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Packagehl7.fhir.eu.imaging-r5
Resource TypeStructureDefinition
IdStructureDefinition-EHDSAllergyIntolerance.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/hl7-eu/imaging-r5/StructureDefinition-EHDSAllergyIntolerance.html
URLhttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
Version0.1.0
Statusdraft
Date2025-08-05T08:51:00+00:00
NameEHDSAllergyIntolerance
TitleAllergy intolerance model
Realmeu
Authorityhl7
DescriptionEHDS refined base model for allergy/intolerance
CopyrightCopyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
Kindlogical

Resources that use this resource

StructureDefinition
EHDSDischargeReportDischarge Report model
EHDSImagingReportImaging report model
EHDSLaboratoryOrderBodyLaboratory order body model
EHDSPatientSummaryPatient summary model

Resources that this resource uses

StructureDefinition
EHDSDataSetDataSet model

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition EHDSAllergyIntolerance

Language: en

NameFlagsCard.TypeDescription & Constraintsdoco
.. EHDSAllergyIntolerance 0..*EHDSDataSetAllergy intolerance model

Elements defined in Ancestors:header, presentedForm
Instances of this logical model can be the target of a Reference
... agentOrAllergen 1..1CodeableConceptA specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.
Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 eHDSIActiveIngredient (ATC, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.61 eHDSISubstance (EMA SMS, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.19 eHDSIAllergenNoDrug (SCT, used in MH@EU); ICD-11 Allergens
... typeOfPropensity 0..1CodeableConceptThis element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)
Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.18 eHDSIAdverseEventType (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-type (HL7, required in HL7 FHIR)
... description 0..1stringTextual description of the allergy or intolerance
... criticality 0..1CodeableConceptEstimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.57 eHDSICriticality (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality (HL7, required in HL7 FHIR)
... certainty 0..1CodeableConceptAssertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition
Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.58 eHDSIAllergyCertainty (HL7, used in MH@EU) ; http://hl7.org/fhir/ValueSet/allergyintolerance-verification (HL7, required in HL7 FHIR)
... status 0..1CodeableConceptCurrent status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc.
Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.59 eHDSIAllergyStatus (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergyintolerance-clinical (HL7, required in HL7 FHIR)
... onsetDate 0..1dateTimeWhen allergy or intolerance was identified
... endDate 0..1dateTimeDate of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
... reaction 0..*BaseAdverse Reaction Events linked to exposure to substance.
.... manifestation 0..*CodeableConceptDescription of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).
Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, alternative in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.11 eHDSIReactionAllergy (SCT, alternative in MH@EU); ICD-11 MMS
.... date 0..1dateTimeDate and time of allergy manifestation
.... severity 0..1CodeableConceptSeverity of the clinical manifestation of the allergic reaction.
Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/reaction-event-severity (HL7, Required in HL7 FHIR)
.... onsetDate 0..1dateTimeDate of the observation of the reaction

