HSAI FHIR Implementation Guide
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Resource Profile: CDTAllergyIntolerance - Mappings

Active as of 2026-02-09

Mappings for the cdt-allergyintolerance resource profile.

Mappings for RIM Mapping (http://hl7.org/v3)

CDTAllergyIntolerance
AllergyIntoleranceEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifierid
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   clinicalStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
   verificationStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
   typecode
   categoryvalue < IntoleranceValue (Agent)
   criticalityinboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]
   codesubstance/product: .participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType] negated/excluded substance/product: .participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType] positive or negated/excluded condition/situation: Observation.code=ASSERTION; Observation.value
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   patient.participation[typeCode=SBJ].role[classCode=PAT]
   encounter.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   onset[x]effectiveTime.low
   recordedDate.participation[typeCode=AUT].time
   recorder.participation[typeCode=AUT].role
   asserter.participation[typeCode=INF].role
   lastOccurrenceoutBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime
   notesubjectOf.observationEvent[code="annotation"].value
   reactionoutBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]
      idn/a
      extensionn/a
      modifierExtensionN/A
      substanceoutBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]
      manifestationcode
      descriptiontext
      onseteffectiveTime.low
      severityinboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]
      exposureRouteoutBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode
      notesubjectOf.observationEvent[code="annotation"].value

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

CDTAllergyIntolerance
AllergyIntolerance
   identifierFiveWs.identifier
   clinicalStatusFiveWs.status
   verificationStatusFiveWs.status
   typeFiveWs.class
   categoryFiveWs.class
   criticalityFiveWs.grade
   codeFiveWs.what[x]
   patientFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   onset[x]FiveWs.init
   recordedDateFiveWs.recorded
   recorderFiveWs.author
   asserterFiveWs.source

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

CDTAllergyIntolerance
AllergyIntolerance
   identifierIAM-7
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   typeIAM-9
   categoryAL1-2
   criticalityAL1-4
   codeAL1-3 / IAM-3
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   patient(PID-3)
   recordedDateIAM-13
   asserterIAM-14 (if patient) / IAM-18 (if practitioner)
   reaction
      manifestationAL1-5
      onsetAL1-6