Standard Health Record

NoKnownAllergyProfile

 

The official URL for this profile is:

http://standardhealthrecord.org/fhir/StructureDefinition/shr-allergy-NoKnownAllergy

Express no known allergies or hypersensitivity to any food, drug, biologic, or environmental substance.

This profile builds on US Core AllergyIntolerance Profile.

This profile was published on Wed Aug 22 00:00:00 EDT 2018 as a draft by The MITRE Corporation: Standard Health Record Collaborative.

Summary

Mandatory: 0 element (3 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element AllergyIntolerance.code.coding is sliced based on the value of value:code

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.allergy.NoKnownAllergy maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance:
  SubjectOfInformation maps to patient
  SourceOfInformation.EntityOrRole maps to asserter
  Signed.Attribution.EntityOrRole maps to recorder 
  _Entry.CreationTime maps to assertedDate
  AdverseSensitivityTopic.TopicCode maps to code
  constrain type to 0..0
  constrain category to 0..0
  constrain clinicalStatus to 0..0
  constrain criticality to 0..0
  constrain onset[x] to 0..0
  constrain lastOccurrence to 0..0
  constrain reaction to 0..0

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SHR NoKnownAllergy Profile
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-context-AbsenceContext-extension 1..1(Complex)SHR AbsenceContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-context-AbsenceContext-extension
... clinicalStatus 0..0
... type 0..0
... category 0..0
... criticality 0..0
... code CodeableConceptProfile
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfileNo known allergy (situation)
..... system Fixed Value: http://snomed.info/sct
..... code Fixed Value: 716186003
... patient Reference(SHR Patient Profile)
... onset[x] 0..0
... assertedDate 1..1
... recorder Reference(SHR Practitioner Profile | SHR Patient Profile)
... asserter Reference(SHR Patient Profile | SHR RelatedPerson Profile | SHR Practitioner Profile)
... lastOccurrence 0..0
... reaction 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance I0..*SHR NoKnownAllergy Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-context-AbsenceContext-extension 1..1(Complex)SHR AbsenceContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-context-AbsenceContext-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal ids for this item
... verificationStatus ?!SΣI1..1codeunconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatus (required)
... code SΣ1..1CodeableConceptProfileCode that identifies the allergy or intolerance
Binding: US Core Substance-Reactant for Intolerance and Negation Codes (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfileNo known allergy (situation)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 716186003
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... patient SΣ1..1Reference(SHR Patient Profile)Who the sensitivity is for
... assertedDate 1..1dateTimeDate record was believed accurate
... recorder 0..1Reference(SHR Practitioner Profile | SHR Patient Profile)Who recorded the sensitivity
... asserter Σ0..1Reference(SHR Patient Profile | SHR RelatedPerson Profile | SHR Practitioner Profile)Source of the information about the allergy
... note 0..*AnnotationAdditional text not captured in other fields

doco Documentation for this format

Summary

Mandatory: 0 element (3 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element AllergyIntolerance.code.coding is sliced based on the value of value:code

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.allergy.NoKnownAllergy maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance:
  SubjectOfInformation maps to patient
  SourceOfInformation.EntityOrRole maps to asserter
  Signed.Attribution.EntityOrRole maps to recorder 
  _Entry.CreationTime maps to assertedDate
  AdverseSensitivityTopic.TopicCode maps to code
  constrain type to 0..0
  constrain category to 0..0
  constrain clinicalStatus to 0..0
  constrain criticality to 0..0
  constrain onset[x] to 0..0
  constrain lastOccurrence to 0..0
  constrain reaction to 0..0

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance SHR NoKnownAllergy Profile
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-context-AbsenceContext-extension 1..1(Complex)SHR AbsenceContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-context-AbsenceContext-extension
... clinicalStatus 0..0
... type 0..0
... category 0..0
... criticality 0..0
... code CodeableConceptProfile
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfileNo known allergy (situation)
..... system Fixed Value: http://snomed.info/sct
..... code Fixed Value: 716186003
... patient Reference(SHR Patient Profile)
... onset[x] 0..0
... assertedDate 1..1
... recorder Reference(SHR Practitioner Profile | SHR Patient Profile)
... asserter Reference(SHR Patient Profile | SHR RelatedPerson Profile | SHR Practitioner Profile)
... lastOccurrence 0..0
... reaction 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance I0..*SHR NoKnownAllergy Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-context-AbsenceContext-extension 1..1(Complex)SHR AbsenceContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-context-AbsenceContext-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal ids for this item
... verificationStatus ?!SΣI1..1codeunconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatus (required)
... code SΣ1..1CodeableConceptProfileCode that identifies the allergy or intolerance
Binding: US Core Substance-Reactant for Intolerance and Negation Codes (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfileNo known allergy (situation)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 716186003
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... patient SΣ1..1Reference(SHR Patient Profile)Who the sensitivity is for
... assertedDate 1..1dateTimeDate record was believed accurate
... recorder 0..1Reference(SHR Practitioner Profile | SHR Patient Profile)Who recorded the sensitivity
... asserter Σ0..1Reference(SHR Patient Profile | SHR RelatedPerson Profile | SHR Practitioner Profile)Source of the information about the allergy
... note 0..*AnnotationAdditional text not captured in other fields

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
AllergyIntolerance.languageCommon LanguagesextensibleCommon Languages
AllergyIntolerance.verificationStatusAllergyIntoleranceVerificationStatusrequiredAllergyIntoleranceVerificationStatus
AllergyIntolerance.codeUS Core Substance-Reactant for Intolerance and Negation CodesextensibleUS Core Substance-Reactant for Intolerance and Negation Codes
AllergyIntolerance.reaction.substanceSubstance CodeexampleSubstance Code
AllergyIntolerance.reaction.manifestationSNOMED CT Clinical FindingsexampleSNOMED CT Clinical Findings
AllergyIntolerance.reaction.severityAllergyIntoleranceSeverityrequiredAllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRouteSNOMED CT Route CodesexampleSNOMED CT Route Codes

 

Constraints

IdPathDetailsRequirements
dom-2AllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1AllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4AllergyIntoleranceIf 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-3AllergyIntoleranceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
ait-1AllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
: verificationStatus='entered-in-error' or clinicalStatus.exists()
ait-2AllergyIntoleranceAllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus!='entered-in-error' or clinicalStatus.empty()