substanceExposureRisk

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="allergyintolerance-substanceExposureRisk"/> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"/> 
  

  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.5.1296"/> 
  </identifier> 
  <version value="5.0.0-ballot"/> 
  <name value="substanceExposureRisk"/> 
  <title value="substanceExposureRisk"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2015-02-21"/> 
  <publisher value="Health Level Seven, Inc. - FHIR WG"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="HL7"/> 
    </telecom> 
  </contact> 
  A complex extension allowing structured capture of the exposure risk of the patient for
   an adverse reaction (allergy or intolerance) to the specified substance/product.
  

  <description value="A complex extension allowing structured capture of the exposure risk of the patient
   for an adverse reaction (allergy or intolerance) to the specified substance/product."/> 
  <fhirVersion value="5.0.0"/> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <kind value="complex-type"/> 
  <abstract value="false"/> 
  <context> 
    <type value="element"/> 
    <expression value="AllergyIntolerance"/> 
  </context> 
  <type value="Extension"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
  <derivation value="constraint"/> 
  <snapshot> 
    <element id="Extension">
      <path value="Extension"/> 
      <short value="Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product"/> 
      A complex extension allowing structured capture of the exposure risk of the patient for
       an adverse reaction (allergy or intolerance) to the specified substance/product.

      <definition value="A complex extension allowing structured capture of the exposure risk of the patient
       for an adverse reaction (allergy or intolerance) to the specified substance/product."/> 

      <comment value="This extension is available and is intended to be used as a more completely structured
       and flexible alternative to the 'code' element for representing positive and negative
       allergy and intolerance statements.  If this extension element is present, the AllergyIntolerance.co
      de element SHALL be omitted (see invariant &quot;code or substanceExposureRisk&quot;).

       allergy and intolerance statements.  If this extension element is present, the
       AllergyIntolerance.code element SHALL be omitted (see invariant &quot;code or substanceExposu
      reRisk&quot;)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      

      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        
        
        

        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <constraint> 
        <key value="inv-1"/> 
        <severity value="error"/> 
        <human value="If the substanceExposureRisk extension element is present, the AllergyIntolerance.code
         element must be omitted."/> 
        <expression value="substanceExposureRisk.exists() and code.empty()"/> 
        <xpath value="exists(f:substanceExposureRisk) and not(exists(f:code))"/> 
      </constraint> 
      <isModifier value="false"/> 
    </element> 
    <element id="Extension.id">
      <path value="Extension.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Extension.extension">
      <path value="Extension.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.

       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Extension.extension:substance">
      <path value="Extension.extension"/> 
      <sliceName value="substance"/> 
      <short value="Substance (or pharmaceutical product)"/> 
      Code for a substance or pharmaceutical product that is considered to be responsible for
       the adverse reaction risk or is known not to have an associated risk of an adverse reaction
       upon exposure.
      It is strongly recommended that this element be populated using a terminology, where possible.
       For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and
       ATC. Plain text should only be used if there is no appropriate terminology available.
       Additional details can be specified in the text.

      <definition value="Code for a substance or pharmaceutical product that is considered to be responsible
       for the adverse reaction risk or is known not to have an associated risk of an
       adverse reaction upon exposure."/> 
      <comment value="It is strongly recommended that this element be populated using a terminology,

       where possible. For example, some terminologies used include RxNorm, SNOMED CT,
       DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate
       terminology available. Additional details can be specified in the text."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="AL1-3 / IAM-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        .participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND,
         code &lt;= ExposureAgentEntityType]

        <map value=".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND
        , code &lt;= ExposureAgentEntityType]"/> 

      </mapping> 
    </element> 
    <element id="Extension.extension:substance.id">
      <path value="Extension.extension.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Extension.extension:substance.extension">
      <path value="Extension.extension.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Extension"/> 
      <definition value="An Extension"/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="Extension.extension:substance.url">
      <path value="Extension.extension.url"/> 
      <representation value="xmlAttr"/> 
      <short value="identifies the meaning of the extension"/> 
      <definition value="Source of the definition for the extension code - a logical name or a URL."/> 
      The definition may point directly to a computable or human-readable definition of the
       extensibility codes, or it may be a logical URI as declared in some other specification.
       The definition SHALL be a URI for the Structure Definition defining the extension.

      <comment value="The definition may point directly to a computable or human-readable definition
       of the extensibility codes, or it may be a logical URI as declared in some other
       specification. The definition SHALL be a URI for the Structure Definition defining
       the extension."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Extension.url"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <fixedUri value="substance"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Extension.extension:substance.value[x]">
      <path value="Extension.extension.value[x]"/> 
      <short value="Value of extension"/> 
      Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensi
      bility.html) for a list).

