Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
encounter		0..1	Reference(Encounter)	Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
allergyEnd		0..1	(Complex)	Supports the date and reason that the allergy was no longer valid URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEnd-1
evidence		0..1	Reference(DiagnosticReport)	A reference to results of investigations that confirmed the certainty of the diagnosis URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-Evidence-1
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
verificationStatus		1..1	code	unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatus (required)
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Allergy Code (example): A code from the SNOMED Clinical Terminology UK or a code from the v3 Code System NullFlavor specifying why a valid value is not present.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
patient		1..1	Reference(CareConnectPatient1)	Who the sensitivity is for
onset[x]	S	0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified
assertedDate		1..1	dateTime	Date record was believed accurate
recorder		0..1	Reference(CareConnectPatient1 | CareConnect-Practitioner-1)	Who recorded the sensitivity
asserter		0..1	Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)	Source of the information about the allergy
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
reaction
substance
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: Care Connect Allergy Manifestation (extensible)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
severity		0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: Care Connect Allergy Exposure Route (example)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus
AllergyIntolerance.code.coding:snomedCT	example	Care Connect Allergy Code
AllergyIntolerance.reaction.manifestation	extensible	Care Connect Allergy Manifestation
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute	example	Care Connect Allergy Exposure Route

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
encounter		0..1	Reference(Encounter)	Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
allergyEnd		0..1	(Complex)	Supports the date and reason that the allergy was no longer valid URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEnd-1
evidence		0..1	Reference(DiagnosticReport)	A reference to results of investigations that confirmed the certainty of the diagnosis URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-Evidence-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	code	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatus (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	1..1	code	unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatus (required)
patient	Σ	1..1	Reference(CareConnectPatient1)	Who the sensitivity is for
onset[x]	S	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
assertedDate		1..1	dateTime	Date record was believed accurate
recorder		0..1	Reference(CareConnectPatient1 | CareConnect-Practitioner-1)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)	Source of the information about the allergy
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatus
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus='entered-in-error' or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus!='entered-in-error' or clinicalStatus.empty()
dom-1	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
encounter		0..1	Reference(Encounter)	Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
allergyEnd		0..1	(Complex)	Supports the date and reason that the allergy was no longer valid URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEnd-1
evidence		0..1	Reference(DiagnosticReport)	A reference to results of investigations that confirmed the certainty of the diagnosis URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-Evidence-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
clinicalStatus	?!ΣC	0..1	code	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatus (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	1..1	code	unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatus (required)
type	Σ	0..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.
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	Σ	0..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: AllergyIntolerance Substance/Product, Condition and Negation Codes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Allergy Code (example): A code from the SNOMED Clinical Terminology UK or a code from the v3 Code System NullFlavor specifying why a valid value is not present.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
patient	Σ	1..1	Reference(CareConnectPatient1)	Who the sensitivity is for
onset[x]	S	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
assertedDate		1..1	dateTime	Date record was believed accurate
recorder		0..1	Reference(CareConnectPatient1 | CareConnect-Practitioner-1)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)	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
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Substance Code (example): Codes defining the type of the substance (including pharmaceutical products).
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: Care Connect Allergy Manifestation (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity		0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: Care Connect Allergy Exposure Route (example)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
note		0..*	Annotation	Text about event not captured in other fields
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.identifier.use	required	IdentifierUse
AllergyIntolerance.identifier.type	extensible	Identifier Type Codes
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatus
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus
AllergyIntolerance.type	required	AllergyIntoleranceType
AllergyIntolerance.category	required	AllergyIntoleranceCategory
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality
AllergyIntolerance.code	example	AllergyIntolerance Substance/Product, Condition and Negation Codes
AllergyIntolerance.code.coding:snomedCT	example	Care Connect Allergy Code
AllergyIntolerance.reaction.substance	example	Substance Code
AllergyIntolerance.reaction.manifestation	extensible	Care Connect Allergy Manifestation
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute	example	Care Connect Allergy Exposure Route

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 1 element (14 nested mandatory elements)
Must-Support: 1 element
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEnd-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-Evidence-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid

Slices

This structure defines the following Slices:

• The element AllergyIntolerance.code.coding is sliced based on the value of value:system
• The element AllergyIntolerance.reaction.substance.coding is sliced based on the value of value:system
• The element AllergyIntolerance.reaction.manifestation.coding is sliced based on the value of value:system
• The element AllergyIntolerance.reaction.exposureRoute.coding is sliced based on the value of value:system

