allergyintolerance-substanceExposureRisk
type: StructureDefinition
node role: treeRoot
id:
  v: allergyintolerance-substanceExposureRisk
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition allergyintolerance-substanceExposureRisk Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Extension 0..1 Extension Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product #xD; Slices for extension Content/Rules for all slices #xD; extension:substance 1..1 Extension Substance (or pharmaceutical product) #xD; extension 0..0 #xD; url 1..1 uri "substance" #xD; value[x] 1..1 CodeableConcept Value of extension Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products). #xD; extension:exposureRisk 1..1 Extension known-reaction-risk | no-known-reaction-risk #xD; extension 0..0 #xD; url 1..1 uri "exposureRisk" #xD; 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). #xD; url 1..1 uri "http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk" #xD; value[x] 0..0 #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  value: code
    v: pc
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value: integer
    v: 3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  value: code
    v: trial-use
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
  value: code
    v: can-bind
url:
  v: http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.5.1296
version:
  v: 5.3.0-ballot-tc
name:
  v: AISubstanceExposureRisk
title:
  v: AllergyIntolerance Substance Exposure Risk
status:
  v: active
experimental:
  v: false
date:
  v: 2015-02-21
publisher:
  v: HL7 International / Patient Care
contact:
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/patientcare
description:
  v: The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 001
fhir version:
  v: 5.0.0
mapping:
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  uri:
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  name:
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mapping:
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    v: rim
  uri:
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  name:
    v: RIM Mapping
kind:
  v: complex-type
abstract:
  v: false
context:
  type:
    v: element
  expression:
    v: AllergyIntolerance
context invariant:
  v: AllergyIntolerance.code.empty()
type:
  v: Extension
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension
derivation:
  v: constraint
snapshot:
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  element:
    id:
      v: Extension
    path:
      v: Extension
    short:
      v: Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product
    definition:
      v: 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:
      v: The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.
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        link: http://hl7.org/fhir/StructureDefinition/Element
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        link: http://hl7.org/fhir/StructureDefinition/Extension
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    path:
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    representation:
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      v: Unique id for inter-element referencing
    definition:
      v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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      code:
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    slicing:
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      rules:
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    definition:
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url
v: id

v: value

v: url

v: 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.

v: extensions

v: user content

v: 2

v: *

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code:
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key:
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severity:
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human:
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expression:
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source:
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  link: http://hl7.org/fhir/StructureDefinition/Element

key:
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severity:
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human:
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expression:
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source:
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v: false

v: false

identity:
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map:
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id:
  v: Extension.extension:substance
path:
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slice name:
  v: substance
short:
  v: Substance (or pharmaceutical product)
definition:
  v: 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.
comment:
  v: 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.
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is modifier:
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is summary:
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mapping:
  identity:
    v: v2
  map:
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mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]

id:
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path:
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representation:
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short:
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definition:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: id
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condition:
  v: ele-1
is modifier:
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is summary:
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mapping:
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id:
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path:
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slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
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short:
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definition:
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    link: http://hl7.org/fhir/StructureDefinition/Element
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is summary:
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id:
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path:
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representation:
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short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: 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.
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base:
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type:
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fixed: uri
  v: substance
is modifier:
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mapping:
  identity:
    v: rim
  map:
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id:
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path:
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short:
  v: Value of extension
definition:
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    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
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is summary:
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binding:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SubstanceCode
  strength:
    v: example
  description:
    v: Codes defining the type of the substance (including pharmaceutical products).
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    link: http://hl7.org/fhir/ValueSet/substance-code
mapping:
  identity:
    v: rim
  map:
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id:
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path:
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slice name:
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short:
  v: known-reaction-risk | no-known-reaction-risk
definition:
  v: The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.
comment:
  v: exposureRisk is a modifier of the substance.
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id:
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path:
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representation:
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short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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condition:
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id:
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path:
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slicing:
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    path:
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definition:
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    link: http://hl7.org/fhir/StructureDefinition/Element
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id:
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path:
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representation:
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short:
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definition:
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comment:
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fixed: uri
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id:
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path:
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short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).
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condition:
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    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
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is summary:
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binding:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: AllergyIntoleranceSubstanceExposureRisk
  strength:
    v: required
  description:
    v: The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
  value set:
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    link: http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk
mapping:
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id:
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path:
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representation:
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short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: 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.
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    v: 1
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type:
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fixed: uri
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is summary:
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mapping:
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id:
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path:
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short:
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definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).
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type:
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type:
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type:
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type:
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type:
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type:
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condition:
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constraint:
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  expression:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim

v: N/A

element:
  id:
    v: Extension
  path:
    v: Extension
  short:
    v: Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product
  definition:
    v: 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:
    v: The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.
  min:
    v: 0
  max:
    v: 1
element:
  id:
    v: Extension.extension:substance
  path:
    v: Extension.extension
  slice name:
    v: substance
  short:
    v: Substance (or pharmaceutical product)
  definition:
    v: 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.
  comment:
    v: 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.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Extension
  mapping:
    identity:
      v: v2
    map:
      v: AL1-3 / IAM-3
  mapping:
    identity:
      v: rim
    map:
      v: .participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]
element:
  id:
    v: Extension.extension:substance.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:substance.url
  path:
    v: Extension.extension.url
  type:
    code:
      v: uri
  fixed: uri
    v: substance
element:
  id:
    v: Extension.extension:substance.value[x]
  path:
    v: Extension.extension.value[x]
  min:
    v: 1
  type:
    code:
      v: CodeableConcept
  binding:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      value: string
        v: SubstanceCode
    strength:
      v: example
    description:
      v: Codes defining the type of the substance (including pharmaceutical products).
    value set:
      v: http://hl7.org/fhir/ValueSet/substance-code
      link: http://hl7.org/fhir/ValueSet/substance-code
element:
  id:
    v: Extension.extension:exposureRisk
  path:
    v: Extension.extension
  slice name:
    v: exposureRisk
  short:
    v: known-reaction-risk | no-known-reaction-risk
  definition:
    v: The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.
  comment:
    v: exposureRisk is a modifier of the substance.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Extension
element:
  id:
    v: Extension.extension:exposureRisk.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:exposureRisk.url
  path:
    v: Extension.extension.url
  type:
    code:
      v: uri
  fixed: uri
    v: exposureRisk
element:
  id:
    v: Extension.extension:exposureRisk.value[x]
  path:
    v: Extension.extension.value[x]
  min:
    v: 1
  type:
    code:
      v: CodeableConcept
  binding:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      value: string
        v: AllergyIntoleranceSubstanceExposureRisk
    strength:
      v: required
    description:
      v: The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
    value set:
      v: http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk
      link: http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk
element:
  id:
    v: Extension.url
  path:
    v: Extension.url
  fixed: uri
    v: http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk
element:
  id:
    v: Extension.value[x]
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 0