{ "resourceType": "StructureDefinition", "id": "IPSAllergiesAndIntolerances", "url": "http://openehr.org/StructureDefinition/IPSAllergiesAndIntolerances", "version": "1.1.0-alpha.3", "name": "IPSAllergiesAndIntolerances", "title": "IPS - Allergies and Intolerances.v1", "status": "active", "description": "`[openEHR-EHR-COMPOSITION.adverse_reaction_list.v1]`\n A persistent and managed list of adverse reactions experienced by the subject that may influence clinical decision-making and care provision.)", "fhirVersion": "4.0.1", "kind": "logical", "abstract": false, "type": "http://openehr.org/StructureDefinition/IPSAllergiesAndIntolerances", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element", "derivation": "specialization", "snapshot": { "element": [ { "id": "IPSAllergiesAndIntolerances", "path": "IPSAllergiesAndIntolerances", "short": "IPS - Allergies and Intolerances.v1", "definition": "`[openEHR-EHR-COMPOSITION.adverse_reaction_list.v1]`\n A persistent and managed list of adverse reactions experienced by the subject that may influence clinical decision-making and care provision.)", "min": 0, "max": "*", "base": { "path": "IPSAllergiesAndIntolerances", "min": 0, "max": "*" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.id", "path": "IPSAllergiesAndIntolerances.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). 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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.", "comment": "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. 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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.", "min": 1, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.category", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "required", "valueSet": "http:openehr.org/ValueSet/Category" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.composer", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.composer", "short": "composer", "definition": "`[RM]`\n The person primarily responsible for the content of the Composition (but not necessarily its committal into the EHR system). This is the identifier which should appear on the screen. It may or may not be the person who entered the data. When it is the patient, the special self instance of `PARTY_SELF` will be used.)", "min": 1, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.composer", "min": 1, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.context", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.context", "short": "context", "definition": "`[RM]`\n `COMPOSITION.context` - Documents the context information of a healthcare event involving the subject of care and the health system. The context information recorded here are independent of the attributes recorded in the version audit, which document the system interaction context, i.e. the context of a user interacting with the health record system. Healthcare events include patient contacts, and any other business activity, such as pathology investigations which take place on behalf of the patient.)", "min": 1, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.context", "min": 1, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.context.id", "path": "IPSAllergiesAndIntolerances.context.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). 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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.", "comment": "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. 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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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "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. 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Coded using the openEHR Terminology, setting group.)", "comment": "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.", "min": 1, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.context.setting", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "required", "valueSet": "http:openehr.org/ValueSet/Setting" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances", "short": "Allergies & Intolerances", "definition": "`[openEHR-EHR-SECTION.adhoc.v1]`\n A generic section header which should be renamed in a template to suit a specific clinical context.)", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.id", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). 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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.", "comment": "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. 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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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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. 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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.", "comment": "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. 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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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.substance", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.substance", "short": "Substance", "definition": "`[at0002]`\n Identification of a substance, or substance class, that is considered to put the individual at risk of an adverse reaction event.)", "comment": "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.", "min": 1, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.substance", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.verificationStatus", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.verificationStatus", "short": "Verification status", "definition": "`[at0063]`\n Assertion about the certainty of the propensity, or potential future risk, of the identified 'Substance' to cause a reaction.)", "comment": "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.", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.verificationStatus", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "preferred", "valueSet": "http:openehr.org/ValueSet/VerificationStatus" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.criticality", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier", "valueIdentifier": { "system": "http:/openehr.org/openEHR-EHR-EVALUATION.adverse_reaction_risk.v2", "value": "at0101" } } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.criticality", "short": "Criticality", "definition": "`[at0101]`\n An indication of the potential for critical system organ damage or life threatening