MyHealth@EU Core
1.0.0 - trial-use 150

MyHealth@EU Core - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Allergy Intolerance (Core)

Official URL: http://fhir.ehdsi.eu/core/StructureDefinition/allergyIntolerance-myhealtheu-core | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: AllergyIntoleranceMyHealthCore

This profile sets minimum expectations for the AllergyIntolerance resource common to most of the use cases.

This profile constrains the AllergyIntolerance resource for the purpose of project.

Usages:

- Examples for this Profile: AllergyIntolerance/a1b2c3d4-e5f6-7890-abcd-ef1234567890

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntoleranceEuCore | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the allergy or intolerance content Binding: eHDSI Language (required)
Slices for extension |  |  |  | Content/Rules for all slices
extension:abatement |  | 0..1 | (Complex) | When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
Slices for value[x] |  | 1..1 |  | Value of extension Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valueAge |  |  | Age |
valuePeriod |  |  | Period |
valueRange |  |  | Range |
valueString |  |  | string |
value[x]:valueDateTime |  | 0..1 | dateTime | End date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code | O Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (required): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | Preferred
WHO ATC - IPS | Preferred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
patient | Σ | 1..1 | Reference(Patient (Core)) | Who the allergy or intolerance concerns
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] |  | 0..1 |  | Date of onset of the allergy or intolerance Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime |  | 0..1 | dateTime | Onset date
note | O | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
text | Σ | 1..1 | markdown | Additional information about the allergy or intolerance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.code | Base | required | eHDSI Agent or Allergen With Exceptions | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from AllergyIntoleranceEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntoleranceEuCore | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
language |  | 0..1 | code | Language of the allergy or intolerance content Binding: eHDSI Language (required)
code | O | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (required): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
patient |  | 1..1 | Reference(Patient (Core)) | Who the allergy or intolerance concerns
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
note | O | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reaction |  |  |  |
substance | O | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: eHDSI Agent or Allergen Substance With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
manifestation |  | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: eHDSI Allergy Reaction With Exceptions (required)
exposureRoute |  | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: eHDSI Route of Administration (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
AllergyIntolerance.code | Base | required | eHDSI Agent or Allergen With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​substance | Base | required | eHDSI Agent or Allergen Substance With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​manifestation | Base | required | eHDSI Allergy Reaction With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​exposureRoute | Base | extensible | eHDSI Route of Administration | 📦9.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntoleranceEuCore | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the allergy or intolerance content Binding: eHDSI Language (required)
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:abatement |  | 0..1 | (Complex) | When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
Slices for value[x] |  | 1..1 |  | Value of extension Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valueAge |  |  | Age |
valuePeriod |  |  | Period |
valueRange |  |  | Range |
valueString |  |  | string |
value[x]:valueDateTime |  | 0..1 | dateTime | End date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for the allergy or intolerance
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | Σ | 0..1 | code | Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category | Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality | Σ | 0..1 | code | Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | O Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (required): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | Preferred
WHO ATC - IPS | Preferred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
patient | Σ | 1..1 | Reference(Patient (Core)) | Who the allergy or intolerance concerns
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter |  | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted
Slices for onset[x] |  | 0..1 |  | Date of onset of the allergy or intolerance Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime |  | 0..1 | dateTime | Onset date
recordedDate |  | 0..1 | dateTime | Date when the allergy or intolerance was recorded
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the allergy or intolerance
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who asserts the allergy or intolerance
lastOccurrence |  | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
note | O | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Additional information about the allergy or intolerance
reaction |  | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
substance | O | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: eHDSI Agent or Allergen Substance With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
manifestation |  | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: eHDSI Allergy Reaction With Exceptions (required)
Additional Bindings | Purpose
eHDSI Reaction Allergy | Preferred
description |  | 0..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Reaction onset
severity |  | 0..1 | code | Reaction severity Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute |  | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: eHDSI Route of Administration (extensible)
note |  | 0..* | Annotation | Text about event not captured in other fields
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.category | Base | required | AllergyIntoleranceCategory | 📍4.0.1 | FHIR Std.
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | FHIR Std.
AllergyIntolerance.code | Base | required | eHDSI Agent or Allergen With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.patient.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.reaction.​substance | Base | required | eHDSI Agent or Allergen Substance With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​manifestation | Base | required | eHDSI Allergy Reaction With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​severity | Base | required | AllergyIntoleranceSeverity | 📍4.0.1 | FHIR Std.
AllergyIntolerance.reaction.​exposureRoute | Base | extensible | eHDSI Route of Administration | 📦9.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from AllergyIntoleranceEuCore

