{
"description": "C.21 - EHDS refined base model for Allergy Intolerance",
"_filename": "StructureDefinition-EHDSAllergyIntolerance.json",
"package_name": "hl7.fhir.eu.imaging",
"date": "2025-03-21T08:17:12+00:00",
"derivation": "specialization",
"publisher": "HL7 Europe",
"fhirVersion": "5.0.0",
"jurisdiction": [ {
"coding": [ {
"code": "150",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "Europe"
} ]
} ],
"name": "EHDSAllergyIntolerance",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"copyright": "Used by permission of HL7 Europe, all rights reserved Creative Commons License",
"type": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Allergy intolerance model",
"package_version": "r5-0.1.0-ballot",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-be-target"
} ],
"snapshot": {
"element": [ {
"path": "EHDSAllergyIntolerance",
"min": 0,
"definition": "C.21 - EHDS refined base model for Allergy Intolerance",
"isModifier": false,
"short": "Allergy intolerance model",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"max": "*",
"id": "EHDSAllergyIntolerance",
"base": {
"max": "*",
"min": 0,
"path": "Base"
}
}, {
"id": "EHDSAllergyIntolerance.identifier",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "EHDSAllergyIntolerance.identifier"
},
"path": "EHDSAllergyIntolerance.identifier",
"type": [ {
"code": "Identifier"
} ],
"short": "C.21.1 - Identifier",
"definition": "Appointment identifier"
}, {
"id": "EHDSAllergyIntolerance.allergyDescription",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyDescription"
},
"path": "EHDSAllergyIntolerance.allergyDescription",
"type": [ {
"code": "string"
} ],
"short": "C.21.2 - Allergy description",
"definition": "Textual description of the allergy or intolerance"
}, {
"path": "EHDSAllergyIntolerance.typeOfPropensity",
"min": 0,
"definition": "This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)",
"short": "C.21.3 - Type of propensity",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSAllergyIntolerance.typeOfPropensity",
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.typeOfPropensity"
}
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyManifestation"
},
"path": "EHDSAllergyIntolerance.allergyManifestation",
"type": [ {
"code": "Base"
} ],
"short": "C.21.4 - Allergy manifestation",
"definition": "Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided."
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation.date",
"max": "1",
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"base": {
"max": "1",
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"path": "EHDSAllergyIntolerance.allergyManifestation.date"
},
"path": "EHDSAllergyIntolerance.allergyManifestation.date",
"type": [ {
"code": "dateTime"
} ],
"short": "C.21.4.1 - Date",
"definition": "Date and time of allergy manifestation"
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation.severity",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyManifestation.severity"
},
"path": "EHDSAllergyIntolerance.allergyManifestation.severity",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "Severity of the clinical manifestation of the allergic reaction."
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation.description",
"max": "1",
"min": 0,
"base": {
"max": "1",
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"path": "EHDSAllergyIntolerance.allergyManifestation.description"
},
"path": "EHDSAllergyIntolerance.allergyManifestation.description",
"type": [ {
"code": "string"
} ],
"short": "C.21.4.3 - Description",
"definition": "Description of the event as a whole"
}, {
"path": "EHDSAllergyIntolerance.allergyManifestation.manifestation",
"min": 0,
"definition": "Clinical symptoms/signs associated with the Event",
"short": "C.21.4.4 - Manifestation",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "*",
"id": "EHDSAllergyIntolerance.allergyManifestation.manifestation",
"base": {
"max": "*",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyManifestation.manifestation"
}
}, {
"path": "EHDSAllergyIntolerance.criticality",
"min": 0,
"definition": "Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.",
"short": "C.21.5 - Criticality",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSAllergyIntolerance.criticality",
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.criticality"
}
}, {
"id": "EHDSAllergyIntolerance.onsetDate",
"max": "1",
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"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.onsetDate"
},
"path": "EHDSAllergyIntolerance.onsetDate",
"type": [ {
"code": "dateTime"
} ],
"short": "C.21.6 - Onset date",
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction. Partial date could be used. or life period (childhood, adolescence)."
}, {
"path": "EHDSAllergyIntolerance.onsetLifePeriod",
"min": 0,
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction expressed usingor life period (childhood, adolescence, etc.).",
"short": "C.21.7 - Onset life period",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSAllergyIntolerance.onsetLifePeriod",
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.onsetLifePeriod"
}
}, {
"id": "EHDSAllergyIntolerance.endDate",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.endDate"
},
"path": "EHDSAllergyIntolerance.endDate",
"type": [ {
"code": "dateTime"
} ],
"short": "C.21.8 - End date",
"definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)"
}, {
"path": "EHDSAllergyIntolerance.endDateLifePeriod",
"min": 0,
"definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) exprssed using life period (childhood, … )",
"short": "C.21.9 - End date life period",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSAllergyIntolerance.endDateLifePeriod",
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.endDateLifePeriod"
}
}, {
"path": "EHDSAllergyIntolerance.status",
"min": 0,
"definition": "Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …",
"short": "C.21.10 - Status",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSAllergyIntolerance.status",
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.status"
}
}, {
"path": "EHDSAllergyIntolerance.certainty",
"min": 0,
"definition": "Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition.",
"short": "C.21.11 - Certainty",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"max": "1",
"id": "EHDSAllergyIntolerance.certainty",
"base": {
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.certainty"
}
}, {
"path": "EHDSAllergyIntolerance.agentOrAllergen",
"min": 1,
"definition": "A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.",
"short": "C.21.12 - Agent or Allergen",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"description": "SNOMED CT, ATC, (IDMP / EMA SPOR SMS)"
},
"max": "1",
"id": "EHDSAllergyIntolerance.agentOrAllergen",
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"path": "EHDSAllergyIntolerance.agentOrAllergen"
}
}, {
"id": "EHDSAllergyIntolerance.patient",
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"base": {
"max": "1",
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"path": "EHDSAllergyIntolerance.patient"
},
"path": "EHDSAllergyIntolerance.patient",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient" ]
} ],
"short": "C.21.13 - Subject",
"definition": "The patient who has the allergy or intolerance."
