HL7 Europe Base and Core FHIR IG
2.0.0-ballot - ballot 150

HL7 Europe Base and Core FHIR IG - Downloaded Version 2.0.0-ballot See the Directory of published versions

## Resource Profile: Allergy Intolerance (EU core)

Official URL: http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core | Version: 2.0.0-ballot
Standards status: Draft | Maturity Level: 1 | Computable Name: AllergyIntoleranceEuCore
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile sets minimum expectations for the AllergyIntolerance resource common to most of the use cases.

This profile constrains the AllergyIntolerance resource for the purpose of project.

Usages:

- Examples for this Profile: AllergyIntolerance/allergyintolerance-eu-core-example

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
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
extension:abatement |  | 0..1 | (Complex) | When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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:$this
valueDateTime |  |  | dateTime |
valueAge |  |  | Age |
valuePeriod |  |  | Period |
valueRange |  |  | Range |
valueString |  |  | string |
value[x]:valueDateTime |  | 0..1 | dateTime | End date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | Σ | 0..1 | code | Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
criticality | Σ | 0..1 | code | Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Allergies & Intolerances - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | candidate
WHO ATC - IPS | candidate
patient | Σ | 1..1 | Reference(Patient (EU core)) | Who the sensitivity is for
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] |  | 0..1 |  | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime |  | 0..1 | dateTime | Onset date
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | FHIR Std.
AllergyIntolerance.code | Base | preferred | Allergies & Intolerances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 AllergyIntolerance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:abatement |  | 0..1 | (Complex) | When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Slices for value[x] |  | 1..1 | dateTime, Age, Period, Range, string | Value of extension Slice: Unordered, Open by type:$this
value[x]:valueDateTime |  | 0..1 | dateTime | End date
clinicalStatus |  | 0..1 | CodeableConcept | Current allergy or Intolerance status
verificationStatus |  | 0..1 | CodeableConcept | Certainty
type |  | 0..1 | code | Type of propensity
criticality |  | 0..1 | code | Criticality
code |  | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Allergies & Intolerances - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | candidate
WHO ATC - IPS | candidate
patient |  | 1..1 | Reference(Patient (EU core)) | Who the sensitivity is for
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] |  | 0..1 | dateTime, Age, Period, Range, string | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime |  | 0..1 | dateTime | Onset date
reaction |  |  |  |
substance |  | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: eHDSI Allergen No Drug (example)
manifestation |  | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional Bindings | Purpose
eHDSI Reaction Allergy | candidate
onset |  | 0..1 | dateTime | Reaction onset
severity |  | 0..1 | code | Reaction severity
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.code | Base | preferred | Allergies & Intolerances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​substance | Base | example | eHDSI Allergen No Drug | ⏿8.1.0 | tx.hl7europe.eu
AllergyIntolerance.reaction.​manifestation | Base | preferred | Allergy Reaction - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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 |  | Extension Slice: Unordered, Open by value:url
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 | ?!Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | 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 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Allergies & Intolerances - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | candidate
WHO ATC - IPS | candidate
patient | Σ | 1..1 | Reference(Patient (EU core)) | 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 | Σ C | 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: eHDSI Allergen No Drug (example)
manifestation |  | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional Bindings | Purpose
eHDSI Reaction Allergy | candidate
description |  | 0..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Reaction onset
severity |  | 0..1 | code | Reaction severity Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute |  | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note |  | 0..* | Annotation | Text about event not captured in other fields
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.category | Base | required | AllergyIntoleranceCategory | 📍4.0.1 | FHIR Std.
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | FHIR Std.
AllergyIntolerance.code | Base | preferred | Allergies & Intolerances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
AllergyIntolerance.patient.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.reaction.​substance | Base | example | eHDSI Allergen No Drug | ⏿8.1.0 | tx.hl7europe.eu
AllergyIntolerance.reaction.​manifestation | Base | preferred | Allergy Reaction - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​severity | Base | required | AllergyIntoleranceSeverity | 📍4.0.1 | FHIR Std.
AllergyIntolerance.reaction.​exposureRoute | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 AllergyIntolerance

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

- Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
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
extension:abatement |  | 0..1 | (Complex) | When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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:$this
valueDateTime |  |  | dateTime |
valueAge |  |  | Age |
valuePeriod |  |  | Period |
valueRange |  |  | Range |
valueString |  |  | string |
value[x]:valueDateTime |  | 0..1 | dateTime | End date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | Σ | 0..1 | code | Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
criticality | Σ | 0..1 | code | Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Allergies & Intolerances - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | candidate
WHO ATC - IPS | candidate
patient | Σ | 1..1 | Reference(Patient (EU core)) | Who the sensitivity is for
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] |  | 0..1 |  | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime |  | 0..1 | dateTime | Onset date
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | FHIR Std.
AllergyIntolerance.code | Base | preferred | Allergies & Intolerances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 AllergyIntolerance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:abatement |  | 0..1 | (Complex) | When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
Slices for value[x] |  | 1..1 | dateTime, Age, Period, Range, string | Value of extension Slice: Unordered, Open by type:$this
value[x]:valueDateTime |  | 0..1 | dateTime | End date
clinicalStatus |  | 0..1 | CodeableConcept | Current allergy or Intolerance status
verificationStatus |  | 0..1 | CodeableConcept | Certainty
type |  | 0..1 | code | Type of propensity
criticality |  | 0..1 | code | Criticality
code |  | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Allergies & Intolerances - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | candidate
WHO ATC - IPS | candidate
patient |  | 1..1 | Reference(Patient (EU core)) | Who the sensitivity is for
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] |  | 0..1 | dateTime, Age, Period, Range, string | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime |  | 0..1 | dateTime | Onset date
reaction |  |  |  |
substance |  | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: eHDSI Allergen No Drug (example)
manifestation |  | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional Bindings | Purpose
eHDSI Reaction Allergy | candidate
onset |  | 0..1 | dateTime | Reaction onset
severity |  | 0..1 | code | Reaction severity
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.code | Base | preferred | Allergies & Intolerances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​substance | Base | example | eHDSI Allergen No Drug | ⏿8.1.0 | tx.hl7europe.eu
AllergyIntolerance.reaction.​manifestation | Base | preferred | Allergy Reaction - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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 |  | Extension Slice: Unordered, Open by value:url
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 | ?!Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | 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 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Allergies & Intolerances - IPS (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | candidate
WHO ATC - IPS | candidate
patient | Σ | 1..1 | Reference(Patient (EU core)) | 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 | Σ C | 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: eHDSI Allergen No Drug (example)
manifestation |  | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Allergy Reaction - IPS (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU
Additional Bindings | Purpose
eHDSI Reaction Allergy | candidate
description |  | 0..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Reaction onset
severity |  | 0..1 | code | Reaction severity Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute |  | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note |  | 0..* | Annotation | Text about event not captured in other fields
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.category | Base | required | AllergyIntoleranceCategory | 📍4.0.1 | FHIR Std.
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | FHIR Std.
AllergyIntolerance.code | Base | preferred | Allergies & Intolerances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
AllergyIntolerance.patient.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.reaction.​substance | Base | example | eHDSI Allergen No Drug | ⏿8.1.0 | tx.hl7europe.eu
AllergyIntolerance.reaction.​manifestation | Base | preferred | Allergy Reaction - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
AllergyIntolerance.reaction.​severity | Base | required | AllergyIntoleranceSeverity | 📍4.0.1 | FHIR Std.
AllergyIntolerance.reaction.​exposureRoute | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 AllergyIntolerance

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

- Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron