ProfilePTPS/alergias_intolerancias/AllergyIntolerancePTPSSNC.StructureDefinition.json
AllergyIntolerancePTPSSNC (AllergyIntolerance) | I | AllergyIntolerancePTCore | There are no (further) constraints on this element Element idAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Alternate namesAllergy, Intolerance, Adverse Reaction DefinitionRisk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a 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.
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id | Σ | 1..1 | id | There are no (further) constraints on this element Element idAllergyIntolerance.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | MetaPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idAllergyIntolerance.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idAllergyIntolerance.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). IETF language tag
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idAllergyIntolerance.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | I | 0..* | Resource | There are no (further) constraints on this element Element idAllergyIntolerance.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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abatementDateTimePTExtension | I | 0..1 | Extension(dateTime) | There are no (further) constraints on this element Element idAllergyIntolerance.extension:abatementDateTimePTExtension Optional Extensions Element Alternate namesextensions, user content DefinitionIndica a data ou a data estimada em que a condição foi resolvida ou entrou em remissão. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/AbatementDateTimePTExtension Constraints
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id | 0..1 | id | There are no (further) constraints on this element Element idAllergyIntolerance.extension:abatementDateTimePTExtension.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.extension:abatementDateTimePTExtension.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.extension:abatementDateTimePTExtension.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/AbatementDateTimePTExtension
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value[x] | 0..1 | There are no (further) constraints on this element Element idAllergyIntolerance.extension:abatementDateTimePTExtension.value[x] Value of extension DefinitionIndicar a data e hora da resolução ou remissão. Uma data ou data parcial ou data e hora, sendo o formato definido pela ISO8601. Se a hora e minutos forem especificados, descrição da time zone (UTC) DEVE ser preenchida. Os segundos devem ser fornecidos devido a restrições de tipo de esquema, mas podem ser preenchidos com zero. O horário "24:00" não é permitido. Formatos possíveis:
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valueDateTime | dateTime | There are no (further) constraints on this element Data type | ||
allergyIntoleranceTypePTExtension | I | 0..1 | Extension(CodeableConceptPTCore) | There are no (further) constraints on this element Element idAllergyIntolerance.extension:allergyIntoleranceTypePTExtension Optional Extensions Element Alternate namesextensions, user content DefinitionPossibilita a distinção entre Alergia e Intolerância. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(CodeableConceptPTCore) Extension URLhttps://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/AllergyIntoleranceTypePTExtension Constraints
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modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | Σ | 0..* | ExtensionIdentifierPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.identifier An identifier intended for computation DefinitionUtilizado para indicar o identificador local e/ou central. Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers. This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
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id | 0..1 | id | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.use usual | official | temp | secondary | old (If known) DefinitionPropósito do identificador: official: O identificador considerado mais fiável para a identificação do item. temp: Um identificador temporário. secondary: Um identificador que foi atribuído para identificar o item em um contexto relativo, mas não pode usado em um contexto diferente. old: O identificador já não é considerado válido, mas pode ser relevante para fins de pesquisa. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
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type | Σ | 0..1 | CodeableConceptPTCoreBinding | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Allows users to make use of identifiers when the identifier system is not known. Value Set: ExtensionIdentifierType ExtensionIdentifierType (extensible) Constraints
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id | 0..1 | id | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.coding A reference to a code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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id | 0..1 | id | Element idAllergyIntolerance.identifier.type.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. ..
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.coding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.coding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.type.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Para sistemas geridos pela SPMS o system tem de seguir a seguinte estrutura: http://spms.min-saude.pt/<sistema>/identifiers/<identifier-id>
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
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period | Σ I | 0..1 | PeriodPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.period Time range defined by start and end date/time Alternate namesPeriod DefinitionA time period defined by a start and end date and optionally time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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assigner | Σ I | 0..0 | Reference(OrganizationPTCore) | There are no (further) constraints on this element Element idAllergyIntolerance.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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clinicalStatus | Σ ?! I | 0..1 | CodeableConceptPTCoreBinding | There are no (further) constraints on this element Element idAllergyIntolerance.clinicalStatus Concept - reference to a terminology or just text DefinitionIdentifica o estado clínico da Alergia ou Intolerância.
Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The clinical status of the allergy or intolerance.
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verificationStatus | Σ ?! I | 0..1 | CodeableConceptPTCoreBinding | There are no (further) constraints on this element Element idAllergyIntolerance.verificationStatus Concept - reference to a terminology or just text DefinitionIdentifica o estado de confirmação ou propensão da Intolerância ou Alergia.
Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
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type | Σ | 0..0 | codeBinding | There are no (further) constraints on this element Element idAllergyIntolerance.type allergy | intolerance - Underlying mechanism (if known) Alternate namesCategory, Class DefinitionPossibilita a distinção entre Alergia e Intolerância. Uma alergia corresponde à propensão para reações de hipersensibilidade a uma determinada substância. Perante esta situação deve ser utilizado o tipo: “allergy”. Uma intolerância corresponde a reações tipicamente (mas não necessariamente) não imunes. Perante esta situação deve ser utilizado o tipo: “intolerance” Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource. Identification of the underlying physiological mechanism for a Reaction Risk.
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category | Σ I | 0..1 | codeBinding | There are no (further) constraints on this element Element idAllergyIntolerance.category food | medication | environment | biologic Alternate namesCategory, Type, Reaction Type, Class DefinitionIdentifica a categoria de Alergia ou Intolerância.
This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to search for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender. Category of an identified substance associated with allergies or intolerances.
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criticality | Σ | 0..0 | codeBinding | There are no (further) constraints on this element Element idAllergyIntolerance.criticality low | high | unable-to-assess Alternate namesSeverity, Seriousness, Contra-indication, Risk DefinitionIdentifica a criticidade associada a futuras exposições.
The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term "severity" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent. Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
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code | S Σ I | 1..1 | CodeableConceptPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code Concept - reference to a terminology or just text Alternate namesCode DefinitionIdentifica o alergénio responsável pela alergia ou intolerância. Caso não seja conhecida nenhuma alergia, esta informação deverá ser comunicada. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Unordered, Open, by id(Value) BindingType of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
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absentOrUnknownAllergy | Σ I | 0..0 | CodeableConceptPTCoreBinding | There are no (further) constraints on this element Element idAllergyIntolerance.code:absentOrUnknownAllergy Concept - reference to a terminology or just text Alternate namesCode DefinitionIdentica quando se desconhece a existencia de alergias. Value Set Name: Absent Or Unknown Allergy Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
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allergenNoDrug | Σ I | 0..1 | CodeableConceptPTCoreBinding | There are no (further) constraints on this element Element idAllergyIntolerance.code:allergenNoDrug Concept - reference to a terminology or just text Alternate namesCode DefinitionIdentifica o alergénio não medicamentoso. Value Set Name: Allergen No Drug Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:allergenNoDrug.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. allergenNoDrug
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:allergenNoDrug.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:allergenNoDrug.coding A reference to a code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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text | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:allergenNoDrug.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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drugAllergen | Σ I | 0..1 | CodeableConceptMEDCodePTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen Concept - reference to a terminology or just text Alternate namesCode DefinitionIdentifica o alergénio medicamentoso. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. drugAllergen
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding A reference to a code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Unordered, Open, by id(Value) Constraints
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EMA | Σ | 0..0 | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:EMA A reference to a code defined by a terminology system DefinitionNúmero do Medicamento na Agência Europeia de Medicamentos Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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absentUnknownMedication | Σ | 0..* | CodingPTCoreBinding | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:absentUnknownMedication A reference to a code defined by a terminology system DefinitionIdentifica quando não é conhecido o medicamento ou quando não há registos de relevantes de medicamentos. Allows for alternative encodings within a code system, and translations to other code systems. Value set Name ID: AbsentOrUnknownMedication https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-da-medicacao (required) Constraints
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:absentUnknownMedication.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. absentUnknownMedication
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:absentUnknownMedication.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:absentUnknownMedication.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:absentUnknownMedication.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:absentUnknownMedication.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:absentUnknownMedication.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:absentUnknownMedication.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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ATC | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:ATC A reference to a code defined by a terminology system DefinitionCódigo da terminologia internacional ATC Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:ATC.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. ATC
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:ATC.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:ATC.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://www.whocc.no/atc
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:ATC.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:ATC.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:ATC.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:ATC.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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RN-PT | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:RN-PT A reference to a code defined by a terminology system DefinitionNúmero de Registo do Medicamento do INFARMED Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:RN-PT.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. RN-PT
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:RN-PT.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:RN-PT.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://www.infarmed.pt
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:RN-PT.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:RN-PT.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:RN-PT.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:RN-PT.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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CHNM-PT | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CHNM-PT A reference to a code defined by a terminology system DefinitionCódigo Hospitalar Nacional do Medicamento do INFARMED Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CHNM-PT.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. CHNM-PT
