{ "resourceType": "StructureDefinition", "id": "qicore-allergyintolerance", "text": { "status": "generated", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" AllergyIntolerance I0..*1: extension: reasonRefuted is only permitted if status is refuted
\".\"\".\"\".\" id 0..1id
\".\"\".\"\".\" allergyintolerance-resolutionAge 0..1AgeAge that the allergy or intolerance resolved
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
\".\"\".\"\".\" allergyintolerance-reasonRefuted I0..1CodeableConceptExplanation associated with refuted status
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
Binding: Reasons for refuting allergy or intolerance codes (example)
\".\"\".\"\".\" clinicalStatus S0..1code
\".\"\".\"\".\" verificationStatus S1..1code
\".\"\".\"\".\" type S0..1code
\".\"\".\"\".\" category S0..*code
\".\"\".\"\".\" criticality S0..1code
\".\"\".\"\".\" code S1..1CodeableConceptBinding: US Core Substance-Reactant for Intolerance and Negation Codes (preferred)
\".\"\".\"\".\" patient S1..1Reference(QICore-Patient)
\".\"\".\"\".\" assertedDate S0..1dateTime
\".\"\".\"\".\" recorder 0..1Reference(QICore-Practitioner | QICore-Patient)
\".\"\".\"\".\" asserter 0..1Reference(Patient | RelatedPerson | Practitioner)
\".\"\".\"\".\" reaction 0..*BackboneElement
\".\"\".\"\".\"\".\" allergyintolerance-duration S0..1DurationHow long Manifestations persisted
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
\".\"\".\"\".\"\".\" manifestation S1..*CodeableConcept
\".\"\".\"\".\"\".\" onset S0..1dateTime
\".\"\".\"\".\"\".\" severity S0..1code

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance", "version": "3.1.0", "name": "QICore-AllergyIntolerance", "status": "draft", "date": "2018-08-21T14:00:00+00:00", "publisher": "Health Level Seven, Inc. - CQI WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/special/committees/CQI" } ] } ], "description": "Profile of AllergyIntolerance for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "qdm", "uri": "http://www.healthit.gov/quality-data-model", "name": "Quality Data Model" }, { "identity": "argonaut-dq-dstu2", "uri": "http://unknown.org/Argonaut DQ DSTU2", "name": "Argonaut DQ DSTU2" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "AllergyIntolerance", "baseDefinition": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance", "derivation": "constraint", "differential": { "element": [ { "id": "AllergyIntolerance", "path": "AllergyIntolerance", "constraint": [ { "key": "1", "severity": "error", "human": "extension: reasonRefuted is only permitted if status is refuted", "expression": "verificationStatus = 'refuted' or extension.where(url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted').empty()", "xpath": "not(f:verificationStatus/@value != 'refuted' and f:extension/@url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted')" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "Allergy/Intolerance" } ] }, { "id": "AllergyIntolerance.id", "path": "AllergyIntolerance.id", "min": 0, "max": "1", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "id" } ] }, { "id": "AllergyIntolerance.extension:resolutionAge", "path": "AllergyIntolerance.extension", "sliceName": "resolutionAge", "definition": "The estimated patient age at which the allergy or intolerance resolved. Should be specified only if the status is resolved.", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "prevalencePeriod" } ] }, { "id": "AllergyIntolerance.extension:reasonRefuted", "path": "AllergyIntolerance.extension", "sliceName": "reasonRefuted", "definition": "A code capturing the explanation of why the allergy or intolerance has been refuted. Should be specified only if the status is refuted.", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "The value set to instantiate this attribute should be drawn from a terminologically robust code system for reasons of refuting an allergy or intolerance. This value set is provided as a suggestive example.", "valueSetReference": { "reference": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-allergyintolerance-reason-refuted" } } }, { "id": "AllergyIntolerance.clinicalStatus", "path": "AllergyIntolerance.clinicalStatus", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false }, { "id": "AllergyIntolerance.verificationStatus", "path": "AllergyIntolerance.verificationStatus", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false }, { "id": "AllergyIntolerance.type", "path": "AllergyIntolerance.type", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false }, { "id": "AllergyIntolerance.category", "path": "AllergyIntolerance.category", "min": 0, "max": "*", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false }, { "id": "AllergyIntolerance.criticality", "path": "AllergyIntolerance.criticality", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false }, { "id": "AllergyIntolerance.code", "path": "AllergyIntolerance.code", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "A substance or other type of agent (e.g., sunshine) that may be associated with an intolerance reaction event or a propensity to such an event.", "valueSetReference": { "reference": "http://hl7.org/fhir/us/core/ValueSet/us-core-substance" } }, "mapping": [ { "identity": "qdm", "map": "code" } ] }, { "id": "AllergyIntolerance.patient", "path": "AllergyIntolerance.patient", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" } ], "mustSupport": true, "isModifier": false }, { "id": "AllergyIntolerance.assertedDate", "path": "AllergyIntolerance.assertedDate", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "authorDatetime" } ] }, { "id": "AllergyIntolerance.recorder", "path": "AllergyIntolerance.recorder", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "recorder" } ] }, { "id": "AllergyIntolerance.asserter", "path": "AllergyIntolerance.asserter", "min": 0, "max": "1", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "source" } ] }, { "id": "AllergyIntolerance.reaction", "path": "AllergyIntolerance.reaction", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mustSupport": false, "isModifier": false }, { "id": "AllergyIntolerance.reaction.extension:reaction-duration", "path": "AllergyIntolerance.reaction.extension", "sliceName": "reaction-duration", "definition": "The amount of time that the Adverse Reaction persisted.", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration" } ], "mustSupport": true, "isModifier": false }, { "id": "AllergyIntolerance.reaction.manifestation", "path": "AllergyIntolerance.reaction.manifestation", "min": 1, "max": "*", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "type" } ] }, { "id": "AllergyIntolerance.reaction.onset", "path": "AllergyIntolerance.reaction.onset", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "prevalencePeriod" } ] }, { "id": "AllergyIntolerance.reaction.severity", "path": "AllergyIntolerance.reaction.severity", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "severity" } ] } ] } }