<status value="draft" /> <date value="2022-04-27T13:24:14-04:00" /> <publisher value="Test Pub" /> <purpose value="vffv" /> <keyword> <system value="http://fhir.hl7.org.nz/NamingSystem/application" /> <code value="clinfhir" /> </keyword> <kind value="logical" /> <abstract value="false" /> <type value="Allergies" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <derivation value="specialization" /> <snapshot> <element id="Allergies"> <path value="Allergies" /> <label value="Allergies" /> <definition value="No description" /> <min value="1" /> <max value="1" /> <base> <path value="Allergies" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Allergies.identifier"> <path value="Allergies.identifier" /> <label value="identifier" /> <short value="External ids for this item" /> <definition value="Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server." /> <min value="0" /> <max value="*" /> <base> <path value="Allergies.identifier" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Identifier" /> </type> <type> <code value="Age" /> </type> <mustSupport value="false" /> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.identifier|" /> </mapping> </element> <element id="Allergies.clinicalStatus"> <path value="Allergies.clinicalStatus" /> <label value="clinicalStatus" /> <short value="active | inactive | resolved" /> <definition value="The clinical status of the allergy or intolerance." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.clinicalStatus" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceClinicalStatus" /> </extension> <strength value="required" /> <description value="The clinical status of the allergy or intolerance." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.clinicalStatus|" /> </mapping> </element> <element id="Allergies.verificationStatus"> <path value="Allergies.verificationStatus" /> <label value="verificationStatus" /> <short value="unconfirmed | confirmed | refuted | entered-in-error" /> <definition value="Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product)." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.verificationStatus" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceVerificationStatus" /> </extension> <strength value="required" /> <description value="Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.verificationStatus|" /> </mapping> </element> <element id="Allergies.type"> <path value="Allergies.type" /> <label value="type" /> <short value="allergy | intolerance - Underlying mechanism (if known)" /> <definition value="Identification of the underlying physiological mechanism for the reaction risk." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.type" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceType" /> </extension> <strength value="required" /> <description value="Identification of the underlying physiological mechanism for a Reaction Risk." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.type|" /> </mapping> </element> <element id="Allergies.category"> <path value="Allergies.category" /> <label value="category" /> <short value="food | medication | environment | biologic" /> <definition value="Category of the identified substance." /> <min value="0" /> <max value="*" /> <base> <path value="Allergies.category" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceCategory" /> </extension> <strength value="required" /> <description value="Category of an identified substance associated with allergies or intolerances." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.category|" /> </mapping> </element> <element id="Allergies.criticality"> <path value="Allergies.criticality" /> <label value="criticality" /> <short value="low | high | unable-to-assess" /> <definition value="Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.criticality" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceCriticality" /> </extension> <strength value="required" /> <description value="Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.criticality|" /> </mapping> </element> <element id="Allergies.code"> <path value="Allergies.code" /> <label value="code" /> <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., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceCode" /> </extension> <strength value="example" /> <description value="Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-code" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.code|" /> </mapping> </element> <element id="Allergies.patient"> <path value="Allergies.patient" /> <label value="patient" /> <short value="Who the sensitivity is for" /> <definition value="The patient who has the allergy or intolerance." /> <min value="1" /> <max value="1" /> <base> <path value="Allergies.patient" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.patient|" /> </mapping> </element> <element id="Allergies.encounter"> <path value="Allergies.encounter" /> <label value="encounter" /> <short value="Encounter when the allergy or intolerance was asserted" /> <definition value="The encounter when the allergy or intolerance was asserted." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.encounter" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.encounter|" /> </mapping> </element> <element id="Allergies.onset[x]"> <path value="Allergies.onset[x]" /> <label value="onset[x]" /> <short value="When allergy or intolerance was identified" /> <definition value="Estimated or actual date, date-time, or age when allergy or intolerance was identified." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.onset[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <type> <code value="Age" /> </type> <type> <code value="Period" /> </type> <type> <code value="Range" /> </type> <type> <code value="string" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.onset[x]|" /> </mapping> </element> <element id="Allergies.recordedDate"> <path value="Allergies.recordedDate" /> <label value="recordedDate" /> <short value="Date first version of the resource instance was recorded" /> <definition value="The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.recordedDate" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.recordedDate|" /> </mapping> </element> <element id="Allergies.recorder"> <path value="Allergies.recorder" /> <label value="recorder" /> <short value="Who recorded the sensitivity" /> <definition value="Individual who recorded the record and takes responsibility for its content." