MyHealthWay - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MyHealthWay AllergyIntolerance Profile

MyHealthWay 의 알러지 및 부작용(불내성) 정보에 적용되는 AllergyIntolerance 구조.

Usage:

• Examples for this Resource Profile: AllergyIntolerance/MyHealthWayAllergyIntoleranceExample

Formal Views of Profile Content

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

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

This structure is derived from KRCore_AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	KRCore_AllergyIntolerance	KR Core AllergyIntolerance Profile
identifier		1..1	Identifier	알레르기 및 불내성 식별자
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
clinicalStatus	S	0..1	CodeableConcept	알레르기 및 불내성 진행 상태: active | inactive | resolved
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
verificationStatus	S	1..1	CodeableConcept	알레르기 및 불내성 검증 상태: unconfirmed | confirmed
coding	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
category	S	0..*	code	알레르기 및 불내성 원인 구분: food | medication | environment | biologic
code		1..1	CodeableConcept	알레르기 및 불내성 원인 코드
coding:KD	S	0..1	Coding	Code defined by a terminology system Binding: KR Core Korea Drug Codes (required)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kpis-kdcode
code	S	1..1	code	Symbol in syntax defined by the system
patient	S	1..1	Reference(MyHealthWay Patient Profile)	환자 정보
encounter	S	1..1	Reference(MyHealthWay Encounter Profile)	내원 정보
onset[x]		0..1	dateTime	알레르기 및 불내성 기록 일시
recorder		0..1	Reference(MyHealthWay PractitionerRole Profile)	기록 진료의 정보
note	S	0..*	Annotation	추가 정보
text	S	1..1	markdown	The annotation - text content (as markdown)
reaction
substance		0..1	CodeableConcept	반응 물질 Binding: MyHealthWay AllergyIntolerance Substance Codes (example)
manifestation		1..*	CodeableConcept	알레르기 및 불내성 반응 증상 Binding: MyHealthWay AllergyIntolerance Manifestation Codes (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
AllergyIntolerance.code.coding:KD	required	KR_Core_Korea_Drug_Codes
AllergyIntolerance.reaction.substance	example	MyHealthWayAllergySubstanceCodes
AllergyIntolerance.reaction.manifestation	example	MyHealthWayAllergyManifestationCodes

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	KRCore_AllergyIntolerance	KR Core AllergyIntolerance Profile
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	알레르기 및 불내성 식별자
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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
clinicalStatus	?!SΣC	0..1	CodeableConcept	알레르기 및 불내성 진행 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
verificationStatus	?!SΣC	1..1	CodeableConcept	알레르기 및 불내성 검증 상태: unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
category	SΣ	0..*	code	알레르기 및 불내성 원인 구분: food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
code	SΣ	1..1	CodeableConcept	알레르기 및 불내성 원인 코드 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ATC	SΣ	0..1	Coding	WHO ATC 코드 정보 Binding: ATC Codes (required)
system	SΣ	1..1	uri	WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
code	SΣ	1..1	code	WHO ATC 코드
coding:KD	SΣ	0..1	Coding	Code defined by a terminology system Binding: KR Core Korea Drug Codes (required)
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kpis-kdcode
code	SΣ	1..1	code	Symbol in syntax defined by the system
patient	SΣ	1..1	Reference(MyHealthWay Patient Profile)	환자 정보
encounter	S	1..1	Reference(MyHealthWay Encounter Profile)	내원 정보
Slices for onset[x]		0..1	dateTime	알레르기 및 불내성 기록 일시 Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime		0..1	dateTime	알레르기 및 불내성 발생일
recorder		0..1	Reference(MyHealthWay PractitionerRole Profile)	기록 진료의 정보
note	S	0..*	Annotation	추가 정보
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.identifier.use	required	IdentifierUse
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.category	required	AllergyIntoleranceCategory
AllergyIntolerance.code	example	AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
AllergyIntolerance.code.coding:ATC	required	KR_Core_ATC_Codes
AllergyIntolerance.code.coding:KD	required	KR_Core_Korea_Drug_Codes

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	AllergyIntolerance	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
krcore-alrg-01	error	AllergyIntolerance	알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별. : (category = 'medication') implies code.coding.where(system ='http://www.whocc.no/atc').exists()	KR CDI 의무사항

