HL7 FHIR Implementation Guide: ZM-Core Release 1 - Zambia
​0.1.0 - Zambia flag

HL7 FHIR Implementation Guide: ZM-Core Release 1 - Zambia - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ZM-Core Allergy Intolerance Profile

Official URL: http://hapi.moh.gov.zm/fhir/StructureDefinition/zm-core-allergy-intolerance Version: 0.1.0
Active as of 2026-08-12 Computable Name: ZMCoreAllergyIntolerance

Zambia allergy and intolerance profile for allergy substances, medicinal products, severity, and reactions.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣ 1..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!SΣ 0..1 CodeableConcept unconfirmed | presumed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type SΣ 0..1 CodeableConcept allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... criticality SΣ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
... code SΣ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
... patient SΣ 1..1 Reference(ZM-Core Patient Profile) Who the allergy or intolerance is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter when the allergy or intolerance was asserted
... recordedDate S 0..1 dateTime Date allergy or intolerance was first recorded
... participant SΣ 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the allergy or intolerance
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍5.0.0 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status 📍5.0.0 FHIR Std.
AllergyIntolerance.type Base preferred Allergy Intolerance Type 📍5.0.0 FHIR Std.
AllergyIntolerance.category Base required Allergy Intolerance Category 📍5.0.0 FHIR Std.
AllergyIntolerance.criticality Base required Allergy Intolerance Criticality 📍5.0.0 FHIR Std.
AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​severity Base required Allergy Intolerance Severity 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... identifier S 0..* Identifier External ids for this item
... clinicalStatus S 1..1 CodeableConcept active | inactive | resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | presumed | confirmed | refuted | entered-in-error
... category S 0..* code food | medication | environment | biologic
... criticality S 0..1 code low | high | unable-to-assess
... code S 1..1 CodeableConcept Code that identifies the allergy or intolerance
... patient S 1..1 Reference(ZM-Core Patient Profile) Who the allergy or intolerance is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter when the allergy or intolerance was asserted
... recordedDate S 0..1 dateTime Date allergy or intolerance was first recorded
... participant S 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
.... severity S 0..1 code mild | moderate | severe (of event as a whole)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... 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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier External ids for this item
... clinicalStatus ?!SΣ 1..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!SΣ 0..1 CodeableConcept unconfirmed | presumed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type SΣ 0..1 CodeableConcept allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... criticality SΣ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
... code SΣ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
... patient SΣ 1..1 Reference(ZM-Core Patient Profile) Who the allergy or intolerance is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... recordedDate S 0..1 dateTime Date allergy or intolerance was first recorded
... participant SΣ 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
.... 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
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType (extensible)
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the allergy or intolerance
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note 0..* Annotation Additional text not captured in other fields
... reaction S 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 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
.... description 0..1 string Description of the event as a whole
.... onset 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
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: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of exposure to a substance.
.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.language Base required All Languages 📍5.0.0 FHIR Std.
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍5.0.0 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status 📍5.0.0 FHIR Std.
AllergyIntolerance.type Base preferred Allergy Intolerance Type 📍5.0.0 FHIR Std.
AllergyIntolerance.category Base required Allergy Intolerance Category 📍5.0.0 FHIR Std.
AllergyIntolerance.criticality Base required Allergy Intolerance Criticality 📍5.0.0 FHIR Std.
AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📍5.0.0 FHIR Std.
AllergyIntolerance.participant.​function Base extensible Participation Role Type 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​substance Base example Substance Code 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​severity Base required Allergy Intolerance Severity 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣ 1..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!SΣ 0..1 CodeableConcept unconfirmed | presumed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type SΣ 0..1 CodeableConcept allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... criticality SΣ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
... code SΣ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
... patient SΣ 1..1 Reference(ZM-Core Patient Profile) Who the allergy or intolerance is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter when the allergy or intolerance was asserted
... recordedDate S 0..1 dateTime Date allergy or intolerance was first recorded
... participant SΣ 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the allergy or intolerance
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍5.0.0 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status 📍5.0.0 FHIR Std.
AllergyIntolerance.type Base preferred Allergy Intolerance Type 📍5.0.0 FHIR Std.
AllergyIntolerance.category Base required Allergy Intolerance Category 📍5.0.0 FHIR Std.
AllergyIntolerance.criticality Base required Allergy Intolerance Criticality 📍5.0.0 FHIR Std.
AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​severity Base required Allergy Intolerance Severity 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... identifier S 0..* Identifier External ids for this item
... clinicalStatus S 1..1 CodeableConcept active | inactive | resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | presumed | confirmed | refuted | entered-in-error
... category S 0..* code food | medication | environment | biologic
... criticality S 0..1 code low | high | unable-to-assess
... code S 1..1 CodeableConcept Code that identifies the allergy or intolerance
... patient S 1..1 Reference(ZM-Core Patient Profile) Who the allergy or intolerance is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter when the allergy or intolerance was asserted
... recordedDate S 0..1 dateTime Date allergy or intolerance was first recorded
... participant S 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
... reaction S 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
.... severity S 0..1 code mild | moderate | severe (of event as a whole)

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... 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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier External ids for this item
... clinicalStatus ?!SΣ 1..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!SΣ 0..1 CodeableConcept unconfirmed | presumed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type SΣ 0..1 CodeableConcept allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
... category SΣ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... criticality SΣ 0..1 code low | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
... code SΣ 1..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: SubstanceProductAndConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
... patient SΣ 1..1 Reference(ZM-Core Patient Profile) Who the allergy or intolerance is for
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter when the allergy or intolerance was asserted
... onset[x] 0..1 When allergy or intolerance was identified
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... recordedDate S 0..1 dateTime Date allergy or intolerance was first recorded
... participant SΣ 0..* BackboneElement Who or what participated in the activities related to the allergy or intolerance and how they were involved
.... 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
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType (extensible)
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the allergy or intolerance
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note 0..* Annotation Additional text not captured in other fields
... reaction S 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 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
.... manifestation S 1..* CodeableReference(Observation) Clinical symptoms/signs associated with the Event
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
.... description 0..1 string Description of the event as a whole
.... onset 0..1 dateTime Date(/time) when manifestations showed
.... severity S 0..1 code mild | moderate | severe (of event as a whole)
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: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of exposure to a substance.
.... note 0..* Annotation Text about event not captured in other fields

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AllergyIntolerance.language Base required All Languages 📍5.0.0 FHIR Std.
AllergyIntolerance.clinicalStatus Base required AllergyIntolerance Clinical Status Codes 📍5.0.0 FHIR Std.
AllergyIntolerance.verificationStatus Base required AllergyIntolerance Verification Status 📍5.0.0 FHIR Std.
AllergyIntolerance.type Base preferred Allergy Intolerance Type 📍5.0.0 FHIR Std.
AllergyIntolerance.category Base required Allergy Intolerance Category 📍5.0.0 FHIR Std.
AllergyIntolerance.criticality Base required Allergy Intolerance Criticality 📍5.0.0 FHIR Std.
AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📍5.0.0 FHIR Std.
AllergyIntolerance.participant.​function Base extensible Participation Role Type 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​substance Base example Substance Code 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​severity Base required Allergy Intolerance Severity 📍5.0.0 FHIR Std.
AllergyIntolerance.reaction.​exposureRoute Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

 

Other representations of profile: CSV, Excel, Schematron