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "EHDSAllergyIntolerance",
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
      "valueCode": "can-be-target"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
      "valueCode": "can-be-target"
    }
  ],
  "url": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance",
  "version": "0.1.0",
  "name": "EHDSAllergyIntolerance",
  "title": "Allergy intolerance model",
  "status": "draft",
  "date": "2025-08-05T08:51:00+00:00",
  "publisher": "HL7 Europe",
  "contact": [
    {
      "name": "Xt-EHR",
      "telecom": [
        {
          "system": "url",
          "value": "http://Xt-EHR.eu"
        }
      ]
    }
  ],
  "description": "EHDS refined base model for allergy/intolerance",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "150",
          "display": "Europe"
        }
      ]
    }
  ],
  "copyright": "Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).",
  "fhirVersion": "5.0.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance",
  "baseDefinition": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDataSet",
  "derivation": "specialization",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "0.1.0"
      }
    ],
    "element": [
      {
        "id": "EHDSAllergyIntolerance",
        "path": "EHDSAllergyIntolerance",
        "short": "Allergy intolerance model",
        "definition": "EHDS refined base model for allergy/intolerance",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header",
        "path": "EHDSAllergyIntolerance.header",
        "short": "Common header for all patient-related data",
        "definition": "Common header for all patient-related data",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.subject",
        "path": "EHDSAllergyIntolerance.header.subject",
        "short": "Subject",
        "definition": "Patient/subject information",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.subject",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.identifier",
        "path": "EHDSAllergyIntolerance.header.identifier",
        "short": "Business identifier for the object",
        "definition": "Business identifier for the object",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSDataSet.header.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.authorship",
        "path": "EHDSAllergyIntolerance.header.authorship",
        "short": "Authorship",
        "definition": "Resource authoring details",
        "min": 1,
        "max": "*",
        "base": {
          "path": "EHDSDataSet.header.authorship",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.authorship.author[x]",
        "path": "EHDSAllergyIntolerance.header.authorship.author[x]",
        "short": "Author",
        "definition": "Author(s) by whom the resource was/were authored. Multiple authors could be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.authorship.author[x]",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"
          },
          {
            "code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation"
          },
          {
            "code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.authorship.datetime",
        "path": "EHDSAllergyIntolerance.header.authorship.datetime",
        "short": "Date and time of authoring/issuing",
        "definition": "Date and time of the issuing the document/resource by its author.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.authorship.datetime",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.lastUpdate",
        "path": "EHDSAllergyIntolerance.header.lastUpdate",
        "short": "Date and time of the last update to the resource",
        "definition": "Date and time of the last update to the document/information",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.lastUpdate",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.status",
        "path": "EHDSAllergyIntolerance.header.status",
        "short": "Status of the resource",
        "definition": "Status of the resource",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.statusReason[x]",
        "path": "EHDSAllergyIntolerance.header.statusReason[x]",
        "short": "Reason for the current status of the resource.",
        "definition": "Reason for the current status of the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.statusReason[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.header.language",
        "path": "EHDSAllergyIntolerance.header.language",
        "short": "Language",
        "definition": "Language in which the resource is written. Language is expressed by the IETF language tag.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "BCP 47"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.header.version",
        "path": "EHDSAllergyIntolerance.header.version",
        "short": "Version",
        "definition": "Business version of the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.version",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.presentedForm",
        "path": "EHDSAllergyIntolerance.presentedForm",
        "short": "A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document",
        "definition": "A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSDataSet.presentedForm",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.agentOrAllergen",
        "path": "EHDSAllergyIntolerance.agentOrAllergen",
        "short": "A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.",
        "definition": "A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.agentOrAllergen",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.24 **eHDSIActiveIngredient** (ATC, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.61 eHDSISubstance (EMA SMS, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.19 eHDSIAllergenNoDrug (SCT, used in MH@EU); ICD-11 Allergens"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.typeOfPropensity",
        "path": "EHDSAllergyIntolerance.typeOfPropensity",
        "short": "This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)",
        "definition": "This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)",
        "requirements": "eHN PS Guideline, MyHealth@EU",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.typeOfPropensity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.18 eHDSIAdverseEventType (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-type (HL7, required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.description",
        "path": "EHDSAllergyIntolerance.description",
        "short": "Textual description of the allergy or intolerance",
        "definition": "Textual description of the allergy or intolerance",
        "requirements": "eHN PS Guideline, ISO IPS",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.description",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.criticality",
        "path": "EHDSAllergyIntolerance.criticality",
        "short": "Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
        "definition": "Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.criticality",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.57 eHDSICriticality (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality (HL7, required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.certainty",
        "path": "EHDSAllergyIntolerance.certainty",
        "short": "Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition",
        "definition": "Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.certainty",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.58 eHDSIAllergyCertainty (HL7, used in MH@EU) ; http://hl7.org/fhir/ValueSet/allergyintolerance-verification (HL7, required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.status",
        "path": "EHDSAllergyIntolerance.status",
        "short": "Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc.",
        "definition": "Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc.",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.status",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.59 eHDSIAllergyStatus (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergyintolerance-clinical (HL7, required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.onsetDate",
        "path": "EHDSAllergyIntolerance.onsetDate",
        "short": "When allergy or intolerance was identified",
        "definition": "When allergy or intolerance was identified",
        "requirements": "MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.onsetDate",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.endDate",
        "path": "EHDSAllergyIntolerance.endDate",
        "short": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)",
        "definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.endDate",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.reaction",
        "path": "EHDSAllergyIntolerance.reaction",
        "short": "Adverse Reaction Events linked to exposure to substance.",
        "definition": "Adverse Reaction Events linked to exposure to substance.",
        "requirements": "ISO IPS (explicit), implicitly in eHN PS Guideline, MH@EU",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSAllergyIntolerance.reaction",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.reaction.manifestation",
        "path": "EHDSAllergyIntolerance.reaction.manifestation",
        "short": "Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).",
        "definition": "Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).",
        "requirements": "The element is present in eHN PS GL, MyHealth@EU specifications and ISO IPS. Element name and description is taken from eHN PS GL. Cardinality in MyHealth@EU for this element, used here, is one manifestation per severity and onset, while the cardinality in FHIR IPS IG allows multiple manifestations per severity and onset.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSAllergyIntolerance.reaction.manifestation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, alternative in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.11 eHDSIReactionAllergy (SCT, alternative in MH@EU); ICD-11 MMS"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.reaction.date",
        "path": "EHDSAllergyIntolerance.reaction.date",
        "short": "Date and time of allergy manifestation",
        "definition": "Date and time of allergy manifestation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.reaction.date",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.reaction.severity",
        "path": "EHDSAllergyIntolerance.reaction.severity",
        "short": "Severity of the clinical manifestation of the allergic reaction.",
        "definition": "Severity of the clinical manifestation of the allergic reaction.",
        "requirements": "The element is present in eHN PS GL, MyHealth@EU specifications and ISO IPS. Element name and description is taken from eHN PS GL.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.reaction.severity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/reaction-event-severity (HL7, Required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.reaction.onsetDate",
        "path": "EHDSAllergyIntolerance.reaction.onsetDate",
        "short": "Date of the observation of the reaction",
        "definition": "Date of the observation of the reaction",
        "requirements": "The element is present in eHN PS GL. Element name and description is taken from eHN PS GL.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSAllergyIntolerance.reaction.onsetDate",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "EHDSAllergyIntolerance",
        "path": "EHDSAllergyIntolerance",
        "short": "Allergy intolerance model",
        "definition": "EHDS refined base model for allergy/intolerance"
      },
      {
        "id": "EHDSAllergyIntolerance.agentOrAllergen",
        "path": "EHDSAllergyIntolerance.agentOrAllergen",
        "short": "A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.",
        "definition": "A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.24 **eHDSIActiveIngredient** (ATC, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.61 eHDSISubstance (EMA SMS, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.19 eHDSIAllergenNoDrug (SCT, used in MH@EU); ICD-11 Allergens"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.typeOfPropensity",
        "path": "EHDSAllergyIntolerance.typeOfPropensity",
        "short": "This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)",
        "definition": "This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)",
        "requirements": "eHN PS Guideline, MyHealth@EU",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.18 eHDSIAdverseEventType (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-type (HL7, required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.description",
        "path": "EHDSAllergyIntolerance.description",
        "short": "Textual description of the allergy or intolerance",
        "definition": "Textual description of the allergy or intolerance",
        "requirements": "eHN PS Guideline, ISO IPS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.criticality",
        "path": "EHDSAllergyIntolerance.criticality",
        "short": "Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
        "definition": "Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.57 eHDSICriticality (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality (HL7, required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.certainty",
        "path": "EHDSAllergyIntolerance.certainty",
        "short": "Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition",
        "definition": "Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.58 eHDSIAllergyCertainty (HL7, used in MH@EU) ; http://hl7.org/fhir/ValueSet/allergyintolerance-verification (HL7, required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.status",
        "path": "EHDSAllergyIntolerance.status",
        "short": "Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc.",
        "definition": "Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc.",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.59 eHDSIAllergyStatus (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergyintolerance-clinical (HL7, required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.onsetDate",
        "path": "EHDSAllergyIntolerance.onsetDate",
        "short": "When allergy or intolerance was identified",
        "definition": "When allergy or intolerance was identified",
        "requirements": "MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.endDate",
        "path": "EHDSAllergyIntolerance.endDate",
        "short": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)",
        "definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)",
        "requirements": "eHN PS Guideline, MyHealth@EU, ISO IPS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.reaction",
        "path": "EHDSAllergyIntolerance.reaction",
        "short": "Adverse Reaction Events linked to exposure to substance.",
        "definition": "Adverse Reaction Events linked to exposure to substance.",
        "requirements": "ISO IPS (explicit), implicitly in eHN PS Guideline, MH@EU",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.reaction.manifestation",
        "path": "EHDSAllergyIntolerance.reaction.manifestation",
        "short": "Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).",
        "definition": "Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).",
        "requirements": "The element is present in eHN PS GL, MyHealth@EU specifications and ISO IPS. Element name and description is taken from eHN PS GL. Cardinality in MyHealth@EU for this element, used here, is one manifestation per severity and onset, while the cardinality in FHIR IPS IG allows multiple manifestations per severity and onset.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, alternative in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.11 eHDSIReactionAllergy (SCT, alternative in MH@EU); ICD-11 MMS"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.reaction.date",
        "path": "EHDSAllergyIntolerance.reaction.date",
        "short": "Date and time of allergy manifestation",
        "definition": "Date and time of allergy manifestation",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSAllergyIntolerance.reaction.severity",
        "path": "EHDSAllergyIntolerance.reaction.severity",
        "short": "Severity of the clinical manifestation of the allergic reaction.",
        "definition": "Severity of the clinical manifestation of the allergic reaction.",
        "requirements": "The element is present in eHN PS GL, MyHealth@EU specifications and ISO IPS. Element name and description is taken from eHN PS GL.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/reaction-event-severity (HL7, Required in HL7 FHIR)"
        }
      },
      {
        "id": "EHDSAllergyIntolerance.reaction.onsetDate",
        "path": "EHDSAllergyIntolerance.reaction.onsetDate",
        "short": "Date of the observation of the reaction",
        "definition": "Date of the observation of the reaction",
        "requirements": "The element is present in eHN PS GL. Element name and description is taken from eHN PS GL.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      }
    ]
  }
}