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CHNM-PT.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CHNM-PT.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://www.infarmed.pt
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CHNM-PT.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CHNM-PT.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CHNM-PT.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CHNM-PT.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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CNPEM-PT | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNPEM-PT A reference to a code defined by a terminology system DefinitionCódigo Nacional para a Prescrição Eletrónica de Medicamentos do INFARMED Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNPEM-PT.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. CNPEM-PT
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNPEM-PT.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNPEM-PT.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://www.infarmed.pt
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNPEM-PT.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNPEM-PT.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNPEM-PT.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNPEM-PT.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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CNID-PT | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNID-PT A reference to a code defined by a terminology system DefinitionCódigo Nacional para a Identificação Comercial do Medicamento do INFARMED (MED_ID) Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNID-PT.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. CNID-PT
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNID-PT.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNID-PT.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://www.infarmed.pt
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNID-PT.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNID-PT.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNID-PT.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:CNID-PT.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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DCI-PT | Σ | 0..* | CodingPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:DCI-PT A reference to a code defined by a terminology system DefinitionDenominação Comum Internacional em Português das substâncias ativas dos medicamentos Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
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id | 0..1 | idFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:DCI-PT.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. DCI-PT
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:DCI-PT.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:DCI-PT.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://www.infarmed.pt
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version | Σ | 0..0 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:DCI-PT.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:DCI-PT.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:DCI-PT.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.coding:DCI-PT.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 1..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.code:drugAllergen.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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patient | S Σ I | 1..1 | ReferencePTCore(PatientPTPSSNC) | Element idAllergyIntolerance.patient A reference from one resource to another Alternate namesPatient DefinitionIdentifica o Utente ao qual a Alergia ou Intolerância se encontra associada References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. ReferencePTCore(PatientPTPSSNC) Constraints
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encounter | I | 0..0 | ReferencePTCore(https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/EncounterPTCore) | There are no (further) constraints on this element Element idAllergyIntolerance.encounter A reference from one resource to another DefinitionIdentifica o Episódio no qual a Alergia ou Intolerância foi identificada. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. ReferencePTCore(https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/EncounterPTCore) Constraints
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onset[x] | S | 0..1 | There are no (further) constraints on this element Element idAllergyIntolerance.onset[x] When allergy or intolerance was identified DefinitionIdentifica quando é que Alergia ou Intolerância foi identificada.
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onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||
onsetAge | AgePTCore | There are no (further) constraints on this element Data type | ||
onsetPeriod | PeriodPTCore | There are no (further) constraints on this element Data type | ||
onsetRange | RangePTCore | There are no (further) constraints on this element Data type | ||
onsetString | string | There are no (further) constraints on this element Data type | ||
recordedDate | 0..1 | dateTime | There are no (further) constraints on this element Element idAllergyIntolerance.recordedDate Date first version of the resource instance was recorded DefinitionIdentifica a data associada ao primeiro registo. Uma data ou data parcial ou data e hora, sendo o formato definido pela ISO8601. Se a hora e minutos forem especificados, descrição da time zone (UTC) DEVE ser preenchida. Os segundos devem ser fornecidos devido a restrições de tipo de esquema, mas podem ser preenchidos com zero. O horário "24:00" não é permitido. Formatos possíveis:
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recorder | I | 0..1 | ReferencePTCore(PractitionerRolePTPSSNC) | Element idAllergyIntolerance.recorder A reference from one resource to another Alternate namesAuthor DefinitionIdentifica o responsável pelo registo da Alergia ou Intolerância. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. ReferencePTCore(PractitionerRolePTPSSNC) Constraints
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asserter | Σ I | 0..1 | ReferencePTCore(PractitionerPTPS | PractitionerRolePTPS | PatientPTPS) | Element idAllergyIntolerance.asserter A reference from one resource to another Alternate namesSource, Informant DefinitionIdentifica quem registou a alergia ou intolerância. Assim, a origem da informação pode ser o Profissional, Utente ou Pessoa Relacionada. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. ReferencePTCore(PractitionerPTPS | PractitionerRolePTPS | PatientPTPS) Constraints
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lastOccurrence | 0..1 | dateTime | There are no (further) constraints on this element Element idAllergyIntolerance.lastOccurrence Date(/time) of last known occurrence of a reaction DefinitionA data de última ocorrência de reação. Uma data ou data parcial ou data e hora, sendo o formato definido pela ISO8601. Se a hora e minutos forem especificados, descrição da time zone (UTC) DEVE ser preenchida. Os segundos devem ser fornecidos devido a restrições de tipo de esquema, mas podem ser preenchidos com zero. O horário "24:00" não é permitido. Formatos possíveis:
This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.
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note | 0..* | AnnotationPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.note Text node with attribution DefinitionApresenta informação complementar, não descrita nos restantes atributos For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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reaction | S | 0..* | BackboneElement | There are no (further) constraints on this element Element idAllergyIntolerance.reaction Adverse Reaction Events linked to exposure to substance DefinitionIdentifica eventos associados à exposição.
