Digital Child Health Service - Events Catalogue

CareConnect-DCH-AllergyIntolerance-1

This AllergyIntolerance Resource records Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance, with further constraints applied within the scope of a Child Health event.

NameCard.TypeDescription & Constraints
..AllergyIntoleranceDomainResourceAllergy or Intolerance (generally: Risk Of Adverse reaction to a substance)

...id0..1IdLogical id of this artifact

...meta0..1MetaMetadata about the resource

...implicitRules0..1UriA set of rules under which this content was created

...language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

...text0..1NarrativeText summary of the resource, for human interpretation

...contained0..*ResourceContained, inline Resources

...encounter0..1ExtensionAn associated encounter reference
Extension http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter

...endDate0..1ExtensionAllergy end date
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEndDate-1

...evidence0..1ExtensionA reference to results of investigations that confirmed the certainty of the diagnosis
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-CareConnect-Evidence-1

...probabilityofRecurrence0..1ExtensionThe probability of the reaction (allergic, adverse, intolerant) occurring
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-CareConnect-ProbabilityOfRecurrence-1

...identifier1..1IdentifierExternal ids for this item

....id0..1Idxml:id (or equivalent in JSON)

....use0..1Codeusual | official | temp | secondary (If known)
Binding Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength Required

....type0..1CodeableConceptDescription of identifier
Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength Extensible

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....system1..1UriThe namespace for the identifier
Example Value http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri

....value1..1StringThe value that is unique
Example Value 123456

....period0..1PeriodTime period when id is/was valid for use

.....id0..1Idxml:id (or equivalent in JSON)

.....start0..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1Reference (CareConnect-DCH-Organization-1)Organization that issued id (may be just text)

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...onset0..1DateTimeDate(/time) when manifestations showed

...recordedDate1..1DateTimeWhen recorded

...recorder0..1Reference (CareConnect-DCH-Practitioner-1 | CareConnect-DCH-Patient-1)Who recorded the sensitivity

...patient1..1Reference (CareConnect-DCH-Patient-1)Who the sensitivity is for

....id0..1Idxml:id (or equivalent in JSON)

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...reporter0..1Reference (RelatedPerson | CareConnect-DCH-Practitioner-1 | CareConnect-DCH-Patient-1)Source of the information about the allergy

...substance1..1CodeableConceptSubstance, (or class) considered to be responsible for risk
Binding Type of the substance and Negation codes for reporting no known allergies. (http://hl7.org/fhir/ValueSet/allergyintolerance-substance-code)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...status0..1Codeactive | unconfirmed | confirmed | inactive | resolved | refuted | entered-in-error
Binding Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified Substance. (http://hl7.org/fhir/ValueSet/allergy-intolerance-status)
Binding Strength Required

...criticality0..1CodeCRITL | CRITH | CRITU
Binding Estimate of the potential clinical harm, or seriousness, of a reaction to an identified Substance. (http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality)
Binding Strength Required

...type0..1Codeallergy | intolerance - Underlying mechanism (if known)
Binding Identification of the underlying physiological mechanism for a Reaction Risk. (http://hl7.org/fhir/ValueSet/allergy-intolerance-type)
Binding Strength Required

...category0..1Codefood | medication | environment | other - Category of Substance
Binding Category of an identified Substance. (http://hl7.org/fhir/ValueSet/allergy-intolerance-category)
Binding Strength Required

...lastOccurence0..1DateTimeDate(/time) of last known occurrence of a reaction

...note0..1AnnotationAdditional text not captured in other fields

....id0..1Idxml:id (or equivalent in JSON)

....author[x]0..1RelatedPerson | String | CareConnect-DCH-Practitioner-1 | CareConnect-DCH-Patient-1Individual responsible for the annotation

....time0..1DateTimeWhen the annotation was made

....text1..1StringThe annotation - text content

...reaction1..*BackboneElementAdverse Reaction Events linked to exposure to substance

....id0..1Idxml:id (or equivalent in JSON)

....allergyCertainty0..1ExtensionCertainty that the stated causative agent caused the allergic or adverse reaction
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-CareConnect-AllergyCertainty-1

....allergySeverity1..1ExtensionThe severity of the allergic or adverse reaction
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-CareConnect-AllergySeverity-1

....substance1..1CodeableConceptSpecific substance considered to be responsible for event
Binding Codes defining the type of the substance. (http://hl7.org/fhir/ValueSet/substance-code)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

.....coding (SNOMED CT)0..1CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....manifestation1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event. (http://hl7.org/fhir/ValueSet/manifestation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

.....coding (SNOMED CT)0..1CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....description0..1StringDescription of the event as a whole

....onset0..1DateTimeDate(/time) when manifestations showed

....exposureRoute0..1CodeableConceptHow the subject was exposed to the substance
Binding A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. (http://hl7.org/fhir/ValueSet/route-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

.....coding (SNOMED CT)0..1CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....note0..1AnnotationText about event not captured in other fields

.....id0..1Idxml:id (or equivalent in JSON)

.....author[x]0..1RelatedPerson | String | CareConnect-DCH-Practitioner-1 | CareConnect-DCH-Patient-1Individual responsible for the annotation

.....time0..1DateTimeWhen the annotation was made

.....text1..1StringThe annotation - text content

Name Type Description & Constraints
. . encounter-associatedEncounter Extension This encounter occurs within the scope of the referenced encounter.
. . Extension-CareConnect-AllergyIntoleranceEndDate-1 Extension Supports the date that the allergy was no longer valid.
. . Extension-CareConnect-Evidence-1 Extension This Extension resource is constrained to support a reference to results of investigations that confirmed the certainty of the diagnosis. Examples might include results of skin prick allergy tests.
. . Extension-CareConnect-ProbabilityOfRecurrence-1 Extension This Extension resource is constrained to support representation of the probability of the reaction (allergic, adverse, intolerant) occurring.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-CareConnect-AllergyCertainty-1 Extension This Extension resource is constrained to support a coded certainty of the allergy/intolerance.
. . Extension-CareConnect-AllergySeverity-1 Extension This Extension resource is constrained to support a coded severity of the allergy/intolerance.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
Path Name Binding Strength ValueSet
.AllergyIntolerance.language language Required http://tools.ietf.org/html/bcp47
.AllergyIntolerance.identifier.use use Required http://hl7.org/fhir/ValueSet/identifier-use
.AllergyIntolerance.identifier.type type Extensible http://hl7.org/fhir/ValueSet/identifier-type
.AllergyIntolerance.substance substance Example http://hl7.org/fhir/ValueSet/allergyintolerance-substance-code
.AllergyIntolerance.status status Required http://hl7.org/fhir/ValueSet/allergy-intolerance-status
.AllergyIntolerance.criticality criticality Required http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality
.AllergyIntolerance.type type Required http://hl7.org/fhir/ValueSet/allergy-intolerance-type
.AllergyIntolerance.category category Required http://hl7.org/fhir/ValueSet/allergy-intolerance-category
.AllergyIntolerance.reaction.substance substance Example http://hl7.org/fhir/ValueSet/substance-code
.AllergyIntolerance.reaction.manifestation manifestation Example http://hl7.org/fhir/ValueSet/manifestation-codes
.AllergyIntolerance.reaction.exposureRoute exposureRoute Example http://hl7.org/fhir/ValueSet/route-codes