description: This profile applies constraints to the AllergyIntolerance resource for CA Core+ to support the documentation of allergies and intolerances in the pan-Canadian context. It includes expectations for coded substances, reactions, and severity.
package_name: ca.infoway.io.core
derivation: constraint
name: AllergyIntoleranceCACore
type: AllergyIntolerance
elements:
  patient:
    type: Reference
    mustSupport: true
    refers: ['http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core']
    index: 6
    elements:
      reference: {mustSupport: true, index: 7}
    required: [reference]
  onset:
    choices: []
    index: 10
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        onsetDateTime:
          match: {}
          schema:
            mustSupport: true
            choices: [onsetDateTime]
            index: 12
          min: 0
          max: 1
  clinicalStatus:
    elements:
      coding: {index: 2}
    required: [coding]
  encounter:
    type: Reference
    refers: ['http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core']
    index: 8
  asserter:
    type: Reference
    refers: ['http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core', 'http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core', 'http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core', 'http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/relatedperson-ca-core']
    index: 15
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        abatement:
          match: {url: null}
          schema: {type: Extension, url: 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement', index: 1}
          min: 0
          max: 1
  recorder:
    type: Reference
    refers: ['http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core', 'http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core', 'http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core', 'http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/relatedperson-ca-core']
    index: 14
  code:
    type: CodeableConcept
    binding: {strength: preferred, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductandsubstancecode'}
    mustSupport: true
    index: 4
    elements:
      coding:
        elements:
          code: {index: 5}
  onsetDateTime:
    type: dateTime
    mustSupport: true
    choiceOf: onset
    index: 13
    slicing:
      slices:
        onsetDateTime:
          match: {}
          schema: {type: dateTime, mustSupport: true, choiceOf: onset, index: 13}
          min: 0
          max: 1
  verificationStatus:
    elements:
      coding: {index: 3}
    required: [coding]
  reaction:
    mustSupport: true
    index: 16
    elements:
      manifestation:
        type: CodeableConcept
        binding: {strength: preferred, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode'}
        mustSupport: true
        index: 17
        elements:
          coding:
            mustSupport: true
            index: 18
            elements:
              code: {mustSupport: true, index: 19}
package_version: 1.0.0-dft-preballot
extensions:
  abatement: {url: 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement', min: 0, max: 1, type: Extension, index: 1}
class: profile
kind: resource
url: http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/allergyintolerance-ca-core
base: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
version: null
required: [code]