kps-allergyIntolerance
type: StructureDefinition
node role: treeRoot
id:
  v: kps-allergyIntolerance
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition kps-allergyIntolerance Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> AllergyIntolerance 0..* AllergyIntoleranceUvIps Allergy or Intolerance (generally: Risk of adverse reaction to a substance) #xD; clinicalStatus S 0..1 CodeableConceptIPS Status of the allergy: active, resolved, etc. Binding: Allergy Clinical Status (required) #xD; verificationStatus S 1..1 CodeableConceptIPS Certainty about the allergy (confirmed, unconfirmed, etc.) Binding: Allergy Certainty (required) #xD; type 1..1 code Allergy, Intolerance, or Unknown Binding: Allergy Type (required) #xD; criticality S 0..1 code Likelihood of life-threatening reaction on exposure #xD; onset[x] 0..1 When allergy or intolerance was identified #xD; <span title="Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month). If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. Dates SHALL be valid dates.">onsetDateTime dateTime #xD; onsetAge Age #xD; lastOccurrence 0..1 dateTime Date of last occurrence of the allergy #xD; note 0..* Annotation Medical alert notes (clinical importance) #xD; reaction 1..* BackboneElement Adverse Reaction Events linked to exposure to substance #xD; substance 1..1 CodeableConcept Allergen or substance causing reaction #xD; manifestation 1..* CodeableConceptIPS Clinical manifestation(s), e.g. rash, shock #xD; description 0..1 string Free-text description of the allergy reaction #xD; severity 0..1 code Severity of reaction Binding: Allergy Severity (required) #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: https://example.org/fhir/StructureDefinition/kps-allergyIntolerance
  l: kps-allergyIntolerance
version:
  v: 0.1.0
name:
  v: KpsAllergyIntolerance
title:
  v: AllergyIntolerance Profile - KPS
status:
  v: draft
date:
  v: 2025-12-09T10:36:20+00:00
publisher:
  v: IntelliSOFT Consulting
contact:
  name:
    v: IntelliSOFT Consulting
  telecom:
    system:
      v: url
    value:
      v: https://.com/fhir/example-publisher
contact:
  name:
    v: KPS Team Kenya.
  telecom:
    system:
      v: email
    use:
      v: work
description:
  v: This profile defines constraints on the AllergyIntolerance resource for use within the Kenya Patient Summary. It captures information about a patient's known allergies and intolerances to substances such as medications, foods, or environmental agents, supporting safer clinical decision-making, continuity of care, and data exchange within the national Health Information Exchange (HIE).
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: KE
    display:
      v: Kenya
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: AllergyIntolerance
  l: AllergyIntolerance
base definition:
  v: http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips
  l: AllergyIntolerance-uv-ips
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 1.1.0
  element:
    id:
      v: AllergyIntolerance
    path:
      v: AllergyIntolerance
    short:
      v: Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
    definition:
      v: Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.
    comment:
      v: Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.
    alias:
      v: Allergy
    alias:
      v: Intolerance
    alias:
      v: Adverse Reaction
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: AllergyIntolerance
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: ait-1
      severity:
        v: error
      human:
        v: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
      expression:
        v: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
      xpath:
        v: f:verificationStatus/f:coding/f:code/@value='entered-in-error' or exists(f:clinicalStatus)
      source:
        v: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
        l: AllergyIntolerance
    constraint:
      key:
        v: ait-2
      severity:
        v: error
      human:
        v: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
      expression:
        v: verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
      xpath:
        v: not(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(f:clinicalStatus))
      source:
        v: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
        l: AllergyIntolerance
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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:
        v: 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:
        v: 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:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()

v: not(exists(f:contained/*/f:meta/f:security))

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
    l: elementdefinition-bestpractice
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
    l: elementdefinition-bestpractice-explanation
  value: Markdown
    v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
key:
  v: dom-6
severity:
  v: warning
human:
  v: A resource should have narrative for robust management
expression:
  v: text.`div`.exists()
xpath:
  v: exists(f:text/h:div)
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

v: false

v: false

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: rim
map:
  v: Observation[classCode=OBS, moodCode=EVN]

id:
  v: AllergyIntolerance.id
path:
  v: AllergyIntolerance.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: AllergyIntolerance.meta
path:
  v: AllergyIntolerance.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: AllergyIntolerance.implicitRules
path:
  v: AllergyIntolerance.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: AllergyIntolerance.language
path:
  v: AllergyIntolerance.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages
    l: languages

