{
  "description": "Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.",
  "_filename": "StructureDefinition-allergyintolerance-certainty.json",
  "package_name": "hl7.fhir.uv.extensions",
  "date": "2015-02-21",
  "derivation": "constraint",
  "publisher": "HL7 International / Patient Care",
  "fhirVersion": "5.0.0",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "name": "AICertainty",
  "mapping": [ {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  } ],
  "abstract": false,
  "type": "Extension",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "AllergyIntolerance Certainty",
  "package_version": "5.1.0-ballot1",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "pc"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 3
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
    "valueCode": "can-bind"
  } ],
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Extension",
      "min": 0,
      "definition": "Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.",
      "isModifier": false,
      "short": "Certainty that the substance was the cause of the manifestation",
      "mapping": [ {
        "map": "uncertaintyCode",
        "identity": "rim"
      } ],
      "max": "1",
      "id": "Extension",
      "comment": "When certainty is missing, it means no information exists (although it could be in narrative).  By contrast, the unknown code is used when there is an explicit assertion that certainty is not known, such as when a patient eats a meal and it is unknown which food caused the reaction.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension"
      }
    }, {
      "path": "Extension.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "id"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.id",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Extension.extension",
      "min": 0,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "0",
      "id": "Extension.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "path": "Extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "isModifier": false,
      "short": "identifies the meaning of the extension",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "uri"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.url",
      "comment": "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.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Extension.value[x]",
      "min": 1,
      "definition": "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).",
      "isModifier": false,
      "short": "Value of extension",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/reaction-event-certainty",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AllergyIntoleranceCertainty"
        } ],
        "description": "Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event."
      },
      "max": "1",
      "id": "Extension.value[x]",
      "condition": [ "ext-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      },
      "isSummary": false
    } ]
  },
  "status": "active",
  "id": "e42f423d-2579-45be-a2ef-a0daf87314c9",
  "kind": "complex-type",
  "url": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.5.1293",
    "system": "urn:ietf:rfc:3986"
  } ],
  "context": [ {
    "type": "element",
    "expression": "AllergyIntolerance.reaction"
  } ],
  "version": "5.1.0-ballot1",
  "differential": {
    "element": [ {
      "id": "Extension",
      "max": "1",
      "min": 0,
      "path": "Extension",
      "short": "Certainty that the substance was the cause of the manifestation",
      "comment": "When certainty is missing, it means no information exists (although it could be in narrative).  By contrast, the unknown code is used when there is an explicit assertion that certainty is not known, such as when a patient eats a meal and it is unknown which food caused the reaction.",
      "mapping": [ {
        "map": "uncertaintyCode",
        "identity": "rim"
      } ],
      "definition": "Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event."
    }, {
      "id": "Extension.extension",
      "max": "0",
      "path": "Extension.extension"
    }, {
      "id": "Extension.url",
      "path": "Extension.url",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"
    }, {
      "id": "Extension.value[x]",
      "min": 1,
      "path": "Extension.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/reaction-event-certainty",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AllergyIntoleranceCertainty"
        } ],
        "description": "Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event."
      }
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/patientcare",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}