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{
"resourceType": "StructureDefinition",
"id": "AllergyIntolerance",
"url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-allergyIntolerance",
"version": "1.0.0",
"name": "AllergyIntoleranceEHR",
"title": "AllergyIntolerance EHR",
"status": "active",
"description": "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "AllergyIntolerance",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "AllergyIntolerance.contained",
"path": "AllergyIntolerance.contained",
"short": "A person that is related to a patient, but who is not a direct target of care",
"definition": "Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.",
"type": [
{
"code": "Resource",
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/proifle-relatedPerson"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "rim",
"map": "N/A"
},
{
"identity": "rim",
"map": "role"
}
]
},
{
"id": "AllergyIntolerance.extension:abatement",
"path": "AllergyIntolerance.extension",
"sliceName": "abatement",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"
]
}
]
},
{
"id": "AllergyIntolerance.category",
"path": "AllergyIntolerance.category",
"mustSupport": true
},
{
"id": "AllergyIntolerance.code",
"path": "AllergyIntolerance.code",
"min": 1,
"type": [
{
"code": "CodeableConcept",
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
]
}
],
"mustSupport": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [
{
"url": "purpose",
"valueCode": "candidate"
},
{
"url": "valueSet",
"valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"
},
{
"url": "documentation",
"valueMarkdown": "Canadian Clinical Drug Data Set providing codes for identification of medications and medical devices in Canada. While not the preferred terminology for broader pan-Canadian exchange use cases, this additional binding is surfaced to socialize the value sets that may be more commonly in use. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology."
},
{
"url": "key",
"valueId": "prescriptionMedicinalProduct"
}
]
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [
{
"url": "purpose",
"valueCode": "candidate"
},
{
"url": "valueSet",
"valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/LicensedNaturalHealthProducts"
},
{
"url": "documentation",
"valueMarkdown": "All Natural Product Number (NPN) and Homeopathic Medicine Number (DIN-HM) codes that are licensed by Health Canada and present in the Licensed Natural Health Products Database."
},
{
"url": "key",
"valueId": "licensedNaturalHealthProducts"
}
]
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [
{
"url": "purpose",
"valueCode": "candidate"
},
{
"url": "valueSet",
"valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips"
},
{
"url": "documentation",
"valueMarkdown": "A code that classifies a use of Contrast for an MI procedure. This is used for searching, sorting and display purposes."
},
{
"url": "key",
"valueId": "absentUnknownAllergiesIPS"
}
]
}
],
"strength": "preferred",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductandsubstancecode"
}
},
{
"id": "AllergyIntolerance.code.coding.display.extension:translation",
"path": "AllergyIntolerance.code.coding.display.extension",
"sliceName": "translation"
},
{
"id": "AllergyIntolerance.code.coding.display.extension:translation.extension",
"path": "AllergyIntolerance.code.coding.display.extension.extension",
"min": 2
},
{
"id": "AllergyIntolerance.patient",
"path": "AllergyIntolerance.patient",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient"
]
}
],
"mustSupport": true
},
{
"id": "AllergyIntolerance.patient.reference",
"path": "AllergyIntolerance.patient.reference",
"min": 1,
"mustSupport": true
},
{
"id": "AllergyIntolerance.encounter",
"path": "AllergyIntolerance.encounter",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter"
]
}
],
"mustSupport": true
},
{
"id": "AllergyIntolerance.encounter.reference",
"path": "AllergyIntolerance.encounter.reference",
"min": 1,
"mustSupport": true
},
{
"id": "AllergyIntolerance.onset[x]",
"path": "AllergyIntolerance.onset[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
},
"mustSupport": true
},
{
"id": "AllergyIntolerance.onset[x]:onsetDateTime",
"path": "AllergyIntolerance.onset[x]",
"sliceName": "onsetDateTime",
"type": [
{
"code": "dateTime"
}
],
"mustSupport": true
},
{
"id": "AllergyIntolerance.onset[x]:onsetString",
"path": "AllergyIntolerance.onset[x]",
"sliceName": "onsetString",
"type": [
{
"code": "string"
}
],
"mustSupport": true
},
{
"id": "AllergyIntolerance.recordedDate",
"path": "AllergyIntolerance.recordedDate",
"mustSupport": true
},
{
"id": "AllergyIntolerance.recorder",
"path": "AllergyIntolerance.recorder",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner",
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole",
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient",
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/proifle-relatedPerson"
]
}
],
"mustSupport": true
},
{
"id": "AllergyIntolerance.lastOccurrence",
"path": "AllergyIntolerance.lastOccurrence",
"mustSupport": true
},
{
"id": "AllergyIntolerance.reaction",
"path": "AllergyIntolerance.reaction",
"mustSupport": true
},
{
"id": "AllergyIntolerance.reaction.manifestation",
"path": "AllergyIntolerance.reaction.manifestation",
"type": [
{
"code": "CodeableConcept",
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
]
}
],
"mustSupport": true,
"binding": {
"strength": "preferred",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode"
}
},
{
"id": "AllergyIntolerance.reaction.manifestation.coding.display.extension:translation",
"path": "AllergyIntolerance.reaction.manifestation.coding.display.extension",
"sliceName": "translation"
},
{
"id": "AllergyIntolerance.reaction.manifestation.coding.display.extension:translation.extension",
"path": "AllergyIntolerance.reaction.manifestation.coding.display.extension.extension",
"min": 2
},
{
"id": "AllergyIntolerance.reaction.severity",
"path": "AllergyIntolerance.reaction.severity",
"mustSupport": true
}
]
}
}
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