id:
  v: AllergyIntolerance.text
path:
  v: AllergyIntolerance.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: AllergyIntolerance.contained
path:
  v: AllergyIntolerance.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: AllergyIntolerance.extension
path:
  v: AllergyIntolerance.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: AllergyIntolerance.extension:abatement-datetime
path:
  v: AllergyIntolerance.extension
slice name:
  v: abatement-datetime
short:
  v: Abatement datetime
definition:
  v: The date or estimated date that the condition resolved or went into remission.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/abatement-dateTime-uv-ips
    l: abatement-dateTime-uv-ips
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: AllergyIntolerance.modifierExtension
path:
  v: AllergyIntolerance.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: AllergyIntolerance.identifier
path:
  v: AllergyIntolerance.identifier
short:
  v: External ids for this item
definition:
  v: Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
comment:
  v: This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
requirements:
  v: Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.
min:
  v: 0
max:
  v: *
base:
  path:
    v: AllergyIntolerance.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: IAM-7
mapping:
  identity:
    v: rim
  map:
    v: id

id:
  v: AllergyIntolerance.clinicalStatus
path:
  v: AllergyIntolerance.clinicalStatus
short:
  v: Status of the allergy: active, resolved, etc.
definition:
  v: The clinical status of the allergy
comment:
  v: Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.clinicalStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
    l: CodeableConcept-uv-ips
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
binding:
  strength:
    v: required
  value set:
    v: https://example.org/fhir/ValueSet/allergy-status-vs
    l: allergy-status-vs
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD

id:
  v: AllergyIntolerance.verificationStatus
path:
  v: AllergyIntolerance.verificationStatus
short:
  v: Certainty about the allergy (confirmed, unconfirmed, etc.)
definition:
  v: The verification status to support the clinical status of the allergy
comment:
  v: In the scope of the IPS the entered-in-error concept is not allowed.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.verificationStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
    l: CodeableConcept-uv-ips
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
binding:
  strength:
    v: required
  value set:
    v: https://example.org/fhir/ValueSet/allergy-certainty-vs
    l: allergy-certainty-vs
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD

id:
  v: AllergyIntolerance.type
path:
  v: AllergyIntolerance.type
short:
  v: Allergy, Intolerance, or Unknown
definition:
  v: Type of reaction: allergy, intolerance, or unknown.
comment:
  v: Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
alias:
  v: Category
alias:
  v: Class
min:
  v: 1
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: https://example.org/fhir/ValueSet/allergy-type-vs
    l: allergy-type-vs
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: IAM-9
mapping:
  identity:
    v: rim
  map:
    v: code

id:
  v: AllergyIntolerance.category
path:
  v: AllergyIntolerance.category
short:
  v: food | medication | environment | biologic
definition:
  v: Category of the identified substance.
comment:
  v: This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to [search](http://hl7.org/fhir/R4/search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.
alias:
  v: Category
alias:
  v: Type
alias:
  v: Reaction Type
alias:
  v: Class
min:
  v: 0
max:
  v: *
base:
  path:
    v: AllergyIntolerance.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: AllergyIntoleranceCategory
  strength:
    v: required
  description:
    v: Category of an identified substance associated with allergies or intolerances.
  value set:
    v: http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
    l: http://hl7.org/fhir/ValueSet/allergy-intolerance-category
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: AL1-2
mapping:
  identity:
    v: rim
  map:
    v: value < IntoleranceValue (Agent)

id:
  v: AllergyIntolerance.criticality
path:
  v: AllergyIntolerance.criticality
short:
  v: Likelihood of life-threatening reaction on exposure
definition:
  v: Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.
comment:
  v: The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term "severity" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.
alias:
  v: Severity
alias:
  v: Seriousness
alias:
  v: Contra-indication
alias:
  v: Risk
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.criticality
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: AllergyIntoleranceCriticality
  strength:
    v: required
  description:
    v: Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
  value set:
    v: http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
    l: http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.grade
mapping:
  identity:
    v: v2
  map:
    v: AL1-4
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]