      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](
      extensibility.html) for a list)."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Extension.value[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        
          
        

        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SubstanceCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes defining the type of the substance (including pharmaceutical products)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/substance-code"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Extension.extension:exposureRisk">
      <path value="Extension.extension"/> 
      <sliceName value="exposureRisk"/> 
      <short value="known-reaction-risk | no-known-reaction-risk"/> 
      The presence or absence of a known exposure risk of the patient for an adverse reaction
       (allergy or intolerance) to the specified substance/product.

      <definition value="The presence or absence of a known exposure risk of the patient for an adverse
       reaction (allergy or intolerance) to the specified substance/product."/> 

      <comment value="exposureRisk is a modifier of the substance."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="Extension.extension:exposureRisk.id">
      <path value="Extension.extension.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Extension.extension:exposureRisk.extension">
      <path value="Extension.extension.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Extension"/> 
      <definition value="An Extension"/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="Extension.extension:exposureRisk.url">
      <path value="Extension.extension.url"/> 
      <representation value="xmlAttr"/> 
      <short value="identifies the meaning of the extension"/> 
      <definition value="Source of the definition for the extension code - a logical name or a URL."/> 
      The definition may point directly to a computable or human-readable definition of the
       extensibility codes, or it may be a logical URI as declared in some other specification.
       The definition SHALL be a URI for the Structure Definition defining the extension.

      <comment value="The definition may point directly to a computable or human-readable definition
       of the extensibility codes, or it may be a logical URI as declared in some other
       specification. The definition SHALL be a URI for the Structure Definition defining
       the extension."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Extension.url"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <fixedUri value="exposureRisk"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Extension.extension:exposureRisk.value[x]">
      <path value="Extension.extension.value[x]"/> 
      <short value="Value of extension"/> 
      Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensi
      bility.html) for a list).

      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](
      extensibility.html) for a list)."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Extension.value[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        
          The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure
           to the substance (including pharmaceutical products).
        

        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AllergyIntoleranceSubstanceExposureRisk"/> 
        </extension> 
        <strength value="required"/> 
        The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure
         to the substance (including pharmaceutical products).
        

        <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon
         exposure to the substance (including pharmaceutical products)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Extension.url">
      <path value="Extension.url"/> 
      <representation value="xmlAttr"/> 
      <short value="identifies the meaning of the extension"/> 
      <definition value="Source of the definition for the extension code - a logical name or a URL."/> 
      The definition may point directly to a computable or human-readable definition of the
       extensibility codes, or it may be a logical URI as declared in some other specification.
       The definition SHALL be a URI for the Structure Definition defining the extension.

      <comment value="The definition may point directly to a computable or human-readable definition
       of the extensibility codes, or it may be a logical URI as declared in some other
       specification. The definition SHALL be a URI for the Structure Definition defining
       the extension."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Extension.url"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="uri"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Extension.value[x]">
      <path value="Extension.value[x]"/> 
      <short value="Value of extension"/> 
      Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensi
      bility.html) for a list).

      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](
      extensibility.html) for a list)."/> 

      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Extension.value[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="base64Binary"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="canonical"/> 
      </type> 
      <type> 
        <code value="code"/> 
      </type> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <type> 
        <code value="id"/> 
      </type> 
      <type> 
        <code value="instant"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="integer64"/> 
      </type> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <type> 
        <code value="oid"/> 
      </type> 
      <type> 
        <code value="positiveInt"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="time"/> 
      </type> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <type> 
        <code value="uri"/> 
      </type> 
      <type> 
        <code value="url"/> 
      </type> 
      <type> 
        <code value="uuid"/> 
      </type> 
      <type> 
        <code value="Address"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="CodeableReference"/> 
      </type> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <type> 
        <code value="ContactPoint"/> 
      </type> 
      <type> 
        <code value="Count"/> 
      </type> 
      <type> 
        <code value="Distance"/> 
      </type> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <type> 
        <code value="HumanName"/> 
      </type> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Money"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <type> 
        <code value="RatioRange"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
      </type> 
      <type> 
        <code value="SampledData"/> 
      </type> 
      <type> 
        <code value="Signature"/> 
      </type> 
      <type> 
        <code value="Timing"/> 
      </type> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <type> 
        
      
      

        <code value="DataRequirement"/> 
      </type> 
      <type> 
        <code value="Expression"/> 
      </type> 
      <type> 
        <code value="ParameterDefinition"/> 
      </type> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <type> 
        <code value="TriggerDefinition"/> 
      </type> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <type> 
        <code value="Availability"/> 
      </type> 
      <type> 
        <code value="ExtendedContactDetail"/> 
      </type> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="Extension">
      <path value="Extension"/> 
      <short value="Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product"/> 
      A complex extension allowing structured capture of the exposure risk of the patient for
       an adverse reaction (allergy or intolerance) to the specified substance/product.

