{ "resourceType": "StructureDefinition", "id": "profile-DwAllergyIntolerance", "meta": { "lastUpdated": "2024-05-03T19:47:25.8150594+00:00" }, "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwAllergyIntolerance", "version": "2.0.0", "name": "DwAllergyIntolerance", "status": "active", "date": "2026-05-29", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "AllergyIntolerance", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance", "derivation": "constraint", "differential": { "element": [ { "id": "AllergyIntolerance.id", "path": "AllergyIntolerance.id", "comment": "UUID\r\n\r\nThe only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 1, "mustSupport": true }, { "id": "AllergyIntolerance.meta.lastUpdated", "path": "AllergyIntolerance.meta.lastUpdated", "mustSupport": true }, { "id": "AllergyIntolerance.meta.source", "path": "AllergyIntolerance.meta.source", "mustSupport": true }, { "id": "AllergyIntolerance.meta.security", "path": "AllergyIntolerance.meta.security", "mustSupport": true }, { "id": "AllergyIntolerance.text", "path": "AllergyIntolerance.text", "mustSupport": true }, { "id": "AllergyIntolerance.extension", "path": "AllergyIntolerance.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "AllergyIntolerance.extension:abatement", "path": "AllergyIntolerance.extension", "sliceName": "abatement", "comment": "When present, implies the allergy or intolerance is abated (i.e., clinical status is 'resolved').", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement" ] } ], "mustSupport": true }, { "id": "AllergyIntolerance.identifier", "path": "AllergyIntolerance.identifier", "mustSupport": true }, { "id": "AllergyIntolerance.identifier.system", "path": "AllergyIntolerance.identifier.system", "definition": "Follow the pattern urn:telus:emr:{emrType}:{emrInstanceId}:AllergyIntolerance or urn:telus:emr:{emrType}:{region}:{emrInstanceId}:AllergyIntolerance" }, { "id": "AllergyIntolerance.clinicalStatus", "path": "AllergyIntolerance.clinicalStatus", "comment": "The clinical status must be empty when the verification status is \"entered-in-error\"\r\n\r\nPS if allergy present in CPP status = active \r\n All refuted allergies except for incorrect or entered-in-error = inactive\r\n \r\nMA Allergy Active = active\r\n Refuted = inactive", "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.coding", "path": "AllergyIntolerance.clinicalStatus.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "min": 1, "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.coding:HL7AllergyIntoleranceClinicalStatus", "path": "AllergyIntolerance.clinicalStatus.coding", "sliceName": "HL7AllergyIntoleranceClinicalStatus", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical" } }, { "id": "AllergyIntolerance.clinicalStatus.coding:HL7AllergyIntoleranceClinicalStatus.system", "path": "AllergyIntolerance.clinicalStatus.coding.system", "min": 1, "fixedUri": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.coding:HL7AllergyIntoleranceClinicalStatus.code", "path": "AllergyIntolerance.clinicalStatus.coding.code", "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.coding:HL7AllergyIntoleranceClinicalStatus.display", "path": "AllergyIntolerance.clinicalStatus.coding.display", "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.coding:HL7AllergyIntoleranceClinicalStatus.display.extension", "path": "AllergyIntolerance.clinicalStatus.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "AllergyIntolerance.clinicalStatus.coding:HL7AllergyIntoleranceClinicalStatus.display.extension:translation", "path": "AllergyIntolerance.clinicalStatus.coding.display.extension", "sliceName": "translation", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "AllergyIntolerance.clinicalStatus.coding:HL7AllergyIntoleranceClinicalStatus.display.extension:translation.extension", "path": "AllergyIntolerance.clinicalStatus.coding.display.extension.extension", "min": 2 }, { "id": "AllergyIntolerance.clinicalStatus.coding:statusCodeSCTCA", "path": "AllergyIntolerance.clinicalStatus.coding", "sliceName": "statusCodeSCTCA", "comment": "Usage note: One of active; inactive; resolved. In PSS this is active; inactive.\r\n\r\nCHR: SNOMED coding is populate-if-known.", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/allergyintolerancestatuscode" } }, { "id": "AllergyIntolerance.clinicalStatus.coding:statusCodeSCTCA.system", "path": "AllergyIntolerance.clinicalStatus.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct", "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.coding:statusCodeSCTCA.code", "path": "AllergyIntolerance.clinicalStatus.coding.code", "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.coding:statusCodeSCTCA.display", "path": "AllergyIntolerance.clinicalStatus.coding.display", "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.coding:statusCodeSCTCA.display.extension", "path": "AllergyIntolerance.clinicalStatus.