Resumen Digital de Atención en Salud (RDA) - Local Development build (v0.7.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Alergia o intolerancia (AllergyIntolerance) RDA

Perfil FHIR de una alergia o intolerancia, para su intercambio en un documento RDA en Colombia.

Evento clínico que describe una alergia, hipersensibilidad o intolerancia que representa un riesgo clínico para el paciente y condiciona su cuidado en salud.

El registro de una alergia o intolerancia es el resultado de un proceso clínico mediante el cual un profesional de la salud, autorizado y habilitado, identifica la presencia de una reacción adversa o hipersensibilidad a un medicamento, alimento, sustancia ambiental u otro agente, con base en la evaluación de la historia clínica del paciente, antecedentes, signos, síntomas y criterios definidos por la ciencia médica, con el fin de prevenir exposiciones futuras y mitigar riesgos para la salud del paciente.

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso FHIR AllergyIntolerance (Alergia o Intolerancia), con el objetivo de estandarizar y representar información sobre alergias, hipersensibilidades o intolerancias que representan un riesgo clínico para el paciente y condicionan su cuidado en salud, dentro del contexto del Resumen Digital de Atención en salud (RDA).

Ha sido diseñado a partir de los lineamientos normativos definidos por el Ministerio de Salud y Protección Social, y está armonizado con la Guía de Implementación FHIR Core Colombia.

En Colombia, la información sobre alergias e intolerancias debe registrarse en la historia clínica del paciente, de acuerdo con los lineamientos establecidos por el Ministerio de Salud y Protección Social y con la normatividad vigente sobre la gestión de la información en salud.

Características

• Proceso clínico profesional: realizado por médicos u otros profesionales de salud autorizados, conforme a su formación y marco legal.
• Sustentado en evidencia: incluye anamnesis, examen físico, antecedentes, pruebas clínicas o pruebas específicas cuando aplique.

Uso previsto

Este perfil está diseñado para ser implementado por:

• Plataforma de interoperabilidad del Ministerio de Salud y Protección Social.
• Instituciones Prestadoras de Servicios de Salud.
• Sistemas de información en salud (HIS, HCE, LIS, RIS, etc.).
• Repositorios de datos clínicos (CDR).
• Proveedores y consumidores de servicios interoperables de salud.

Se espera que sea utilizado principalmente en el escenario de intercambio del Resumen Digital de Atención (RDA).

Restricciones

• Se requiere el uso de terminologías controladas nacionales.
• Se aplican restricciones sobre elementos obligatorios y cardinalidad del tipo de recurso FHIR AllergyIntolerance, para ajustar su uso en el contexto de la Resolución 1888 de 2025.

Relación con otras guías o perfiles

Este perfil se basa en:

• AllergyIntolerance FHIR R4
• ​Profile: AllergyIntolerance CO

Consideraciones adicionales

• Este perfil no sustituye las obligaciones legales sobre el registro clínico.
• Se recomienda verificar la conformidad de su implementación.

Usages:

• Use this Profile: Paquete transaccional (Bundle) de documento RDA (Consulta), Paquete transaccional (Bundle) de documento RDA (Urgencias) and Paquete transaccional (Bundle) de documento RDA (Hospitalización)
• Refer to this Profile: Resumen Digital de Atención en Salud de Consulta (RDA Consulta), Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias), Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización), Resumen Digital de Atención en Salud (RDA) and Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA
• Examples for this Profile: AllergyIntolerance/4d17ba93-19d5-469e-b38b-8bcce59d4465, AllergyIntolerance/589fdad5-a036-4296-badc-15379431ae80 and AllergyIntolerance/bfdf7195-4c8a-4e0e-915f-d395e41c4ad9

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
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.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: AllergyIntoleranceClinicalStatusCodes (required)
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Confirmed
code	Σ	1..1	CodeableConcept	Código que identifica la alergia o intolerancia Binding: CodeSystem: Tipo Alergia (required)
coding	Σ	0..1	Coding	Código de clasificación de la alergia o intolerancia
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/TipoAlergia
code	SΣ	1..1	code	Código de clasificación de la alergia o intolerancia
display	SΣ	1..1	string	Descripción del código de clasificación de la alergia o intolerancia
text	SΣ	1..1	string	Nombre del alérgeno
patient	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se le ha identificado la alergia o intolerancia
encounter		0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se detectó o se registro la evolución de la alergia o intolerancia
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.clinicalStatus.coding	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From the FHIR Standard
AllergyIntolerance.code	required	TipoAlergiaCodigos(a valid code from CodeSystem: Tipo Alergia) https://fhir.minsalud.gov.co/rda/ValueSet/TipoAlergiaCodigos From this IG
AllergyIntolerance.reaction.manifestation	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

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()

