KR Core Implementation Guide
1.0.2 - STU1
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
| Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-allergyintolerance | Version: 1.0.2 | |||
| Active as of 2023-12-04 | Computable Name: KRCore_AllergyIntolerance | |||
KR Core의 알레르기 및 불내성 정보에 적용되는 AllergyIntolerance 구조.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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 | ||||
| Path | Conformance | ValueSet |
| AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes |
| AllergyIntolerance.code.coding:ATC | required | KR_Core_ATC_Codes |
| 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 | ?!ΣC | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus | ?!ΣC | 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 | SΣ | 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:$this |
| coding:ATC | SΣ | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required) |
| system | SΣ | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc |
| code | SΣ | 1..1 | code | WHO ATC 코드 |
| text | Σ | 0..1 | string | 원인물질 (서술) |
| patient | Σ | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상 |
| Slices for onset[x] | 0..1 | When allergy or intolerance was identified Slice: Unordered, Open by type:$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 | ||||
| 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 |
| 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.
| |||||
| 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 | ?!ΣC | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. | ||||
| verificationStatus | ?!ΣC | 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 | SΣ | 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:$this | ||||
| coding:ATC | SΣ | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | WHO ATC 코드 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | 원인물질 (서술) | ||||
| patient | Σ | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상 | ||||
| encounter | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted | |||||
| Slices for onset[x] | 0..1 | When allergy or intolerance was identified Slice: Unordered, Open by type:$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 | ||||||||
| Path | Conformance | ValueSet | ||||
| AllergyIntolerance.language | preferred | CommonLanguages
| ||||
| 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 |
| 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:
Slices
This structure defines the following Slices:
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 | ||||
| Path | Conformance | ValueSet |
| AllergyIntolerance.code | example | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes |
| AllergyIntolerance.code.coding:ATC | required | KR_Core_ATC_Codes |
| 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 | ?!ΣC | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus | ?!ΣC | 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 | SΣ | 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:$this |
| coding:ATC | SΣ | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required) |
| system | SΣ | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc |
| code | SΣ | 1..1 | code | WHO ATC 코드 |
| text | Σ | 0..1 | string | 원인물질 (서술) |
| patient | Σ | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상 |
| Slices for onset[x] | 0..1 | When allergy or intolerance was identified Slice: Unordered, Open by type:$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 | ||||
| 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 |
| 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.
| |||||
| 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 | ?!ΣC | 0..1 | CodeableConcept | 알레르기 및 불내성 상태: active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. | ||||
| verificationStatus | ?!ΣC | 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 | SΣ | 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:$this | ||||
| coding:ATC | SΣ | 0..1 | Coding | WHO ATC 코드 정보 Binding: ATC Codes (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | WHO ATC 코드체계 Fixed Value: http://www.whocc.no/atc | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | WHO ATC 코드 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | 원인물질 (서술) | ||||
| patient | Σ | 1..1 | Reference(KR Core Patient Profile) | 알레르기 및 불내성 대상 | ||||
| encounter | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted | |||||
| Slices for onset[x] | 0..1 | When allergy or intolerance was identified Slice: Unordered, Open by type:$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 | ||||||||
| Path | Conformance | ValueSet | ||||
| AllergyIntolerance.language | preferred | CommonLanguages
| ||||
| 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 |
| 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:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
KR Core IG를 따르는 Server는 반드시(SHALL) AllergyIntolerance Resource를 지원하고, KR Core AllergyIntolerance Profile을 반드시(SHALL) 지원해야 한다.
KR Core IG를 따르는 Client는 가능한 한(SHOULD) AllergyIntolerance Resource를 지원하고, AllergyIntolerance Resource를 지원하는 경우, KR Core AllergyIntolerance Profile을 반드시(SHALL) 지원해야 한다.
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) |
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:
NOTE: 이 외 기본 FHIR 사양에서 정의하고 있는 Search Parameter들은 KR Core IG를 구현한 서버의 선택 사항에 따라 추가로 제공 가능.