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	KRCore_AllergyIntolerance	KR Core AllergyIntolerance Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	알레르기 및 불내성 식별자
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (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(Organization)	Organization that issued id (may be just text)
clinicalStatus	?!SΣC	0..1	CodeableConcept	알레르기 및 불내성 진행 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
verificationStatus	?!SΣC	1..1	CodeableConcept	알레르기 및 불내성 검증 상태: unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
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	SΣ	0..*	code	알레르기 및 불내성 원인 구분: food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	SΣ	1..1	CodeableConcept	알레르기 및 불내성 원인 코드 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example)
id		0..1	string	Unique id for inter-element referencing
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:$this
coding:ATC	SΣ	0..1	Coding	WHO ATC 코드 정보 Binding: ATC Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	WHO ATC 코드
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:KD	SΣ	0..1	Coding	Code defined by a terminology system Binding: KR Core Korea Drug Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kpis-kdcode
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	원인물질 (서술)
patient	SΣ	1..1	Reference(MyHealthWay Patient Profile)	환자 정보
encounter	S	1..1	Reference(MyHealthWay Encounter Profile)	내원 정보
Slices for onset[x]		0..1	dateTime	알레르기 및 불내성 기록 일시 Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime		0..1	dateTime	알레르기 및 불내성 발생일
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(MyHealthWay PractitionerRole Profile)	기록 진료의 정보
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note	S	0..*	Annotation	추가 정보
id		0..1	string	Unique id for inter-element referencing
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(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
reaction		0..*	BackboneElement	알레르기 및 불내성 반응
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	반응 물질 Binding: MyHealthWay AllergyIntolerance Substance Codes (example)
manifestation		1..*	CodeableConcept	알레르기 및 불내성 반응 증상 Binding: MyHealthWay AllergyIntolerance Manifestation Codes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	알레르기 및 불내성 반응 증상 서술
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): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.identifier.use	required	IdentifierUse
AllergyIntolerance.identifier.type	extensible	Identifier Type Codes
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.type	required	AllergyIntoleranceType
AllergyIntolerance.category	required	AllergyIntoleranceCategory
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality
AllergyIntolerance.code	example	AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
AllergyIntolerance.code.coding:ATC	required	KR_Core_ATC_Codes
AllergyIntolerance.code.coding:KD	required	KR_Core_Korea_Drug_Codes
AllergyIntolerance.reaction.substance	example	MyHealthWayAllergySubstanceCodes
AllergyIntolerance.reaction.manifestation	example	MyHealthWayAllergyManifestationCodes
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	AllergyIntolerance	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
krcore-alrg-01	error	AllergyIntolerance	알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별. : (category = 'medication') implies code.coding.where(system ='http://www.whocc.no/atc').exists()	KR CDI 의무사항

This structure is derived from KRCore_AllergyIntolerance

Summary

Mandatory: 8 elements (4 nested mandatory elements)
Must-Support: 15 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• MyHealthWay Patient Profile (https://hins.or.kr/fhir/MyHealthWay/StructureDefinition/myhealthway-patient)
• MyHealthWay Encounter Profile (https://hins.or.kr/fhir/MyHealthWay/StructureDefinition/myhealthway-encounter)
• MyHealthWay PractitionerRole Profile (https://hins.or.kr/fhir/MyHealthWay/StructureDefinition/myhealthway-practitionerrole)

Differential View

This structure is derived from KRCore_AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	KRCore_AllergyIntolerance	KR Core AllergyIntolerance Profile
identifier		1..1	Identifier	알레르기 및 불내성 식별자
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
clinicalStatus	S	0..1	CodeableConcept	알레르기 및 불내성 진행 상태: active | inactive | resolved
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
verificationStatus	S	1..1	CodeableConcept	알레르기 및 불내성 검증 상태: unconfirmed | confirmed
coding	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
category	S	0..*	code	알레르기 및 불내성 원인 구분: food | medication | environment | biologic
code		1..1	CodeableConcept	알레르기 및 불내성 원인 코드
coding:KD	S	0..1	Coding	Code defined by a terminology system Binding: KR Core Korea Drug Codes (required)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kpis-kdcode
code	S	1..1	code	Symbol in syntax defined by the system
patient	S	1..1	Reference(MyHealthWay Patient Profile)	환자 정보
encounter	S	1..1	Reference(MyHealthWay Encounter Profile)	내원 정보
onset[x]		0..1	dateTime	알레르기 및 불내성 기록 일시
recorder		0..1	Reference(MyHealthWay PractitionerRole Profile)	기록 진료의 정보
note	S	0..*	Annotation	추가 정보
text	S	1..1	markdown	The annotation - text content (as markdown)
reaction
substance		0..1	CodeableConcept	반응 물질 Binding: MyHealthWay AllergyIntolerance Substance Codes (example)
manifestation		1..*	CodeableConcept	알레르기 및 불내성 반응 증상 Binding: MyHealthWay AllergyIntolerance Manifestation Codes (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
AllergyIntolerance.code.coding:KD	required	KR_Core_Korea_Drug_Codes
AllergyIntolerance.reaction.substance	example	MyHealthWayAllergySubstanceCodes
AllergyIntolerance.reaction.manifestation	example	MyHealthWayAllergyManifestationCodes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	KRCore_AllergyIntolerance	KR Core AllergyIntolerance Profile
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	알레르기 및 불내성 식별자
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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
clinicalStatus	?!SΣC	0..1	CodeableConcept	알레르기 및 불내성 진행 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
verificationStatus	?!SΣC	1..1	CodeableConcept	알레르기 및 불내성 검증 상태: unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
category	SΣ	0..*	code	알레르기 및 불내성 원인 구분: food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
code	SΣ	1..1	CodeableConcept	알레르기 및 불내성 원인 코드 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ATC	SΣ	0..1	Coding	WHO ATC 코드 정보 Binding: ATC Codes (required)
system	SΣ	1..1	uri	WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
code	SΣ	1..1	code	WHO ATC 코드
coding:KD	SΣ	0..1	Coding	Code defined by a terminology system Binding: KR Core Korea Drug Codes (required)
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kpis-kdcode
code	SΣ	1..1	code	Symbol in syntax defined by the system
patient	SΣ	1..1	Reference(MyHealthWay Patient Profile)	환자 정보
encounter	S	1..1	Reference(MyHealthWay Encounter Profile)	내원 정보
Slices for onset[x]		0..1	dateTime	알레르기 및 불내성 기록 일시 Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime		0..1	dateTime	알레르기 및 불내성 발생일
recorder		0..1	Reference(MyHealthWay PractitionerRole Profile)	기록 진료의 정보
note	S	0..*	Annotation	추가 정보
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.identifier.use	required	IdentifierUse
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.category	required	AllergyIntoleranceCategory
AllergyIntolerance.code	example	AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
AllergyIntolerance.code.coding:ATC	required	KR_Core_ATC_Codes
AllergyIntolerance.code.coding:KD	required	KR_Core_Korea_Drug_Codes

