KR Core Implementation Guide
1.0.2 - STU1

KR Core Implementation Guide - Local Development build (v1.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: KR Core AllergyIntolerance Profile

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-allergyintolerance | Version: 1.0.2
Active as of 2024-09-12 | Computable Name: KRCore_AllergyIntolerance

KR Core의 알레르기 및 불내성 정보에 적용되는 AllergyIntolerance 구조.

Usage:

- Examples for this Resource Profile: AllergyIntolerance/krcore-allergyintolerance-example-01

### 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 AllergyIntolerance

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance | KR Core AllergyIntolerance Profile krcore-alrg-01: 알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별.
clinicalStatus |  | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved
category |  | 0..* | code | 알레르기 및 불내성 원인구분: food | medication | environment | biologic
code | ?!S | 1..1 | CodeableConcept | 알레르기 및 불내성 반응 원인물질 및 증상 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example)
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ATC | S | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required)
system | S | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
code | S | 1..1 | code | WHO ATC 코드
text |  | 0..1 | string | 원인물질 (서술)
patient |  | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상
Slices for onset[x] |  | 0..1 | dateTime, Age, Period, Range, string | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime |  | 0..1 | dateTime | 알레르기 및 불내성 발생일
reaction |  | 0..* | BackboneElement | 알레르기 및 불내성 반응
manifestation |  | 1..* | CodeableConcept | 알레르기 및 불내성 반응 증상
text |  | 0..1 | string | 알레르기 및 불내성 반응 증상 서술
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
AllergyIntolerance.code.coding:ATC | required | KR_Core_ATC_Codes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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..* | AllergyIntolerance | KR Core AllergyIntolerance Profile krcore-alrg-01: 알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
category | Σ | 0..* | code | 알레르기 및 불내성 원인구분: food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
code | S Σ | 1..1 | CodeableConcept | 알레르기 및 불내성 반응 원인물질 및 증상 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example)
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ATC | S Σ | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required)
system | S Σ | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
code | S Σ | 1..1 | code | WHO ATC 코드
text | Σ | 0..1 | string | 원인물질 (서술)
patient | Σ | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상
Slices for onset[x] |  | 0..1 |  | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime |  | 0..1 | dateTime | 알레르기 및 불내성 발생일
reaction |  | 0..* | BackboneElement | 알레르기 및 불내성 반응
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
manifestation |  | 1..* | CodeableConcept | 알레르기 및 불내성 반응 증상 Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
text | Σ | 0..1 | string | 알레르기 및 불내성 반응 증상 서술
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
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.reaction.manifestation | example | SNOMEDCTClinicalFindings

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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..* | AllergyIntolerance | KR Core AllergyIntolerance Profile krcore-alrg-01: 알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별.
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 | 0..* | Identifier | External ids for this item
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
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 | 알레르기 및 불내성 원인구분: food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality | Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | S Σ | 1..1 | CodeableConcept | 알레르기 및 불내성 반응 원인물질 및 증상 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:$this
coding:ATC | S Σ | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | WHO ATC 코드
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | 원인물질 (서술)
patient | Σ | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상
encounter |  | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted
Slices for onset[x] |  | 0..1 |  | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy
lastOccurrence |  | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
note |  | 0..* | Annotation | Additional text not captured in other fields
reaction |  | 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 | Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
manifestation |  | 1..* | CodeableConcept | 알레르기 및 불내성 반응 증상 Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
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.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.reaction.substance | example | SubstanceCode
AllergyIntolerance.reaction.manifestation | example | SNOMEDCTClinicalFindings
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 AllergyIntolerance

Summary

Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 4 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

- KR Core Patient Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-patient)

Slices

This structure defines the following Slices:

- The element AllergyIntolerance.code.coding is sliced based on the value of value:$this
- The element AllergyIntolerance.onset[x] is sliced based on the value of type:$this

Differential View

This structure is derived from AllergyIntolerance

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance | KR Core AllergyIntolerance Profile krcore-alrg-01: 알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별.
clinicalStatus |  | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved
category |  | 0..* | code | 알레르기 및 불내성 원인구분: food | medication | environment | biologic
code | ?!S | 1..1 | CodeableConcept | 알레르기 및 불내성 반응 원인물질 및 증상 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example)
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ATC | S | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required)
system | S | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
code | S | 1..1 | code | WHO ATC 코드
text |  | 0..1 | string | 원인물질 (서술)
patient |  | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상
Slices for onset[x] |  | 0..1 | dateTime, Age, Period, Range, string | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime |  | 0..1 | dateTime | 알레르기 및 불내성 발생일
reaction |  | 0..* | BackboneElement | 알레르기 및 불내성 반응
manifestation |  | 1..* | CodeableConcept | 알레르기 및 불내성 반응 증상
text |  | 0..1 | string | 알레르기 및 불내성 반응 증상 서술
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes
AllergyIntolerance.code.coding:ATC | required | KR_Core_ATC_Codes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AllergyIntolerance | KR Core AllergyIntolerance Profile krcore-alrg-01: 알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
category | Σ | 0..* | code | 알레르기 및 불내성 원인구분: food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
code | S Σ | 1..1 | CodeableConcept | 알레르기 및 불내성 반응 원인물질 및 증상 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example)
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ATC | S Σ | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required)
system | S Σ | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
code | S Σ | 1..1 | code | WHO ATC 코드
text | Σ | 0..1 | string | 원인물질 (서술)
patient | Σ | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상
Slices for onset[x] |  | 0..1 |  | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime |  | 0..1 | dateTime | 알레르기 및 불내성 발생일
reaction |  | 0..* | BackboneElement | 알레르기 및 불내성 반응
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
manifestation |  | 1..* | CodeableConcept | 알레르기 및 불내성 반응 증상 Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
text | Σ | 0..1 | string | 알레르기 및 불내성 반응 증상 서술
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
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.reaction.manifestation | example | SNOMEDCTClinicalFindings

