Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu AllergyIntolerance Profile

Official URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-allergyIntolerance Version: 1.1.28
Draft as of 2025-07-09 Computable Name: FujitsuAllergyIntolerance

Copyright/Legal: Copyright 2022 FUJITSU LIMITED

This profile defines an allergy intolerance.
このプロファイルは、アレルギーと不耐性を定義します。

Usage:

Formal Views of Profile Content

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

This structure is derived from JP_AllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..* JP_AllergyIntolerance Fujitsu AllergyIntolerance Profile (アレルギー・不耐性プロファイル)
... id 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta 0..1 Meta Metadata about the resource (リソースのメタデータ)
... implicitRules 0..0
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... contained 0..* Resource Contained, inline Resources (リソース内リソース)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... modifierExtension 0..0
... Slices for identifier 0..* Identifier External ids for this item (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... id 0..0
..... extension 0..0
..... use 0..0
..... type 0..1 CodeableConcept Description of identifier (識別子の種類)
...... id 0..0
...... extension 0..0
...... coding 0..* Coding Code defined by a terminology system (識別子のコード)
...... text 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
..... value 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
..... period 0..0
..... assigner 0..0
... clinicalStatus 0..1 CodeableConcept active | inactive | resolved (臨床的状態のステータス)
... verificationStatus 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error (入力された臨床的状態に対する検証状況)
... type 0..1 code allergy | intolerance - Underlying mechanism (if known) (アレルギーまたは不耐性)
... category 0..* code food | medication | environment | biologic (アレルギーまたは不耐性のカテゴリ)
... criticality 0..0
... code 0..1 CodeableConcept Code that identifies the allergy or intolerance (アレルギーまたは不耐性のコード)
.... id 0..0
.... extension 0..0
.... Slices for coding 0..* Coding Code defined by a terminology system (アレルギーまたは不耐性のコード)
Slice: Unordered, Open by value:system
..... coding:food 0..1 Coding Code defined by a terminology system (食物アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (食物アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyFoodAllergen_CS
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (食物アレルギーを表すコード値)
...... display 1..1 string Representation defined by the system (食物アレルギーの表示名)
...... userSelected 0..0
..... coding:medicine 0..1 Coding Code defined by a terminology system (薬剤アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (薬剤アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyMedicationAllergen_CS
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (薬剤アレルギーを表すコード値)
...... display 1..1 string Representation defined by the system (薬剤アレルギーの表示名)
...... userSelected 0..0
..... coding:nonfoodnonmedicine 0..1 Coding Code defined by a terminology system (その他アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (その他アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyNonFoodNonMedicationAllergen_CS
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (その他アレルギーを表すコード値)
...... display 1..1 string Representation defined by the system (その他アレルギーの表示名)
...... userSelected 0..0
..... coding:allergyIntoleranceGPSCode 0..1 Coding Code for allergy or intolerance from the SNOMED CT GPS code set (SNOMED CT GPSのアレルギーまたは不耐性のコード)
Binding: Allergy Intolerance - IPS (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (アレルギーを定義するコード体系)
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (アレルギーを表すコード値)
...... display 1..1 string Representation defined by the system (アレルギーの表示名)
...... userSelected 0..0
..... coding:absentOrUnknownAllergyIntolerance 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Allergies - IPS (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
.... text 1..1 string Plain text representation of the concept (アレルギーまたは不耐性のテキスト表現)
... patient 1..1 Reference(Fujitsu Patient Profile) Who the sensitivity is for (患者)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... encounter 1..1 Reference(Fujitsu Encounter Profile) Who the sensitivity is for (このアレルギーまたは不耐性がわかったときの外来または入院)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... onset[x] 0..1 dateTime When allergy or intolerance was identified (アレルギーや不耐性が同定された日時)
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded (最初に記録された日)
... recorder 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson) Who recorded the sensitivity (記録した人)
... asserter 0..0
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction (反応が一番直近（最後）に発生したとわかっている日付や日時)
... note 0..0
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance (物質への暴露に関連する有害反応事象)
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... substance 0..0
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event (事象（イベント）に関連した臨床的症状や兆候)
..... id 0..0
..... extension 0..0
..... Slices for coding 0..* Coding Code defined by a terminology system (症状のコード)
Slice: Unordered, Open by value:system
...... coding:allergyIntoleranceReactionManifestationGPSCode 0..1 Coding Code for the allergy or intolerance reaction manifestation from the SNOMED CT GPS code set (事象（イベント）に関連した臨床的症状や兆候のSNOMED CT GPSのコード)
Binding: Allergy Reaction - SNOMED CT IPS Free Set (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (症状を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (症状を表すコード値)
....... display 1..1 string Representation defined by the system (症状の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... description 0..0
.... onset 0..1 dateTime Date(/time) when manifestations showed (症状所見がみられた日時)
.... severity 0..1 code mild | moderate | severe (of event as a whole) (重大度)
.... exposureRoute 0..0
.... note 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AllergyIntolerance.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
AllergyIntolerance.code.coding:foodrequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:medicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:nonfoodnonmedicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:allergyIntoleranceGPSCoderequiredAllergyIntoleranceUvIps
http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerancerequiredAbsentOrUnknownAllergiesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips
AllergyIntolerance.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.manifestation.coding:allergyIntoleranceReactionManifestationGPSCoderequiredAllergyReactionSnomedCtIpsFreeSet
http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set
AllergyIntolerance.reaction.manifestation.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance C 0..* JP_AllergyIntolerance Fujitsu AllergyIntolerance Profile (アレルギー・不耐性プロファイル)
ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... Slices for identifier Σ 0..* Identifier External ids for this item (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
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.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
Example General: 123456
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved (臨床的状態のステータス)
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error (入力された臨床的状態に対する検証状況)
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) (アレルギーまたは不耐性)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category Σ 0..* code food | medication | environment | biologic (アレルギーまたは不耐性のカテゴリ)
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... code Σ 0..1 CodeableConcept Code that identifies the allergy or intolerance (アレルギーまたは不耐性のコード)
Binding: JP Core AllergyIntolerance ValueSet (example)
.... extension 0..0
.... Slices for coding Σ 0..* Coding Code defined by a terminology system (アレルギーまたは不耐性のコード)
Slice: Unordered, Open by value:system
..... coding:food Σ 0..1 Coding Code defined by a terminology system (食物アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (食物アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyFoodAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (食物アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (食物アレルギーの表示名)
..... coding:medicine Σ 0..1 Coding Code defined by a terminology system (薬剤アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (薬剤アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyMedicationAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (薬剤アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (薬剤アレルギーの表示名)
..... coding:nonfoodnonmedicine Σ 0..1 Coding Code defined by a terminology system (その他アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (その他アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyNonFoodNonMedicationAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (その他アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (その他アレルギーの表示名)
..... coding:allergyIntoleranceGPSCode Σ 0..1 Coding Code for allergy or intolerance from the SNOMED CT GPS code set (SNOMED CT GPSのアレルギーまたは不耐性のコード)
Binding: Allergy Intolerance - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (アレルギーを定義するコード体系)
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system (アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (アレルギーの表示名)
..... coding:absentOrUnknownAllergyIntolerance Σ 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Allergies - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... code Σ 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display Σ 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (アレルギーまたは不耐性のテキスト表現)
... patient Σ 1..1 Reference(Fujitsu Patient Profile) Who the sensitivity is for (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Who the sensitivity is for (このアレルギーまたは不耐性がわかったときの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... onset[x] 0..1 dateTime When allergy or intolerance was identified (アレルギーや不耐性が同定された日時)
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded (最初に記録された日)
... recorder 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson) Who recorded the sensitivity (記録した人)
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction (反応が一番直近（最後）に発生したとわかっている日付や日時)
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance (物質への暴露に関連する有害反応事象)
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event (事象（イベント）に関連した臨床的症状や兆候)
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.


