EHDS Logical Information Models
0.1.0 - ci-build

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/tree/stakeholder-consultation-D6-2 and changes regularly. See the Directory of published versions

## Logical Model: Allergy intolerance model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance | Version: 0.1.0
Draft as of 2025-05-26 | Computable Name: EHDSAllergyIntolerance

EHDS refined base model for allergy/intolerance

Usage:

- Use this Logical Model Profile: Hospital Discharge Report body model, Imaging report body model, Laboratory order body model and Patient summary model

### 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
--- | --- | --- | --- | ---
EHDSAllergyIntolerance |  | 0..* | Base | Allergy intolerance model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the allergy/intolerance record
subject |  | 1..1 | EHDSPatient | The patient who has the allergy or intolerance
status |  | 0..1 | CodeableConcept | Current status of the allergy or intolerance (e.g. active, in remission, resolved) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyDescription |  | 0..1 | string | Textual description of the allergy or intolerance
typeOfPropensity |  | 0..1 | CodeableConcept | Type of propensity describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyManifestation |  | 0..* | Base | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction).
date |  | 0..1 | dateTime | Date and time of allergy manifestation
severity |  | 0..1 | CodeableConcept | Severity of the clinical manifestation of the allergic reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
description |  | 0..1 | string | Description of the event as a whole
manifestation |  | 0..* | CodeableConcept | Clinical symptoms/signs associated with the event Binding Description (No ValueSet): (preferred): SNOMED CT
criticality |  | 0..1 | CodeableConcept | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
onsetDate |  | 0..1 | dateTime | Date of onset of allergy, e.g., date of the first observation of the reaction. Partial date could be used.
onsetLifePeriod |  | 0..1 | CodeableConcept | Onset life period (childhood, adolescence, etc.). Binding Description (No ValueSet): (preferred): SNOMED CT
endDate |  | 0..1 | dateTime | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
endDateLifePeriod |  | 0..1 | CodeableConcept | Life period of resolution of the allergy (e.g. childhood, adolescence) Binding Description (No ValueSet): (preferred): SNOMED CT
certainty |  | 0..1 | CodeableConcept | Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition. Binding Description (No ValueSet): (preferred): SNOMED CT
agentOrAllergen |  | 1..1 | CodeableConcept | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. Binding Description (No ValueSet): (preferred): SNOMED CT, ATC, EMA SPOR SMS
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSAllergyIntolerance.status | preferred |
EHDSAllergyIntolerance.typeOfPropensity | preferred |
EHDSAllergyIntolerance.allergyManifestation.severity | preferred |
EHDSAllergyIntolerance.allergyManifestation.manifestation | preferred |
EHDSAllergyIntolerance.criticality | preferred |
EHDSAllergyIntolerance.onsetLifePeriod | preferred |
EHDSAllergyIntolerance.endDateLifePeriod | preferred |
EHDSAllergyIntolerance.certainty | preferred |
EHDSAllergyIntolerance.agentOrAllergen | preferred |

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSAllergyIntolerance |  | 0..* | Base | Allergy intolerance model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the allergy/intolerance record
subject |  | 1..1 | EHDSPatient | The patient who has the allergy or intolerance
status |  | 0..1 | CodeableConcept | Current status of the allergy or intolerance (e.g. active, in remission, resolved) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyDescription |  | 0..1 | string | Textual description of the allergy or intolerance
typeOfPropensity |  | 0..1 | CodeableConcept | Type of propensity describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyManifestation |  | 0..* | Base | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction).
date |  | 0..1 | dateTime | Date and time of allergy manifestation
severity |  | 0..1 | CodeableConcept | Severity of the clinical manifestation of the allergic reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
description |  | 0..1 | string | Description of the event as a whole
manifestation |  | 0..* | CodeableConcept | Clinical symptoms/signs associated with the event Binding Description (No ValueSet): (preferred): SNOMED CT
criticality |  | 0..1 | CodeableConcept | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
onsetDate |  | 0..1 | dateTime | Date of onset of allergy, e.g., date of the first observation of the reaction. Partial date could be used.
onsetLifePeriod |  | 0..1 | CodeableConcept | Onset life period (childhood, adolescence, etc.). Binding Description (No ValueSet): (preferred): SNOMED CT
endDate |  | 0..1 | dateTime | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
endDateLifePeriod |  | 0..1 | CodeableConcept | Life period of resolution of the allergy (e.g. childhood, adolescence) Binding Description (No ValueSet): (preferred): SNOMED CT
certainty |  | 0..1 | CodeableConcept | Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition. Binding Description (No ValueSet): (preferred): SNOMED CT
agentOrAllergen |  | 1..1 | CodeableConcept | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. Binding Description (No ValueSet): (preferred): SNOMED CT, ATC, EMA SPOR SMS
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSAllergyIntolerance.status | preferred |
EHDSAllergyIntolerance.typeOfPropensity | preferred |
EHDSAllergyIntolerance.allergyManifestation.severity | preferred |
EHDSAllergyIntolerance.allergyManifestation.manifestation | preferred |
EHDSAllergyIntolerance.criticality | preferred |
EHDSAllergyIntolerance.onsetLifePeriod | preferred |
EHDSAllergyIntolerance.endDateLifePeriod | preferred |
EHDSAllergyIntolerance.certainty | preferred |
EHDSAllergyIntolerance.agentOrAllergen | preferred |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSAllergyIntolerance |  | 0..* | Base | Allergy intolerance model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the allergy/intolerance record
subject |  | 1..1 | EHDSPatient | The patient who has the allergy or intolerance
status |  | 0..1 | CodeableConcept | Current status of the allergy or intolerance (e.g. active, in remission, resolved) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyDescription |  | 0..1 | string | Textual description of the allergy or intolerance
typeOfPropensity |  | 0..1 | CodeableConcept | Type of propensity describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyManifestation |  | 0..* | Base | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction).
date |  | 0..1 | dateTime | Date and time of allergy manifestation
severity |  | 0..1 | CodeableConcept | Severity of the clinical manifestation of the allergic reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
description |  | 0..1 | string | Description of the event as a whole
manifestation |  | 0..* | CodeableConcept | Clinical symptoms/signs associated with the event Binding Description (No ValueSet): (preferred): SNOMED CT
criticality |  | 0..1 | CodeableConcept | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
onsetDate |  | 0..1 | dateTime | Date of onset of allergy, e.g., date of the first observation of the reaction. Partial date could be used.
onsetLifePeriod |  | 0..1 | CodeableConcept | Onset life period (childhood, adolescence, etc.). Binding Description (No ValueSet): (preferred): SNOMED CT
endDate |  | 0..1 | dateTime | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
endDateLifePeriod |  | 0..1 | CodeableConcept | Life period of resolution of the allergy (e.g. childhood, adolescence) Binding Description (No ValueSet): (preferred): SNOMED CT
certainty |  | 0..1 | CodeableConcept | Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition. Binding Description (No ValueSet): (preferred): SNOMED CT
agentOrAllergen |  | 1..1 | CodeableConcept | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. Binding Description (No ValueSet): (preferred): SNOMED CT, ATC, EMA SPOR SMS
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSAllergyIntolerance.status | preferred |
EHDSAllergyIntolerance.typeOfPropensity | preferred |
EHDSAllergyIntolerance.allergyManifestation.severity | preferred |
EHDSAllergyIntolerance.allergyManifestation.manifestation | preferred |
EHDSAllergyIntolerance.criticality | preferred |
EHDSAllergyIntolerance.onsetLifePeriod | preferred |
EHDSAllergyIntolerance.endDateLifePeriod | preferred |
EHDSAllergyIntolerance.certainty | preferred |
EHDSAllergyIntolerance.agentOrAllergen | preferred |

This structure is derived from Base

Summary

Mandatory: 0 element(2 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSAllergyIntolerance |  | 0..* | Base | Allergy intolerance model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the allergy/intolerance record
subject |  | 1..1 | EHDSPatient | The patient who has the allergy or intolerance
status |  | 0..1 | CodeableConcept | Current status of the allergy or intolerance (e.g. active, in remission, resolved) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyDescription |  | 0..1 | string | Textual description of the allergy or intolerance
typeOfPropensity |  | 0..1 | CodeableConcept | Type of propensity describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyManifestation |  | 0..* | Base | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction).
date |  | 0..1 | dateTime | Date and time of allergy manifestation
severity |  | 0..1 | CodeableConcept | Severity of the clinical manifestation of the allergic reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
description |  | 0..1 | string | Description of the event as a whole
manifestation |  | 0..* | CodeableConcept | Clinical symptoms/signs associated with the event Binding Description (No ValueSet): (preferred): SNOMED CT
criticality |  | 0..1 | CodeableConcept | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
onsetDate |  | 0..1 | dateTime | Date of onset of allergy, e.g., date of the first observation of the reaction. Partial date could be used.
onsetLifePeriod |  | 0..1 | CodeableConcept | Onset life period (childhood, adolescence, etc.). Binding Description (No ValueSet): (preferred): SNOMED CT
endDate |  | 0..1 | dateTime | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
endDateLifePeriod |  | 0..1 | CodeableConcept | Life period of resolution of the allergy (e.g. childhood, adolescence) Binding Description (No ValueSet): (preferred): SNOMED CT
certainty |  | 0..1 | CodeableConcept | Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition. Binding Description (No ValueSet): (preferred): SNOMED CT
agentOrAllergen |  | 1..1 | CodeableConcept | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. Binding Description (No ValueSet): (preferred): SNOMED CT, ATC, EMA SPOR SMS
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSAllergyIntolerance.status | preferred |
EHDSAllergyIntolerance.typeOfPropensity | preferred |
EHDSAllergyIntolerance.allergyManifestation.severity | preferred |
EHDSAllergyIntolerance.allergyManifestation.manifestation | preferred |
EHDSAllergyIntolerance.criticality | preferred |
EHDSAllergyIntolerance.onsetLifePeriod | preferred |
EHDSAllergyIntolerance.endDateLifePeriod | preferred |
EHDSAllergyIntolerance.certainty | preferred |
EHDSAllergyIntolerance.agentOrAllergen | preferred |

