AllergyIntolerance (PS-CA)


This version of the PS-CA Implementation Guide has been superseded by a newer version. A full list of versions & releases of the PS-CA Implementation Guide may be found at Guides.


Additional information on this profile (including the JSON & XML structure and detailed element descriptions) can be found at Allergy Intolerance (PS-CA)

Profile

abatement-datetimeI0..1Extension(dateTime)
identifierΣ0..*Identifier
clinicalStatusS Σ ?! I0..1CodeableConceptBinding
HL7VerificationStatusΣ1..1CodingBinding
StatusCodeΣ0..1CodingBinding
textΣ0..1string
typeΣ0..1codeBinding
categoryΣ0..*codeBinding
criticalityΣ0..1codeBinding
allergyIntoleranceGPSCodeΣ0..1CodeableConceptBinding
codeAllergyCAΣ0..1CodeableConceptBinding
absentOrUnknownAllergyIntoleranceS Σ0..1CodeableConceptBinding
referenceS Σ I1..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayΣ0..1string
encounterI0..1Reference(Encounter)
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
onsetDateTimeS0..1dateTime
recordedDate0..1dateTime
recorderI0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
asserterΣ I0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
lastOccurrence0..1dateTime
note0..*Annotation
substance0..1CodeableConcept
allergyIntoleranceReactionManifestationGPSCode0..1CodeableConceptBinding
manifestationSCTCA0..1CodeableConceptBinding
description0..1string
onset0..1dateTime
severity0..1codeBinding
exposureRoute0..1CodeableConcept
note0..*Annotation

Extensions

This profile uses the following extensions:

Key Differences between the IPS-UV and PS-CA

Must Support Differences:

The following elements are considered "must support" in the IPS-UV specification that are relaxed in this version of the PS-CA profile:

  • AllergyIntolerance

  • AllergyIntolerance.extension abatement-datetime slice

  • AllergyIntolerance.verificationStatus

  • AllergyIntolerance.type

  • AllergyIntolerance.criticality

  • AllergyIntolerance.code

  • AllergyIntolerance.asserter

  • AllergyIntolerance.reaction.onset

    Note: Systems that support these elements are encouraged to send them in patient summaries

Cardinality Differences:

  • AllergyIntolerance.verificationStatus.coding:
    • removed minimum cardinality constraints from system and code

Vocabulary Differences:

  • AllergyIntolerance.verificationStatus: optional slice added for AllergyIntoleranceVerificationStatus
  • AllergyIntolerance.code:
    • comment added describing alternative value sets
    • slice added for SNOMED CT Canadian Edition substance and pharmaceurtical biologic product codes
  • AllergyIntolerance.reaction.manifestation:
    • slice added for SNOMED CT Canadian Edition clinical findings

Other differences between the IPS and PS-CA Include:

  • AllergyIntolerance.clinicalStatus:
    • removed IPS datatype profile
  • AllergyIntolerance.verificationStatus:
    • removed IPS datatype profile
  • AllergyIntolerance.patient:
    • reference target changed to PS-CA patient
  • AllergyIntolerance.reaction.manifestation:
    • comment added about future potential use of coded elements