Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	S	0..*	AllergyIntolerance	Alergia ou Reação Adversa
contained		0..0
identifier		0..0
verificationStatus	S	0..1	CodeableConcept	Grau de Certeza Binding: Grau de Certeza de Alergias e Reações Adversas (required): Grau de Certeza de Alergias e Reações Adversas
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
type	S	0..1	code	Tipo de Reação
category	S	1..1	code	Categoria do Agente Causador Binding: Categoria do Agente da Alergia ou Reação Adversa (required): Categoria do Agente da Alergia ou Reação Adversa
criticality	S	0..1	code	Criticidade Binding: Criticidade de Alergias e Reações Adversas (required): Criticidade
code	S	1..1	CodeableConcept	Agente ou Substância Binding: Alérgenos (required): Alérgenos
coding	S	0..1	Coding	Agente ou Substância Codificada
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text	S	0..1	string	Agente ou Substância em Texto Livre
patient	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Indivíduo
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
extension:birthYear	S	1..1	Extension	Extension
extension:reason	S	1..1	Extension	Extension
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
encounter		0..0
onset[x]	S	0..1	dateTime	Data da Instalação da Alergia ou Reação Adversa
recordedDate		0..0
recorder		0..0
asserter		0..0
lastOccurrence		0..0
note	S	0..1	Annotation	Evolução da Alergia ou Reação Adversa
author[x]		0..0
time		0..0
reaction	S	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance
substance		0..0
manifestation		1..1	CodeableConcept	Sinais e sintomas clínicos associados ao evento Binding: Reações Adversas da MedDRA (required): Reações Adversas da MedDRA
coding		0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
description		0..0
onset		0..0
severity		0..0
exposureRoute		0..0
note		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.verificationStatus	required	BRGrauCertezaAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRGrauCertezaAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.category	required	BRCategoriaAgenteAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaAgenteAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.criticality	required	BRCriticidadeAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCriticidadeAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.code	required	BRAlergenos http://www.saude.gov.br/fhir/r4/ValueSet/BRAlergenos-1.0 from this IG
AllergyIntolerance.reaction.manifestation	required	BRReacoesAdversasMedDRA (a valid code from Medical Dictionary for Regulatory Activities (MedDRA)) http://www.saude.gov.br/fhir/r4/ValueSet/BRReacoesAdversasMedDRA-1.0 from this IG

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	SC	0..*	AllergyIntolerance	Alergia ou Reação Adversa 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣC	0..1	CodeableConcept	Grau de Certeza Binding: Grau de Certeza de Alergias e Reações Adversas (required): Grau de Certeza de Alergias e Reações Adversas
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type	SΣ	0..1	code	Tipo de Reação Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	1..1	code	Categoria do Agente Causador Binding: Categoria do Agente da Alergia ou Reação Adversa (required): Categoria do Agente da Alergia ou Reação Adversa
criticality	SΣ	0..1	code	Criticidade Binding: Criticidade de Alergias e Reações Adversas (required): Criticidade
code	SΣ	1..1	CodeableConcept	Agente ou Substância Binding: Alérgenos (required): Alérgenos
coding	SΣ	0..1	Coding	Agente ou Substância Codificada
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Agente ou Substância em Texto Livre
patient	SΣ	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Indivíduo
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
url		1..1	uri	"gender"
value[x]		1..1	code	Value of extension
extension:birthYear	S	1..1	Extension	Extension
url		1..1	uri	"birthYear"
value[x]		1..1	date	Value of extension
extension:reason	S	1..1	Extension	Extension
url		1..1	uri	"reason"
value[x]		1..1	CodeableConcept	Value of extension
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
onset[x]	S	0..1	dateTime	Data da Instalação da Alergia ou Reação Adversa
note	S	0..1	Annotation	Evolução da Alergia ou Reação Adversa
text	Σ	1..1	markdown	The annotation - text content (as markdown)
reaction	S	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
manifestation		1..1	CodeableConcept	Sinais e sintomas clínicos associados ao evento Binding: Reações Adversas da MedDRA (required): Reações Adversas da MedDRA
coding	Σ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	BRGrauCertezaAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRGrauCertezaAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	BRCategoriaAgenteAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaAgenteAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.criticality	required	BRCriticidadeAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCriticidadeAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.code	required	BRAlergenos http://www.saude.gov.br/fhir/r4/ValueSet/BRAlergenos-1.0 from this IG
AllergyIntolerance.reaction.manifestation	required	BRReacoesAdversasMedDRA (a valid code from Medical Dictionary for Regulatory Activities (MedDRA)) http://www.saude.gov.br/fhir/r4/ValueSet/BRReacoesAdversasMedDRA-1.0 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	AllergyIntolerance	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	SC	0..*	AllergyIntolerance	Alergia ou Reação Adversa 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
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣC	0..1	CodeableConcept	Grau de Certeza Binding: Grau de Certeza de Alergias e Reações Adversas (required): Grau de Certeza de Alergias e Reações Adversas
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
type	SΣ	0..1	code	Tipo de Reação Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	1..1	code	Categoria do Agente Causador Binding: Categoria do Agente da Alergia ou Reação Adversa (required): Categoria do Agente da Alergia ou Reação Adversa
criticality	SΣ	0..1	code	Criticidade Binding: Criticidade de Alergias e Reações Adversas (required): Criticidade
code	SΣ	1..1	CodeableConcept	Agente ou Substância Binding: Alérgenos (required): Alérgenos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..1	Coding	Agente ou Substância Codificada
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Agente ou Substância em Texto Livre
patient	SΣ	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Indivíduo
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"gender"
value[x]		1..1	code	Value of extension
extension:birthYear	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"birthYear"
value[x]		1..1	date	Value of extension
extension:reason	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reason"
value[x]		1..1	CodeableConcept	Value of extension
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
onset[x]	S	0..1	dateTime	Data da Instalação da Alergia ou Reação Adversa
note	S	0..1	Annotation	Evolução da Alergia ou Reação Adversa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
text	Σ	1..1	markdown	The annotation - text content (as markdown)
reaction	S	0..1	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
manifestation		1..1	CodeableConcept	Sinais e sintomas clínicos associados ao evento Binding: Reações Adversas da MedDRA (required): Reações Adversas da MedDRA
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	BRGrauCertezaAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRGrauCertezaAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	BRCategoriaAgenteAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaAgenteAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.criticality	required	BRCriticidadeAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCriticidadeAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.code	required	BRAlergenos http://www.saude.gov.br/fhir/r4/ValueSet/BRAlergenos-1.0 from this IG
AllergyIntolerance.reaction.manifestation	required	BRReacoesAdversasMedDRA (a valid code from Medical Dictionary for Regulatory Activities (MedDRA)) http://www.saude.gov.br/fhir/r4/ValueSet/BRReacoesAdversasMedDRA-1.0 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	AllergyIntolerance	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 5 elements(10 nested mandatory elements)
Must-Support: 15 elements
Prohibited: 29 elements