id:
  v: AllergyIntolerance.code
path:
  v: AllergyIntolerance.code
short:
  v: Concept - reference to a terminology or just text
definition:
  v: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.
comment:
  v: Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
    l: CodeableConcept-uv-ips
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
binding:
  extension:
    extension:
      url:
        v: purpose
        l: purpose
      value: Code
        v: candidate
    extension:
      url:
        v: valueSet
        l: valueSet
      value: Canonical
        v: http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-snomed-ct-ips-free-set
        l: allergy-intolerance-snomed-ct-ips-free-set
    extension:
      url:
        v: documentation
        l: documentation
      value: Markdown
        v: Type of the substance/product, allergy or intolerance condition.
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/additional-binding
      l: additional-binding
  extension:
    extension:
      url:
        v: purpose
        l: purpose
      value: Code
        v: candidate
    extension:
      url:
        v: valueSet
        l: valueSet
      value: Canonical
        v: http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips
        l: whoatc-uv-ips
    extension:
      url:
        v: documentation
        l: documentation
      value: Markdown
        v: Type of the substance/product, allergy or intolerance condition.
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/additional-binding
      l: additional-binding
  extension:
    extension:
      url:
        v: purpose
        l: purpose
      value: Code
        v: candidate
    extension:
      url:
        v: valueSet
        l: valueSet
      value: Canonical
        v: http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips
        l: absent-or-unknown-allergies-uv-ips
    extension:
      url:
        v: documentation
        l: documentation
      value: Markdown
        v: Absent and unknown codes for allergy or intolerance.
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/additional-binding
      l: additional-binding
  strength:
    v: preferred
  description:
    v: Type of the substance/product, allergy or intolerance condition or or a code for absent/unknown allergy.
  value set:
    v: http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
    l: allergy-intolerance-uv-ips
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD

id:
  v: AllergyIntolerance.patient
path:
  v: AllergyIntolerance.patient
short:
  v: Who the sensitivity is for
definition:
  v: The patient who has the allergy or intolerance.
alias:
  v: Patient
min:
  v: 1
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.patient
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips
    l: Patient-uv-ips
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: (PID-3)
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role[classCode=PAT]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: AllergyIntolerance.patient.id
path:
  v: AllergyIntolerance.patient.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: AllergyIntolerance.patient.extension
path:
  v: AllergyIntolerance.patient.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: AllergyIntolerance.patient.reference
path:
  v: AllergyIntolerance.patient.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: AllergyIntolerance.patient.type
path:
  v: AllergyIntolerance.patient.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types
    l: resource-types
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: AllergyIntolerance.patient.identifier
path:
  v: AllergyIntolerance.patient.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: AllergyIntolerance.patient.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: AllergyIntolerance.patient.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: AllergyIntolerance.encounter
path:
  v: AllergyIntolerance.encounter
short:
  v: Encounter when the allergy or intolerance was asserted
definition:
  v: The encounter when the allergy or intolerance was asserted.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.encounter
  min:
    v: 0
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    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

id:
  v: AllergyIntolerance.onset[x]
path:
  v: AllergyIntolerance.onset[x]
short:
  v: When allergy or intolerance was identified
definition:
  v: Estimated or actual date, date-time, or age when allergy or intolerance was identified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.onset[x]
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
      l: elementdefinition-type-must-support
    value: Boolean
      v: true
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
      l: elementdefinition-type-must-support
    value: Boolean
      v: true
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Age
    l: Age
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
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  v: true
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  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.init
mapping:
  identity:
    v: rim
  map:
    v: effectiveTime.low

id:
  v: AllergyIntolerance.recordedDate
path:
  v: AllergyIntolerance.recordedDate
short:
  v: Date first version of the resource instance was recorded
definition:
  v: The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.recordedDate
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    v: 0
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    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded
mapping:
  identity:
    v: v2
  map:
    v: IAM-13
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].time

id:
  v: AllergyIntolerance.recorder
path:
  v: AllergyIntolerance.recorder
short:
  v: Who recorded the sensitivity
definition:
  v: Individual who recorded the record and takes responsibility for its content.
alias:
  v: Author
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.recorder
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    v: 0
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    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    l: PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    l: RelatedPerson
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
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  v: false
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  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].role

id:
  v: AllergyIntolerance.asserter
path:
  v: AllergyIntolerance.asserter
short:
  v: Source of the information about the allergy
definition:
  v: The source of the information about the allergy that is recorded.
comment:
  v: The recorder takes responsibility for the content, but can reference the source from where they got it.
alias:
  v: Source
alias:
  v: Informant
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  v: 0
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    v: AllergyIntolerance.asserter
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type:
  code:
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    v: http://hl7.org/fhir/StructureDefinition/Patient
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    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    l: RelatedPerson
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    l: PractitionerRole
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
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is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.source
mapping:
  identity:
    v: v2
  map:
    v: IAM-14 (if patient) / IAM-18 (if practitioner)
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=INF].role