} ],
"extension": [ {
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"status": "draft",
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"kind": "logical",
"url": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance",
"version": "0.1.0",
"differential": {
"element": [ {
"id": "EHDSAllergyIntolerance",
"path": "EHDSAllergyIntolerance",
"short": "Allergy intolerance model",
"definition": "C.21 - EHDS refined base model for Allergy Intolerance"
}, {
"id": "EHDSAllergyIntolerance.identifier",
"max": "*",
"min": 0,
"path": "EHDSAllergyIntolerance.identifier",
"type": [ {
"code": "Identifier"
} ],
"short": "C.21.1 - Identifier",
"definition": "Appointment identifier"
}, {
"id": "EHDSAllergyIntolerance.allergyDescription",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyDescription",
"type": [ {
"code": "string"
} ],
"short": "C.21.2 - Allergy description",
"definition": "Textual description of the allergy or intolerance"
}, {
"id": "EHDSAllergyIntolerance.typeOfPropensity",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.typeOfPropensity",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "C.21.3 - Type of propensity",
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)"
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation",
"max": "*",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyManifestation",
"type": [ {
"code": "Base"
} ],
"short": "C.21.4 - Allergy manifestation",
"definition": "Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided."
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation.date",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyManifestation.date",
"type": [ {
"code": "dateTime"
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"short": "C.21.4.1 - Date",
"definition": "Date and time of allergy manifestation"
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation.severity",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyManifestation.severity",
"type": [ {
"code": "CodeableConcept"
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"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "Severity of the clinical manifestation of the allergic reaction."
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation.description",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyManifestation.description",
"type": [ {
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"short": "C.21.4.3 - Description",
"definition": "Description of the event as a whole"
}, {
"id": "EHDSAllergyIntolerance.allergyManifestation.manifestation",
"max": "*",
"min": 0,
"path": "EHDSAllergyIntolerance.allergyManifestation.manifestation",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "C.21.4.4 - Manifestation",
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "Clinical symptoms/signs associated with the Event"
}, {
"id": "EHDSAllergyIntolerance.criticality",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.criticality",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "C.21.5 - Criticality",
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction."
}, {
"id": "EHDSAllergyIntolerance.onsetDate",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.onsetDate",
"type": [ {
"code": "dateTime"
} ],
"short": "C.21.6 - Onset date",
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction. Partial date could be used. or life period (childhood, adolescence)."
}, {
"id": "EHDSAllergyIntolerance.onsetLifePeriod",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.onsetLifePeriod",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "C.21.7 - Onset life period",
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction expressed usingor life period (childhood, adolescence, etc.)."
}, {
"id": "EHDSAllergyIntolerance.endDate",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.endDate",
"type": [ {
"code": "dateTime"
} ],
"short": "C.21.8 - End date",
"definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)"
}, {
"id": "EHDSAllergyIntolerance.endDateLifePeriod",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.endDateLifePeriod",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "C.21.9 - End date life period",
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition) exprssed using life period (childhood, … )"
}, {
"id": "EHDSAllergyIntolerance.status",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "C.21.10 - Status",
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …"
}, {
"id": "EHDSAllergyIntolerance.certainty",
"max": "1",
"min": 0,
"path": "EHDSAllergyIntolerance.certainty",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "C.21.11 - Certainty",
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
},
"definition": "Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition."
}, {
"id": "EHDSAllergyIntolerance.agentOrAllergen",
"max": "1",
"min": 1,
"path": "EHDSAllergyIntolerance.agentOrAllergen",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "C.21.12 - Agent or Allergen",
"binding": {
"strength": "preferred",
"description": "SNOMED CT, ATC, (IDMP / EMA SPOR SMS)"
},
"definition": "A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity."
}, {
"id": "EHDSAllergyIntolerance.patient",
"max": "1",
"min": 1,
"path": "EHDSAllergyIntolerance.patient",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient" ]
} ],
"short": "C.21.13 - Subject",
"definition": "The patient who has the allergy or intolerance."
} ]
},
"contact": [ {
"name": "Xt-EHR",
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"value": "http://Xt-EHR.eu",
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"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base"
}