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "AllergyIntolerance.clinicalStatus.coding:statusCodeSCTCA.display.extension:translation", "path": "AllergyIntolerance.clinicalStatus.coding.display.extension", "sliceName": "translation", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "AllergyIntolerance.clinicalStatus.coding:statusCodeSCTCA.display.extension:translation.extension", "path": "AllergyIntolerance.clinicalStatus.coding.display.extension.extension", "min": 2 }, { "id": "AllergyIntolerance.clinicalStatus.coding:statusCodeSCTCA.userSelected", "path": "AllergyIntolerance.clinicalStatus.coding.userSelected", "mustSupport": true }, { "id": "AllergyIntolerance.clinicalStatus.text", "path": "AllergyIntolerance.clinicalStatus.text", "mustSupport": true }, { "id": "AllergyIntolerance.verificationStatus", "path": "AllergyIntolerance.verificationStatus", "comment": "PSS->FHIR - \r\nSuspected = unconfirmed\r\nConfirmed = confirmed \r\nRefuted = Refuted \r\ndeleted or Refuted status of entered in error or Incorrect = entered-in-error\r\nMA ->FHIR \r\n Confirmed = confirmed \r\nSuspected = unconfirmed\r\nUnconfirmed = unconfirmed\r\nRefuted = Refuted \r\nDeleted = entered-in-error.", "mustSupport": true }, { "id": "AllergyIntolerance.verificationStatus.coding", "path": "AllergyIntolerance.verificationStatus.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "AllergyIntolerance.verificationStatus.coding:HL7VerificationStatus", "path": "AllergyIntolerance.verificationStatus.coding", "sliceName": "HL7VerificationStatus", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).\r\nOne of unconfirmed | presumed | confirmed | refuted | entered in error", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/allergyintolerance-verification" } }, { "id": "AllergyIntolerance.verificationStatus.coding:HL7VerificationStatus.system", "path": "AllergyIntolerance.verificationStatus.coding.system", "min": 1, "fixedUri": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "mustSupport": true }, { "id": "AllergyIntolerance.verificationStatus.coding:HL7VerificationStatus.code", "path": "AllergyIntolerance.verificationStatus.coding.code", "mustSupport": true }, { "id": "AllergyIntolerance.verificationStatus.coding:HL7VerificationStatus.display", "path": "AllergyIntolerance.verificationStatus.coding.display", "mustSupport": true }, { "id": "AllergyIntolerance.verificationStatus.coding:HL7VerificationStatus.userSelected", "path": "AllergyIntolerance.verificationStatus.coding.userSelected", "mustSupport": true }, { "id": "AllergyIntolerance.verificationStatus.text", "path": "AllergyIntolerance.verificationStatus.text", "comment": "Display the text as it is shown in the EMR\r\n\r\nVery often the text is the same as a displayName of one of the codings.", "mustSupport": true }, { "id": "AllergyIntolerance.type", "path": "AllergyIntolerance.type", "comment": "FHIR->PSS - \r\nallergy->allergy \r\nintolerance->side-effect, exaggerated effect, other. \r\nFHIR>MA \r\n Allergy-> drug allergy, non-drug allergy \r\nIntolerance-> drug intolerance, non-drug intolerance.", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/allergy-intolerance-type" } }, { "id": "AllergyIntolerance.category", "path": "AllergyIntolerance.category", "comment": "PSS - FHIR\r\nMedication and Allergy group = medication \r\nFood = food\r\nStinging insect and Pollen & Dander = environment\r\n\r\nMA->FHIR\r\nDrug Allergy and Drug Intolerance = medication.", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/allergy-intolerance-category" } }, { "id": "AllergyIntolerance.criticality", "path": "AllergyIntolerance.criticality", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality" } }, { "id": "AllergyIntolerance.code", "path": "AllergyIntolerance.code", "min": 1, "mustSupport": true }, { "id": "AllergyIntolerance.code.coding", "path": "AllergyIntolerance.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerance", "path": "AllergyIntolerance.code.coding", "sliceName": "absentOrUnknownAllergyIntolerance", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips" } }, { "id": "AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerance.system", "path": "AllergyIntolerance.code.coding.system", "min": 1, "fixedUri": "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerance.code", "path": "AllergyIntolerance.code.coding.code", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerance.display", "path": "AllergyIntolerance.code.coding.display", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerance.userSelected", "path": "AllergyIntolerance.code.coding.userSelected", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:codeAllergyCA", "path": "AllergyIntolerance.code.coding", "sliceName": "codeAllergyCA", "min": 0, "max": "*", "mustSupport": true, "binding": { "strength": "preferred", "valueSet": "https://tgateway.infoway-inforoute.ca/vs/pharmaceuticalbiologicproductandsubstancecode" } }, { "id": "AllergyIntolerance.code.coding:codeAllergyCA.system", "path": "AllergyIntolerance.code.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:codeAllergyCA.code", "path": "AllergyIntolerance.code.coding.code", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:codeAllergyCA.display", "path": "AllergyIntolerance.code.coding.display", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:codeAllergyCA.userSelected", "path": "AllergyIntolerance.code.coding.userSelected", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:codeAllergyICD10CA", "path": "AllergyIntolerance.code.coding", "sliceName": "codeAllergyICD10CA", "comment": "Usage Note: For future consideration\r\n\r\nIt 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, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.\r\rWhen a substance or product code is specified for the 'code' element, the \"default\" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the \"Causative agent\" relationship.