..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system (症状のコード)
Slice: Unordered, Open by value:system
...... coding:allergyIntoleranceReactionManifestationGPSCode Σ 0..1 Coding Code for the allergy or intolerance reaction manifestation from the SNOMED CT GPS code set (事象（イベント）に関連した臨床的症状や兆候のSNOMED CT GPSのコード)
Binding: Allergy Reaction - SNOMED CT IPS Free Set (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (症状を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (症状を表すコード値)
....... display Σ 1..1 string Representation defined by the system (症状の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... onset 0..1 dateTime Date(/time) when manifestations showed (症状所見がみられた日時)
.... severity 0..1 code mild | moderate | severe (of event as a whole) (重大度)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
AllergyIntolerance.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.codeexampleJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:foodrequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:medicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:nonfoodnonmedicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:allergyIntoleranceGPSCoderequiredAllergyIntoleranceUvIps
http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerancerequiredAbsentOrUnknownAllergiesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips
AllergyIntolerance.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.manifestation.coding:allergyIntoleranceReactionManifestationGPSCoderequiredAllergyReactionSnomedCtIpsFreeSet
http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set
AllergyIntolerance.reaction.manifestation.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance C 0..* JP_AllergyIntolerance Fujitsu AllergyIntolerance Profile (アレルギー・不耐性プロファイル)
ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... Slices for identifier Σ 0..* Identifier External ids for this item (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
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.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
Example General: 123456
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved (臨床的状態のステータス)
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error (入力された臨床的状態に対する検証状況)
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) (アレルギーまたは不耐性)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category Σ 0..* code food | medication | environment | biologic (アレルギーまたは不耐性のカテゴリ)
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... code Σ 0..1 CodeableConcept Code that identifies the allergy or intolerance (アレルギーまたは不耐性のコード)
Binding: JP Core AllergyIntolerance ValueSet (example)
.... extension 0..0
.... Slices for coding Σ 0..* Coding Code defined by a terminology system (アレルギーまたは不耐性のコード)
Slice: Unordered, Open by value:system
..... coding:food Σ 0..1 Coding Code defined by a terminology system (食物アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (食物アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyFoodAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (食物アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (食物アレルギーの表示名)
..... coding:medicine Σ 0..1 Coding Code defined by a terminology system (薬剤アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (薬剤アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyMedicationAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (薬剤アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (薬剤アレルギーの表示名)
..... coding:nonfoodnonmedicine Σ 0..1 Coding Code defined by a terminology system (その他アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (その他アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyNonFoodNonMedicationAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (その他アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (その他アレルギーの表示名)
..... coding:allergyIntoleranceGPSCode Σ 0..1 Coding Code for allergy or intolerance from the SNOMED CT GPS code set (SNOMED CT GPSのアレルギーまたは不耐性のコード)
Binding: Allergy Intolerance - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (アレルギーを定義するコード体系)
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system (アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (アレルギーの表示名)
..... coding:absentOrUnknownAllergyIntolerance Σ 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Allergies - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... code Σ 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display Σ 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (アレルギーまたは不耐性のテキスト表現)
... patient Σ 1..1 Reference(Fujitsu Patient Profile) Who the sensitivity is for (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Who the sensitivity is for (このアレルギーまたは不耐性がわかったときの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... onset[x] 0..1 dateTime When allergy or intolerance was identified (アレルギーや不耐性が同定された日時)
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded (最初に記録された日)
... recorder 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson) Who recorded the sensitivity (記録した人)
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction (反応が一番直近（最後）に発生したとわかっている日付や日時)
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance (物質への暴露に関連する有害反応事象)
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event (事象（イベント）に関連した臨床的症状や兆候)
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.


