Belgium eHealth FHIR Core specifications
1.2.2 - CI Build
Belgium eHealth FHIR Core specifications
1.2.2 - CI Build
This page is part of the Belgium eHealth FHIR Core specifications (v1.2.2: Trial Use) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Defining URL: | https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-allergyintolerance |
| Version: | 1.2.2 |
| Name: | BeAllergyIntolerance |
| Status: | Active as of 2021-07-10T14:45:27+02:00 |
| Definition: | Belgian federal profile for an allergy and/or an intolerance. Initially based on the functional description of the NIHDI. |
| Publisher: | eHealth |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-allergyintolerance
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AllergyIntolerance
This structure is derived from AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  AllergyIntolerance | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) | |
  clinicalStatus | S | 0..1 | CodeableConcept | active | inactive | resolved |
| verificationStatus | S | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error |
| type | S | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) |
| category | S | 0..* | code | food | medication | environment | biologic |
| code | S | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: BeAllergyIntoleranceCode (extensible): Causative agent codes as defined by NIHDI |
 patient | S | 1..1 | Reference(BePatient) | Who the sensitivity is for |
| recordedDate | S | 1..1 | dateTime | Date first version of the resource instance was recorded |
| recorder | S | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | BePatient | BePractitioner | BePractitionerRole) | Who recorded the sensitivity |
| asserter | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy |
| note | S | 0..* | Annotation | Additional text not captured in other fields |
 reaction | S | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance |
 substance | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event | |
| manifestation | S | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: BeRiskManifestation (extensible) |
| onset | 0..1 | dateTime | Date(/time) when manifestations showed | |
| exposureRoute | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: BeExposureRoute (extensible) | |
 note | 0..* | Annotation | Text about event not captured in other fields | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | I | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) |
 id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: 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 | ?!SΣI | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus | ?!SΣI | 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 | SΣ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk. |
| category | SΣ | 0..* | code | 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 | Code that identifies the allergy or intolerance Binding: BeAllergyIntoleranceCode (extensible): Causative agent codes as defined by NIHDI |
| patient | SΣ | 1..1 | Reference(BePatient) | Who the sensitivity is for |
| encounter | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted | |
  onset[x] | 0..1 | When allergy or intolerance was identified | ||
 onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| recordedDate | S | 1..1 | dateTime | Date first version of the resource instance was recorded |
| recorder | S | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | BePatient | BePractitioner | BePractitionerRole) | Who recorded the sensitivity |
| asserter | SΣ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy |
| lastOccurrence | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction | |
| note | S | 0..* | Annotation | Additional text not captured in other fields |
| reaction | S | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance |
| 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 | S | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: BeRiskManifestation (extensible) |
| 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: BeExposureRoute (extensible) | |
| note | 0..* | Annotation | Text about event not captured in other fields | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | I | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) |
| clinicalStatus | ?!ΣI | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus | ?!ΣI | 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 | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances. |
| code | Σ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: BeAllergyIntoleranceCode (extensible): Causative agent codes as defined by NIHDI |
| patient | Σ | 1..1 | Reference(BePatient) | Who the sensitivity is for |
| recordedDate | 1..1 | dateTime | Date first version of the resource instance was recorded | |
| recorder | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | BePatient | BePractitioner | BePractitionerRole) | Who recorded the sensitivity | |
| asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy |
| note | 0..* | Annotation | Additional text not captured in other fields | |
| reaction | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |
| manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: BeRiskManifestation (extensible) | |
| Documentation for this format | ||||
This structure is derived from AllergyIntolerance
Differential View
This structure is derived from AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) | |
| clinicalStatus | S | 0..1 | CodeableConcept | active | inactive | resolved |
| verificationStatus | S | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error |
| type | S | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) |
| category | S | 0..* | code | food | medication | environment | biologic |
| code | S | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: BeAllergyIntoleranceCode (extensible): Causative agent codes as defined by NIHDI |
| patient | S | 1..1 | Reference(BePatient) | Who the sensitivity is for |
| recordedDate | S | 1..1 | dateTime | Date first version of the resource instance was recorded |
| recorder | S | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | BePatient | BePractitioner | BePractitionerRole) | Who recorded the sensitivity |
| asserter | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy |
| note | S | 0..* | Annotation | Additional text not captured in other fields |
| reaction | S | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance |
| substance | 0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event | |
| manifestation | S | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: BeRiskManifestation (extensible) |
| onset | 0..1 | dateTime | Date(/time) when manifestations showed | |
| exposureRoute | 0..1 | CodeableConcept | How the subject was exposed to the substance Binding: BeExposureRoute (extensible) | |
| note | 0..* | Annotation | Text about event not captured in other fields | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | I | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: 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 | ?!SΣI | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus | ?!SΣI | 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 | SΣ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk. |
| category | SΣ | 0..* | code | 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 | Code that identifies the allergy or intolerance Binding: BeAllergyIntoleranceCode (extensible): Causative agent codes as defined by NIHDI |
| patient | SΣ | 1..1 | Reference(BePatient) | Who the sensitivity is for |
| encounter | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted | |
| onset[x] | 0..1 | When allergy or intolerance was identified | ||
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| recordedDate | S | 1..1 | dateTime | Date first version of the resource instance was recorded |
| recorder | S | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | BePatient | BePractitioner | BePractitionerRole) | Who recorded the sensitivity |
| asserter | SΣ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy |
| lastOccurrence | 0..1 | dateTime | Date(/time) of last known occurrence of a reaction | |
| note | S | 0..* | Annotation | Additional text not captured in other fields |
| reaction | S | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance |
| 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 | S | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: BeRiskManifestation (extensible) |
| 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: BeExposureRoute (extensible) | |
| note | 0..* | Annotation | Text about event not captured in other fields | |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet |
| AllergyIntolerance.language | preferred | CommonLanguages Max Binding: AllLanguages |
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes |
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes |
| AllergyIntolerance.type | required | AllergyIntoleranceType |
| AllergyIntolerance.category | required | AllergyIntoleranceCategory |
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticality |
| AllergyIntolerance.code | extensible | BeAllergyIntoleranceCode |
| AllergyIntolerance.reaction.substance | example | SubstanceCode |
| AllergyIntolerance.reaction.manifestation | extensible | BeRiskManifestation |
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity |
| AllergyIntolerance.reaction.exposureRoute | extensible | BeExposureRoute |
| Id | Path | Details | Requirements |
| ait-1 | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
| ait-2 | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | AllergyIntolerance.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | AllergyIntolerance.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | AllergyIntolerance.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | AllergyIntolerance.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | AllergyIntolerance.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.clinicalStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.verificationStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.criticality | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.patient | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.onset[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.recordedDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.recorder | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.asserter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.lastOccurrence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.reaction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.reaction.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | AllergyIntolerance.reaction.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | AllergyIntolerance.reaction.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | AllergyIntolerance.reaction.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | AllergyIntolerance.reaction.substance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.reaction.manifestation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.reaction.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.reaction.onset | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.reaction.severity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.reaction.exposureRoute | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | AllergyIntolerance.reaction.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |