description: This profile represents the constraints applied to the AllergyIntolerance resource in the Swiss context - in adaption of the definition by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the Swiss EPR, in a TransitionOfCare transaction or similar as an instance of an AllergyIntolerance resource constrained by this profile.\r\nIt documents the relevant allergies or intolerances for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.
package_name: ch.fhir.ig.ch-allergyintolerance
derivation: constraint
name: CHAllergyIntolerance
type: AllergyIntolerance
elements:
  patient:
    type: Reference
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient']
    index: 8
  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
  category: {mustSupport: true, index: 5}
  criticality: {mustSupport: true, index: 6}
  clinicalStatus: {mustSupport: true, index: 2}
  type: {mustSupport: true, index: 4}
  asserter:
    type: Reference
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient', 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner', 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
    index: 15
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        abatement-datetime:
          match: {url: null}
          schema: {short: Abatement datetime, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips', index: 1}
          min: 0
          max: 1
  recorder:
    type: Reference
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient', 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner', 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
    index: 14
  code:
    binding: {strength: extensible, valueSet: 'http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceValueSet'}
    mustSupport: true
    index: 7
  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: {mustSupport: true, index: 3}
  reaction:
    mustSupport: true
    index: 16
    extensions:
      certainty: {url: 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty', min: 0, max: 1, type: Extension, short: 'certainty: Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.', index: 18}
      duration: {url: 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration', min: 0, max: 1, type: Extension, short: The amount of time that the Adverse Reaction persisted, index: 19}
      location: {url: 'http://hl7.org/fhir/StructureDefinition/openEHR-location', min: 0, max: 1, type: Extension, short: The anatomical location / body site(s) where the symptoms manifested, index: 20}
      exposureDate: {url: 'http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate', min: 0, max: 1, type: Extension, short: Record of the date and/or time of the first exposure to the Substance for this Reaction Event., index: 21}
      exposureDuration: {url: 'http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration', min: 0, max: 1, type: Extension, short: The amount of time the individual was exposed to the Substance, index: 22}
      exposureDescription: {url: 'http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription', min: 0, max: 1, type: Extension, short: Text description about exposure to the Substance, index: 23}
      management: {url: 'http://hl7.org/fhir/StructureDefinition/openEHR-management', min: 0, max: 1, type: Extension, short: Text description about the clinical management provided., index: 24}
    elements:
      extension:
        index: 17
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            certainty:
              match: {url: null}
              schema: {type: Extension, short: 'certainty: Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.', url: 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty', index: 18}
              min: 0
              max: 1
            duration:
              match: {url: null}
              schema: {type: Extension, short: The amount of time that the Adverse Reaction persisted, url: 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration', index: 19}
              min: 0
              max: 1
            location:
              match: {url: null}
              schema: {type: Extension, short: The anatomical location / body site(s) where the symptoms manifested, url: 'http://hl7.org/fhir/StructureDefinition/openEHR-location', index: 20}
              min: 0
              max: 1
            exposureDate:
              match: {url: null}
              schema: {type: Extension, short: Record of the date and/or time of the first exposure to the Substance for this Reaction Event., url: 'http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate', index: 21}
              min: 0
              max: 1
            exposureDuration:
              match: {url: null}
              schema: {type: Extension, short: The amount of time the individual was exposed to the Substance, url: 'http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration', index: 22}
              min: 0
              max: 1
            exposureDescription:
              match: {url: null}
              schema: {type: Extension, short: Text description about exposure to the Substance, url: 'http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription', index: 23}
              min: 0
              max: 1
            management:
              match: {url: null}
              schema: {type: Extension, short: Text description about the clinical management provided., url: 'http://hl7.org/fhir/StructureDefinition/openEHR-management', index: 24}
              min: 0
              max: 1
      substance:
        binding: {strength: extensible, valueSet: 'http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionSubstanceValueSet'}
        mustSupport: true
        index: 25
      manifestation:
        binding: {strength: extensible, valueSet: 'http://fhir.ch/ig/ch-allergyintolerance/ValueSet/CHAllergyIntoleranceReactionManifestationValueSet'}
        mustSupport: true
        index: 26
      onset: {mustSupport: true, index: 27}
      severity: {mustSupport: true, index: 28}
package_version: 2.0.0-ballot
extensions:
  abatement-datetime: {url: 'http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips', min: 0, max: 1, short: Abatement datetime, type: Extension, mustSupport: true, index: 1}
class: profile
kind: resource
url: http://fhir.ch/ig/ch-allergyintolerance/StructureDefinition/ch-allergyintolerance
base: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
version: 2.0.0-ballot
required: [code]