This structure is derived from AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
meta
profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/AllergyIntoleranceRDA
identifier		0..0
clinicalStatus		0..1	CodeableConcept	active | inactive | resolved
coding		0..*	Coding	Code defined by a terminology system Binding: AllergyIntoleranceClinicalStatusCodes (required)
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
verificationStatus		0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	S	1..1	string	Representation defined by the system Fixed Value: Confirmed
type		0..0
category		0..0
criticality		0..0
code		1..1	CodeableConcept	Código que identifica la alergia o intolerancia Binding: CodeSystem: Tipo Alergia (required)
coding		0..1	Coding	Código de clasificación de la alergia o intolerancia
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/TipoAlergia
code	S	1..1	code	Código de clasificación de la alergia o intolerancia
display	S	1..1	string	Descripción del código de clasificación de la alergia o intolerancia
text	S	1..1	string	Nombre del alérgeno
patient	S	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se le ha identificado la alergia o intolerancia
encounter		0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se detectó o se registro la evolución de la alergia o intolerancia
recordedDate		0..0
recorder		0..0
asserter		0..0
lastOccurrence		0..0
note		0..0
reaction		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus.coding	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From the FHIR Standard
AllergyIntolerance.code	required	TipoAlergiaCodigos(a valid code from CodeSystem: Tipo Alergia) https://fhir.minsalud.gov.co/rda/ValueSet/TipoAlergiaCodigos From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/AllergyIntoleranceRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: AllergyIntoleranceClinicalStatusCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	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	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Confirmed
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Código que identifica la alergia o intolerancia Binding: CodeSystem: Tipo Alergia (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..1	Coding	Código de clasificación de la alergia o intolerancia
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 Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/TipoAlergia
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código de clasificación de la alergia o intolerancia
display	SΣ	1..1	string	Descripción del código de clasificación de la alergia o intolerancia
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Nombre del alérgeno
patient	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se le ha identificado la alergia o intolerancia
encounter		0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se detectó o se registro la evolución de la alergia o intolerancia
onset[x]		0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
AllergyIntolerance.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard
AllergyIntolerance.clinicalStatus.coding	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From the FHIR Standard
AllergyIntolerance.code	required	TipoAlergiaCodigos(a valid code from CodeSystem: Tipo Alergia) https://fhir.minsalud.gov.co/rda/ValueSet/TipoAlergiaCodigos From this IG
AllergyIntolerance.reaction.substance	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code From the FHIR Standard
AllergyIntolerance.reaction.manifestation	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes From the FHIR Standard

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()

This structure is derived from AllergyIntolerance

Summary

Mandatory: 2 elements(6 nested mandatory elements)
Must-Support: 6 elements
Fixed: 6 elements
Prohibited: 10 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención ambulatoria (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)
• Encuentro de hospitalización (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
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.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: AllergyIntoleranceClinicalStatusCodes (required)
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Confirmed
code	Σ	1..1	CodeableConcept	Código que identifica la alergia o intolerancia Binding: CodeSystem: Tipo Alergia (required)
coding	Σ	0..1	Coding	Código de clasificación de la alergia o intolerancia
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/TipoAlergia
code	SΣ	1..1	code	Código de clasificación de la alergia o intolerancia
display	SΣ	1..1	string	Descripción del código de clasificación de la alergia o intolerancia
text	SΣ	1..1	string	Nombre del alérgeno
patient	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se le ha identificado la alergia o intolerancia
encounter		0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se detectó o se registro la evolución de la alergia o intolerancia
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.clinicalStatus.coding	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From the FHIR Standard
AllergyIntolerance.code	required	TipoAlergiaCodigos(a valid code from CodeSystem: Tipo Alergia) https://fhir.minsalud.gov.co/rda/ValueSet/TipoAlergiaCodigos From this IG
AllergyIntolerance.reaction.manifestation	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

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()

Differential View

This structure is derived from AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
meta
profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/AllergyIntoleranceRDA
identifier		0..0
clinicalStatus		0..1	CodeableConcept	active | inactive | resolved
coding		0..*	Coding	Code defined by a terminology system Binding: AllergyIntoleranceClinicalStatusCodes (required)
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
verificationStatus		0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	S	1..1	string	Representation defined by the system Fixed Value: Confirmed
type		0..0
category		0..0
criticality		0..0
code		1..1	CodeableConcept	Código que identifica la alergia o intolerancia Binding: CodeSystem: Tipo Alergia (required)
coding		0..1	Coding	Código de clasificación de la alergia o intolerancia
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/TipoAlergia
code	S	1..1	code	Código de clasificación de la alergia o intolerancia
display	S	1..1	string	Descripción del código de clasificación de la alergia o intolerancia
text	S	1..1	string	Nombre del alérgeno
patient	S	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se le ha identificado la alergia o intolerancia
encounter		0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se detectó o se registro la evolución de la alergia o intolerancia
recordedDate		0..0
recorder		0..0
asserter		0..0
lastOccurrence		0..0
note		0..0
reaction		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus.coding	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From the FHIR Standard
AllergyIntolerance.code	required	TipoAlergiaCodigos(a valid code from CodeSystem: Tipo Alergia) https://fhir.minsalud.gov.co/rda/ValueSet/TipoAlergiaCodigos From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) Constraints: ait-1, ait-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/AllergyIntoleranceRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: AllergyIntoleranceClinicalStatusCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	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	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Confirmed
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Código que identifica la alergia o intolerancia Binding: CodeSystem: Tipo Alergia (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..1	Coding	Código de clasificación de la alergia o intolerancia
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 Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/TipoAlergia
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código de clasificación de la alergia o intolerancia
display	SΣ	1..1	string	Descripción del código de clasificación de la alergia o intolerancia
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Nombre del alérgeno
patient	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se le ha identificado la alergia o intolerancia
encounter		0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se detectó o se registro la evolución de la alergia o intolerancia
onset[x]		0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
AllergyIntolerance.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard
AllergyIntolerance.clinicalStatus.coding	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From the FHIR Standard
AllergyIntolerance.code	required	TipoAlergiaCodigos(a valid code from CodeSystem: Tipo Alergia) https://fhir.minsalud.gov.co/rda/ValueSet/TipoAlergiaCodigos From this IG
AllergyIntolerance.reaction.substance	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code From the FHIR Standard
AllergyIntolerance.reaction.manifestation	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes From the FHIR Standard

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()

This structure is derived from AllergyIntolerance

Summary

Mandatory: 2 elements(6 nested mandatory elements)
Must-Support: 6 elements
Fixed: 6 elements
Prohibited: 10 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención ambulatoria (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)
• Encuentro de hospitalización (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA)

Other representations of profile: CSV, Excel, Schematron