Cross-Version Extension for AllergyIntolerance.clinicalStatus in R4

Context of Use

This extension may be used in the following contexts:

• element AllergyIntolerance (For version R3)
• extension http://hl7.org/fhir/3.0/StructureDefinition/extension-AllergyIntolerance
• element AllergyIntolerance (For version R2)
• extension http://hl7.org/fhir/1.0/StructureDefinition/extension-AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
Extension	?!	0..1	Extension	active | inactive | resolved
extension		..0
value[x]		1..	CodeableConcept	Binding: todo (required): The clinical status of the allergy or intolerance.
url				"http://hl7.org/fhir/4.0/StructureDefinition/extension-AllergyIntolerance.clinicalStatus"
Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r4-ait.clinicalStatus",
  "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-AllergyIntolerance.clinicalStatus",
  "name" : "XVerExtensionAllergyIntolerance.clinicalStatusR4",
  "title" : "Cross-Version Extension for AllergyIntolerance.clinicalStatus in R4",
  "status" : "active",
  "experimental" : false,
  "publisher" : "Health Level Seven International (Patient Care)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
    }]
  }],
  "description" : "Cross-Version Extension for AllergyIntolerance.clinicalStatus. Valid in versions R2, R3\r\n\r\nThis is a valid extension because it has the types CodeableConcept",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "5.0.0",
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "3.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "3.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "AllergyIntolerance"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-AllergyIntolerance"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "1.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "1.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "AllergyIntolerance"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-AllergyIntolerance"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "active | inactive | resolved",
      "definition" : "The clinical status of the allergy or intolerance.",
      "comment" : "Refer to [discussion](extensibility.html#Special-Case) if clincalStatus is missing data.\nThe data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
      "min" : 0,
      "max" : "1",
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.",
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"
      }]
    },
    {
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "required",
        "description" : "The clinical status of the allergy or intolerance.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1"
      }
    },
    {
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-AllergyIntolerance.clinicalStatus"
    }]
  }
}