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	AllergyIntolerance	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
krcore-alrg-01	error	AllergyIntolerance	알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별. : (category = 'medication') implies code.coding.where(system ='http://www.whocc.no/atc').exists()	KR CDI 의무사항

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	KRCore_AllergyIntolerance	KR Core AllergyIntolerance Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	알레르기 및 불내성 식별자
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (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(Organization)	Organization that issued id (may be just text)
clinicalStatus	?!SΣC	0..1	CodeableConcept	알레르기 및 불내성 진행 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
verificationStatus	?!SΣC	1..1	CodeableConcept	알레르기 및 불내성 검증 상태: unconfirmed | confirmed Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
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	SΣ	0..*	code	알레르기 및 불내성 원인 구분: food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	SΣ	1..1	CodeableConcept	알레르기 및 불내성 원인 코드 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example)
id		0..1	string	Unique id for inter-element referencing
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:$this
coding:ATC	SΣ	0..1	Coding	WHO ATC 코드 정보 Binding: ATC Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	WHO ATC 코드
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:KD	SΣ	0..1	Coding	Code defined by a terminology system Binding: KR Core Korea Drug Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kpis-kdcode
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	원인물질 (서술)
patient	SΣ	1..1	Reference(MyHealthWay Patient Profile)	환자 정보
encounter	S	1..1	Reference(MyHealthWay Encounter Profile)	내원 정보
Slices for onset[x]		0..1	dateTime	알레르기 및 불내성 기록 일시 Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime		0..1	dateTime	알레르기 및 불내성 발생일
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(MyHealthWay PractitionerRole Profile)	기록 진료의 정보
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note	S	0..*	Annotation	추가 정보
id		0..1	string	Unique id for inter-element referencing
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(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
reaction		0..*	BackboneElement	알레르기 및 불내성 반응
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	반응 물질 Binding: MyHealthWay AllergyIntolerance Substance Codes (example)
manifestation		1..*	CodeableConcept	알레르기 및 불내성 반응 증상 Binding: MyHealthWay AllergyIntolerance Manifestation Codes (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	알레르기 및 불내성 반응 증상 서술
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): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.identifier.use	required	IdentifierUse
AllergyIntolerance.identifier.type	extensible	Identifier Type Codes
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.type	required	AllergyIntoleranceType
AllergyIntolerance.category	required	AllergyIntoleranceCategory
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality
AllergyIntolerance.code	example	AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
AllergyIntolerance.code.coding:ATC	required	KR_Core_ATC_Codes
AllergyIntolerance.code.coding:KD	required	KR_Core_Korea_Drug_Codes
AllergyIntolerance.reaction.substance	example	MyHealthWayAllergySubstanceCodes
AllergyIntolerance.reaction.manifestation	example	MyHealthWayAllergyManifestationCodes
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	AllergyIntolerance	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
krcore-alrg-01	error	AllergyIntolerance	알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별. : (category = 'medication') implies code.coding.where(system ='http://www.whocc.no/atc').exists()	KR CDI 의무사항

This structure is derived from KRCore_AllergyIntolerance

Summary

Mandatory: 8 elements (4 nested mandatory elements)
Must-Support: 15 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• MyHealthWay Patient Profile (https://hins.or.kr/fhir/MyHealthWay/StructureDefinition/myhealthway-patient)
• MyHealthWay Encounter Profile (https://hins.or.kr/fhir/MyHealthWay/StructureDefinition/myhealthway-encounter)
• MyHealthWay PractitionerRole Profile (https://hins.or.kr/fhir/MyHealthWay/StructureDefinition/myhealthway-practitionerrole)

Other representations of profile: CSV, Excel, Schematron