      <definition value="A complex extension allowing structured capture of the exposure risk of the patient
       for an adverse reaction (allergy or intolerance) to the specified substance/product."/> 

      <comment value="This extension is available and is intended to be used as a more completely structured
       and flexible alternative to the 'code' element for representing positive and negative
       allergy and intolerance statements.  If this extension element is present, the AllergyIntolerance.co
      de element SHALL be omitted (see invariant &quot;code or substanceExposureRisk&quot;).

       allergy and intolerance statements.  If this extension element is present, the
       AllergyIntolerance.code element SHALL be omitted (see invariant &quot;code or substanceExposu
      reRisk&quot;)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <constraint> 
        <key value="inv-1"/> 
        <severity value="error"/> 
        <human value="If the substanceExposureRisk extension element is present, the AllergyIntolerance.code
         element must be omitted."/> 
        <expression value="substanceExposureRisk.exists() and code.empty()"/> 
        <xpath value="exists(f:substanceExposureRisk) and not(exists(f:code))"/> 
      </constraint> 
    </element> 
    <element id="Extension.extension:substance">
      <path value="Extension.extension"/> 
      <sliceName value="substance"/> 
      <short value="Substance (or pharmaceutical product)"/> 
      Code for a substance or pharmaceutical product that is considered to be responsible for
       the adverse reaction risk or is known not to have an associated risk of an adverse reaction
       upon exposure.
      It is strongly recommended that this element be populated using a terminology, where possible.
       For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and
       ATC. Plain text should only be used if there is no appropriate terminology available.
       Additional details can be specified in the text.

      <definition value="Code for a substance or pharmaceutical product that is considered to be responsible
       for the adverse reaction risk or is known not to have an associated risk of an
       adverse reaction upon exposure."/> 
      <comment value="It is strongly recommended that this element be populated using a terminology,

       where possible. For example, some terminologies used include RxNorm, SNOMED CT,
       DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate
       terminology available. Additional details can be specified in the text."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="AL1-3 / IAM-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        .participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND,
         code &lt;= ExposureAgentEntityType]

        <map value=".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND
        , code &lt;= ExposureAgentEntityType]"/> 

      </mapping> 
    </element> 
    <element id="Extension.extension:substance.extension">
      <path value="Extension.extension.extension"/> 
      <max value="0"/> 
    </element> 
    <element id="Extension.extension:substance.url">
      <path value="Extension.extension.url"/> 
      <type> 
        <code value="uri"/> 
      </type> 
      <fixedUri value="substance"/> 
    </element> 
    <element id="Extension.extension:substance.value[x]">
      <path value="Extension.extension.value[x]"/> 
      <min value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        
          
        

        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SubstanceCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes defining the type of the substance (including pharmaceutical products)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/substance-code"/> 
      </binding> 
    </element> 
    <element id="Extension.extension:exposureRisk">
      <path value="Extension.extension"/> 
      <sliceName value="exposureRisk"/> 
      <short value="known-reaction-risk | no-known-reaction-risk"/> 
      The presence or absence of a known exposure risk of the patient for an adverse reaction
       (allergy or intolerance) to the specified substance/product.

      <definition value="The presence or absence of a known exposure risk of the patient for an adverse
       reaction (allergy or intolerance) to the specified substance/product."/> 

      <comment value="exposureRisk is a modifier of the substance."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Extension"/> 
      </type> 
    </element> 
    <element id="Extension.extension:exposureRisk.extension">
      <path value="Extension.extension.extension"/> 
      <max value="0"/> 
    </element> 
    <element id="Extension.extension:exposureRisk.url">
      <path value="Extension.extension.url"/> 
      <type> 
        <code value="uri"/> 
      </type> 
      <fixedUri value="exposureRisk"/> 
    </element> 
    <element id="Extension.extension:exposureRisk.value[x]">
      <path value="Extension.extension.value[x]"/> 
      <min value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        
          The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure
           to the substance (including pharmaceutical products).
        

        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AllergyIntoleranceSubstanceExposureRisk"/> 
        </extension> 
        <strength value="required"/> 
        The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure
         to the substance (including pharmaceutical products).
        

        <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon
         exposure to the substance (including pharmaceutical products)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk"/> 
      </binding> 
    </element> 
    <element id="Extension.url">
      <path value="Extension.url"/> 
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"/> 
    </element> 
    <element id="Extension.value[x]">
      <path value="Extension.value[x]"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
  </differential> 


</

StructureDefinition

>