HL7.FHIR.UV.EXTENSIONS\AllergyIntolerance Substance Exposure Risk - Definitions

This page is part of the FHIR Core Extensions Registry (v5.1.0-ballot: Releases Ballot 4) based on FHIR (HL7® FHIR® Standard) v5.0.0. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Extension: AISubstanceExposureRisk - Detailed Descriptions

Page standards status: Trial-use

Maturity Level: 3

Definitions for the allergyintolerance-substanceExposureRisk extension.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. Extension
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.
Short	Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product
Comments	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").
Control	0..1
2. Extension.extension:substance
Slice Name	substance
Definition	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.
Short	Substance (or pharmaceutical product)
Comments	It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.
Control	1..1
Type	Extension
4. Extension.extension:substance.extension
Control	0..0
6. Extension.extension:substance.url
Type	uri
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Fixed Value	substance
8. Extension.extension:substance.value[x]
Control	1..?
Binding	For example codes, see SubstanceCode Codes defining the type of the substance (including pharmaceutical products).
Type	CodeableConcept
[x] Note	See Choice of Data Types for further information about how to use [x]
10. Extension.extension:exposureRisk
Slice Name	exposureRisk
Definition	The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.
Short	known-reaction-risk \| no-known-reaction-risk
Comments	exposureRisk is a modifier of the substance.
Control	1..1
Type	Extension
12. Extension.extension:exposureRisk.extension
Control	0..0
14. Extension.extension:exposureRisk.url
Type	uri
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Fixed Value	exposureRisk
16. Extension.extension:exposureRisk.value[x]
Control	1..?
Binding	The codes SHALL be taken from AllergyIntoleranceSubstanceExposureRisk The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
Type	CodeableConcept
[x] Note	See Choice of Data Types for further information about how to use [x]
18. Extension.url
Fixed Value	http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk
20. Extension.value[x]
Control	0..0

Guidance on how to interpret the contents of this table can be found here

0. Extension
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. Optional Extension Element - found in all resources.
Short	Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/productOptional Extensions Element
Comments	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").
Control	0..1*
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	Changed:20..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `Extension.extension`. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
4. Extension.extension:substance
Slice Name	substance
Definition	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.
Short	Substance (or pharmaceutical product)Additional content defined by implementations
Comments	It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.
Control	10..1*
Type	Extension
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Extension.extension:substance.extension
Definition	An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	ExtensionAdditional content defined by implementations
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	0..0*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `Extension.extension.extension`. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
8. Extension.extension:substance.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies the meaning of the extension
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control	1..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	substance
10. Extension.extension:substance.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	10..1 This element is affected by the following invariants: ext-1
Binding	For example codes, see For codes, see SubstanceCode Codes defining the type of the substance (including pharmaceutical products).
Type	CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Extension.extension:exposureRisk
Slice Name	exposureRisk
Definition	The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.
Short	known-reaction-risk \| no-known-reaction-riskAdditional content defined by implementations
Comments	exposureRisk is a modifier of the substance.
Control	10..1*
Type	Extension
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Extension.extension:exposureRisk.extension
Definition	An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	ExtensionAdditional content defined by implementations
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	0..0*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `Extension.extension.extension`. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
16. Extension.extension:exposureRisk.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies the meaning of the extension
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control	1..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	exposureRisk
18. Extension.extension:exposureRisk.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	10..1 This element is affected by the following invariants: ext-1
Binding	The codes SHALL be taken from For codes, see AllergyIntoleranceSubstanceExposureRisk The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
Type	CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies the meaning of the extension
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk
22. Extension.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..01 This element is affected by the following invariants: ext-1
Type	Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. Extension
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.
Short	Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product
Comments	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").
Control	0..1
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2. Extension.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1 This element is affected by the following invariants: ele-1
Type	id
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
4. Extension.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	Changed:2..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `Extension.extension`. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
6. Extension.extension:substance
Slice Name	substance
Definition	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.
Short	Substance (or pharmaceutical product)
Comments	It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.
Control	1..1
Type	Extension
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
8. Extension.extension:substance.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1 This element is affected by the following invariants: ele-1
Type	id
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
10. Extension.extension:substance.extension
Definition	An Extension
Short	Extension
Control	0..0
Type	Extension
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `Extension.extension.extension`. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
12. Extension.extension:substance.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies the meaning of the extension
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control	1..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	substance
14. Extension.extension:substance.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	1..1 This element is affected by the following invariants: ext-1
Binding	For example codes, see SubstanceCode Codes defining the type of the substance (including pharmaceutical products).
Type	CodeableConcept
[x] Note	See Choice of Data Types for further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Extension.extension:exposureRisk
Slice Name	exposureRisk
Definition	The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.
Short	known-reaction-risk \| no-known-reaction-risk
Comments	exposureRisk is a modifier of the substance.
Control	1..1
Type	Extension
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Extension.extension:exposureRisk.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1 This element is affected by the following invariants: ele-1
Type	id
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
20. Extension.extension:exposureRisk.extension
Definition	An Extension
Short	Extension
Control	0..0
Type	Extension
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `Extension.extension.extension`. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
22. Extension.extension:exposureRisk.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies the meaning of the extension
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control	1..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	exposureRisk
24. Extension.extension:exposureRisk.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	1..1 This element is affected by the following invariants: ext-1
Binding	The codes SHALL be taken from AllergyIntoleranceSubstanceExposureRisk The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
Type	CodeableConcept
[x] Note	See Choice of Data Types for further information about how to use [x]
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Short	identifies the meaning of the extension
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control	1..1
Type	uri
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
Fixed Value	http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk
28. Extension.value[x]
Definition	Changed: Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short	Value of extension
Control	0..0 This element is affected by the following invariants: ext-1
Type	Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)