MyHealth@Eu Hospital Discharge Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Allergy Intolerance (EU PS)

This profile constrains the AllergyIntolerance resource for the purpose of the European patient summary.

This profile constrains the AllergyIntolerance resource for the purpose of the European patient summary.

Usage:

• Use this Resource Profile: Bundle: Hospital Discharge Report

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0) 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
abatement		0..1	(Complex)	When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueDateTime			dateTime
valueAge			Age
valuePeriod			Period
valueRange			Range
valueString			string
value[x]:valueDateTime		0..1	dateTime	End date ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. ele-1: All FHIR elements must have a @value or children
verificationStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConceptIPS(2.0.0)	Add Voc binding Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy. Additional Bindings Purpose Allergens Value Set candidate WHO ATC - IPS candidate ele-1: All FHIR elements must have a @value or children
patient	Σ	1..1	Reference(Patient: HDR)	Who the sensitivity is for ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for onset[x]		0..1		When allergy or intolerance was identified Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime		0..1	dateTime	Onset date ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips

Constraints

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

This structure is derived from AllergyIntoleranceEuHdr

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
code		1..1	CodeableConceptIPS(2.0.0)	Add Voc binding Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy. Additional Bindings Purpose WHO ATC - IPS candidate WHO ATC - IPS candidate
patient		1..1	Reference(Patient: HDR)	Who the sensitivity is for
reaction
manifestation		1..*	CodeableConcept	Reaction manifestation Binding: eHDSI Reaction allergy with exceptions (preferred)
severity		0..1	code	Severity Binding: eHDSI Severity (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergyWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIReactionAllergyWithExceptions from this IG
AllergyIntolerance.reaction.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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		0..1	(Complex)	When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueDateTime			dateTime
valueAge			Age
valuePeriod			Period
valueRange			Range
valueString			string
value[x]:valueDateTime		0..1	dateTime	End date
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	Σ	0..1	code	Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	Σ	1..1	CodeableConceptIPS(2.0.0)	Add Voc binding Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy. Additional Bindings Purpose Allergens Value Set candidate WHO ATC - IPS candidate
patient	Σ	1..1	Reference(Patient: HDR)	Who the sensitivity is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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		0..1	dateTime	Onset date
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Allergens Value Set (preferred)
manifestation		1..*	CodeableConcept	Reaction manifestation Binding: eHDSI Reaction allergy with exceptions (preferred) Additional Bindings Purpose eHDSI Reaction Allergy candidate
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity		0..1	code	Severity Binding: eHDSI Severity (required)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
AllergyIntolerance.reaction.substance	preferred	AllergensHdrVS http://hl7.eu/fhir/hdr/ValueSet/allergens-eu-hdr
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergyWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIReactionAllergyWithExceptions from this IG
AllergyIntolerance.reaction.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Constraints

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

This structure is derived from AllergyIntoleranceEuHdr

Summary

Structures

This structure refers to these other structures:

• Patient: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/patient-hdr-myhealtheu)

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0) 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
abatement		0..1	(Complex)	When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueDateTime			dateTime
valueAge			Age
valuePeriod			Period
valueRange			Range
valueString			string
value[x]:valueDateTime		0..1	dateTime	End date ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. ele-1: All FHIR elements must have a @value or children
verificationStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConceptIPS(2.0.0)	Add Voc binding Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy. Additional Bindings Purpose Allergens Value Set candidate WHO ATC - IPS candidate ele-1: All FHIR elements must have a @value or children
patient	Σ	1..1	Reference(Patient: HDR)	Who the sensitivity is for ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for onset[x]		0..1		When allergy or intolerance was identified Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime		0..1	dateTime	Onset date ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips

Constraints

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

Differential View

This structure is derived from AllergyIntoleranceEuHdr

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0)
code		1..1	CodeableConceptIPS(2.0.0)	Add Voc binding Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy. Additional Bindings Purpose WHO ATC - IPS candidate WHO ATC - IPS candidate
patient		1..1	Reference(Patient: HDR)	Who the sensitivity is for
reaction
manifestation		1..*	CodeableConcept	Reaction manifestation Binding: eHDSI Reaction allergy with exceptions (preferred)
severity		0..1	code	Severity Binding: eHDSI Severity (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergyWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIReactionAllergyWithExceptions from this IG
AllergyIntolerance.reaction.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) This profile also imposes the profile AllergyIntolerance (IPS) (2.0.0) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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		0..1	(Complex)	When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueDateTime			dateTime
valueAge			Age
valuePeriod			Period
valueRange			Range
valueString			string
value[x]:valueDateTime		0..1	dateTime	End date
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	Σ	0..1	code	Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	Σ	1..1	CodeableConceptIPS(2.0.0)	Add Voc binding Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy. Additional Bindings Purpose Allergens Value Set candidate WHO ATC - IPS candidate
patient	Σ	1..1	Reference(Patient: HDR)	Who the sensitivity is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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		0..1	dateTime	Onset date
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Allergens Value Set (preferred)
manifestation		1..*	CodeableConcept	Reaction manifestation Binding: eHDSI Reaction allergy with exceptions (preferred) Additional Bindings Purpose eHDSI Reaction Allergy candidate
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity		0..1	code	Severity Binding: eHDSI Severity (required)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	preferred	AllergyIntoleranceUvIps http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
AllergyIntolerance.reaction.substance	preferred	AllergensHdrVS http://hl7.eu/fhir/hdr/ValueSet/allergens-eu-hdr
AllergyIntolerance.reaction.manifestation	preferred	EHDSIReactionAllergyWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIReactionAllergyWithExceptions from this IG
AllergyIntolerance.reaction.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Constraints

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

This structure is derived from AllergyIntoleranceEuHdr

Summary

Structures

This structure refers to these other structures:

• Patient: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/patient-hdr-myhealtheu)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron