2nd DSTU Draft For Comment
This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
The official URL for this profile is:
http://hl7.org/fhir/Profile/cqf-allergyintolerance-cqf-allergyintolerance
. Profile of AllergyIntolerance for decision support/quality metrics. Indicates which elements must be supported by CQF rules and measure engines. Removes modifying attributes. : Clinical Quality Framework (CQF) AllergyIntolerance Profile
This profile was published on Mon, Nov 3, 2014 00:00+1100 as a draft by Health Level Seven, Inc. - CQI WG.
Terminology Bindings
Required/Prohibited Elements
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
Differential View
This structure is derived from AllergyIntolerance.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  AllergyIntolerance | 1..1 | |||
  recordedDate | S | 0..1 | dateTime | |
 recorder | S | 0..1 | Practitioner, Patient | |
| subject | S | 1..1 | Patient | |
 substance | S | 1..1 | CodeableConcept | |
| status | S | 0..1 | code | unconfirmed | confirmed | resolved Binding: valuesetAllergyIntoleranceStatusPresent (required, not extensible) |
| criticality | S | 0..1 | code | |
| type | S | 0..1 | code | |
| category | S | 0..1 | code | |
| lastOccurence | 0..1 | dateTime | ||
 event | S | 0..* | ||
 substance | S | 0..1 | CodeableConcept | |
| certainty | S | 0..1 | code | |
| manifestation | 1..* | CodeableConcept | ||
| onset | S | 0..1 | dateTime | |
| duration | S | 0..1 | Duration | |
| severity | S | 0..1 | code | |
| exposureRoute | S | 0..1 | CodeableConcept |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | 1..1 | Allergy or Intolerance (generally: Risk Of Adverse reaction to a substance) | ||
| id | 0..1 | id | Logical id of this artefact | |
 meta | 0..1 | Meta | Metadata about the resource | |
| implicitRules | M | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Language (required, not extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored | |
| identifier | Σ | 0..* | Identifier | External Ids for this item |
| recordedDate | S Σ | 0..1 | dateTime | When recorded |
| recorder | S Σ | 0..1 | Practitioner, Patient | Who recorded the sensitivity |
| subject | S Σ | 1..1 | Patient | Who the sensitivity is for |
| substance | S Σ | 1..1 | CodeableConcept | Substance, (or class) considered to be responsible for risk Binding: SubstanceType (example, extensible) |
| status | M SΣ | 0..1 | code | unconfirmed | confirmed | resolved Binding: valuesetAllergyIntoleranceStatusPresent (required, not extensible) |
| criticality | S Σ | 0..1 | code | low | high | unassessible - Estimated potential clinical harm Binding: AllergyIntoleranceCriticality (required, not extensible) |
| type | S Σ | 0..1 | code | immune | non-immune - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required, not extensible) |
| category | S Σ | 0..1 | code | food | medication | environment - Category of Substance Binding: AllergyIntoleranceCategory (required, not extensible) |
| lastOccurence | Σ | 0..1 | dateTime | Date(/time) of last known occurence of a reaction |
| comment | 0..1 | string | Additional text not captured in other fields | |
| event | S | 0..* | Adverse Reaction Events linked to exposure to substance | |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored | |
| substance | S Σ | 0..1 | CodeableConcept | Specific substance considered to be responsible for event Binding: SubstanceType (example, extensible) |
| certainty | S Σ | 0..1 | code | unlikely | likely | confirmed - clinical certainty about the specific substance Binding: AllergyIntoleranceCertainty (required, not extensible) |
| manifestation | Σ | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Manifestation (example, extensible) |
| description | 0..1 | string | Description of the event as a whole | |
| onset | S Σ | 0..1 | dateTime | Date(/time) when manifestations showed |
| duration | S | 0..1 | Duration | How long Manifestations persisted |
| severity | S Σ | 0..1 | code | mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required, not extensible) |
| exposureRoute | S Σ | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: RouteOfAdministration (example, extensible) |
| comment | 0..1 | string | Text about event not captured in other fields |
XML Template
JSON Template
todo
Differential View
This structure is derived from AllergyIntolerance.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | 1..1 | |||
| recordedDate | S | 0..1 | dateTime | |
| recorder | S | 0..1 | Practitioner, Patient | |
| subject | S | 1..1 | Patient | |
| substance | S | 1..1 | CodeableConcept | |
| status | S | 0..1 | code | unconfirmed | confirmed | resolved Binding: valuesetAllergyIntoleranceStatusPresent (required, not extensible) |
| criticality | S | 0..1 | code | |
| type | S | 0..1 | code | |
| category | S | 0..1 | code | |
| lastOccurence | 0..1 | dateTime | ||
| event | S | 0..* | ||
| substance | S | 0..1 | CodeableConcept | |
| certainty | S | 0..1 | code | |
| manifestation | 1..* | CodeableConcept | ||
| onset | S | 0..1 | dateTime | |
| duration | S | 0..1 | Duration | |
| severity | S | 0..1 | code | |
| exposureRoute | S | 0..1 | CodeableConcept |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | 1..1 | Allergy or Intolerance (generally: Risk Of Adverse reaction to a substance) | ||
| id | 0..1 | id | Logical id of this artefact | |
| meta | 0..1 | Meta | Metadata about the resource | |
| implicitRules | M | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Language (required, not extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored | |
| identifier | Σ | 0..* | Identifier | External Ids for this item |
| recordedDate | S Σ | 0..1 | dateTime | When recorded |
| recorder | S Σ | 0..1 | Practitioner, Patient | Who recorded the sensitivity |
| subject | S Σ | 1..1 | Patient | Who the sensitivity is for |
| substance | S Σ | 1..1 | CodeableConcept | Substance, (or class) considered to be responsible for risk Binding: SubstanceType (example, extensible) |
| status | M SΣ | 0..1 | code | unconfirmed | confirmed | resolved Binding: valuesetAllergyIntoleranceStatusPresent (required, not extensible) |
| criticality | S Σ | 0..1 | code | low | high | unassessible - Estimated potential clinical harm Binding: AllergyIntoleranceCriticality (required, not extensible) |
| type | S Σ | 0..1 | code | immune | non-immune - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required, not extensible) |
| category | S Σ | 0..1 | code | food | medication | environment - Category of Substance Binding: AllergyIntoleranceCategory (required, not extensible) |
| lastOccurence | Σ | 0..1 | dateTime | Date(/time) of last known occurence of a reaction |
| comment | 0..1 | string | Additional text not captured in other fields | |
| event | S | 0..* | Adverse Reaction Events linked to exposure to substance | |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored | |
| substance | S Σ | 0..1 | CodeableConcept | Specific substance considered to be responsible for event Binding: SubstanceType (example, extensible) |
| certainty | S Σ | 0..1 | code | unlikely | likely | confirmed - clinical certainty about the specific substance Binding: AllergyIntoleranceCertainty (required, not extensible) |
| manifestation | Σ | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Manifestation (example, extensible) |
| description | 0..1 | string | Description of the event as a whole | |
| onset | S Σ | 0..1 | dateTime | Date(/time) when manifestations showed |
| duration | S | 0..1 | Duration | How long Manifestations persisted |
| severity | S Σ | 0..1 | code | mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required, not extensible) |
| exposureRoute | S Σ | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: RouteOfAdministration (example, extensible) |
| comment | 0..1 | string | Text about event not captured in other fields |
XML Template
JSON Template
todo
Other definitions: (todo)
| Path | Name | Conformance | ValueSet |
| AllergyIntolerance.language | Language | required | http://tools.ietf.org/html/bcp47 |
| AllergyIntolerance.substance | SubstanceType | example (extensible) | Substance Type |
| AllergyIntolerance.status | valuesetAllergyIntoleranceStatusPresent | required | AllergyIntoleranceStatusPresent |
| AllergyIntolerance.criticality | AllergyIntoleranceCriticality | required | AllergyIntoleranceCriticality |
| AllergyIntolerance.type | AllergyIntoleranceType | required | AllergyIntoleranceType |
| AllergyIntolerance.category | AllergyIntoleranceCategory | required | AllergyIntoleranceCategory |
| AllergyIntolerance.event.substance | SubstanceType | example (extensible) | Substance Type |
| AllergyIntolerance.event.certainty | AllergyIntoleranceCertainty | required | AllergyIntoleranceCertainty |
| AllergyIntolerance.event.manifestation | Manifestation | example (extensible) | SNOMED CT Clinical Findings |
| AllergyIntolerance.event.severity | AllergyIntoleranceSeverity | required | AllergyIntoleranceSeverity |
| AllergyIntolerance.event.exposureRoute | RouteOfAdministration | example (extensible) | SNOMED CT Route Codes |
| Id | Path | Name | Details |
© HL7.org 2011+. FHIR DSTU (v0.4.0-4167) generated on Mon, Feb 23, 2015 09:18+1100.
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