..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system (症状のコード)
Slice: Unordered, Open by value:system
...... coding:allergyIntoleranceReactionManifestationGPSCode Σ 0..1 Coding Code for the allergy or intolerance reaction manifestation from the SNOMED CT GPS code set (事象（イベント）に関連した臨床的症状や兆候のSNOMED CT GPSのコード)
Binding: Allergy Reaction - SNOMED CT IPS Free Set (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (症状を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (症状を表すコード値)
....... display Σ 1..1 string Representation defined by the system (症状の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... onset 0..1 dateTime Date(/time) when manifestations showed (症状所見がみられた日時)
.... severity 0..1 code mild | moderate | severe (of event as a whole) (重大度)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
AllergyIntolerance.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.codeexampleJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:foodrequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:medicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:nonfoodnonmedicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:allergyIntoleranceGPSCoderequiredAllergyIntoleranceUvIps
http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerancerequiredAbsentOrUnknownAllergiesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips
AllergyIntolerance.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.manifestation.coding:allergyIntoleranceReactionManifestationGPSCoderequiredAllergyReactionSnomedCtIpsFreeSet
http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set
AllergyIntolerance.reaction.manifestation.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from JP_AllergyIntolerance

Summary

Mandatory: 3 elements(28 nested mandatory elements)
Fixed: 8 elements
Prohibited: 64 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of AllergyIntolerance.identifier
  • The element 1 is sliced based on the value of AllergyIntolerance.code.coding
  • The element 1 is sliced based on the value of AllergyIntolerance.reaction.manifestation.coding