\r\rThe 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element 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": 0, "max": "*", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/ICD10CA" } }, { "id": "AllergyIntolerance.code.coding:codeAllergyICD10CA.system", "path": "AllergyIntolerance.code.coding.system", "min": 1, "fixedUri": "http://hl7.org/fhir/sid/icd-10-ca", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:codeAllergyICD10CA.code", "path": "AllergyIntolerance.code.coding.code", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:codeAllergyICD10CA.display", "path": "AllergyIntolerance.code.coding.display", "mustSupport": true }, { "id": "AllergyIntolerance.code.coding:codeAllergyICD10CA.userSelected", "path": "AllergyIntolerance.code.coding.userSelected", "mustSupport": true }, { "id": "AllergyIntolerance.code.text", "path": "AllergyIntolerance.code.text", "mustSupport": true }, { "id": "AllergyIntolerance.patient", "path": "AllergyIntolerance.patient", "comment": "Internal reference to a patient: urn:telus:emr:{emrType}:{emrInstanceId}:{patientId}", "type": [ { "code": "Reference", "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ] } ], "mustSupport": true }, { "id": "AllergyIntolerance.encounter", "path": "AllergyIntolerance.encounter", "comment": "Internal Encounter Reference: urn:telus:emr:pss:5197:encounter:112~20040823~DRAA", "type": [ { "code": "Reference", "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter" ] } ], "mustSupport": true }, { "id": "AllergyIntolerance.onset[x]", "path": "AllergyIntolerance.onset[x]", "mustSupport": true }, { "id": "AllergyIntolerance.recordedDate", "path": "AllergyIntolerance.recordedDate", "mustSupport": true }, { "id": "AllergyIntolerance.recorder", "path": "AllergyIntolerance.recorder", "type": [ { "code": "Reference", "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner", "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole", "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ] } ], "mustSupport": true }, { "id": "AllergyIntolerance.asserter", "path": "AllergyIntolerance.asserter", "type": [ { "code": "Reference", "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient", "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner", "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole" ] } ], "mustSupport": true }, { "id": "AllergyIntolerance.note", "path": "AllergyIntolerance.note", "comment": "Usage Note: This is the current value of the notes on the allergy record, which includes the latest manifestation/reaction notes. EMRs who capture notes on a per reaction basis may include them here.\r\n\r\nFor example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and AllergyIntolerance.event.notes.", "mustSupport": true }, { "id": "AllergyIntolerance.reaction", "path": "AllergyIntolerance.reaction", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.substance", "path": "AllergyIntolerance.reaction.substance", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.substance.text", "path": "AllergyIntolerance.reaction.substance.text", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.manifestation", "path": "AllergyIntolerance.reaction.manifestation", "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode" } }, { "id": "AllergyIntolerance.reaction.manifestation.coding", "path": "AllergyIntolerance.reaction.manifestation.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "AllergyIntolerance.reaction.manifestation.coding:manifestationSCTCA", "path": "AllergyIntolerance.reaction.manifestation.coding", "sliceName": "manifestationSCTCA", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode" } }, { "id": "AllergyIntolerance.reaction.manifestation.coding:manifestationSCTCA.system", "path": "AllergyIntolerance.reaction.manifestation.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.manifestation.coding:manifestationSCTCA.code", "path": "AllergyIntolerance.reaction.manifestation.coding.code", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.manifestation.coding:manifestationSCTCA.display", "path": "AllergyIntolerance.reaction.manifestation.coding.display", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.manifestation.coding:manifestationSCTCA.display.extension", "path": "AllergyIntolerance.reaction.manifestation.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "AllergyIntolerance.reaction.manifestation.coding:manifestationSCTCA.display.extension:translation", "path": "AllergyIntolerance.reaction.manifestation.coding.display.extension", "sliceName": "translation", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "AllergyIntolerance.reaction.manifestation.coding:manifestationSCTCA.display.extension:translation.extension", "path": "AllergyIntolerance.reaction.manifestation.coding.display.extension.extension", "min": 2 }, { "id": "AllergyIntolerance.reaction.manifestation.coding:manifestationSCTCA.userSelected", "path": "AllergyIntolerance.reaction.manifestation.coding.userSelected", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.manifestation.text", "path": "AllergyIntolerance.reaction.manifestation.text", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.onset", "path": "AllergyIntolerance.reaction.onset", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.severity", "path": "AllergyIntolerance.reaction.severity", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/reaction-event-severity" } }, { "id": "AllergyIntolerance.reaction.exposureRoute.text", "path": "AllergyIntolerance.reaction.exposureRoute.text", "mustSupport": true }, { "id": "AllergyIntolerance.reaction.note", "path": "AllergyIntolerance.reaction.note", "mustSupport": true } ] } }