<status value="draft" /> <description value="Este profile define las restricciones del recurso AllergyIntolerance para representar el registro de una alergia en el contexto del caso de uso de ÚNICAS." /> <fhirVersion value="5.0.0" /> <kind value="resource" /> <abstract value="false" /> <type value="AllergyIntolerance" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" /> <derivation value="constraint" /> <differential> <element id="AllergyIntolerance.identifier"> <path value="AllergyIntolerance.identifier" /> <short value="Identificador único" /> <definition value="External ids for this item. Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server." /> <min value="1" /> </element> <element id="AllergyIntolerance.identifier.system"> <path value="AllergyIntolerance.identifier.system" /> <short value="Sistema para identificar el origen" /> <definition value="Formato: urn:regcess:[CódigoREGCESS] Debe incluir el código REGCESS después de urn:regcess:" /> <min value="1" /> <constraint> <key value="regcess-system" /> <severity value="warning" /> <human value="system debe comenzar por urn:regcess: seguido del identificador del sistema." /> <expression value="matches('^urn:regcess:[A-Za-z0-9]+$')" /> </constraint> </element> <element id="AllergyIntolerance.identifier.value"> <path value="AllergyIntolerance.identifier.value" /> <short value="Identificador interno del sistema para la alergia" /> <definition value="Debe indicar el ID interno del sistema de origen utilizado para la alergia." /> <min value="1" /> </element> <element id="AllergyIntolerance.clinicalStatus"> <path value="AllergyIntolerance.clinicalStatus" /> <short value="Estado de la alergia" /> <definition value="The clinical status of the allergy or intolerance. (active | inactive | resolved)" /> </element> <element id="AllergyIntolerance.verificationStatus"> <path value="AllergyIntolerance.verificationStatus" /> <short value="Nivel de certeza" /> <definition value="Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product). The verification status pertains to the allergy or intolerance, itself, not to any specific AllergyIntolerance attribute. (unconfirmed | presumed | confirmed | refuted | entered-in-error)" /> </element> <element id="AllergyIntolerance.criticality"> <path value="AllergyIntolerance.criticality" /> <short value="Criticidad clínica" /> <definition value="Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance. (low | high | unable-to-assess)" /> </element> <element id="AllergyIntolerance.code"> <path value="AllergyIntolerance.code" /> <short value="Agente causal" /> <definition value="Code that identifies the allergy or intolerance. Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance." /> <min value="1" /> <binding> <strength value="extensible" /> <description value="Value set de Agente causal" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/AgenteCausal" /> </binding> </element> <element id="AllergyIntolerance.code.coding.system"> <path value="AllergyIntolerance.code.coding.system" /> <short value="URL del SNOMED CT. Extensión para España del SNS" /> <definition value="Posible URL de terminología utilizada para indicar el agente causal y su descripción correspondiente: - SNOMED CT. Extensión para España del SNS con filtro aplicado a los ejes sustancia, producto, objeto físico y fuerza física: http://snomed.info/sct/900000001000122104" /> <min value="1" /> </element> <element id="AllergyIntolerance.code.coding.code"> <path value="AllergyIntolerance.code.coding.code" /> <short value="Código del agente causal" /> <min value="1" /> </element> <element id="AllergyIntolerance.code.coding.display"> <path value="AllergyIntolerance.code.coding.display" /> <short value="Descripción del agente causal" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> <min value="1" /> </element> <element id="AllergyIntolerance.patient"> <path value="AllergyIntolerance.patient" /> <short value="Referencia al paciente" /> <definition value="Who the allergy or intolerance is for. The patient who has the allergy or intolerance." /> <type> <code value="Reference" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient" /> </type> </element> <element id="AllergyIntolerance.patient.reference"> <path value="AllergyIntolerance.patient.reference" /> <short value="Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR" /> <definition value="Formato: [base]/Patient?identifier=[OID registro de número de CIP-SNS]|[Número CIP-SNS]" /> </element> <element id="AllergyIntolerance.patient.type"> <path value="AllergyIntolerance.patient.type" /> <short value="Tipo de recurso FHIR" /> <definition value="Type the reference refers to (e.g. "Patient") - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." /> <min value="1" /> </element> <element id="AllergyIntolerance.patient.identifier"> <path value="AllergyIntolerance.patient.identifier" /> <short value="Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS" /> <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." /> <min value="1" /> </element> <element id="AllergyIntolerance.patient.identifier.type"> <path value="AllergyIntolerance.patient.identifier.type" /> <short value="Tipos de documentos de identificación para persona ÚNICAS" /> <definition value="Description of identifier. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." /> <binding> <strength value="extensible" /> <description value="Value set de Tipos de documentos de identificación para persona ÚNICAS" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDocumentosIdentificacionPersona" /> </binding> </element> <element id="AllergyIntolerance.patient.identifier.type.coding.system"> <path value="AllergyIntolerance.patient.identifier.type.coding.system" /> <short value="URL del SNOMED CT. Extensión para España del SNS" /> <definition value="Posible URL de terminología utilizada para indicar el tipo de documentos de identificación y su descripción correspondiente: - SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" /> </element> <element id="AllergyIntolerance.patient.identifier.type.coding.code"> <path value="AllergyIntolerance.patient.identifier.type.coding.code" /> <short value="Código del identificador" /> </element> <element id="AllergyIntolerance.patient.identifier.type.coding.display"> <path value="AllergyIntolerance.patient.identifier.type.coding.display" /> <short value="Decripción del identificador" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> </element> <element id="AllergyIntolerance.patient.identifier.system"> <path value="AllergyIntolerance.patient.identifier.system" /> <short value="OID registro de número de CIP-SNS" /> <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." /> </element> <element id="AllergyIntolerance.patient.identifier.value"> <path value="AllergyIntolerance.patient.identifier.value" /> <short value="Número CIP-SNS" /> <definition value="The value that is unique. The portion of the identifier typically relevant to the user and which is unique within the context of the system." /> </element> <element id="AllergyIntolerance.patient.display"> <path value="AllergyIntolerance.patient.display" /> <short value="Nombre completo del paciente" /> <definition value="Text alternative for the resource. Plain text narrative that identifies the resource in addition to the resource reference." /> </element> <element id="AllergyIntolerance.encounter"> <path value="AllergyIntolerance.encounter" /> <short value="Referencia a la interacción clínica" /> <type> <code value="Reference" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter" /> </type> </element> <element id="AllergyIntolerance.encounter.reference"> <path value="AllergyIntolerance.encounter.reference" /> <short value="Referencia recurso FHIR" /> <definition value="Formato: [base]/Encounter?identifier=urn:regcess:[CódigoREGCESS]|[Id interno del sistema para la interacción clínica]" /> </element> <element id="AllergyIntolerance.encounter.type"> <path value="AllergyIntolerance.encounter.type" /> <short value="Tipo de recurso FHIR" /> <definition value="Type the reference refers to (e.g. "Patient") - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." /> </element> <element id="AllergyIntolerance.encounter.identifier"> <path value="AllergyIntolerance.encounter.identifier" /> <short value="Identificador del recurso FHIR" /> <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." /> </element> <element id="AllergyIntolerance.encounter.identifier.system"> <path value="AllergyIntolerance.encounter.identifier.system" /> <short value="Sistema para identificar el origen" /> <definition value="Formato: urn:regcess:[CódigoREGCESS] Debe incluir el código REGCESS después de urn:regcess:" /> </element> <element id="AllergyIntolerance.encounter.identifier.value"> <path value="AllergyIntolerance.encounter.identifier.value" /> <short value="Identificador interno del sistema para la interacción clínica" /> <definition value="Debe indicar el ID interno del sistema de origen utilizado para la interacción clínica" /> </element> <element id="AllergyIntolerance.onset[x]"> <path value="AllergyIntolerance.onset[x]" /> <short value="Fecha de inicio (Fecha en que se identificó por primera vez la alergia o ocurrió la primera reacción)" /> <definition value="When allergy or intolerance was identified. Estimated or actual date, date-time, or age when allergy or intolerance was identified." /> <min