<status value="active" /> <date value="2020-05-19T18:37:29+00:00" /> <publisher value="Health Level Seven International - Patient Care Work Group" /> <contact> <telecom> <system value="url" /> <value value="http://www.hl7.org/Special/committees/patientcare" /> </telecom> </contact> <description value="This profile represents the constraints applied to the AllergyIntolerance resource by the International Patient Summary (MY Core) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the patient summary as an instance of an AllergyIntolerance resource constrained by this profile. It documents the relevant allergies or intolerances (conditions) for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy." /> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm" /> <code value="001" /> </coding> </jurisdiction> <purpose value="This profile constrains the representation of a record of an allergy or intolerance of the patient, in the context of the international patient summary as specified by the MY Core project of HL7 International." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="AllergyIntolerance" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" /> <derivation value="constraint" /> <differential> <element id="AllergyIntolerance"> <path value="AllergyIntolerance" /> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.extension"> <path value="AllergyIntolerance.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="AllergyIntolerance.extension:abatement-datetime"> <path value="AllergyIntolerance.extension" /> <sliceName value="abatement-datetime" /> <short value="Abatement datetime" /> <definition value="The date or estimated date that the condition resolved or went into remission." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/my/core/StructureDefinition/abatement-dateTime-my-core" /> </type> </element> <element id="AllergyIntolerance.clinicalStatus"> <path value="AllergyIntolerance.clinicalStatus" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/my/core/StructureDefinition/CodeableConcept-my-core" /> </type> </element> <element id="AllergyIntolerance.verificationStatus"> <path value="AllergyIntolerance.verificationStatus" /> <comment value="In the scope of the MY Core the entered-in-error concept is not allowed." /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/my/core/StructureDefinition/CodeableConcept-my-core" /> </type> </element> <element id="AllergyIntolerance.type"> <path value="AllergyIntolerance.type" /> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.criticality"> <path value="AllergyIntolerance.criticality" /> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.code"> <path value="AllergyIntolerance.code" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <description value="Discriminated by the bound value set" /> <rules value="open" /> </slicing> <min value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/my/core/StructureDefinition/CodeableConcept-my-core" /> </type> <binding> <strength value="preferred" /> <description value="Type of the substance/product, allergy or intolerance condition." /> <valueSet value="http://hl7.org/fhir/my/core/ValueSet/allergy-intolerance-substance-condition-my-core" /> </binding> </element> <element id="AllergyIntolerance.code:allergyIntoleranceGPSCode"> <path value="AllergyIntolerance.code" /> <sliceName value="allergyIntoleranceGPSCode" /> <short value="Code for allergy or intolerance from the SNOMED CT GPS code set" /> <definition value="Code for an allergy or intolerance statement that is selected from the SNOMED CT GPS code set." /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/my/core/StructureDefinition/CodeableConcept-my-core" /> </type> <binding> <strength value="required" /> <description value="Codes for allergy or intolerance from the SNOMED CT GPS code set" /> <valueSet value="http://hl7.org/fhir/my/core/ValueSet/allergy-intolerance-substance-condition-gps-my-core" /> </binding> </element> <element id="AllergyIntolerance.code:absentOrUnknownAllergyIntolerance"> <path value="AllergyIntolerance.code" /> <sliceName value="absentOrUnknownAllergyIntolerance" /> <short value="Code for absent or unknown allergy or intolerance" /> <definition value="Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This describes a categorical negated statement (e.g., "No known allergy")." /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/my/core/StructureDefinition/CodeableConcept-my-core" /> </type> <binding> <strength value="required" /> <description value="negation/exclusion codes for reporting no known allergies or not available data." /> <valueSet value="http://hl7.org/fhir/my/core/ValueSet/absent-or-unknown-allergies-my-core" /> </binding> </element> <element id="AllergyIntolerance.patient"> <path value="AllergyIntolerance.patient" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/my/core/StructureDefinition/Patient-my-core" /> </type> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.patient.reference"> <path value="AllergyIntolerance.patient.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.onset[x]"> <path value="AllergyIntolerance.onset[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> </slicing> </element> <element id="AllergyIntolerance.onset[x]:onsetDateTime"> <path value="AllergyIntolerance.onset[x]" /> <sliceName value="onsetDateTime" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.asserter"> <path value="AllergyIntolerance.asserter" /> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.reaction"> <path value="AllergyIntolerance.reaction" /> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.reaction.manifestation"> <path value="AllergyIntolerance.reaction.manifestation" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <description value="Discriminated by the bound value set" /> <rules value="open" /> </slicing> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/my/core/StructureDefinition/CodeableConcept-my-core" /> </type> </element> <element id="AllergyIntolerance.reaction.manifestation:allergyIntoleranceReactionManifestationGPSCode"> <path value="AllergyIntolerance.reaction.manifestation" /> <sliceName value="allergyIntoleranceReactionManifestationGPSCode" /> <short value="Code for the allergy or intolerance reaction manifestation from the SNOMED CT GPS code set" /> <definition value="Code for an allergy or intolerance reaction manifestation statement that is selected from the SNOMED CT GPS code set." /> <max value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/my/core/StructureDefinition/CodeableConcept-my-core" /> </type> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/my/core/ValueSet/allergy-reaction-gps-my-core" /> </binding> </element> <element id="AllergyIntolerance.reaction.onset"> <path value="AllergyIntolerance.reaction.onset" /> <mustSupport value="true" /> </element> <element id="AllergyIntolerance.reaction.severity"> <path value="AllergyIntolerance.reaction.severity" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	S	0 .. *	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
abatement-dateTime-my-core	S	0..1	dateTime	Abatement datetime URL: http://hl7.org/fhir/my/core/StructureDefinition/abatement-dateTime-my-core
clinicalStatus	S	0 .. 1	CodeableConceptIPS	Concept - reference to a terminology or just text
verificationStatus	S	0 .. 1	CodeableConceptIPS	Concept - reference to a terminology or just text
type	S	0 .. 1	code	allergy \| intolerance - Underlying mechanism (if known)
criticality	S	0 .. 1	code	low \| high \| unable-to-assess
code	S	1 .. 1	(Slice Definition)	Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: Allergy intolerance substance condition - IPS ( preferred )
code:allergyIntoleranceGPSCode	S	0..1	CodeableConceptIPS	Code for allergy or intolerance from the SNOMED CT GPS code set Binding: Allergy intolerance substance condition (GPS) - IPS (required)
code:absentOrUnknownAllergyIntolerance	S	0..1	CodeableConceptIPS	Code for absent or unknown allergy or intolerance Binding: Absent or Unknown Allergies - IPS (required)
patient	S	1 .. 1	Reference(Patient (MY Core))	Who the sensitivity is for
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
onsetDateTime	S	0 .. 1	dateTime	When allergy or intolerance was identified
asserter	S	0 .. 1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Source of the information about the allergy
reaction	S	0 .. *	BackboneElement	Adverse Reaction Events linked to exposure to substance
manifestation	S	1 .. *	(Slice Definition)	Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this
manifestation:allergyIntoleranceReactionManifestationGPSCode	S	0..1	CodeableConceptIPS	Code for the allergy or intolerance reaction manifestation from the SNOMED CT GPS code set Binding: Allergy Reaction (GPS) - IPS (required)
onset	S	0 .. 1	dateTime	Date(/time) when manifestations showed
severity	S	0 .. 1	code	mild \| moderate \| severe (of event as a whole)
Documentation for this format