Structures

This structure refers to these other structures:

• Unable to summarise profile http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0 (no profile found)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0

Maturity: 1

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	S	0..*	AllergyIntolerance	Alergia ou Reação Adversa
contained		0..0
identifier		0..0
verificationStatus	S	0..1	CodeableConcept	Grau de Certeza Binding: Grau de Certeza de Alergias e Reações Adversas (required): Grau de Certeza de Alergias e Reações Adversas
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
type	S	0..1	code	Tipo de Reação
category	S	1..1	code	Categoria do Agente Causador Binding: Categoria do Agente da Alergia ou Reação Adversa (required): Categoria do Agente da Alergia ou Reação Adversa
criticality	S	0..1	code	Criticidade Binding: Criticidade de Alergias e Reações Adversas (required): Criticidade
code	S	1..1	CodeableConcept	Agente ou Substância Binding: Alérgenos (required): Alérgenos
coding	S	0..1	Coding	Agente ou Substância Codificada
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text	S	0..1	string	Agente ou Substância em Texto Livre
patient	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Indivíduo
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
extension:birthYear	S	1..1	Extension	Extension
extension:reason	S	1..1	Extension	Extension
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
encounter		0..0
onset[x]	S	0..1	dateTime	Data da Instalação da Alergia ou Reação Adversa
recordedDate		0..0
recorder		0..0
asserter		0..0
lastOccurrence		0..0
note	S	0..1	Annotation	Evolução da Alergia ou Reação Adversa
author[x]		0..0
time		0..0
reaction	S	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance
substance		0..0
manifestation		1..1	CodeableConcept	Sinais e sintomas clínicos associados ao evento Binding: Reações Adversas da MedDRA (required): Reações Adversas da MedDRA
coding		0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
description		0..0
onset		0..0
severity		0..0
exposureRoute		0..0
note		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.verificationStatus	required	BRGrauCertezaAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRGrauCertezaAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.category	required	BRCategoriaAgenteAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaAgenteAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.criticality	required	BRCriticidadeAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCriticidadeAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.code	required	BRAlergenos http://www.saude.gov.br/fhir/r4/ValueSet/BRAlergenos-1.0 from this IG
AllergyIntolerance.reaction.manifestation	required	BRReacoesAdversasMedDRA (a valid code from Medical Dictionary for Regulatory Activities (MedDRA)) http://www.saude.gov.br/fhir/r4/ValueSet/BRReacoesAdversasMedDRA-1.0 from this IG

