Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3

Extension: substanceExposureRisk

Patient Care Work Group

Maturity Level: 1

Informative

Use Context: Any

Summary

Defining URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk

Version: 5.0.0-ballot

Name: substanceExposureRisk

Title: substanceExposureRisk

Modifier: This extension is not a modifier extension

Status: draft

Definition: A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.

Committee: Patient Care Work Group

Status: draft. Extension maintained by: Health Level Seven, Inc. - FHIR WG

A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.

Comment:

This extension is available and is intended to be used as a more completely structured and flexible alternative to the 'code' element for representing positive and negative allergy and intolerance statements. If this extension element is present, the AllergyIntolerance.code element SHALL be omitted (see invariant "code or substanceExposureRisk").

Context of Use: Use on Element ID AllergyIntolerance

Summary

Name	Card.	Type	Description & Constraints
substanceExposureRisk	0..1	Extension	URL = http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk substanceExposureRisk: A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. Use on Element ID AllergyIntolerance
substance	1..1	CodeableConcept	Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure.
exposureRisk	1..1	CodeableConcept	The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.
Documentation for this format

Full Structure

Name	Card.	Type	Description & Constraints
extension	0..1	Extension	URL = http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk substanceExposureRisk: A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. Use on Element ID AllergyIntolerance
Slices for extension	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:substance	1..1	Extension	Substance (or pharmaceutical product)
id	0..1	id	Unique id for inter-element referencing
extension	0..0
url	1..1	uri	"substance"
value[x]	1..1	CodeableConcept	Value of extension Binding: Substance Code (example): Codes defining the type of the substance (including pharmaceutical products).
extension:exposureRisk	1..1	Extension	known-reaction-risk \| no-known-reaction-risk
id	0..1	id	Unique id for inter-element referencing
extension	0..0
url	1..1	uri	"exposureRisk"
value[x]	1..1	CodeableConcept	Value of extension Binding: AllergyIntoleranceSubstanceExposureRisk (required): The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"
value[x]	0..0
valueBase64Binary		base64Binary
valueBoolean		boolean
valueCanonical		canonical(Any)
valueCode		code
valueDate		date
valueDateTime		dateTime
valueDecimal		decimal
valueId		id
valueInstant		instant
valueInteger		integer
valueInteger64		integer64
valueMarkdown		markdown
valueOid		oid
valuePositiveInt		positiveInt
valueString		string
valueTime		time
valueUnsignedInt		unsignedInt
valueUri		uri
valueUrl		url
valueUuid		uuid
valueAddress		Address
valueAge		Age
valueAnnotation		Annotation
valueAttachment		Attachment
valueCodeableConcept		CodeableConcept
valueCodeableReference		CodeableReference
valueCoding		Coding
valueContactPoint		ContactPoint
valueCount		Count
valueDistance		Distance
valueDuration		Duration
valueHumanName		HumanName
valueIdentifier		Identifier
valueMoney		Money
valuePeriod		Period
valueQuantity		Quantity
valueRange		Range
valueRatio		Ratio
valueRatioRange		RatioRange
valueReference		Reference(Any)
valueSampledData		SampledData
valueSignature		Signature
valueTiming		Timing
valueContactDetail		ContactDetail
valueDataRequirement		DataRequirement
valueExpression		Expression
valueParameterDefinition		ParameterDefinition
valueRelatedArtifact		RelatedArtifact
valueTriggerDefinition		TriggerDefinition
valueUsageContext		UsageContext
valueAvailability		Availability
valueExtendedContactDetail		ExtendedContactDetail
valueDosage		Dosage
valueMeta		Meta
Documentation for this format

XML Template

<!-- substanceExposureRisk -->

<extension xmlns="http://hl7.org/fhir"
     url="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk" >
 <-- extension sliced by value:url  in the specified orderOpen-->
 <extension url="substance"> I 1..1 Extension  <!-- I 1..1 Substance (or pharmaceutical product) -->
  <valueCodeableConcept><!-- I 1..1 CodeableConcept Value of extension --></valueCodeableConcept>
 </extension>
 <extension url="exposureRisk"> I 1..1 Extension  <!-- I 1..1 known-reaction-risk | no-known-reaction-risk -->
  <valueCodeableConcept><!-- I 1..1 CodeableConcept Value of extension --></valueCodeableConcept>
 </extension>
</extension>

JSON Template

{ // substanceExposureRisk
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // Substance (or pharmaceutical product) // I R! 
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "substance", // R! 
        "valueCodeableConcept" : { CodeableConcept } // I R! Value of extension
      },
      { // known-reaction-risk | no-known-reaction-risk // I R! 
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "exposureRisk", // R! 
        "valueCodeableConcept" : { CodeableConcept } // I R! Value of extension
      }
    ],
    "extension" : [{ Extension }], // IAdditional content defined by implementations
    "extension" : { Extension }, // I R! Substance (or pharmaceutical product)
    "extension" : { Extension }, // I R! known-reaction-risk | no-known-reaction-risk
    "url" : "http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk" // R! 
  // value[x]: Value of extension: Prohibited
  }

Summary

Name	Card.	Type	Description & Constraints
substanceExposureRisk	0..1	Extension	URL = http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk substanceExposureRisk: A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. Use on Element ID AllergyIntolerance
substance	1..1	CodeableConcept	Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure.
exposureRisk	1..1	CodeableConcept	The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.
Documentation for this format

Full Structure

Name	Card.	Type	Description & Constraints
extension	0..1	Extension	URL = http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk substanceExposureRisk: A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. Use on Element ID AllergyIntolerance
Slices for extension	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:substance	1..1	Extension	Substance (or pharmaceutical product)
id	0..1	id	Unique id for inter-element referencing
extension	0..0
url	1..1	uri	"substance"
value[x]	1..1	CodeableConcept	Value of extension Binding: Substance Code (example): Codes defining the type of the substance (including pharmaceutical products).
extension:exposureRisk	1..1	Extension	known-reaction-risk \| no-known-reaction-risk
id	0..1	id	Unique id for inter-element referencing
extension	0..0
url	1..1	uri	"exposureRisk"
value[x]	1..1	CodeableConcept	Value of extension Binding: AllergyIntoleranceSubstanceExposureRisk (required): The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"
value[x]	0..0
valueBase64Binary		base64Binary
valueBoolean		boolean
valueCanonical		canonical(Any)
valueCode		code
valueDate		date
valueDateTime		dateTime
valueDecimal		decimal
valueId		id
valueInstant		instant
valueInteger		integer
valueInteger64		integer64
valueMarkdown		markdown
valueOid		oid
valuePositiveInt		positiveInt
valueString		string
valueTime		time
valueUnsignedInt		unsignedInt
valueUri		uri
valueUrl		url
valueUuid		uuid
valueAddress		Address
valueAge		Age
valueAnnotation		Annotation
valueAttachment		Attachment
valueCodeableConcept		CodeableConcept
valueCodeableReference		CodeableReference
valueCoding		Coding
valueContactPoint		ContactPoint
valueCount		Count
valueDistance		Distance
valueDuration		Duration
valueHumanName		HumanName
valueIdentifier		Identifier
valueMoney		Money
valuePeriod		Period
valueQuantity		Quantity
valueRange		Range
valueRatio		Ratio
valueRatioRange		RatioRange
valueReference		Reference(Any)
valueSampledData		SampledData
valueSignature		Signature
valueTiming		Timing
valueContactDetail		ContactDetail
valueDataRequirement		DataRequirement
valueExpression		Expression
valueParameterDefinition		ParameterDefinition
valueRelatedArtifact		RelatedArtifact
valueTriggerDefinition		TriggerDefinition
valueUsageContext		UsageContext
valueAvailability		Availability
valueExtendedContactDetail		ExtendedContactDetail
valueDosage		Dosage
valueMeta		Meta
Documentation for this format

XML Template

<!-- substanceExposureRisk -->

<extension xmlns="http://hl7.org/fhir"
     url="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk" >
 <-- extension sliced by value:url  in the specified orderOpen-->
 <extension url="substance"> I 1..1 Extension  <!-- I 1..1 Substance (or pharmaceutical product) -->
  <valueCodeableConcept><!-- I 1..1 CodeableConcept Value of extension --></valueCodeableConcept>
 </extension>
 <extension url="exposureRisk"> I 1..1 Extension  <!-- I 1..1 known-reaction-risk | no-known-reaction-risk -->
  <valueCodeableConcept><!-- I 1..1 CodeableConcept Value of extension --></valueCodeableConcept>
 </extension>
</extension>

JSON Template

{ // substanceExposureRisk
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // Substance (or pharmaceutical product) // I R! 
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "substance", // R! 
        "valueCodeableConcept" : { CodeableConcept } // I R! Value of extension
      },
      { // known-reaction-risk | no-known-reaction-risk // I R! 
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "exposureRisk", // R! 
        "valueCodeableConcept" : { CodeableConcept } // I R! Value of extension
      }
    ],
    "extension" : [{ Extension }], // IAdditional content defined by implementations
    "extension" : { Extension }, // I R! Substance (or pharmaceutical product)
    "extension" : { Extension }, // I R! known-reaction-risk | no-known-reaction-risk
    "url" : "http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk" // R! 
  // value[x]: Value of extension: Prohibited
  }

Constraints

ele-1: All FHIR elements must have a @value or children (xpath: @value|f:*|h:div)
ext-1: Must have either extensions or value[x], not both (xpath: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')]))
inv-1: If the substanceExposureRisk extension element is present, the AllergyIntolerance.code element must be omitted. (xpath: exists(f:substanceExposureRisk) and not(exists(f:code)))
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.extension.value[x]: @value|f:*|h:div)
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.extension.value[x]: @value|f:*|h:div)
ele-1: On Extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.value[x]: @value|f:*|h:div)

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