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntoleranceEuCore | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the allergy or intolerance content Binding: eHDSI Language (required)
Slices for extension |  |  |  | Content/Rules for all slices
extension:abatement |  | 0..1 | (Complex) | When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
Slices for value[x] |  | 1..1 |  | Value of extension Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valueAge |  |  | Age |
valuePeriod |  |  | Period |
valueRange |  |  | Range |
valueString |  |  | string |
value[x]:valueDateTime |  | 0..1 | dateTime | End date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code | O Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (required): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | Preferred
WHO ATC - IPS | Preferred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
patient | Σ | 1..1 | Reference(Patient (Core)) | Who the allergy or intolerance concerns
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] |  | 0..1 |  | Date of onset of the allergy or intolerance Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime |  | 0..1 | dateTime | Onset date
note | O | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
text | Σ | 1..1 | markdown | Additional information about the allergy or intolerance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.code | Base | required | eHDSI Agent or Allergen With Exceptions | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from AllergyIntoleranceEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AllergyIntoleranceEuCore | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
language |  | 0..1 | code | Language of the allergy or intolerance content Binding: eHDSI Language (required)
code | O | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (required): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
patient |  | 1..1 | Reference(Patient (Core)) | Who the allergy or intolerance concerns
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
note | O | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reaction |  |  |  |
substance | O | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: eHDSI Agent or Allergen Substance With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
manifestation |  | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: eHDSI Allergy Reaction With Exceptions (required)
exposureRoute |  | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: eHDSI Route of Administration (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
AllergyIntolerance.code | Base | required | eHDSI Agent or Allergen With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​substance | Base | required | eHDSI Agent or Allergen Substance With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​manifestation | Base | required | eHDSI Allergy Reaction With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​exposureRoute | Base | extensible | eHDSI Route of Administration | 📦9.1.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntoleranceEuCore | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the allergy or intolerance content Binding: eHDSI Language (required)
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:abatement |  | 0..1 | (Complex) | When the allergy or intolerance resolved URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
Slices for value[x] |  | 1..1 |  | Value of extension Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valueAge |  |  | Age |
valuePeriod |  |  | Period |
valueRange |  |  | Range |
valueString |  |  | string |
value[x]:valueDateTime |  | 0..1 | dateTime | End date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for the allergy or intolerance
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | Certainty Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | Σ | 0..1 | code | Type of propensity Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category | Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality | Σ | 0..1 | code | Criticality Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | O Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: eHDSI Agent or Allergen With Exceptions (required): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
Additional Bindings | Purpose
eHDSI Allergen No Drug | Preferred
WHO ATC - IPS | Preferred
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
patient | Σ | 1..1 | Reference(Patient (Core)) | Who the allergy or intolerance concerns
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter |  | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted
Slices for onset[x] |  | 0..1 |  | Date of onset of the allergy or intolerance Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime |  | 0..1 | dateTime | Onset date
recordedDate |  | 0..1 | dateTime | Date when the allergy or intolerance was recorded
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the allergy or intolerance
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who asserts the allergy or intolerance
lastOccurrence |  | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
note | O | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Additional information about the allergy or intolerance
reaction |  | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
substance | O | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: eHDSI Agent or Allergen Substance With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
manifestation |  | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: eHDSI Allergy Reaction With Exceptions (required)
Additional Bindings | Purpose
eHDSI Reaction Allergy | Preferred
description |  | 0..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Reaction onset
severity |  | 0..1 | code | Reaction severity Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute |  | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: eHDSI Route of Administration (extensible)
note |  | 0..* | Annotation | Text about event not captured in other fields
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AllergyIntolerance.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
AllergyIntolerance.clinicalStatus | Base | required | AllergyIntolerance Clinical Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.verificationStatus | Base | required | AllergyIntolerance Verification Status Codes | 📍4.0.1 | FHIR Std.
AllergyIntolerance.type | Base | required | AllergyIntoleranceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.category | Base | required | AllergyIntoleranceCategory | 📍4.0.1 | FHIR Std.
AllergyIntolerance.criticality | Base | required | AllergyIntoleranceCriticality | 📍4.0.1 | FHIR Std.
AllergyIntolerance.code | Base | required | eHDSI Agent or Allergen With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.patient.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
AllergyIntolerance.reaction.​substance | Base | required | eHDSI Agent or Allergen Substance With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​manifestation | Base | required | eHDSI Allergy Reaction With Exceptions | 📦1.0.0 | This IG
AllergyIntolerance.reaction.​severity | Base | required | AllergyIntoleranceSeverity | 📍4.0.1 | FHIR Std.
AllergyIntolerance.reaction.​exposureRoute | Base | extensible | eHDSI Route of Administration | 📦9.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from AllergyIntoleranceEuCore

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)

Maturity: 2

Other representations of profile: CSV, Excel, Schematron