value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="AllergyIntolerance.participant"> <path value="AllergyIntolerance.participant" /> <short value="Profesional sanitario" /> <definition value="Who or what participated in the activities related to the allergy or intolerance and how they were involved. Indicates who or what participated in the activities related to the allergy or intolerance and how they were involved." /> <min value="1" /> </element> <element id="AllergyIntolerance.participant.actor"> <path value="AllergyIntolerance.participant.actor" /> <short value="Referencia al profesional sanitario" /> <definition value="Who or what participated in the activities related to the allergy or intolerance. Indicates who or what participated in the activities related to the allergy or intolerance." /> <type> <code value="Reference" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization" /> </type> </element> <element id="AllergyIntolerance.participant.actor.reference"> <path value="AllergyIntolerance.participant.actor.reference" /> <short value="Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR" /> <definition value="Formato: [base]/Practitioner?identifier=[OID registro de DNI]|[Número DNI]" /> </element> <element id="AllergyIntolerance.participant.actor.type"> <path value="AllergyIntolerance.participant.actor.type" /> <short value="Tipo de recurso FHIR" /> <definition value="Type the reference refers to (e.g. "Patient") - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." /> <min value="1" /> </element> <element id="AllergyIntolerance.participant.actor.identifier"> <path value="AllergyIntolerance.participant.actor.identifier" /> <short value="Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado" /> <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." /> <min value="1" /> </element> <element id="AllergyIntolerance.participant.actor.identifier.extension:numeroColegiadoProfesionalSanitario"> <path value="AllergyIntolerance.participant.actor.identifier.extension" /> <sliceName value="numeroColegiadoProfesionalSanitario" /> <type> <code value="Extension" /> <profile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario" /> </type> <isModifier value="false" /> </element> <element id="AllergyIntolerance.participant.actor.identifier.type"> <path value="AllergyIntolerance.participant.actor.identifier.type" /> <short value="Tipos de documentos de identificación para persona ÚNICAS" /> <definition value="Description of identifier. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." /> <binding> <strength value="extensible" /> <description value="Value set de Tipos de documentos de identificación para persona ÚNICAS" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDocumentosIdentificacionPersona" /> </binding> </element> <element id="AllergyIntolerance.participant.actor.identifier.type.coding.system"> <path value="AllergyIntolerance.participant.actor.identifier.type.coding.system" /> <short value="URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS" /> <definition value="Posible URL de terminología utilizada para indicar el tipo de documentos de identificación y su descripción correspondiente: - Refset Tipos de documento para identificación personal del SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104?fhir_vs-refset/900000251000122107" /> </element> <element id="AllergyIntolerance.participant.actor.identifier.type.coding.code"> <path value="AllergyIntolerance.participant.actor.identifier.type.coding.code" /> <short value="Código del identificador" /> </element> <element id="AllergyIntolerance.participant.actor.identifier.type.coding.display"> <path value="AllergyIntolerance.participant.actor.identifier.type.coding.display" /> <short value="Decripción del identificador" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> </element> <element id="AllergyIntolerance.participant.actor.identifier.system"> <path value="AllergyIntolerance.participant.actor.identifier.system" /> <short value="OID registro de DNI" /> <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." /> </element> <element id="AllergyIntolerance.participant.actor.identifier.value"> <path value="AllergyIntolerance.participant.actor.identifier.value" /> <short value="Número del DNI" /> <definition value="The value that is unique. The portion of the identifier typically relevant to the user and which is unique within the context of the system." /> </element> <element id="AllergyIntolerance.participant.actor.display"> <path value="AllergyIntolerance.participant.actor.display" /> <short value="Nombre completo del profesional sanitario" /> <definition value="Text alternative for the resource. Plain text narrative that identifies the resource in addition to the