This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: ILCore AllergyIntolerance Profile

Israel Core proposed constraints and extensions on the AllergyIntolerance Resource

Usage:

• Refer to this Resource Profile: ILCore FamilyMemberHistory Profile
• Examples for this Resource Profile: AllergyIntolerance/allergyIntolerance-aspirin-intolerance, AllergyIntolerance/allergyIntolerance-cat-dander-allergy, AllergyIntolerance/allergyIntolerance-latex-allergy, AllergyIntolerance/allergyIntolerance-no-known-allergy and AllergyIntolerance/allergyIntolerance-penut-allergy-resolved

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	AllergyIntolerance	ILCore AllergyIntolerance Profile
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergyIntoleranceEnd		0..1	(Complex)	Ext: Allergy Intolerance End URL: http://fhir.health.gov.il/StructureDefinition/ext-allergy-intolerance-end
clinicalStatus	S	0..1	CodeableConcept	active | inactive | resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error
code	SC	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: IL Core Allergy Intolerance Code (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"1003755004","display":"Allergy to Hevea brasiliensis latex protein (finding)"}]}
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
patient		1..1	Reference(ILCore Patient Profile)	Who the sensitivity is for
encounter		0..1	Reference(ILCore Encounter Profile)	Encounter when the allergy or intolerance was asserted
recorder		0..1	Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile)	Who recorded the sensitivity
asserter		0..1	Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile)	Source of the information about the allergy
reaction
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
duration		0..1	Duration	Ext: Reaction Duration URL: http://fhir.health.gov.il/StructureDefinition/ext-reaction-duration
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: IL Core Substance Codes (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"387458008","display":"Aspirin (substance)"}]}
manifestation	C	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: IL Core Condition Codes (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"60862001","display":"Tinnitus (finding)"}]}
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: IL Core Route Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"26643006","display":"Oral route (qualifier value)"}]}
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.code	extensible	ILCoreAllergyIntoleranceCode http://fhir.health.gov.il/ValueSet/il-core-allergy-intolerance-code from this IG
AllergyIntolerance.reaction.substance	extensible	ILCoreSubstance http://fhir.health.gov.il/ValueSet/il-core-substance from this IG
AllergyIntolerance.reaction.manifestation	extensible	ILCoreManifestation http://fhir.health.gov.il/ValueSet/il-core-manifestation from this IG
AllergyIntolerance.reaction.exposureRoute	extensible	ILCoreRouteCode http://fhir.health.gov.il/ValueSet/il-core-route-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
element-sct	warning	AllergyIntolerance.code, AllergyIntolerance.reaction.manifestation	Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists()

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	ILCore AllergyIntolerance Profile ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergyIntoleranceEnd		0..1	(Complex)	Ext: Allergy Intolerance End URL: http://fhir.health.gov.il/StructureDefinition/ext-allergy-intolerance-end
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code	SΣC	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: IL Core Allergy Intolerance Code (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"1003755004","display":"Allergy to Hevea brasiliensis latex protein (finding)"}]}
patient	Σ	1..1	Reference(ILCore Patient Profile)	Who the sensitivity is for
encounter		0..1	Reference(ILCore Encounter Profile)	Encounter when the allergy or intolerance was asserted
recorder		0..1	Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile)	Source of the information about the allergy
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.code	extensible	ILCoreAllergyIntoleranceCode http://fhir.health.gov.il/ValueSet/il-core-allergy-intolerance-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
element-sct	warning	AllergyIntolerance.code	Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists()

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	ILCore AllergyIntolerance Profile ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergyIntoleranceEnd		0..1	(Complex)	Ext: Allergy Intolerance End URL: http://fhir.health.gov.il/StructureDefinition/ext-allergy-intolerance-end
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	Σ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	SΣC	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: IL Core Allergy Intolerance Code (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"1003755004","display":"Allergy to Hevea brasiliensis latex protein (finding)"}]}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
patient	Σ	1..1	Reference(ILCore Patient Profile)	Who the sensitivity is for
encounter		0..1	Reference(ILCore Encounter Profile)	Encounter when the allergy or intolerance was asserted
onset[x]		0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
duration		0..1	Duration	Ext: Reaction Duration URL: http://fhir.health.gov.il/StructureDefinition/ext-reaction-duration
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: IL Core Substance Codes (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"387458008","display":"Aspirin (substance)"}]}
manifestation	C	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: IL Core Condition Codes (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"60862001","display":"Tinnitus (finding)"}]}
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity		0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: IL Core Route Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"26643006","display":"Oral route (qualifier value)"}]}
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	extensible	ILCoreAllergyIntoleranceCode http://fhir.health.gov.il/ValueSet/il-core-allergy-intolerance-code from this IG
AllergyIntolerance.reaction.substance	extensible	ILCoreSubstance http://fhir.health.gov.il/ValueSet/il-core-substance from this IG
AllergyIntolerance.reaction.manifestation	extensible	ILCoreManifestation http://fhir.health.gov.il/ValueSet/il-core-manifestation from this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	extensible	ILCoreRouteCode http://fhir.health.gov.il/ValueSet/il-core-route-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
element-sct	warning	AllergyIntolerance.code, AllergyIntolerance.reaction.manifestation	Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists()

