Introdução

Este perfil representa as restrições aplicadas ao recurso AllergyIntoleranceBRIPES do Guia de Implementação FHIR do Sumário do Paciente, que segue o modelo da RNDS, para representar informações de alergias e intolerâncias dos paciente no visualizador do Sumnário. Ele restringe a representação do registro de uma alergia ou intolerância do paciente, no contexto da RNDS, conforme especificações publicadas pelo Ministério da Saúde.

Escopo/Uso

Um registro de alergia ou intolerância é representado no resumo do paciente como uma instância de um recurso AllergyIntoleranceBRIPS. Este recurso documenta as alergiasincias relevantes de um paciente, descrevendo o tipo de reação (por exemplo, erupção cutânea, anafilaxia), os agentes causadores, a categoria da alergia (alimento, medicação, meio ambiente ou outras substâncias), o tipo de alergia e opcionalmente a criticidade e a certeza da alergia. Os dados sobre a reação também podem ser armazenados no recurso, considerando a substância e seus códigos correspondentes, o tipo de manifestação, a gravidade e observações acerca do evento ocorrido.

Uso indevido

Este recurso não deve ser utilizado para representar eventos que não sejam considerados reações adversas do tipo alergia ou intolerância. Outras reações desencadeadas por estímulos físicos - luz, calor, frio, pressão, vibração, que podem mimetizar reações alérgicas ou de intolerância, devem ser registradas como Condição na lista de problemas, não usando o recurso AllergyIntolerance.

Casos de uso

Este recurso pode ser utilizado para armazenar as informações do paciente sobre os eventos de reações adversas em sua história clínica. Tanto as reações alérgicas graves como as mais leves de intolerância podem ser armazenadas no Sumário do Paciente, estabelecendo assim uma linha de evolução das ocorrências adversas da vida do paciente. Para a composição do Sumário, as informações sobre alergia e intolerãncia do RAC (Resumo de Atendimento Clínico) e do SA (Sumário de Alta) enviadas para a RNDS e para outras plataformas, como a iPeS, são extraidas para serem apresentadas no Aplicativo do Paciente ou no portal do prestador, meediante consentimento do paciente.

Identificadores

Não se aplica.

Extensões

Este perfil não possui extensões.

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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
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 Vínculo: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Vínculo: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code	Σ	0..1	CodeableConcept	Code that identifies the allergy or intolerance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos (preferred)
patient	Σ	1..1	Reference(Paciente)	Who the sensitivity is for
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter		0..1	Reference(Contato Assistencial)	Encounter when the allergy or intolerance was asserted
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From a norma FHIR
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From a norma FHIR
AllergyIntolerance.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
identifier		0..0
code		0..1	CodeableConcept	Code that identifies the allergy or intolerance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos (preferred)
patient		1..1	Reference(Paciente)	Who the sensitivity is for
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
encounter		0..1	Reference(Contato Assistencial)	Encounter when the allergy or intolerance was asserted
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
recorder		0..0
asserter		0..0
lastOccurrence		0..0
note
author[x]		0..0
time		0..0
reaction
substance		0..0
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA (preferred)
onset		0..0
severity		0..0
exposureRoute		0..0
note		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
AllergyIntolerance.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos
AllergyIntolerance.reaction.manifestation	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
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 Vínculo: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Vínculo: 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) Vínculo: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Vínculo: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Vínculo: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	Σ	0..1	CodeableConcept	Code that identifies the allergy or intolerance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos (preferred)
patient	Σ	1..1	Reference(Paciente)	Who the sensitivity is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter		0..1	Reference(Contato Assistencial)	Encounter when the allergy or intolerance was asserted
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
onset[x]		0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
note		0..*	Annotation	Additional text not captured in other fields
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
text	Σ	1..1	markdown	The annotation - text content (as markdown)
reaction		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
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA (preferred)
description		0..1	string	Description of the event as a whole
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From a norma FHIR
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From a norma FHIR
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 From a norma FHIR
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 From a norma FHIR
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 From a norma FHIR
AllergyIntolerance.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos
AllergyIntolerance.reaction.manifestation	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
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()

Key Elements View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
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 Vínculo: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Vínculo: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
code	Σ	0..1	CodeableConcept	Code that identifies the allergy or intolerance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos (preferred)
patient	Σ	1..1	Reference(Paciente)	Who the sensitivity is for
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter		0..1	Reference(Contato Assistencial)	Encounter when the allergy or intolerance was asserted
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From a norma FHIR
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From a norma FHIR
AllergyIntolerance.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
identifier		0..0
code		0..1	CodeableConcept	Code that identifies the allergy or intolerance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos (preferred)
patient		1..1	Reference(Paciente)	Who the sensitivity is for
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
encounter		0..1	Reference(Contato Assistencial)	Encounter when the allergy or intolerance was asserted
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
recorder		0..0
asserter		0..0
lastOccurrence		0..0
note
author[x]		0..0
time		0..0
reaction
substance		0..0
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA (preferred)
onset		0..0
severity		0..0
exposureRoute		0..0
note		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
AllergyIntolerance.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos
AllergyIntolerance.reaction.manifestation	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA

Snapshot View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
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 Vínculo: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Vínculo: 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) Vínculo: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Vínculo: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Vínculo: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	Σ	0..1	CodeableConcept	Code that identifies the allergy or intolerance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos (preferred)
patient	Σ	1..1	Reference(Paciente)	Who the sensitivity is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter		0..1	Reference(Contato Assistencial)	Encounter when the allergy or intolerance was asserted
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
onset[x]		0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
note		0..*	Annotation	Additional text not captured in other fields
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
text	Σ	1..1	markdown	The annotation - text content (as markdown)
reaction		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
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA (preferred)
description		0..1	string	Description of the event as a whole
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 From a norma FHIR
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 From a norma FHIR
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 From a norma FHIR
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 From a norma FHIR
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 From a norma FHIR
AllergyIntolerance.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos
AllergyIntolerance.reaction.manifestation	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
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

Resumo

Obrigatório: 1 elemento(1 aninhado obrigatoriamente elemento)
Proibido: 17 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

• Paciente (https://fhir.ipes.tech/fhir/StructureDefinition/PatientBRIPES)
• Contato Assistencial (https://fhir.ipes.tech/fhir/StructureDefinition/EncounterBRIPES)