UK Core Implementation Guide STU3 Sequence

Please note:

This version of the UK Core is for C&TA Sprint 7 Review.
This version is not suitable for implementation. Other versions are available on the UK Core Version History Guide
Please follow the guidance on the Contact Us page if you need any assistance.
A summary of changes is available on the STU3 Sequence Change Log

An example to illustrate a reference to results of investigations that confirmed the certainty of the diagnosis for an allergy or intolerance

Table View

AllergyIntolerance.id[0]	UKCore-Extension-Evidence-Example
AllergyIntolerance.extension[0].url[0]	https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Evidence
AllergyIntolerance.extension[0].value[0].reference[0]	DiagnosticReport/UKCore-DiagnosticReport-DiagnosticStudiesReport-Example
AllergyIntolerance.extension[0].value[0].type[0]	DiagnosticReport
AllergyIntolerance.clinicalStatus[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
AllergyIntolerance.clinicalStatus[0].coding[0].code[0]	active
AllergyIntolerance.clinicalStatus[0].coding[0].display[0]	Active
AllergyIntolerance.verificationStatus[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
AllergyIntolerance.verificationStatus[0].coding[0].code[0]	confirmed
AllergyIntolerance.verificationStatus[0].coding[0].display[0]	Confirmed
AllergyIntolerance.code[0].coding[0].system[0]	http://snomed.info/sct
AllergyIntolerance.code[0].coding[0].code[0]	372687004
AllergyIntolerance.code[0].coding[0].display[0]	Amoxicillin
AllergyIntolerance.patient[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
AllergyIntolerance.encounter[0].reference[0]	Encounter/UKCore-Encounter-InpatientEncounter-Example
AllergyIntolerance.recordedDate[0]	2019-12-10T13:00:00+00:00
AllergyIntolerance.recorder[0].reference[0]	Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
AllergyIntolerance.asserter[0].reference[0]	Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
AllergyIntolerance.reaction[0].manifestation[0].coding[0].system[0]	http://snomed.info/sct
AllergyIntolerance.reaction[0].manifestation[0].coding[0].code[0]	247472004
AllergyIntolerance.reaction[0].manifestation[0].coding[0].display[0]	Urticarial rash
AllergyIntolerance.reaction[0].severity[0]	mild

XML View

<AllergyIntolerance xmlns="http://hl7.org/fhir">
    <id value="UKCore-Extension-Evidence-Example" />
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Evidence">
        <valueReference>
            <reference value="DiagnosticReport/UKCore-DiagnosticReport-DiagnosticStudiesReport-Example" />
            <type value="DiagnosticReport" />
        </valueReference>
    </extension>
    <clinicalStatus>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" />
            <code value="active" />
            <display value="Active" />
        </coding>
    </clinicalStatus>
    <verificationStatus>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" />
            <code value="confirmed" />
            <display value="Confirmed" />
        </coding>
    </verificationStatus>
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="372687004" />
            <display value="Amoxicillin" />
        </coding>
    </code>
    <patient>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </patient>
    <encounter>
        <reference value="Encounter/UKCore-Encounter-InpatientEncounter-Example" />
    </encounter>
    <recordedDate value="2019-12-10T13:00:00+00:00" />
    <recorder>
        <reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
    </recorder>
    <asserter>
        <reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
    </asserter>
    <reaction>
        <manifestation>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="247472004" />
                <display value="Urticarial rash" />
            </coding>
        </manifestation>
        <severity value="mild" />
    </reaction>
</AllergyIntolerance>

JSON View

{
    "resourceType": "AllergyIntolerance",
    "id": "UKCore-Extension-Evidence-Example",
    "extension":  [
        {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Evidence",
            "valueReference": {
                "reference": "DiagnosticReport/UKCore-DiagnosticReport-DiagnosticStudiesReport-Example",
                "type": "DiagnosticReport"
            }
        }
    ],
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                "code": "confirmed",
                "display": "Confirmed"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "372687004",
                "display": "Amoxicillin"
            }
        ]
    },
    "patient": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "encounter": {
        "reference": "Encounter/UKCore-Encounter-InpatientEncounter-Example"
    },
    "recordedDate": "2019-12-10T13:00:00+00:00",
    "recorder": {
        "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
    },
    "asserter": {
        "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
    },
    "reaction":  [
        {
            "manifestation":  [
                {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "247472004",
                            "display": "Urticarial rash"
                        }
                    ]
                }
            ],
            "severity": "mild"
        }
    ]
}