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	SC	0..*	AllergyIntolerance	Alergia ou Reação Adversa 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣC	0..1	CodeableConcept	Grau de Certeza Binding: Grau de Certeza de Alergias e Reações Adversas (required): Grau de Certeza de Alergias e Reações Adversas
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type	SΣ	0..1	code	Tipo de Reação Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	1..1	code	Categoria do Agente Causador Binding: Categoria do Agente da Alergia ou Reação Adversa (required): Categoria do Agente da Alergia ou Reação Adversa
criticality	SΣ	0..1	code	Criticidade Binding: Criticidade de Alergias e Reações Adversas (required): Criticidade
code	SΣ	1..1	CodeableConcept	Agente ou Substância Binding: Alérgenos (required): Alérgenos
coding	SΣ	0..1	Coding	Agente ou Substância Codificada
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Agente ou Substância em Texto Livre
patient	SΣ	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Indivíduo
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
url		1..1	uri	"gender"
value[x]		1..1	code	Value of extension
extension:birthYear	S	1..1	Extension	Extension
url		1..1	uri	"birthYear"
value[x]		1..1	date	Value of extension
extension:reason	S	1..1	Extension	Extension
url		1..1	uri	"reason"
value[x]		1..1	CodeableConcept	Value of extension
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
onset[x]	S	0..1	dateTime	Data da Instalação da Alergia ou Reação Adversa
note	S	0..1	Annotation	Evolução da Alergia ou Reação Adversa
text	Σ	1..1	markdown	The annotation - text content (as markdown)
reaction	S	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
manifestation		1..1	CodeableConcept	Sinais e sintomas clínicos associados ao evento Binding: Reações Adversas da MedDRA (required): Reações Adversas da MedDRA
coding	Σ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	BRGrauCertezaAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRGrauCertezaAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	BRCategoriaAgenteAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaAgenteAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.criticality	required	BRCriticidadeAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCriticidadeAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.code	required	BRAlergenos http://www.saude.gov.br/fhir/r4/ValueSet/BRAlergenos-1.0 from this IG
AllergyIntolerance.reaction.manifestation	required	BRReacoesAdversasMedDRA (a valid code from Medical Dictionary for Regulatory Activities (MedDRA)) http://www.saude.gov.br/fhir/r4/ValueSet/BRReacoesAdversasMedDRA-1.0 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	AllergyIntolerance	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	SC	0..*	AllergyIntolerance	Alergia ou Reação Adversa 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
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣC	0..1	CodeableConcept	Grau de Certeza Binding: Grau de Certeza de Alergias e Reações Adversas (required): Grau de Certeza de Alergias e Reações Adversas
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
type	SΣ	0..1	code	Tipo de Reação Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	1..1	code	Categoria do Agente Causador Binding: Categoria do Agente da Alergia ou Reação Adversa (required): Categoria do Agente da Alergia ou Reação Adversa
criticality	SΣ	0..1	code	Criticidade Binding: Criticidade de Alergias e Reações Adversas (required): Criticidade
code	SΣ	1..1	CodeableConcept	Agente ou Substância Binding: Alérgenos (required): Alérgenos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..1	Coding	Agente ou Substância Codificada
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Agente ou Substância em Texto Livre
patient	SΣ	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Indivíduo
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"gender"
value[x]		1..1	code	Value of extension
extension:birthYear	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"birthYear"
value[x]		1..1	date	Value of extension
extension:reason	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reason"
value[x]		1..1	CodeableConcept	Value of extension
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
onset[x]	S	0..1	dateTime	Data da Instalação da Alergia ou Reação Adversa
note	S	0..1	Annotation	Evolução da Alergia ou Reação Adversa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
text	Σ	1..1	markdown	The annotation - text content (as markdown)
reaction	S	0..1	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
manifestation		1..1	CodeableConcept	Sinais e sintomas clínicos associados ao evento Binding: Reações Adversas da MedDRA (required): Reações Adversas da MedDRA
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	BRGrauCertezaAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRGrauCertezaAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	BRCategoriaAgenteAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaAgenteAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.criticality	required	BRCriticidadeAlergiasReacoesAdversas http://www.saude.gov.br/fhir/r4/ValueSet/BRCriticidadeAlergiasReacoesAdversas-1.0 from this IG
AllergyIntolerance.code	required	BRAlergenos http://www.saude.gov.br/fhir/r4/ValueSet/BRAlergenos-1.0 from this IG
AllergyIntolerance.reaction.manifestation	required	BRReacoesAdversasMedDRA (a valid code from Medical Dictionary for Regulatory Activities (MedDRA)) http://www.saude.gov.br/fhir/r4/ValueSet/BRReacoesAdversasMedDRA-1.0 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ait-1	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()
ait-2	error	AllergyIntolerance	AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	AllergyIntolerance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	AllergyIntolerance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	AllergyIntolerance	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 5 elements(10 nested mandatory elements)
Must-Support: 15 elements
Prohibited: 29 elements

Structures

This structure refers to these other structures:

• Unable to summarise profile http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0 (no profile found)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0

Maturity: 1