resource reference." /> </element> <element id="AllergyIntolerance.lastOccurrence"> <path value="AllergyIntolerance.lastOccurrence" /> <short value="Fecha de fin (Puede corresponder a la fecha de la última ocurrencia de la reacción alérgica)" /> <definition value="Date(/time) of last known occurrence of a reaction. Represents the date and/or time of the last known occurrence of a reaction event." /> </element> <element id="AllergyIntolerance.note"> <path value="AllergyIntolerance.note" /> <short value="Comentario" /> <definition value="Additional text not captured in other fields. Additional narrative about the propensity for the Adverse Reaction, not captured in other fields." /> </element> <element id="AllergyIntolerance.note.text"> <path value="AllergyIntolerance.note.text" /> <short value="Comentario" /> <definition value="The annotation - text content (as markdown). The text of the annotation in markdown format." /> </element> <element id="AllergyIntolerance.reaction.substance"> <path value="AllergyIntolerance.reaction.substance" /> <short value="Agente causal" /> <definition value="Specific substance or pharmaceutical product considered to be responsible for event. Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance." /> <binding> <strength value="extensible" /> <description value="Value set de Agente causal" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/AgenteCausal" /> </binding> </element> <element id="AllergyIntolerance.reaction.substance.coding.system"> <path value="AllergyIntolerance.reaction.substance.coding.system" /> <short value="URL del SNOMED CT. Extensión para España del SNS" /> <definition value="Posible URL de terminología utilizada para indicar el agente causal y su descripción correspondiente: - SNOMED CT. Extensión para España del SNS con filtro aplicado a los ejes sustancia, producto, objeto físico y fuerza física: http://snomed.info/sct/900000001000122104" /> </element> <element id="AllergyIntolerance.reaction.substance.coding.code"> <path value="AllergyIntolerance.reaction.substance.coding.code" /> <short value="Código del agente causal" /> </element> <element id="AllergyIntolerance.reaction.substance.coding.display"> <path value="AllergyIntolerance.reaction.substance.coding.display" /> <short value="Descripción del agente causal" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> </element> <element id="AllergyIntolerance.reaction.manifestation"> <path value="AllergyIntolerance.reaction.manifestation" /> <short value="Manifestación clínica" /> <definition value="Clinical symptoms/signs associated with the Event. Clinical symptoms and/or signs that are observed or associated with the adverse reaction event." /> <binding> <strength value="extensible" /> <description value="Value set de Manifestaciones clínicas" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/ManifestacionesClinicas" /> </binding> </element> <element id="AllergyIntolerance.reaction.manifestation.concept"> <path value="AllergyIntolerance.reaction.manifestation.concept" /> <short value="Manifestación clínica" /> <definition value="Reference to a concept (by class). A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology." /> </element> <element id="AllergyIntolerance.reaction.manifestation.concept.coding.system"> <path value="AllergyIntolerance.reaction.manifestation.concept.coding.system" /> <short value="URL del SNOMED CT. Extensión para España del SNS | OID de la terminología CIE-10-ES. Diagnósticos" /> <definition value="Posibles URLs y/o OIDs de terminologías utilizadas para indicar la manifestación clínica y su descripción correspondiente: - SNOMED CT. Extensión para España del SNS con filtro aplicado a los ejes hallazgo y situación: http://snomed.info/sct/900000001000122104 - CIE-10-ES. Diagnósticos: urn:oid:2.16.724.4.21.5.29" /> <min value="1" /> </element> <element id="AllergyIntolerance.reaction.manifestation.concept.coding.code"> <path value="AllergyIntolerance.reaction.manifestation.concept.coding.code" /> <short value="Código de la manifestación clínica" /> <min value="1" /> </element> <element id="AllergyIntolerance.reaction.manifestation.concept.coding.display"> <path value="AllergyIntolerance.reaction.manifestation.concept.coding.display" /> <short value="Descripción de la manifestación clínica" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> <min value="1" /> </element> <element id="AllergyIntolerance.reaction.severity"> <path value="AllergyIntolerance.reaction.severity" /> <short value="Gravedad de la reacción" /> <definition value="Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations. (mild | moderate | severe (of event as a whole))" /> </element> </differential> </StructureDefinition>