Differential View

This structure is derived from JP_AllergyIntolerance

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..* JP_AllergyIntolerance Fujitsu AllergyIntolerance Profile (アレルギー・不耐性プロファイル)
... id 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta 0..1 Meta Metadata about the resource (リソースのメタデータ)
... implicitRules 0..0
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... contained 0..* Resource Contained, inline Resources (リソース内リソース)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... modifierExtension 0..0
... Slices for identifier 0..* Identifier External ids for this item (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... id 0..0
..... extension 0..0
..... use 0..0
..... type 0..1 CodeableConcept Description of identifier (識別子の種類)
...... id 0..0
...... extension 0..0
...... coding 0..* Coding Code defined by a terminology system (識別子のコード)
...... text 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
..... value 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
..... period 0..0
..... assigner 0..0
... clinicalStatus 0..1 CodeableConcept active | inactive | resolved (臨床的状態のステータス)
... verificationStatus 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error (入力された臨床的状態に対する検証状況)
... type 0..1 code allergy | intolerance - Underlying mechanism (if known) (アレルギーまたは不耐性)
... category 0..* code food | medication | environment | biologic (アレルギーまたは不耐性のカテゴリ)
... criticality 0..0
... code 0..1 CodeableConcept Code that identifies the allergy or intolerance (アレルギーまたは不耐性のコード)
.... id 0..0
.... extension 0..0
.... Slices for coding 0..* Coding Code defined by a terminology system (アレルギーまたは不耐性のコード)
Slice: Unordered, Open by value:system
..... coding:food 0..1 Coding Code defined by a terminology system (食物アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (食物アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyFoodAllergen_CS
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (食物アレルギーを表すコード値)
...... display 1..1 string Representation defined by the system (食物アレルギーの表示名)
...... userSelected 0..0
..... coding:medicine 0..1 Coding Code defined by a terminology system (薬剤アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (薬剤アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyMedicationAllergen_CS
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (薬剤アレルギーを表すコード値)
...... display 1..1 string Representation defined by the system (薬剤アレルギーの表示名)
...... userSelected 0..0
..... coding:nonfoodnonmedicine 0..1 Coding Code defined by a terminology system (その他アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (その他アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyNonFoodNonMedicationAllergen_CS
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (その他アレルギーを表すコード値)
...... display 1..1 string Representation defined by the system (その他アレルギーの表示名)
...... userSelected 0..0
..... coding:allergyIntoleranceGPSCode 0..1 Coding Code for allergy or intolerance from the SNOMED CT GPS code set (SNOMED CT GPSのアレルギーまたは不耐性のコード)
Binding: Allergy Intolerance - IPS (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (アレルギーを定義するコード体系)
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (アレルギーを表すコード値)
...... display 1..1 string Representation defined by the system (アレルギーの表示名)
...... userSelected 0..0
..... coding:absentOrUnknownAllergyIntolerance 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Allergies - IPS (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
.... text 1..1 string Plain text representation of the concept (アレルギーまたは不耐性のテキスト表現)
... patient 1..1 Reference(Fujitsu Patient Profile) Who the sensitivity is for (患者)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... encounter 1..1 Reference(Fujitsu Encounter Profile) Who the sensitivity is for (このアレルギーまたは不耐性がわかったときの外来または入院)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... onset[x] 0..1 dateTime When allergy or intolerance was identified (アレルギーや不耐性が同定された日時)
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded (最初に記録された日)
... recorder 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson) Who recorded the sensitivity (記録した人)
... asserter 0..0
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction (反応が一番直近（最後）に発生したとわかっている日付や日時)
... note 0..0
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance (物質への暴露に関連する有害反応事象)
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... substance 0..0
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event (事象（イベント）に関連した臨床的症状や兆候)
..... id 0..0
..... extension 0..0
..... Slices for coding 0..* Coding Code defined by a terminology system (症状のコード)
Slice: Unordered, Open by value:system
...... coding:allergyIntoleranceReactionManifestationGPSCode 0..1 Coding Code for the allergy or intolerance reaction manifestation from the SNOMED CT GPS code set (事象（イベント）に関連した臨床的症状や兆候のSNOMED CT GPSのコード)
Binding: Allergy Reaction - SNOMED CT IPS Free Set (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (症状を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (症状を表すコード値)
....... display 1..1 string Representation defined by the system (症状の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... description 0..0
.... onset 0..1 dateTime Date(/time) when manifestations showed (症状所見がみられた日時)
.... severity 0..1 code mild | moderate | severe (of event as a whole) (重大度)
.... exposureRoute 0..0
.... note 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AllergyIntolerance.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
AllergyIntolerance.code.coding:foodrequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:medicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:nonfoodnonmedicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:allergyIntoleranceGPSCoderequiredAllergyIntoleranceUvIps
http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerancerequiredAbsentOrUnknownAllergiesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips
AllergyIntolerance.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.manifestation.coding:allergyIntoleranceReactionManifestationGPSCoderequiredAllergyReactionSnomedCtIpsFreeSet
http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set
AllergyIntolerance.reaction.manifestation.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance C 0..* JP_AllergyIntolerance Fujitsu AllergyIntolerance Profile (アレルギー・不耐性プロファイル)
ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... Slices for identifier Σ 0..* Identifier External ids for this item (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
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.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
Example General: 123456
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved (臨床的状態のステータス)
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error (入力された臨床的状態に対する検証状況)
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) (アレルギーまたは不耐性)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category Σ 0..* code food | medication | environment | biologic (アレルギーまたは不耐性のカテゴリ)
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... code Σ 0..1 CodeableConcept Code that identifies the allergy or intolerance (アレルギーまたは不耐性のコード)
Binding: JP Core AllergyIntolerance ValueSet (example)
.... extension 0..0
.... Slices for coding Σ 0..* Coding Code defined by a terminology system (アレルギーまたは不耐性のコード)
Slice: Unordered, Open by value:system
..... coding:food Σ 0..1 Coding Code defined by a terminology system (食物アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (食物アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyFoodAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (食物アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (食物アレルギーの表示名)
..... coding:medicine Σ 0..1 Coding Code defined by a terminology system (薬剤アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (薬剤アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyMedicationAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (薬剤アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (薬剤アレルギーの表示名)
..... coding:nonfoodnonmedicine Σ 0..1 Coding Code defined by a terminology system (その他アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (その他アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyNonFoodNonMedicationAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (その他アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (その他アレルギーの表示名)
..... coding:allergyIntoleranceGPSCode Σ 0..1 Coding Code for allergy or intolerance from the SNOMED CT GPS code set (SNOMED CT GPSのアレルギーまたは不耐性のコード)
Binding: Allergy Intolerance - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (アレルギーを定義するコード体系)
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system (アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (アレルギーの表示名)
..... coding:absentOrUnknownAllergyIntolerance Σ 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Allergies - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... code Σ 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display Σ 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (アレルギーまたは不耐性のテキスト表現)
... patient Σ 1..1 Reference(Fujitsu Patient Profile) Who the sensitivity is for (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Who the sensitivity is for (このアレルギーまたは不耐性がわかったときの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... onset[x] 0..1 dateTime When allergy or intolerance was identified (アレルギーや不耐性が同定された日時)
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded (最初に記録された日)
... recorder 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson) Who recorded the sensitivity (記録した人)
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction (反応が一番直近（最後）に発生したとわかっている日付や日時)
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance (物質への暴露に関連する有害反応事象)
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event (事象（イベント）に関連した臨床的症状や兆候)
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.


