <definition value="Basic metadata for this information"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Base"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.header.subject">
      <path value="MyHealthEuHdrAllergyIntolerance.header.subject"/>
      <short value="Patient/subject information"/>
      <definition value="Patient/subject information"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.header.identifier">
      <path value="MyHealthEuHdrAllergyIntolerance.header.identifier"/>
      <short
             value="Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries)."/>
      <definition
                  value="Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="EHDSDataSet.header.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.header.author[x]">
      <path value="MyHealthEuHdrAllergyIntolerance.header.author[x]"/>
      <short value="The author of the allergy/intolerance information."/>
      <definition value="The author of the allergy/intolerance information."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="EHDSDataSet.header.author[x]"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"/>
      </type>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"/>
      </type>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.header.date">
      <path value="MyHealthEuHdrAllergyIntolerance.header.date"/>
      <short value="Date and optionally time of authoring/issuing"/>
      <definition value="Date and optionally time of authoring/issuing"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.date"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.header.status">
      <path value="MyHealthEuHdrAllergyIntolerance.header.status"/>
      <short
             value="Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc."/>
      <definition
                  value="Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc."/>
      <requirements value="eHN PS Guideline, MyHealth@EU, ISO IPS"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="HL7 allergy intolerance status"/>
      </binding>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.header.source">
      <path value="MyHealthEuHdrAllergyIntolerance.header.source"/>
      <short
             value="Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information."/>
      <definition
                  value="Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.source"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.header.language">
      <path value="MyHealthEuHdrAllergyIntolerance.header.language"/>
      <short
             value="Language in which the resource is written. Language is expressed by the IETF language tag."/>
      <definition
                  value="Language in which the resource is written. Language is expressed by the IETF language tag."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="BCP 47"/>
      </binding>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.agentOrAllergen">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance|9.1.0"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.agentOrAllergen"/>
      <short value="Code that identifies the allergy or intolerance"/>
      <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., &quot;Latex&quot;), an allergy or intolerance condition (e.g., &quot;Latex allergy&quot;), or a negated/excluded code for a specific substance or class (e.g., &quot;No latex allergy&quot;)
  It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'."/>
      <requirements value="eHN PS Guideline, MyHealth@EU, ISO IPS"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.agentOrAllergen"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="ATC, EMA SPOR SMS, SNOMED CT"/>
      </binding>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.note">
      <path value="MyHealthEuHdrAllergyIntolerance.note"/>
      <short value="Additional information about the allergy or intolerance"/>
      <definition
                  value="Additional information about the allergy or intolerance"/>
      <requirements value="eHN PS Guideline, ISO IPS"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.note"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.criticality">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance|9.1.0"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.criticality"/>
      <short
             value="Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance."/>
      <definition
                  value="Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance."/>
      <requirements value="eHN PS Guideline, MyHealth@EU, ISO IPS"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.criticality"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="HL7 allergy intolerance criticality"/>
      </binding>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.certainty">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance|9.1.0"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.certainty"/>
      <short
             value="Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition"/>
      <definition
                  value="Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition"/>
      <requirements value="eHN PS Guideline, MyHealth@EU, ISO IPS"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.certainty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="HL7 allergy intolerance verification"/>
      </binding>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.onsetDate">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance|9.1.0"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.onsetDate"/>
      <short value="When allergy or intolerance was identified"/>
      <definition value="When allergy or intolerance was identified"/>
      <requirements value="MyHealth@EU, ISO IPS"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.onsetDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.endDate">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance|9.1.0"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.endDate"/>
      <short
             value="Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)"/>
      <definition
                  value="Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)"/>
      <requirements value="eHN PS Guideline, MyHealth@EU, ISO IPS"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.endDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.reaction">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance|9.1.0"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.reaction"/>
      <short
             value="Adverse reaction events linked to exposure to substance."/>
      <definition
                  value="Adverse reaction events linked to exposure to substance."/>
      <requirements
                    value="ISO IPS (explicit), implicitly in eHN PS Guideline, MH@EU"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="EHDSAllergyIntolerance.reaction"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Base"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.reaction.agentOrAllergen">
      <path value="MyHealthEuHdrAllergyIntolerance.reaction.agentOrAllergen"/>
      <short
             value="Specific substance or pharmaceutical product considered to be responsible for event"/>
      <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.  
  It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.reaction.agentOrAllergen"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.reaction.manifestation">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance|9.1.0"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.reaction.manifestation"/>
      <short
             value="Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction)."/>
      <definition
                  value="Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction)."/>
      <requirements
                    value="The element is present in eHN PS GL, MyHealth@EU specifications and ISO IPS. Element name and description is taken from eHN PS GL. Cardinality in MyHealth@EU for this element, used here, is one manifestation per severity and onset, while the cardinality in FHIR IPS IG allows multiple manifestations per severity and onset."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="EHDSAllergyIntolerance.reaction.manifestation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="ICD-10, SNOMED CT"/>
      </binding>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.reaction.severity">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrAllergyIntolerance|9.1.0"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.reaction.severity"/>
      <short
             value="Severity of the clinical manifestation of the allergic reaction."/>
      <definition
                  value="Severity of the clinical manifestation of the allergic reaction."/>
      <requirements
                    value="The element is present in eHN PS GL, MyHealth@EU specifications and ISO IPS. Element name and description is taken from eHN PS GL."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.reaction.severity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="SNOMED CT, HL7 reaction event severity"/>
      </binding>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.reaction.onset">
      <path value="MyHealthEuHdrAllergyIntolerance.reaction.onset"/>
      <short value="Date and time of the onset of the reaction"/>
      <definition value="Date and time of the onset of the reaction"/>
      <requirements
                    value="The element is present in eHN PS GL. Element name and description is taken from eHN PS GL."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAllergyIntolerance.reaction.onset"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="MyHealthEuHdrAllergyIntolerance">
      <path value="MyHealthEuHdrAllergyIntolerance"/>
      <short value="MyHealth@EU HDR Allergy Intolerance model"/>
      <definition
                  value="MyHealthEu refined model for allergy or intolerance in the context of hospital discharge report."/>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.agentOrAllergen">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.agentOrAllergen"/>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.criticality">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.criticality"/>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.certainty">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.certainty"/>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.onsetDate">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.onsetDate"/>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.endDate">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.endDate"/>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.reaction">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.reaction"/>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.reaction.manifestation">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.reaction.manifestation"/>
    </element>
    <element id="MyHealthEuHdrAllergyIntolerance.reaction.severity">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://fhir.ehdsi.eu/hdr/ActorDefinition/actor-handler-eu-hdr"/>
        </extension>
      </extension>
      <path value="MyHealthEuHdrAllergyIntolerance.reaction.severity"/>
    </element>
  </differential>
</StructureDefinition>