<status value="active" /> <experimental value="false" /> <date value="2015-02-21" /> <publisher value="HL7 International / Patient Care" /> <contact> <telecom> <system value="url" /> <value value="http://www.hl7.org/Special/committees/patientcare" /> </telecom> </contact> <description value="The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted." /> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm" /> <code value="001" /> </coding> </jurisdiction> <fhirVersion value="5.0.0" /> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="AllergyIntolerance" /> </context> <contextInvariant value="AllergyIntolerance.code.empty()" /> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="5.0.0" /> </extension> <element id="Extension"> <path value="Extension" /> <short value="Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product" /> <definition value="A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product." /> <comment value="The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted." /> <min value="0" /> <max value="1" /> <base> <path value="Extension" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> </element> <element id="Extension.id"> <path value="Extension.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <condition value="ele-1" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Extension.extension"> <path value="Extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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 managable, 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 value="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 value="extensions" /> <alias value="user content" /> <min value="2" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Extension.extension:substance"> <path value="Extension.extension" /> <sliceName value="substance" /> <short value="Substance (or pharmaceutical product)" /> <definition value="Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure." /> <comment value="It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text." /> <min value="1" /> <max value="1" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="v2" /> <map value="AL1-3 / IAM-3" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]" /> </mapping> </element> <element id="Extension.extension:substance.id"> <path value="Extension.extension.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <condition value="ele-1" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Extension.extension:substance.extension"> <path value="Extension.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Extension" /> <definition value="An Extension" /> <min value="0" /> <max value="0" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> </element> <element id="Extension.extension:substance.url"> <path value="Extension.extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="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." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="substance" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.extension:substance.value[x]"> <path value="Extension.extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list)." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ext-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SubstanceCode" /> </extension> <strength value="example" /> <description value="Codes defining the type of the substance (including pharmaceutical products)." /> <valueSet value="http://hl7.org/fhir/ValueSet/substance-code" /> </binding> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.extension:exposureRisk"> <path value="Extension.extension" /> <sliceName value="exposureRisk" /> <short value="known-reaction-risk | no-known-reaction-risk" /> <definition value="The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product." /> <comment value="exposureRisk is a modifier of the substance." /> <min value="1" /> <max value="1" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> </element> <element id="Extension.extension:exposureRisk.id"> <path value="Extension.extension.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <condition value="ele-1" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Extension.extension:exposureRisk.extension"> <path value="Extension.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Extension" /> <definition value="An Extension" /> <min value="0" /> <max value="0" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> </element> <element id="Extension.extension:exposureRisk.url"> <path value="Extension.extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="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." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="exposureRisk" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.extension:exposureRisk.value[x]"> <path value="Extension.extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list)." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ext-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceSubstanceExposureRisk" /> </extension> <strength value="required" /> <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)." /> <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk" /> </binding> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.url"> <path value="Extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="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." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list)." /> <min value="0" /> <max value="0" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="base64Binary" /> </type> <type> <code value="boolean" /> </type> <type> <code value="canonical" /> </type> <type> <code value="code" /> </type> <type> <code value="date" /> </type> <type> <code value="dateTime" /> </type> <type> <code value="decimal" /> </type> <type> <code value="id" /> </type> <type> <code value="instant" /> </type> <type> <code value="integer" /> </type> <type> <code value="integer64" /> </type> <type> <code value="markdown" /> </type> <type> <code value="oid" /> </type> <type> <code value="positiveInt" /> </type> <type> <code value="string" /> </type> <type> <code value="time" /> </type> <type> <code value="unsignedInt" /> </type> <type> <code value="uri" /> </type> <type> <code value="url" /> </type> <type> <code value="uuid" /> </type> <type> <code value="Address" /> </type> <type> <code value="Age" /> </type> <type> <code value="Annotation" /> </type> <type> <code value="Attachment" /> </type> <type> <code value="CodeableConcept" /> </type> <type> <code value="CodeableReference" /> </type> <type> <code value="Coding" /> </type> <type> <code value="ContactPoint" /> </type> <type> <code value="Count" /> </type> <type> <code value="Distance" /> </type> <type> <code value="Duration" /> </type> <type> <code value="HumanName" /> </type> <type> <code value="Identifier" /> </type> <type> <code value="Money" /> </type> <type> <code value="Period" /> </type> <type> <code value="Quantity" /> </type> <type> <code value="Range" /> </type> <type> <code value="Ratio" /> </type> <type> <code value="RatioRange" /> </type> <type> <code value="Reference" /> </type> <type> <code value="SampledData" /> </type> <type> <code value="Signature" /> </type> <type> <code value="Timing" /> </type> <type> <code value="ContactDetail" /> </type> <type> <code value="DataRequirement" /> </type> <type> <code value="Expression" /> </type> <type> <code value="ParameterDefinition" /> </type> <type> <code value="RelatedArtifact" /> </type> <type> <code value="TriggerDefinition" /> </type> <type> <code value="UsageContext" /> </type> <type> <code value="Availability" /> </type> <type> <code value="ExtendedContactDetail" /> </type> <type> <code value="Dosage" /> </type> <type> <code value="Meta" /> </type> <condition value="ext-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> </snapshot> <differential> <element id="Extension"> <path value="Extension" /> <short value="Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product" /> <definition value="A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product." /> <comment value="The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:substance"> <path value="Extension.extension" /> <sliceName value="substance" /> <short value="Substance (or pharmaceutical product)" /> <definition value="Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure." /> <comment value="It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text." /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> </type> <mapping> <identity value="v2" /> <map value="AL1-3 / IAM-3" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]" /> </mapping> </element> <element id="Extension.extension:substance.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:substance.url"> <path value="Extension.extension.url" /> <type> <code value="uri" /> </type> <fixedUri value="substance" /> </element> <element id="Extension.extension:substance.value[x]"> <path value="Extension.extension.value[x]" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SubstanceCode" /> </extension> <strength value="example" /> <description value="Codes defining the type of the substance (including pharmaceutical products)." /> <valueSet value="http://hl7.org/fhir/ValueSet/substance-code" /> </binding> </element> <element id="Extension.extension:exposureRisk"> <path value="Extension.extension" /> <sliceName value="exposureRisk" /> <short value="known-reaction-risk | no-known-reaction-risk" /> <definition value="The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product." /> <comment value="exposureRisk is a modifier of the substance." /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> </type> </element> <element id="Extension.extension:exposureRisk.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:exposureRisk.url"> <path value="Extension.extension.url" /> <type> <code value="uri" /> </type> <fixedUri value="exposureRisk" /> </element> <element id="Extension.extension:exposureRisk.value[x]"> <path value="Extension.extension.value[x]" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AllergyIntoleranceSubstanceExposureRisk" /> </extension> <strength value="required" /> <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)." /> <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk" /> </binding> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <min value="0" /> <max value="0" /> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition allergyintolerance-substanceExposureRisk

Name	Card.	Type	Description & Constraints
Extension	0..1	Extension	Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product
Slices for extension			Content/Rules for all slices
extension:substance	1..1	Extension	Substance (or pharmaceutical product)
extension	0 .. 0		Extension
url	1 .. 1	uri	"substance"
value[x]	1..1	CodeableConcept	Value of extension Binding: SubstanceCode ( example ) : Codes defining the type of the substance (including pharmaceutical products).
extension:exposureRisk	1..1	Extension	known-reaction-risk \| no-known-reaction-risk
extension	0 .. 0		Extension
url	1 .. 1	uri	"exposureRisk"
value[x]	1..1	CodeableConcept	Value of extension Binding: AllergyIntoleranceSubstanceExposureRisk ( required ) : The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
url	1 .. 1	uri	"http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"
value[x]	0 .. 0		Value of extension
Documentation for this format