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id | 0..1 | id | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | S I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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severityReactionPTExtension | I | 0..* | Extension(CodeableConceptPTCore) | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.extension:severityReactionPTExtension Optional Extensions Element Alternate namesextensions, user content DefinitionIdentifica a severidade ou gravidade da reação. Value Set Name: Severity Extension(CodeableConceptPTCore) Extension URLhttps://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/SeverityReactionPTExtension Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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substance | 0..0 | CodeableConceptPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.substance Concept - reference to a terminology or just text DefinitionIdentifica o alergénio responsável pela alergia ou intolerância. Caso não seja conhecida nenhuma alergia, esta informação deverá ser comunicada. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes defining the type of the substance (including pharmaceutical products).
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manifestation | S | 1..* | CodeableConceptPTCoreBinding | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.manifestation Concept - reference to a terminology or just text Alternate namesSymptoms, Signs DefinitionIdentifica os sintomas/sinais associados à reação. Value Set Name: Reaction Manifestation Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
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description | 0..1 | string | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.description Description of the event as a whole Alternate namesNarrative, Text DefinitionApresenta descrição da reação. Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.
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onset | 0..1 | dateTime | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.onset Date(/time) when manifestations showed DefinitionA data da manifestação da reação. Uma data ou data parcial ou data e hora, sendo o formato definido pela ISO8601. Se a hora e minutos forem especificados, descrição da time zone (UTC) DEVE ser preenchida. Os segundos devem ser fornecidos devido a restrições de tipo de esquema, mas podem ser preenchidos com zero. O horário "24:00" não é permitido. Formatos possíveis:
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severity | 0..0 | codeBinding | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.severity mild | moderate | severe (of event as a whole) DefinitionClinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations. It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions. Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
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exposureRoute | 0..1 | CodeableConceptPTCoreBinding | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.exposureRoute Concept - reference to a terminology or just text DefinitionIdentifica a via de exposição associada à reação. Value Set Name: Route of Administration A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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note | 0..* | AnnotationPTCore | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.note Text node with attribution DefinitionApresenta informação complementar, não descrita nos restantes atributos. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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Binding
Path | Strength | ValueSet | Comment |
---|---|---|---|
Extension.value[x] AllergyIntoleranceType | required | https://www.ctc.min-saude.pt/catalogos/alergias-e-outras-reacoes-adversas | Value Set Name: Allergy Intolerance Type |
Extension.value[x] SeverityReaction | required | https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico | Value Set Name: Severity |
Identifier.type | extensible | https://spms.min-saude.pt/iop/valueset/ExtensionIdentifierType | Value Set: ExtensionIdentifierType |
AllergyIntolerance.code allergenNoDrug | required | https://www.ctc.min-saude.pt/catalogos/alergias-e-outras-reacoes-adversas | Value Set Name: Allergen No Drug |
AllergyIntolerance.reaction.manifestation | required | https://www.ctc.min-saude.pt/catalogos/alergias-e-outras-reacoes-adversas | Value Set Name: Reaction Manifestation |
AllergyIntolerance.reaction.exposureRoute | required | https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-da-medicacao | Value Set Name: Route of Administration |
system
consultar Systems.Binding do FHIR Required
Path | strength | ValueSet |
---|---|---|
AllergyIntolerance.clinicalStatus |
required |
AllergyIntolerance Clinical Status Codes |
AllergyIntolerance.verificationStatus |
required |
AllergyIntolerance Verification Status Codes |
AllergyIntolerance.category |
required |
AllergyIntoleranceCategory |
AllergyIntolerance: Identifier.use |
required |
IdentifierUse |
Identifiers Type
Estes Identificadores devem ser utilizados no elemento
identifier.type.coding[*]
Regras de implementação
Para além das constraints identificadas pelo FHIR para este recurso devem ser consideradas as constraints que identificamos na tabela infra.
Path | Key | Descricao |
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AllergyIntolerance | aitPtCore-01 | Quando o código associado ao elemento AllergyIntolerance.category corresponde a 'medication' é obrigatório o envio de um código ATC no elemento AllergyIntolerance.code. Quando o código associado ao elemento AllergyIntolerance.category corresponde a 'food', 'environment', 'biologic' é obrigatório o envio, no elemento AllergyIntolerance.code, de um código pertencente ao value set Allergen No Drug. O desconhecimento de existência de alergias ou intolerância TERÁ de ser claramente documentado, enviando no elemento AllergyIntolerance.code, o código 716186003. Quando no elemento AllergyIntolerance.code é enviado o código 716186003, está dispensado o envio do elemento AllergyIntolerance.category e AllergyIntolerance.type.
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