consequence.)", "comment": "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.", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.criticality", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "preferred", "valueSet": "http:openehr.org/ValueSet/Criticality" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.type", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.type", "short": "Type", "definition": "`[at0058]`\n Identification of the underlying physiological mechanism for the adverse reaction.)", "comment": "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.", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent", "short": "Adverse reaction event", "definition": "`[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]`\n Information about a specific adverse reaction event caused by exposure to a specific substance.)", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.id", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.extension", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May 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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.modifierExtension", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.manifestation", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.manifestation", "short": "Manifestation", "definition": "`[at0006]`\n Clinical symptoms and/or signs that are observed or associated with the adverse reaction.)", "comment": "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.", "min": 1, "max": "*", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.manifestation", "min": 1, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.onset", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.onset", "short": "Onset", "definition": "`[at0008]`\n The date and/or time of the onset of the reaction.)", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.onset", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.severity", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.severity", "short": "Severity", "definition": "`[at0010]`\n Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.)", "comment": "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.", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.severity", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "preferred", "valueSet": "http:openehr.org/ValueSet/Severity" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.comment", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.comment", "short": "Comment", "definition": "`[at0006]`\n Additional narrative about the propensity for the adverse reaction, not captured in other fields.)", "comment": "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.", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.comment", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.lastUpdated", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.lastUpdated", "short": "Last updated", "definition": "`[at0062]`\n Date when the propensity or the reaction event was updated.)", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.lastUpdated", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal", "short": "Exclusion - global", "definition": "`[openEHR-EHR-EVALUATION.exclusion_global.v1]`\n An overall statement of exclusion about all Problems/diagnoses, Family history, Medications, Procedures, Adverse reactions or other clinical items that are either not currently present, or have not been present in the past.)", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.id", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.extension", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May 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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.modifierExtension", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.globalExclusionOfAdverseReactions", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.globalExclusionOfAdverseReactions", "short": "Global exclusion of adverse reactions", "definition": "`[at0002]`\n Overall statement of exclusion about all adverse reactions at the time of recording.)", "comment": "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.", "min": 1, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.globalExclusionOfAdverseReactions", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation", "short": "Absence of information", "definition": "`[openEHR-EHR-EVALUATION.absence.v2]`\n Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.)", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.id", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.extension", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May 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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.modifierExtension", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.absenceStatement", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.absenceStatement", "short": "Absence statement", "definition": "`[at0002]`\n Positive statement that no information is available.)", "comment": "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.", "min": 1, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.absenceStatement", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.lastUpdated", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.lastUpdated", "short": "Last updated", "definition": "`[at0004]`\n The date at which the absence was last updated.)", "min": 0, "max": "1", "base": { "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.lastUpdated", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] } ] }, "differential": { "element": [ { "id": "IPSAllergiesAndIntolerances", "path": "IPSAllergiesAndIntolerances", "short": "IPS - Allergies and Intolerances.v1", "definition": "`[openEHR-EHR-COMPOSITION.adverse_reaction_list.v1]`\n A persistent and managed list of adverse reactions experienced by the subject that may influence clinical decision-making and care provision.)" }, { "id": "IPSAllergiesAndIntolerances.category", "path": "IPSAllergiesAndIntolerances.category", "short": "category", "definition": "`[RM]`\n Temporal category of this Composition, persistent / episodic or event.)", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "http:openehr.org/ValueSet/Category" } }, { "id": "IPSAllergiesAndIntolerances.composer", "path": "IPSAllergiesAndIntolerances.composer", "short": "composer", "definition": "`[RM]`\n The person primarily responsible for the content of the Composition (but not necessarily its committal into the EHR system). This is the identifier which should appear on the screen. It may or may not be the person who entered the data. When it is the patient, the special self instance of `PARTY_SELF` will be used.)", "min": 1, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": "IPSAllergiesAndIntolerances.context", "path": "IPSAllergiesAndIntolerances.context", "short": "context", "definition": "`[RM]`\n `COMPOSITION.context` - Documents the context information of a healthcare event involving