This structure is derived from AllergyIntolerance

Differential View

This structure is derived from AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	AllergyIntolerance	ILCore AllergyIntolerance Profile
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergyIntoleranceEnd		0..1	(Complex)	Ext: Allergy Intolerance End URL: http://fhir.health.gov.il/StructureDefinition/ext-allergy-intolerance-end
clinicalStatus	S	0..1	CodeableConcept	active | inactive | resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error
code	SC	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: IL Core Allergy Intolerance Code (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"1003755004","display":"Allergy to Hevea brasiliensis latex protein (finding)"}]}
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
patient		1..1	Reference(ILCore Patient Profile)	Who the sensitivity is for
encounter		0..1	Reference(ILCore Encounter Profile)	Encounter when the allergy or intolerance was asserted
recorder		0..1	Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile)	Who recorded the sensitivity
asserter		0..1	Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile)	Source of the information about the allergy
reaction
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
duration		0..1	Duration	Ext: Reaction Duration URL: http://fhir.health.gov.il/StructureDefinition/ext-reaction-duration
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: IL Core Substance Codes (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"387458008","display":"Aspirin (substance)"}]}
manifestation	C	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: IL Core Condition Codes (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"60862001","display":"Tinnitus (finding)"}]}
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: IL Core Route Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"26643006","display":"Oral route (qualifier value)"}]}
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.code	extensible	ILCoreAllergyIntoleranceCode http://fhir.health.gov.il/ValueSet/il-core-allergy-intolerance-code from this IG
AllergyIntolerance.reaction.substance	extensible	ILCoreSubstance http://fhir.health.gov.il/ValueSet/il-core-substance from this IG
AllergyIntolerance.reaction.manifestation	extensible	ILCoreManifestation http://fhir.health.gov.il/ValueSet/il-core-manifestation from this IG
AllergyIntolerance.reaction.exposureRoute	extensible	ILCoreRouteCode http://fhir.health.gov.il/ValueSet/il-core-route-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
element-sct	warning	AllergyIntolerance.code, AllergyIntolerance.reaction.manifestation	Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	ILCore AllergyIntolerance Profile ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergyIntoleranceEnd		0..1	(Complex)	Ext: Allergy Intolerance End URL: http://fhir.health.gov.il/StructureDefinition/ext-allergy-intolerance-end
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code	SΣC	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: IL Core Allergy Intolerance Code (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"1003755004","display":"Allergy to Hevea brasiliensis latex protein (finding)"}]}
patient	Σ	1..1	Reference(ILCore Patient Profile)	Who the sensitivity is for
encounter		0..1	Reference(ILCore Encounter Profile)	Encounter when the allergy or intolerance was asserted
recorder		0..1	Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile)	Source of the information about the allergy
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.code	extensible	ILCoreAllergyIntoleranceCode http://fhir.health.gov.il/ValueSet/il-core-allergy-intolerance-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
element-sct	warning	AllergyIntolerance.code	Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	ILCore AllergyIntolerance Profile ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergyIntoleranceEnd		0..1	(Complex)	Ext: Allergy Intolerance End URL: http://fhir.health.gov.il/StructureDefinition/ext-allergy-intolerance-end
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	Σ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	SΣC	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: IL Core Allergy Intolerance Code (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"1003755004","display":"Allergy to Hevea brasiliensis latex protein (finding)"}]}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
patient	Σ	1..1	Reference(ILCore Patient Profile)	Who the sensitivity is for
encounter		0..1	Reference(ILCore Encounter Profile)	Encounter when the allergy or intolerance was asserted
onset[x]		0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
duration		0..1	Duration	Ext: Reaction Duration URL: http://fhir.health.gov.il/StructureDefinition/ext-reaction-duration
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: IL Core Substance Codes (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"387458008","display":"Aspirin (substance)"}]}
manifestation	C	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: IL Core Condition Codes (extensible) element-sct: Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"60862001","display":"Tinnitus (finding)"}]}
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity		0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: IL Core Route Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"26643006","display":"Oral route (qualifier value)"}]}
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	extensible	ILCoreAllergyIntoleranceCode http://fhir.health.gov.il/ValueSet/il-core-allergy-intolerance-code from this IG
AllergyIntolerance.reaction.substance	extensible	ILCoreSubstance http://fhir.health.gov.il/ValueSet/il-core-substance from this IG
AllergyIntolerance.reaction.manifestation	extensible	ILCoreManifestation http://fhir.health.gov.il/ValueSet/il-core-manifestation from this IG
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	extensible	ILCoreRouteCode http://fhir.health.gov.il/ValueSet/il-core-route-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
element-sct	warning	AllergyIntolerance.code, AllergyIntolerance.reaction.manifestation	Element.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists()

This structure is derived from AllergyIntolerance

Other representations of profile: CSV, Excel, Schematron