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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..* | AllergyIntolerance | KR Core AllergyIntolerance Profile krcore-alrg-01: 알레르기 및 불내성 반응이 의약품에 의해 유발된 경우, 원인물질을 WHO ATC 코드로 식별.
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 | 0..* | Identifier | External ids for this item
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
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 | 알레르기 및 불내성 원인구분: food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality | Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code | S Σ | 1..1 | CodeableConcept | 알레르기 및 불내성 반응 원인물질 및 증상 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:$this
coding:ATC | S Σ | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | WHO ATC 코드
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | 원인물질 (서술)
patient | Σ | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상
encounter |  | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted
Slices for onset[x] |  | 0..1 |  | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy
lastOccurrence |  | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction
note |  | 0..* | Annotation | Additional text not captured in other fields
reaction |  | 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 | Specific substance or pharmaceutical product considered to be responsible for event Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
manifestation |  | 1..* | CodeableConcept | 알레르기 및 불내성 반응 증상 Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
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.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.reaction.substance | example | SubstanceCode
AllergyIntolerance.reaction.manifestation | example | SNOMEDCTClinicalFindings
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 AllergyIntolerance

Summary

Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 4 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

- KR Core Patient Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-patient)

Slices

This structure defines the following Slices:

- The element AllergyIntolerance.code.coding is sliced based on the value of value:$this
- The element AllergyIntolerance.onset[x] is sliced based on the value of type:$this

Other representations of profile: CSV, Excel, Schematron

### Notes:

KR Core IG를 따르는 Server는 반드시(SHALL) `AllergyIntolerance Resource`를 지원하고, KR Core AllergyIntolerance Profile을 반드시(SHALL) 지원해야 한다.
KR Core IG를 따르는 Client는 가능한 한(SHOULD) `AllergyIntolerance Resource`를 지원하고, `AllergyIntolerance Resource`를 지원하는 경우, KR Core AllergyIntolerance Profile을 반드시(SHALL) 지원해야 한다.

### KR CDI 관련항목

KR Core AllergyIntolerance Profile은 KR CDI의 알레르기 불내성 클래스 중 일부에 대응됨.

KR CDI 알레르기 불내성 클래스 항목 | KR Core AllergyIntolerance Profile 관련 항목
--- | ---
원인구분 | AllergyIntolerance.category
원인물질 | AllergyIntolerance.code
증상 | AllergyIntolerance.reaction.manifestation
발생일 | AllergyIntolerance.onset.ofType(dateTime)

### KR Core Search Parameters (derived)

AllergyIntolerance Resource를 검색하기 위해 기본 FHIR 사양을 기반으로 정의한 검색 파라미터.

Name | Type | Description | Expression | Expectations
--- | --- | --- | --- | ---
category | token | 알레르기 및 불내성 원인구분 | AllergyIntolerance.category | MAY
clinical-status | token | 알레르기 및 불내성 상태: active | inactive | resolve | AllergyIntolerance.clinicalStatus | MAY
code | token | 원인물질 등 알레르기 및 불내성 반응 코드 | AllergyIntolerance.code | AllergyIntolerance.reaction.substance | SHOULD
manifestation | token | 알레르기 및 불내성 증상 | AllergyIntolerance.reaction.manifestation | MAY
onset | date | 알레르기 및 불내성 발생일 또는 개별 증상 발생일 | AllergyIntolerance.onset.ofType(dateTime) | AllergyIntolerance.reaction.onset | MAY
patient | reference | 알레르기 및 불내성 정보의 대상 환자 | AllergyIntolerance.patient | SHALL

NOTE: 위 Search Parameter 목록은 아래 요소에 대한 구현 기대치를 정의함:

- multipleAnd
- multipleOr
- comparator
- modifier
- chain

NOTE: 이 외 기본 FHIR 사양에서 정의하고 있는 Search Parameter들은 KR Core IG를 구현한 서버의 선택 사항에 따라 추가로 제공 가능.