id:
  v: AllergyIntolerance.lastOccurrence
path:
  v: AllergyIntolerance.lastOccurrence
short:
  v: Date of last occurrence of the allergy
definition:
  v: The date and time when the allergy last occurred or was resolved.
comment:
  v: This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.lastOccurrence
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime

id:
  v: AllergyIntolerance.note
path:
  v: AllergyIntolerance.note
short:
  v: Medical alert notes (clinical importance)
definition:
  v: Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.
comment:
  v: For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and AllergyIntolerance.event.notes.
min:
  v: 0
max:
  v: *
base:
  path:
    v: AllergyIntolerance.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: subjectOf.observationEvent[code="annotation"].value

id:
  v: AllergyIntolerance.reaction
path:
  v: AllergyIntolerance.reaction
short:
  v: Adverse Reaction Events linked to exposure to substance
definition:
  v: Details about each adverse reaction event linked to exposure to the identified substance.
min:
  v: 1
max:
  v: *
base:
  path:
    v: AllergyIntolerance.reaction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
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must support:
  v: true
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  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]

id:
  v: AllergyIntolerance.reaction.id
path:
  v: AllergyIntolerance.reaction.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: AllergyIntolerance.reaction.extension
path:
  v: AllergyIntolerance.reaction.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: AllergyIntolerance.reaction.modifierExtension
path:
  v: AllergyIntolerance.reaction.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
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    v: 0
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    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
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    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: AllergyIntolerance.reaction.substance
path:
  v: AllergyIntolerance.reaction.substance
short:
  v: Allergen or substance causing reaction
definition:
  v: Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
comment:
  v: Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible. The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, "penicillins"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, "amoxycillin"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.
min:
  v: 1
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  v: 1
base:
  path:
    v: AllergyIntolerance.reaction.substance
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    v: 0
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    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SubstanceCode
  strength:
    v: example
  description:
    v: Codes defining the type of the substance (including pharmaceutical products).
  value set:
    v: http://hl7.org/fhir/ValueSet/substance-code
    l: substance-code
mapping:
  identity:
    v: rim
  map:
    v: outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]

id:
  v: AllergyIntolerance.reaction.manifestation
path:
  v: AllergyIntolerance.reaction.manifestation
short:
  v: Clinical manifestation(s), e.g. rash, shock
definition:
  v: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.
comment:
  v: Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
min:
  v: 1
max:
  v: *
base:
  path:
    v: AllergyIntolerance.reaction.manifestation
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
    l: CodeableConcept-uv-ips
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
binding:
  strength:
    v: preferred
  description:
    v: Code for the allergy or intolerance reaction manifestation from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set).
  value set:
    v: http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set
    l: allergy-reaction-snomed-ct-ips-free-set
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD

id:
  v: AllergyIntolerance.reaction.description
path:
  v: AllergyIntolerance.reaction.description
short:
  v: Free-text description of the allergy reaction
definition:
  v: Text description about the reaction as a whole, including details of the manifestation if required.
comment:
  v: Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.
alias:
  v: Narrative
alias:
  v: Text
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  v: 0
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  v: 1
base:
  path:
    v: AllergyIntolerance.reaction.description
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    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
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    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: text

id:
  v: AllergyIntolerance.reaction.onset
path:
  v: AllergyIntolerance.reaction.onset
short:
  v: Date(/time) when manifestations showed
definition:
  v: Record of the date and/or time of the onset of the Reaction.
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  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.reaction.onset
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    v: 0
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    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
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    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: AL1-6
mapping:
  identity:
    v: rim
  map:
    v: effectiveTime.low

id:
  v: AllergyIntolerance.reaction.severity
path:
  v: AllergyIntolerance.reaction.severity
short:
  v: Severity of reaction
definition:
  v: Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.
comment:
  v: It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.
min:
  v: 0
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    v: AllergyIntolerance.reaction.severity
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    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: required
  value set:
    v: https://example.org/fhir/ValueSet/allergy-severity-vs
    l: allergy-severity-vs
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]

