description: Laniado Proposed AllergyIntolerance Profile
package_name: il.laniado.fhir.r4
derivation: constraint
name: LaniadoAllergyIntolerance
type: AllergyIntolerance
elements:
  identifier:
    index: 0
    elements:
      system: {index: 1}
      value: {short: The value that is unique within the system., index: 2}
    required: [value, system]
    slicing:
      rules: open
      discriminator:
      - {path: system, type: value}
      min: 1
      slices:
        strong-id:
          match: {system: 'http://fhir.laniado.org.il/Identifier/id-allergy-intolerance'}
          schema:
            short: Strong allergy intolerance identification.
            mustSupport: true
            _required: true
            index: 3
            elements:
              type:
                index: 4
                elements:
                  coding:
                    index: 5
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://fhir.health.gov.il/cs/il-core-identifier-type'}
                        index: 6
                      code:
                        pattern: {type: Code, value: strong-id}
                        index: 7
                    required: [system, code]
                required: [coding]
              system:
                pattern: {type: Uri, value: 'http://fhir.laniado.org.il/Identifier/id-allergy-intolerance'}
                index: 8
              value: {short: Strong allergy intolerance identification., index: 9}
            required: [type]
        laniado:
          match: {system: 'http://fhir.laniado.org.il/Identifier/allergy'}
          schema:
            short: Allergy
            index: 10
            elements:
              system:
                pattern: {type: Uri, value: 'http://fhir.laniado.org.il/Identifier/allergy'}
                index: 11
              assigner:
                elements:
                  reference:
                    pattern: {type: String, value: Organization/01604}
                    index: 12
                  identifier:
                    index: 13
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://institutions.health.gov.il/Institutions'}
                        index: 14
                      value:
                        pattern: {type: String, value: '01604'}
                        index: 15
                  display:
                    pattern: {type: String, value: בית חולים לניאדו}
                    index: 16
                required: [identifier]
  code:
    constraint:
      allergy-drug: {human: 'Element.coding SHOULD contain a DrugGenericTrade code.coding:drug exists', source: 'http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance', severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and code=448177004).exists() implies coding.where(system=''http://fhir.laniado.org.il/CodeSystem/generic-drug'' and code.exists()).exists()'}
      allergy-general: {human: 'text SHALL be present if coding:general exists', source: 'http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance', severity: error, expression: 'coding.where(system=''http://snomed.info/sct'' and code=281647001).exists() implies text.exists()'}
    index: 17
    elements:
      coding:
        index: 18
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          - {path: code, type: value}
          min: null
          slices:
            drug:
              match: {system: 'http://snomed.info/sct', code: '448177004'}
              schema:
                index: 19
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 20
                  code:
                    pattern: {type: Code, value: '448177004'}
                    index: 21
                  display:
                    pattern: {type: String, value: Adverse drug interaction}
                    index: 22
            laniadoDrug:
              match: {system: 'http://fhir.laniado.org.il/CodeSystem/generic-drug', code: null}
              schema:
                index: 23
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://fhir.laniado.org.il/CodeSystem/generic-drug'}
                    index: 24
            general:
              match: {system: 'http://snomed.info/sct', code: '281647001'}
              schema:
                index: 25
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 26
                  code:
                    pattern: {type: Code, value: '281647001'}
                    index: 27
                  display:
                    pattern: {type: String, value: Adverse reaction}
                    index: 28
  patient:
    type: Reference
    refers: ['http://fhir.laniado.org.il/StructureDefinition/laniado-patient']
    index: 29
  encounter:
    type: Reference
    refers: ['http://fhir.laniado.org.il/StructureDefinition/encounter-department']
    index: 30
  recorder:
    type: Reference
    refers: ['http://fhir.laniado.org.il/StructureDefinition/laniado-practitioner']
    index: 31
  asserter:
    type: Reference
    refers: ['http://fhir.laniado.org.il/StructureDefinition/laniado-practitioner']
    index: 32
  reaction:
    elements:
      manifestation:
        index: 33
        slicing:
          rules: open
          discriminator:
          - {path: coding.system, type: value}
          min: null
          slices:
            reaction:
              match:
                coding: {system: null}
              schema:
                index: 34
                elements:
                  coding:
                    index: 35
                    slicing:
                      rules: open
                      discriminator:
                      - {path: system, type: value}
                      min: null
                      slices:
                        default:
                          match: {system: 'http://snomed.info/sct'}
                          schema:
                            index: 36
                            elements:
                              system:
                                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                index: 37
                              code:
                                pattern: {type: Code, value: '419076005'}
                                index: 38
                              display:
                                pattern: {type: String, value: Allergic reaction}
                                index: 39
                            required: [system]
            laniado:
              match:
                coding: {system: null}
              schema:
                index: 40
                elements:
                  coding:
                    index: 41
                    slicing:
                      rules: open
                      discriminator:
                      - {path: system, type: value}
                      min: null
                      slices:
                        default:
                          match: {system: 'http://fhir.laniado.org.il/CodeSystem/k-emr-teguva'}
                          schema:
                            index: 42
                            elements:
                              system:
                                pattern: {type: Uri, value: 'http://fhir.laniado.org.il/CodeSystem/k-emr-teguva'}
                                index: 43
                            required: [system]
      severity:
        constraint:
          allergy-reaction-severity: {human: 'value SHALL be ''severe'' if extension:shock exists', source: 'http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance', severity: error, expression: 'extension(''http://fhir.laniado.org.il/StructureDefinition/ext-allergy-reaction-severity-shock'').exists() implies $this = ''severe'''}
        index: 44
        extensions:
          shock: {url: 'http://fhir.laniado.org.il/StructureDefinition/ext-allergy-reaction-severity-shock', min: 0, max: 1, type: Extension, index: 46}
        elements:
          extension:
            index: 45
            slicing:
              rules: open
              ordered: false
              discriminator:
              - {path: url, type: value}
              min: null
              slices:
                shock:
                  match: {url: null}
                  schema: {type: Extension, url: 'http://fhir.laniado.org.il/StructureDefinition/ext-allergy-reaction-severity-shock', index: 46}
                  min: 0
                  max: 1
package_version: 0.3.5
class: profile
kind: resource
url: http://fhir.laniado.org.il/StructureDefinition/laniado-allergy-intolerance
base: http://fhir.health.gov.il/StructureDefinition/il-core-allergy-intolerance
version: 0.3.5
required: [identifier]