the subject of care and the health system. The context information recorded here are independent of the attributes recorded in the version audit, which document the system interaction context, i.e. the context of a user interacting with the health record system. Healthcare events include patient contacts, and any other business activity, such as pathology investigations which take place on behalf of the patient.)", "min": 1, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": "IPSAllergiesAndIntolerances.context.startTime", "path": "IPSAllergiesAndIntolerances.context.startTime", "short": "start_time", "definition": "`[RM]`\n COMPOSITION.context.start_time - Start time of the clinical session or other kind of event during which a provider performs a service of any kind for the patient.)", "min": 1, "max": "1", "type": [ { "code": "dateTime" } ] }, { "id": "IPSAllergiesAndIntolerances.context.setting", "path": "IPSAllergiesAndIntolerances.context.setting", "short": "setting", "definition": "`[RM]`\n The setting in which the clinical session took place. Coded using the openEHR Terminology, setting group.)", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "http:openehr.org/ValueSet/Setting" } }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances", "short": "Allergies & Intolerances", "definition": "`[openEHR-EHR-SECTION.adhoc.v1]`\n A generic section header which should be renamed in a template to suit a specific clinical context.)", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance", "short": "Allergy Intolerance", "definition": "`[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]`\n Clinical assessment of the propensity for an individual to experience a harmful or undesirable physiological response if exposed, or re-exposed, to a substance.)", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.substance", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.substance", "short": "Substance", "definition": "`[at0002]`\n Identification of a substance, or substance class, that is considered to put the individual at risk of an adverse reaction event.)", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.verificationStatus", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.verificationStatus", "short": "Verification status", "definition": "`[at0063]`\n Assertion about the certainty of the propensity, or potential future risk, of the identified 'Substance' to cause a reaction.)", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "preferred", "valueSet": "http:openehr.org/ValueSet/VerificationStatus" } }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.criticality", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier", "valueIdentifier": { "system": "http:/openehr.org/openEHR-EHR-EVALUATION.adverse_reaction_risk.v2", "value": "at0101" } } ], "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.criticality", "short": "Criticality", "definition": "`[at0101]`\n An indication of the potential for critical system organ damage or life threatening consequence.)", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "preferred", "valueSet": "http:openehr.org/ValueSet/Criticality" } }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.type", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.type", "short": "Type", "definition": "`[at0058]`\n Identification of the underlying physiological mechanism for the adverse reaction.)", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent", "short": "Adverse reaction event", "definition": "`[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]`\n Information about a specific adverse reaction event caused by exposure to a specific substance.)", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.manifestation", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.manifestation", "short": "Manifestation", "definition": "`[at0006]`\n Clinical symptoms and/or signs that are observed or associated with the adverse reaction.)", "min": 1, "max": "*", "type": [ { "code": "CodeableConcept" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.onset", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.onset", "short": "Onset", "definition": "`[at0008]`\n The date and/or time of the onset of the reaction.)", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.severity", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.adverseReactionEvent.severity", "short": "Severity", "definition": "`[at0010]`\n Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.)", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "preferred", "valueSet": "http:openehr.org/ValueSet/Severity" } }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.comment", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.comment", "short": "Comment", "definition": "`[at0006]`\n Additional narrative about the propensity for the adverse reaction, not captured in other fields.)", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.lastUpdated", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AllergyIntolerance.lastUpdated", "short": "Last updated", "definition": "`[at0062]`\n Date when the propensity or the reaction event was updated.)", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal", "short": "Exclusion - global", "definition": "`[openEHR-EHR-EVALUATION.exclusion_global.v1]`\n An overall statement of exclusion about all Problems/diagnoses, Family history, Medications, Procedures, Adverse reactions or other clinical items that are either not currently present, or have not been present in the past.)", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.globalExclusionOfAdverseReactions", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.ExclusionGlobal.globalExclusionOfAdverseReactions", "short": "Global exclusion of adverse reactions", "definition": "`[at0002]`\n Overall statement of exclusion about all adverse reactions at the time of recording.)", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation", "short": "Absence of information", "definition": "`[openEHR-EHR-EVALUATION.absence.v2]`\n Statement that specified health information is not available for inclusion in the health record or extract at the time of recording.)", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.absenceStatement", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.absenceStatement", "short": "Absence statement", "definition": "`[at0002]`\n Positive statement that no information is available.)", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ] }, { "id": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.lastUpdated", "path": "IPSAllergiesAndIntolerances.allergiesIntolerances.AbsenceOfInformation.lastUpdated", "short": "Last updated", "definition": "`[at0004]`\n The date at which the absence was last updated.)", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ] } ] } }