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.recorder" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.recorder|" /> </mapping> </element> <element id="Allergies.asserter"> <path value="Allergies.asserter" /> <label value="asserter" /> <short value="Source of the information about the allergy" /> <definition value="The source of the information about the allergy that is recorded." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.asserter" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.asserter|" /> </mapping> </element> <element id="Allergies.lastOccurrence"> <path value="Allergies.lastOccurrence" /> <label value="lastOccurrence" /> <short value="Date(/time) of last known occurrence of a reaction" /> <definition value="Represents the date and/or time of the last known occurrence of a reaction event." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.lastOccurrence" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.lastOccurrence|" /> </mapping> </element> <element id="Allergies.note"> <path value="Allergies.note" /> <label value="note" /> <short value="Additional text not captured in other fields" /> <definition value="Additional narrative about the propensity for the Adverse Reaction, not captured in other fields." /> <min value="0" /> <max value="*" /> <base> <path value="Allergies.note" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Annotation" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.note|" /> </mapping> </element> <element id="Allergies.reaction"> <path value="Allergies.reaction" /> <label value="reaction" /> <short value="Adverse Reaction Events linked to exposure to substance" /> <definition value="Details about each adverse reaction event linked to exposure to the identified substance." /> <min value="0" /> <max value="*" /> <base> <path value="Allergies.reaction" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.reaction|" /> </mapping> </element> <element id="Allergies.reaction.substance"> <path value="Allergies.reaction.substance" /> <label value="substance" /> <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. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.reaction.substance" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SubstanceCode" /> </extension> <strength value="example" /> <description value="Codes defining the type of the substance (including pharmaceutical products)." /> <valueSet value="http://hl7.org/fhir/ValueSet/substance-code" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.reaction.substance|" /> </mapping> </element> <element id="Allergies.reaction.manifestation"> <path value="Allergies.reaction.manifestation" /> <label value="manifestation" /> <short value="Clinical symptoms/signs associated with the Event" /> <definition value="Clinical symptoms and/or signs that are observed or associated with the adverse reaction event." /> <min value="1" /> <max value="*" /> <base> <path value="Allergies.reaction.manifestation" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Manifestation" /> </extension> <strength value="example" /> <description value="Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event." /> <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.reaction.manifestation|" /> </mapping> </element> <element id="Allergies.reaction.description"> <path value="Allergies.reaction.description" /> <label value="description" /> <short value="Description of the event as a whole" /> <definition value="Text description about the reaction as a whole, including details of the manifestation if required." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.reaction.description" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.reaction.description|" /> </mapping> </element> <element id="Allergies.reaction.onset"> <path value="Allergies.reaction.onset" /> <label value="onset" /> <short value="Date(/time) when manifestations showed" /> <definition value="Record of the date and/or time of the onset of the Reaction." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.reaction.onset" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.reaction.onset|" /> </mapping> </element> <element id="Allergies.reaction.severity"> <path value="Allergies.reaction.severity" /> <label value="severity" /> <short value="mild | moderate | severe (of event as a whole)" /> <definition value="Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.reaction.severity" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceSeverity" /> </extension> <strength value="required" /> <description value="Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations." /> <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.reaction.severity|" /> </mapping> </element> <element id="Allergies.reaction.exposureRoute"> <path value="Allergies.reaction.exposureRoute" /> <label value="exposureRoute" /> <short value="How the subject was exposed to the substance" /> <definition value="Identification of the route by which the subject was exposed to the substance." /> <min value="0" /> <max value="1" /> <base> <path value="Allergies.reaction.exposureRoute" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RouteOfAdministration" /> </extension> <strength value="example" /> <description value="A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject." /> <valueSet value="http://hl7.org/fhir/ValueSet/route-codes" /> </binding> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.reaction.exposureRoute|" /> </mapping> </element> <element id="Allergies.reaction.note"> <path value="Allergies.reaction.note" /> <label value="note" /> <short value="Text about event not captured in other fields" /> <definition value="Additional text about the adverse reaction event not captured in other fields." /> <min value="0" /> <max value="*" /> <base> <path value="Allergies.reaction.note" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Annotation" /> </type> <mapping> <identity value="fhir" /> <map value="AllergyIntolerance.reaction.note|" /> </mapping> </element> </snapshot> </StructureDefinition>