Where a propensity is identified, to record information or evidence about a reaction event that is characterised by any harmful or undesirable physiological response that is specific to the individual and triggered by exposure of an individual to the identified substance or class of substance.

Substances include but are not limited to a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.

This resource is used to record physical conditions. It SHALL NOT be used to record preferences for or against types of treatment, for example on religious grounds. For such use cases consider the use of the FHIR Consent resource.

Examples include a scheduled surgery, a follow-up for a clinical visit, a scheduled conference call between clinicians to discuss a case, the reservation of a piece of diagnostic equipment for a particular use, etc. The visit scheduled by an appointment may be in person or remote (by phone, video conference, etc.) All that matters is that the time and usage of one or more individuals, locations and/or pieces of equipment is being fully or partially reserved for a designated period of time.

• A recorded notification from a nurse to the on-call physician (or any other specified person) that a patient's temperature exceeds a value

• A notification to a public health agency of a patient presenting with a communicable disease reportable to the public health agency

• Educational material sent by a provider to an individual

• Unable to deliver laboratory results to the appropriate care practitioners

A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition SHALL be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition SHALL be included as subsequent entries in the Bundle, for example Patient, Practitioner, Encounter, etc.

The condition could be a point in time diagnosis in the context of an encounter, it could be an item on the practitioner’s problem list, or it could be a concern that doesn’t exist on the practitioner’s problem list. Often, a condition is about a clinician's assessment and assertion of a particular aspect of an individual's state of health.

It can be used to record information about a disease/illness identified from the application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that a practitioner considers harmful, potentially harmful and may be investigated and managed (problem), or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern).

Note: this profile SHALL NOT be used where a more specific UK Core profile exists.

Relationship to Encounter

The EpisodeOfCare Resource contains information about an association of a Patient with a Healthcare Provider for a period of time under which related healthcare activities may occur. In many cases, this represents a period of time where the Healthcare Provider has some level of responsibility for the care of the patient regarding a specific condition or problem, even if not currently participating in an encounter. These resources are typically known in existing systems as:

• EpisodeOfCare: Case, Program, Problem, Episode
• Encounter: Visit, Contact.

This subject can be of different types, as described in the examples below:

• A note that a patient has an overdue account, which the provider may wish to discuss with them - in case of hardship, for example (subject = Patient)
• An outbreak of Ebola in a particular region (subject = Location) so that all patients from that region have a higher risk of having that condition
• A particular provider is unavailable for referrals over a given period (subject = Practitioner)
• A patient who is enrolled in a clinical trial (subject = Group)
• Special guidance or caveats to be aware of when following a protocol (subject = PlanDefinition)
• Warnings about using a drug in a formulary requires special approval (subject = Medication)

This profile does not support the administration of non-vaccine agents, even those that may have or claim to have immunological effects. While the terms "immunisation" and "vaccination" are not clinically identical, for the purposes of the FHIR profile, the terms are used synonymously.

The list profile can be used in many places, including allergies, medications, alerts, family history, medical history, etc. This list profile can be used to support individual-specific clinical lists as well as lists that manage workflows such as tracking patients, managing teaching cases, etc.

The list profile supports lists that are homogeneous – consisting of only one type of resource (e.g. Allergy lists) as well as heterogeneous – containing a variety of resources (e.g. a problem list including Condition, AllergyIntolerance, Procedure, etc.).

A location includes both incidental locations (a place which is used for healthcare without prior designation or authorisation) and dedicated, formally appointed locations. Locations may be private, public, mobile or fixed and scale from small freezers to full hospital buildings or parking garages.

Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.

This profile covers inpatient medication orders as well as community orders (whether filled by the prescriber or by a pharmacy). It also includes orders for over-the-counter medications (e.g. Aspirin), total parenteral nutrition and diet/ vitamin supplements, and may be used to support the order of medication-related devices.

It is not intended for use in prescribing particular diets, or for ordering non-medication-related items (eyeglasses, supplies, etc).

A MedicationStatement may indicate that the individual may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the individual, significant other (such as a family member or spouse), or a clinician.

Note: this profile SHALL NOT be used where a more specific UK Core profile exists.

The clinical observations within scope of this profile include all patient respiration: Unaided, Oxygen Concentrators, Nasal Cannula, CPAP Devices, Endotracheal Tube, and Mechanical Ventilator.

The clinical observations within scope of this profile include all patient respiration: Unaided, Oxygen Concentrators, Nasal Cannula, CPAP Devices, Endotracheal Tube, and Mechanical Ventilator.

The schedule does not provide any information about actual appointments. This separation greatly assists where access to the appointments would not be permitted for security or privacy reasons, while still being able to determine if an appointment might be available.

Note that there are a variety of processes associated with making and processing orders. Some orders may be handled immediately by automated systems but most require real world actions by one or more humans. Some orders can only be processed when other real world actions happen, such as a patient presenting themselves so that the action to be performed can actually be performed. Often these real world dependencies are only implicit in the order details.