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSAllergyIntolerance |  | 0..* | Base | Allergy intolerance model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the allergy/intolerance record
subject |  | 1..1 | EHDSPatient | The patient who has the allergy or intolerance
status |  | 0..1 | CodeableConcept | Current status of the allergy or intolerance (e.g. active, in remission, resolved) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyDescription |  | 0..1 | string | Textual description of the allergy or intolerance
typeOfPropensity |  | 0..1 | CodeableConcept | Type of propensity describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyManifestation |  | 0..* | Base | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction).
date |  | 0..1 | dateTime | Date and time of allergy manifestation
severity |  | 0..1 | CodeableConcept | Severity of the clinical manifestation of the allergic reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
description |  | 0..1 | string | Description of the event as a whole
manifestation |  | 0..* | CodeableConcept | Clinical symptoms/signs associated with the event Binding Description (No ValueSet): (preferred): SNOMED CT
criticality |  | 0..1 | CodeableConcept | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
onsetDate |  | 0..1 | dateTime | Date of onset of allergy, e.g., date of the first observation of the reaction. Partial date could be used.
onsetLifePeriod |  | 0..1 | CodeableConcept | Onset life period (childhood, adolescence, etc.). Binding Description (No ValueSet): (preferred): SNOMED CT
endDate |  | 0..1 | dateTime | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
endDateLifePeriod |  | 0..1 | CodeableConcept | Life period of resolution of the allergy (e.g. childhood, adolescence) Binding Description (No ValueSet): (preferred): SNOMED CT
certainty |  | 0..1 | CodeableConcept | Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition. Binding Description (No ValueSet): (preferred): SNOMED CT
agentOrAllergen |  | 1..1 | CodeableConcept | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. Binding Description (No ValueSet): (preferred): SNOMED CT, ATC, EMA SPOR SMS
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSAllergyIntolerance.status | preferred |
EHDSAllergyIntolerance.typeOfPropensity | preferred |
EHDSAllergyIntolerance.allergyManifestation.severity | preferred |
EHDSAllergyIntolerance.allergyManifestation.manifestation | preferred |
EHDSAllergyIntolerance.criticality | preferred |
EHDSAllergyIntolerance.onsetLifePeriod | preferred |
EHDSAllergyIntolerance.endDateLifePeriod | preferred |
EHDSAllergyIntolerance.certainty | preferred |
EHDSAllergyIntolerance.agentOrAllergen | preferred |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSAllergyIntolerance |  | 0..* | Base | Allergy intolerance model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the allergy/intolerance record
subject |  | 1..1 | EHDSPatient | The patient who has the allergy or intolerance
status |  | 0..1 | CodeableConcept | Current status of the allergy or intolerance (e.g. active, in remission, resolved) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyDescription |  | 0..1 | string | Textual description of the allergy or intolerance
typeOfPropensity |  | 0..1 | CodeableConcept | Type of propensity describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance) Binding Description (No ValueSet): (preferred): SNOMED CT
allergyManifestation |  | 0..* | Base | Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction).
date |  | 0..1 | dateTime | Date and time of allergy manifestation
severity |  | 0..1 | CodeableConcept | Severity of the clinical manifestation of the allergic reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
description |  | 0..1 | string | Description of the event as a whole
manifestation |  | 0..* | CodeableConcept | Clinical symptoms/signs associated with the event Binding Description (No ValueSet): (preferred): SNOMED CT
criticality |  | 0..1 | CodeableConcept | Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction. Binding Description (No ValueSet): (preferred): SNOMED CT
onsetDate |  | 0..1 | dateTime | Date of onset of allergy, e.g., date of the first observation of the reaction. Partial date could be used.
onsetLifePeriod |  | 0..1 | CodeableConcept | Onset life period (childhood, adolescence, etc.). Binding Description (No ValueSet): (preferred): SNOMED CT
endDate |  | 0..1 | dateTime | Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
endDateLifePeriod |  | 0..1 | CodeableConcept | Life period of resolution of the allergy (e.g. childhood, adolescence) Binding Description (No ValueSet): (preferred): SNOMED CT
certainty |  | 0..1 | CodeableConcept | Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition. Binding Description (No ValueSet): (preferred): SNOMED CT
agentOrAllergen |  | 1..1 | CodeableConcept | A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. Binding Description (No ValueSet): (preferred): SNOMED CT, ATC, EMA SPOR SMS
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSAllergyIntolerance.status | preferred |
EHDSAllergyIntolerance.typeOfPropensity | preferred |
EHDSAllergyIntolerance.allergyManifestation.severity | preferred |
EHDSAllergyIntolerance.allergyManifestation.manifestation | preferred |
EHDSAllergyIntolerance.criticality | preferred |
EHDSAllergyIntolerance.onsetLifePeriod | preferred |
EHDSAllergyIntolerance.endDateLifePeriod | preferred |
EHDSAllergyIntolerance.certainty | preferred |
EHDSAllergyIntolerance.agentOrAllergen | preferred |

This structure is derived from Base

Summary

Mandatory: 0 element(2 nested mandatory elements)

Other representations of profile: CSV, Excel