id:
  v: AllergyIntolerance.reaction.exposureRoute
path:
  v: AllergyIntolerance.reaction.exposureRoute
short:
  v: How the subject was exposed to the substance
definition:
  v: Identification of the route by which the subject was exposed to the substance.
comment:
  v: Coding of the route of exposure with a terminology should be used wherever possible.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AllergyIntolerance.reaction.exposureRoute
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: RouteOfAdministration
  strength:
    v: example
  description:
    v: A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
  value set:
    v: http://hl7.org/fhir/ValueSet/route-codes
    l: route-codes
mapping:
  identity:
    v: rim
  map:
    v: outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode

id:
  v: AllergyIntolerance.reaction.note
path:
  v: AllergyIntolerance.reaction.note
short:
  v: Text about event not captured in other fields
definition:
  v: Additional text about the adverse reaction event not captured in other fields.
comment:
  v: Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.
min:
  v: 0
max:
  v: *
base:
  path:
    v: AllergyIntolerance.reaction.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: subjectOf.observationEvent[code="annotation"].value

element:
  id:
    v: AllergyIntolerance
  path:
    v: AllergyIntolerance
element:
  id:
    v: AllergyIntolerance.clinicalStatus
  path:
    v: AllergyIntolerance.clinicalStatus
  short:
    v: Status of the allergy: active, resolved, etc.
  definition:
    v: The clinical status of the allergy
  must support:
    v: true
  binding:
    strength:
      v: required
    value set:
      v: https://example.org/fhir/ValueSet/allergy-status-vs
      l: allergy-status-vs
element:
  id:
    v: AllergyIntolerance.verificationStatus
  path:
    v: AllergyIntolerance.verificationStatus
  short:
    v: Certainty about the allergy (confirmed, unconfirmed, etc.)
  definition:
    v: The verification status to support the clinical status of the allergy
  min:
    v: 1
  must support:
    v: true
  binding:
    strength:
      v: required
    value set:
      v: https://example.org/fhir/ValueSet/allergy-certainty-vs
      l: allergy-certainty-vs
element:
  id:
    v: AllergyIntolerance.type
  path:
    v: AllergyIntolerance.type
  short:
    v: Allergy, Intolerance, or Unknown
  definition:
    v: Type of reaction: allergy, intolerance, or unknown.
  min:
    v: 1
  binding:
    strength:
      v: required
    value set:
      v: https://example.org/fhir/ValueSet/allergy-type-vs
      l: allergy-type-vs
element:
  id:
    v: AllergyIntolerance.criticality
  path:
    v: AllergyIntolerance.criticality
  short:
    v: Likelihood of life-threatening reaction on exposure
  must support:
    v: true
element:
  id:
    v: AllergyIntolerance.onset[x]
  path:
    v: AllergyIntolerance.onset[x]
  type:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
        l: elementdefinition-type-must-support
      value: Boolean
        v: true
    code:
      v: dateTime
      l: dateTime
  type:
    code:
      v: Age
      l: Age
element:
  id:
    v: AllergyIntolerance.lastOccurrence
  path:
    v: AllergyIntolerance.lastOccurrence
  short:
    v: Date of last occurrence of the allergy
  definition:
    v: The date and time when the allergy last occurred or was resolved.
element:
  id:
    v: AllergyIntolerance.note
  path:
    v: AllergyIntolerance.note
  short:
    v: Medical alert notes (clinical importance)
element:
  id:
    v: AllergyIntolerance.reaction
  path:
    v: AllergyIntolerance.reaction
  min:
    v: 1
element:
  id:
    v: AllergyIntolerance.reaction.substance
  path:
    v: AllergyIntolerance.reaction.substance
  short:
    v: Allergen or substance causing reaction
  min:
    v: 1
element:
  id:
    v: AllergyIntolerance.reaction.manifestation
  path:
    v: AllergyIntolerance.reaction.manifestation
  short:
    v: Clinical manifestation(s), e.g. rash, shock
element:
  id:
    v: AllergyIntolerance.reaction.description
  path:
    v: AllergyIntolerance.reaction.description
  short:
    v: Free-text description of the allergy reaction
element:
  id:
    v: AllergyIntolerance.reaction.severity
  path:
    v: AllergyIntolerance.reaction.severity
  short:
    v: Severity of reaction
  binding:
    strength:
      v: required
    value set:
      v: https://example.org/fhir/ValueSet/allergy-severity-vs
      l: allergy-severity-vs