AllergyIntolerance Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-allergyintolerance |
|---|---|
| Status | draft · 1.26.0 |
| Base | AllergyIntolerance (constraint) |
| Source | FSH · JSON |
Defines the Nexus EMR standard for AllergyIntolerance resources, based on CA-Core+. Includes instance-specific Nexus EMR identifiers, references via identifier (CII E01).
Elements / Differential
What this profile constrains beyond AllergyIntolerance. Anything not listed is unchanged from the base; muted type/cardinality values are the base's, shown for context.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | Nexus EMR Allergy Intolerance Core i Invariants: nexus-note-extension-not-where-native |
|||
| meta | 0..1 | Meta | ||
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i |
| text | S | 0..1 | Narrative | Narrative i |
| identifier | S | 0..* | Identifier | Business identifier(s) for allergyintolerance i |
| system | 1..1 | uri | i | |
| value | 1..1 | string | i | |
| clinicalStatus | S | 0..1 | CodeableConcept | Whether the allergy is still current i Binding: allergyintolerance-clinical ( required) |
| type | 0..1 | code | Whether the reaction is immune-mediated (allergy) or not (intolerance) i | |
| category | 0..* | code | The kind of substance the reaction is to i | |
| criticality | 0..1 | code | The risk that a future exposure causes serious harm i | |
| code | S | 1..1 | CodeableConcept | Allergen/substance with raw code support i |
| coding | 0..* | Coding | i Slicing: value:system (open) |
|
| coding:ccdd | S | 0..* | Coding | CCDD coding -- the ingredient-level drug allergen (system slot only; codes not enumerated) i |
| system | 1..1 | uri | i Fixed: http://terminology.hl7.org/CodeSystem/hc-CCDD |
|
| code | 1..1 | code | ||
| coding:atc | S | 0..* | Coding | ATC coding -- coarser ingredient-level allergen grouping (system slot only; codes not enumerated) i |
| system | 1..1 | uri | i Fixed: http://www.whocc.no/atc |
|
| code | 1..1 | code | ||
| coding:aigc | S | 0..* | Coding | DPD active-ingredient group CODE (AIGC, 5 digits) -- strength dropped, which is what an allergy means i |
| system | 1..1 | uri | i Fixed: http://terminology.hl7.org/CodeSystem/v3-hc-aigc |
|
| code | 1..1 | code | ||
| text | S | 1..1 | string | Human-readable allergen description (required) i |
| patient | S | 1..1 | Reference(Patient) | Who the allergy or intolerance is for i |
| encounter | S | 0..1 | Reference(Encounter) | Encounter when allergy was recorded i |
| recordedDate | S | 1..1 | dateTime | Date allergy was first recorded i |
| note | S | 0..* | Annotation | Clinical comments on the allergy or intolerance -- one whole comment per repeat i |
| reaction | 0..* | BackboneElement | ||
| severity | 0..1 | code | How severe the reaction event was overall i |