LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1

LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Allergy Intolerance

Official URL: http://fhir.health.gov.lk/ips/StructureDefinition/no-allergy-intolerance | Version: 0.1.0
Active as of 2025-06-18 | Computable Name: NoAllergies

This is to indicate that there is no information avaible for allergies.

Usages:

- Use this Profile: HIMS Transactional Bundle
- Examples for this Profile: AllergyIntolerance/NoAllergiesExample

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntoleranceUvIps | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:abatement-datetime |  | 0..1 | dateTime | Abatement datetime URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: inactive
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
type | S Σ | 1..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.
Additional Bindings | Purpose
Allergy Intolerance - SNOMED CT IPS Free Set | candidate
WHO ATC - IPS | candidate
Absent or Unknown Allergies - IPS | candidate
Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: no-allergy-info
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system
text | S Σ | 1..1 | string | Plain text representation of the concept
patient | S Σ | 1..1 | Reference(Patient) | Who the sensitivity is for
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
encounter |  | 1..1 | Reference(Target Facility Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] | S | 0..1 |  | When allergy or intolerance was identified
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
reaction | S | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
manifestation | S | 1..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).
severity | S | 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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
AllergyIntolerance.clinicalStatus | required | Pattern Value: inactive `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|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.code | preferred | Pattern Value: no-allergy-info `http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips`
AllergyIntolerance.reaction.manifestation | preferred | AllergyReactionSnomedCtIpsFreeSet `http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set`
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() |
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | AllergyIntolerance | 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 : 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() |
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from AllergyIntoleranceUvIps

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  |  | AllergyIntoleranceUvIps |
clinicalStatus |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: inactive
type |  | 1..1 | code | allergy | intolerance - Underlying mechanism (if known)
code |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: no-allergy-info
text |  | 1..1 | string | Plain text representation of the concept
patient |  | 1..1 | Reference(Patient) | Who the sensitivity is for
encounter |  | 1..1 | Reference(Target Facility Encounter) | Encounter when the allergy or intolerance was asserted
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntoleranceUvIps | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:abatement-datetime |  | 0..1 | dateTime | Abatement datetime URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External ids for this item
clinicalStatus |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: inactive
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
verificationStatus |  | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | S Σ | 1..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 | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.
Additional Bindings | Purpose
Allergy Intolerance - SNOMED CT IPS Free Set | candidate
WHO ATC - IPS | candidate
Absent or Unknown Allergies - IPS | candidate
Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: no-allergy-info
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
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 | S | 0..* | CodingIPS | A reference to a code defined by a terminology system
text | S Σ | 1..1 | string | Plain text representation of the concept
patient | S Σ | 1..1 | Reference(Patient) | Who the sensitivity is for
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter |  | 1..1 | Reference(Target Facility Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] | S | 0..1 |  | When allergy or intolerance was identified
onsetDateTime |  |  | dateTime S |
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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | 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 | S | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
manifestation | S | 1..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).
description |  | 0..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Date(/time) when manifestations showed
severity | S | 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: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note |  | 0..* | Annotation | Text about event not captured in other fields
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
AllergyIntolerance.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
AllergyIntolerance.clinicalStatus | required | Pattern Value: inactive `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 | preferred | Pattern Value: no-allergy-info `http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips`
AllergyIntolerance.patient.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
AllergyIntolerance.reaction.substance | example | SubstanceCode `http://hl7.org/fhir/ValueSet/substance-code` From the FHIR Standard
AllergyIntolerance.reaction.manifestation | preferred | AllergyReactionSnomedCtIpsFreeSet `http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set`
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodes `http://hl7.org/fhir/ValueSet/route-codes` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() |
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | AllergyIntolerance | 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 : 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() |
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from AllergyIntoleranceUvIps

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

- Patient (http://fhir.health.gov.lk/ips/StructureDefinition/ips-patient)
- Target Facility Encounter (http://fhir.health.gov.lk/ips/StructureDefinition/target-facility-encounter)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntoleranceUvIps | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:abatement-datetime |  | 0..1 | dateTime | Abatement datetime URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: inactive
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
type | S Σ | 1..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.
Additional Bindings | Purpose
Allergy Intolerance - SNOMED CT IPS Free Set | candidate
WHO ATC - IPS | candidate
Absent or Unknown Allergies - IPS | candidate
Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: no-allergy-info
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system
text | S Σ | 1..1 | string | Plain text representation of the concept
patient | S Σ | 1..1 | Reference(Patient) | Who the sensitivity is for
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
encounter |  | 1..1 | Reference(Target Facility Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] | S | 0..1 |  | When allergy or intolerance was identified
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
reaction | S | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
manifestation | S | 1..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).
severity | S | 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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
AllergyIntolerance.clinicalStatus | required | Pattern Value: inactive `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|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.code | preferred | Pattern Value: no-allergy-info `http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips`
AllergyIntolerance.reaction.manifestation | preferred | AllergyReactionSnomedCtIpsFreeSet `http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set`
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() |
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | AllergyIntolerance | 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 : 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() |
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Differential View

This structure is derived from AllergyIntoleranceUvIps

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  |  | AllergyIntoleranceUvIps |
clinicalStatus |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: inactive
type |  | 1..1 | code | allergy | intolerance - Underlying mechanism (if known)
code |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: no-allergy-info
text |  | 1..1 | string | Plain text representation of the concept
patient |  | 1..1 | Reference(Patient) | Who the sensitivity is for
encounter |  | 1..1 | Reference(Target Facility Encounter) | Encounter when the allergy or intolerance was asserted
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntoleranceUvIps | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:abatement-datetime |  | 0..1 | dateTime | Abatement datetime URL: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External ids for this item
clinicalStatus |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: inactive
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
verificationStatus |  | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type | S Σ | 1..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 | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Allergy Intolerance - IPS (preferred): Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.
Additional Bindings | Purpose
Allergy Intolerance - SNOMED CT IPS Free Set | candidate
WHO ATC - IPS | candidate
Absent or Unknown Allergies - IPS | candidate
Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: no-allergy-info
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
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 | S | 0..* | CodingIPS | A reference to a code defined by a terminology system
text | S Σ | 1..1 | string | Plain text representation of the concept
patient | S Σ | 1..1 | Reference(Patient) | Who the sensitivity is for
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter |  | 1..1 | Reference(Target Facility Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] | S | 0..1 |  | When allergy or intolerance was identified
onsetDateTime |  |  | dateTime S |
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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | 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 | S | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
manifestation | S | 1..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Allergy Reaction - SNOMED CT IPS Free Set (preferred): Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).
description |  | 0..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Date(/time) when manifestations showed
severity | S | 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: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note |  | 0..* | Annotation | Text about event not captured in other fields
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
AllergyIntolerance.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
AllergyIntolerance.clinicalStatus | required | Pattern Value: inactive `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 | preferred | Pattern Value: no-allergy-info `http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips`
AllergyIntolerance.patient.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
AllergyIntolerance.reaction.substance | example | SubstanceCode `http://hl7.org/fhir/ValueSet/substance-code` From the FHIR Standard
AllergyIntolerance.reaction.manifestation | preferred | AllergyReactionSnomedCtIpsFreeSet `http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set`
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodes `http://hl7.org/fhir/ValueSet/route-codes` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() |
ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | AllergyIntolerance | 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 : 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() |
dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from AllergyIntoleranceUvIps

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

- Patient (http://fhir.health.gov.lk/ips/StructureDefinition/ips-patient)
- Target Facility Encounter (http://fhir.health.gov.lk/ips/StructureDefinition/target-facility-encounter)

Other representations of profile: CSV, Excel, Schematron