{ "resourceType": "StructureDefinition", "id": "UKCore-AllergyIntolerance", "url": "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-AllergyIntolerance", "version": "1.0.0", "name": "UKCoreAllergyIntolerance", "title": "UK Core AllergyIntolerance", "status": "draft", "publisher": "HL7 UK", "contact": [ { "name": "HL7 UK", "telecom": [ { "system": "email", "value": "secretariat@hl7.org.uk", "use": "work", "rank": 1 } ] }, { "name": "NHS Digital", "telecom": [ { "system": "email", "value": "interoperabilityteam@nhs.net", "use": "work", "rank": 2 } ] } ], "description": "Defines the UK Core constraints and extensions on the AllergyIntolerance resource for the minimal set of data to query and retrieve allergy information.", "purpose": "This profile allows a record of a clinical assessment of an allergy or intolerance; a propensity, or a potential risk to an individual, to have an adverse reaction on future exposure to the specified substance, or class of substance. \r\nWhere a propensity is identified, to record information or evidence about a reaction event that is characterised by any harmful or undesirable physiological response that is specific to the individual and triggered by exposure of an individual to the identified substance or class of substance. \r\nSubstances include but are not limited to a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.", "copyright": "Copyright © 2020 HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "AllergyIntolerance", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance", "derivation": "constraint", "differential": { "element": [ { "id": "AllergyIntolerance.identifier.assigner", "path": "AllergyIntolerance.identifier.assigner", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Organization" ] } ] }, { "id": "AllergyIntolerance.code", "path": "AllergyIntolerance.code", "binding": { "strength": "extensible", "description": "A code from the SNOMED Clinical Terminology UK with the expression <105590001 |Substance OR <373873005 |Pharmaceutical / biologic product| OR <716186003 |No known allergy| OR 196461000000101 |Transfer-degraded drug allergy| OR 196471000000108 |Transfer-degraded non-drug allergy), or a code from the v3 Code System NullFlavor specifying why a valid value is not present.", "valueSet": "https://fhir.nhs.uk/R4/ValueSet/UKCore-AllergyCode" } }, { "id": "AllergyIntolerance.patient", "path": "AllergyIntolerance.patient", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Patient" ] } ] }, { "id": "AllergyIntolerance.encounter", "path": "AllergyIntolerance.encounter", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Encounter" ] } ] }, { "id": "AllergyIntolerance.recorder", "path": "AllergyIntolerance.recorder", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Practitioner", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-PractitionerRole", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Patient", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-RelatedPerson" ] } ] }, { "id": "AllergyIntolerance.asserter", "path": "AllergyIntolerance.asserter", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Patient", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-RelatedPerson", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Practitioner", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-PractitionerRole" ] } ] }, { "id": "AllergyIntolerance.note.author[x]", "path": "AllergyIntolerance.note.author[x]", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Practitioner", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Patient", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-RelatedPerson", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Organization" ] }, { "code": "string" } ] }, { "id": "AllergyIntolerance.reaction.manifestation", "path": "AllergyIntolerance.reaction.manifestation", "binding": { "strength": "extensible", "description": "A code from the SNOMED Clinical Terminology UK hierarchy with concept id '404684003' to record an allergy manifestation or a value from the HL7 FHIR nullFlavors code system.", "valueSet": "https://fhir.nhs.uk/R4/ValueSet/UKCore-AllergyManifestation" } }, { "id": "AllergyIntolerance.reaction.exposureRoute.coding", "path": "AllergyIntolerance.reaction.exposureRoute.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "AllergyIntolerance.reaction.exposureRoute.coding:snomedCT", "path": "AllergyIntolerance.reaction.exposureRoute.coding", "sliceName": "snomedCT", "binding": { "strength": "extensible", "description": "A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration. Any code from the SNOMED CT UK 'NHS e-Prescribing route of administration subset' with subset original id 30201000001137; the corresponding SNOMED CT UK Refset FSN is 'ePrescribing route of administration simple reference set (foundation metadata concept)' with Refset Id 999000051000001100.", "valueSet": "https://fhir.nhs.uk/R4/ValueSet/UKCore-AllergyExposureRoute" } }, { "id": "AllergyIntolerance.reaction.exposureRoute.coding:snomedCT.system", "path": "AllergyIntolerance.reaction.exposureRoute.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct" }, { "id": "AllergyIntolerance.reaction.exposureRoute.coding:snomedCT.code", "path": "AllergyIntolerance.reaction.exposureRoute.coding.code", "min": 1 }, { "id": "AllergyIntolerance.reaction.exposureRoute.coding:snomedCT.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "AllergyIntolerance.reaction.exposureRoute.coding.display", "min": 1 }, { "id": "AllergyIntolerance.reaction.note.author[x]", "path": "AllergyIntolerance.reaction.note.author[x]", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Practitioner", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Patient", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-RelatedPerson", "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-Organization" ] }, { "code": "string" } ] } ] } }