..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system (症状のコード)
Slice: Unordered, Open by value:system
...... coding:allergyIntoleranceReactionManifestationGPSCode Σ 0..1 Coding Code for the allergy or intolerance reaction manifestation from the SNOMED CT GPS code set (事象（イベント）に関連した臨床的症状や兆候のSNOMED CT GPSのコード)
Binding: Allergy Reaction - SNOMED CT IPS Free Set (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (症状を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (症状を表すコード値)
....... display Σ 1..1 string Representation defined by the system (症状の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... onset 0..1 dateTime Date(/time) when manifestations showed (症状所見がみられた日時)
.... severity 0..1 code mild | moderate | severe (of event as a whole) (重大度)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
AllergyIntolerance.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.codeexampleJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:foodrequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:medicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:nonfoodnonmedicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:allergyIntoleranceGPSCoderequiredAllergyIntoleranceUvIps
http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerancerequiredAbsentOrUnknownAllergiesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips
AllergyIntolerance.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.manifestation.coding:allergyIntoleranceReactionManifestationGPSCoderequiredAllergyReactionSnomedCtIpsFreeSet
http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set
AllergyIntolerance.reaction.manifestation.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance C 0..* JP_AllergyIntolerance Fujitsu AllergyIntolerance Profile (アレルギー・不耐性プロファイル)
ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... Slices for identifier Σ 0..* Identifier External ids for this item (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
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.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
Example General: 123456
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved (臨床的状態のステータス)
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.

... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error (入力された臨床的状態に対する検証状況)
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) (アレルギーまたは不耐性)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.

... category Σ 0..* code food | medication | environment | biologic (アレルギーまたは不耐性のカテゴリ)
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.


... code Σ 0..1 CodeableConcept Code that identifies the allergy or intolerance (アレルギーまたは不耐性のコード)
Binding: JP Core AllergyIntolerance ValueSet (example)
.... extension 0..0
.... Slices for coding Σ 0..* Coding Code defined by a terminology system (アレルギーまたは不耐性のコード)
Slice: Unordered, Open by value:system
..... coding:food Σ 0..1 Coding Code defined by a terminology system (食物アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (食物アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyFoodAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (食物アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (食物アレルギーの表示名)
..... coding:medicine Σ 0..1 Coding Code defined by a terminology system (薬剤アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (薬剤アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyMedicationAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (薬剤アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (薬剤アレルギーの表示名)
..... coding:nonfoodnonmedicine Σ 0..1 Coding Code defined by a terminology system (その他アレルギーを表すコード)
Binding: JP Core AllergyIntolerance ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (その他アレルギーを定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_JfagyNonFoodNonMedicationAllergen_CS
...... code Σ 1..1 code Symbol in syntax defined by the system (その他アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (その他アレルギーの表示名)
..... coding:allergyIntoleranceGPSCode Σ 0..1 Coding Code for allergy or intolerance from the SNOMED CT GPS code set (SNOMED CT GPSのアレルギーまたは不耐性のコード)
Binding: Allergy Intolerance - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (アレルギーを定義するコード体系)
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system (アレルギーを表すコード値)
...... display Σ 1..1 string Representation defined by the system (アレルギーの表示名)
..... coding:absentOrUnknownAllergyIntolerance Σ 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Allergies - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... code Σ 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display Σ 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (アレルギーまたは不耐性のテキスト表現)
... patient Σ 1..1 Reference(Fujitsu Patient Profile) Who the sensitivity is for (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Who the sensitivity is for (このアレルギーまたは不耐性がわかったときの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... onset[x] 0..1 dateTime When allergy or intolerance was identified (アレルギーや不耐性が同定された日時)
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded (最初に記録された日)
... recorder 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson) Who recorded the sensitivity (記録した人)
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction (反応が一番直近（最後）に発生したとわかっている日付や日時)
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance (物質への暴露に関連する有害反応事象)
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event (事象（イベント）に関連した臨床的症状や兆候)
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.


..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system (症状のコード)
Slice: Unordered, Open by value:system
...... coding:allergyIntoleranceReactionManifestationGPSCode Σ 0..1 Coding Code for the allergy or intolerance reaction manifestation from the SNOMED CT GPS code set (事象（イベント）に関連した臨床的症状や兆候のSNOMED CT GPSのコード)
Binding: Allergy Reaction - SNOMED CT IPS Free Set (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (症状を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (症状を表すコード値)
....... display Σ 1..1 string Representation defined by the system (症状の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... onset 0..1 dateTime Date(/time) when manifestations showed (症状所見がみられた日時)
.... severity 0..1 code mild | moderate | severe (of event as a whole) (重大度)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
AllergyIntolerance.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
from the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
from the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
from the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
from the FHIR Standard
AllergyIntolerance.codeexampleJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:foodrequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:medicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:nonfoodnonmedicinerequiredJP_AllergyIntolerance_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS
AllergyIntolerance.code.coding:allergyIntoleranceGPSCoderequiredAllergyIntoleranceUvIps
http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips
AllergyIntolerance.code.coding:absentOrUnknownAllergyIntolerancerequiredAbsentOrUnknownAllergiesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-allergies-uv-ips
AllergyIntolerance.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.manifestationexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
AllergyIntolerance.reaction.manifestation.coding:allergyIntoleranceReactionManifestationGPSCoderequiredAllergyReactionSnomedCtIpsFreeSet
http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-snomed-ct-ips-free-set
AllergyIntolerance.reaction.manifestation.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from JP_AllergyIntolerance

Summary

Mandatory: 3 elements(28 nested mandatory elements)
Fixed: 8 elements
Prohibited: 64 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of AllergyIntolerance.identifier
  • The element 1 is sliced based on the value of AllergyIntolerance.code.coding
  • The element 1 is sliced based on the value of AllergyIntolerance.reaction.manifestation.coding

 

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