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
encounter		0..1	Reference(Encounter)	Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
allergyEnd		0..1	(Complex)	Supports the date and reason that the allergy was no longer valid URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEnd-1
evidence		0..1	Reference(DiagnosticReport)	A reference to results of investigations that confirmed the certainty of the diagnosis URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-Evidence-1
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
verificationStatus		1..1	code	unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatus (required)
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Allergy Code (example): A code from the SNOMED Clinical Terminology UK or a code from the v3 Code System NullFlavor specifying why a valid value is not present.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
patient		1..1	Reference(CareConnectPatient1)	Who the sensitivity is for
onset[x]	S	0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified
assertedDate		1..1	dateTime	Date record was believed accurate
recorder		0..1	Reference(CareConnectPatient1 | CareConnect-Practitioner-1)	Who recorded the sensitivity
asserter		0..1	Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)	Source of the information about the allergy
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
reaction
substance
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: Care Connect Allergy Manifestation (extensible)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
severity		0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: Care Connect Allergy Exposure Route (example)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus
AllergyIntolerance.code.coding:snomedCT	example	Care Connect Allergy Code
AllergyIntolerance.reaction.manifestation	extensible	Care Connect Allergy Manifestation
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute	example	Care Connect Allergy Exposure Route

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
encounter		0..1	Reference(Encounter)	Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
allergyEnd		0..1	(Complex)	Supports the date and reason that the allergy was no longer valid URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEnd-1
evidence		0..1	Reference(DiagnosticReport)	A reference to results of investigations that confirmed the certainty of the diagnosis URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-Evidence-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	code	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatus (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	1..1	code	unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatus (required)
patient	Σ	1..1	Reference(CareConnectPatient1)	Who the sensitivity is for
onset[x]	S	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
assertedDate		1..1	dateTime	Date record was believed accurate
recorder		0..1	Reference(CareConnectPatient1 | CareConnect-Practitioner-1)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)	Source of the information about the allergy
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatus
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus='entered-in-error' or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus!='entered-in-error' or clinicalStatus.empty()
dom-1	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
encounter		0..1	Reference(Encounter)	Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
allergyEnd		0..1	(Complex)	Supports the date and reason that the allergy was no longer valid URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEnd-1
evidence		0..1	Reference(DiagnosticReport)	A reference to results of investigations that confirmed the certainty of the diagnosis URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-Evidence-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
clinicalStatus	?!ΣC	0..1	code	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatus (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	1..1	code	unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatus (required)
type	Σ	0..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.
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	Σ	0..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: AllergyIntolerance Substance/Product, Condition and Negation Codes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Allergy Code (example): A code from the SNOMED Clinical Terminology UK or a code from the v3 Code System NullFlavor specifying why a valid value is not present.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
patient	Σ	1..1	Reference(CareConnectPatient1)	Who the sensitivity is for
onset[x]	S	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
assertedDate		1..1	dateTime	Date record was believed accurate
recorder		0..1	Reference(CareConnectPatient1 | CareConnect-Practitioner-1)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)	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
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: Substance Code (example): Codes defining the type of the substance (including pharmaceutical products).
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: Care Connect Allergy Manifestation (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
description		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed
severity		0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: Care Connect Allergy Exposure Route (example)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
note		0..*	Annotation	Text about event not captured in other fields
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.identifier.use	required	IdentifierUse
AllergyIntolerance.identifier.type	extensible	Identifier Type Codes
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatus
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus
AllergyIntolerance.type	required	AllergyIntoleranceType
AllergyIntolerance.category	required	AllergyIntoleranceCategory
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality
AllergyIntolerance.code	example	AllergyIntolerance Substance/Product, Condition and Negation Codes
AllergyIntolerance.code.coding:snomedCT	example	Care Connect Allergy Code
AllergyIntolerance.reaction.substance	example	Substance Code
AllergyIntolerance.reaction.manifestation	extensible	Care Connect Allergy Manifestation
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute	example	Care Connect Allergy Exposure Route

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 1 element (14 nested mandatory elements)
Must-Support: 1 element
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AllergyIntoleranceEnd-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-Evidence-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid

Slices

This structure defines the following Slices:

• The element AllergyIntolerance.code.coding is sliced based on the value of value:system
• The element AllergyIntolerance.reaction.substance.coding is sliced based on the value of value:system
• The element AllergyIntolerance.reaction.manifestation.coding is sliced based on the value of value:system
• The element AllergyIntolerance.reaction.exposureRoute.coding is sliced based on the value of value:system