NP Core Allergy Intolerance

Sets minimum expectations for recording a patient's allergies and adverse reactions in Nepal.

Canonical URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-allergyintolerance
Resource / type: AllergyIntolerance
Based on: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
Claim conformance: Put the canonical URL in meta.profile of each instance.

Required elements

“Always” means the element must be present in every instance. Otherwise it is required only when its parent element is present.

Element	Card.	When
`AllergyIntolerance.patient` Who the sensitivity is for	1..1	Always
`AllergyIntolerance.reaction.manifestation` Clinical symptoms/signs associated with the Event	1..*	If parent present

Must-support elements

If your system has this data it SHALL send it, and receivers SHALL process it. Must-support does not by itself make an element mandatory.

AllergyIntolerance.clinicalStatus
AllergyIntolerance.verificationStatus
AllergyIntolerance.type
AllergyIntolerance.category
AllergyIntolerance.criticality
AllergyIntolerance.code
AllergyIntolerance.patient
AllergyIntolerance.recorder
AllergyIntolerance.reaction
AllergyIntolerance.reaction.manifestation
AllergyIntolerance.reaction.severity

Terminology bindings

required: codes SHALL come from the value set · extensible: use the value set if a suitable code exists · preferred / example: guidance only.

Element	Strength	Value set
`AllergyIntolerance.language`	preferred	http://hl7.org/fhir/ValueSet/languages
`AllergyIntolerance.clinicalStatus`	required	http://hl7.org/fhir/ValueSet/allergyintolerance-clinical
`AllergyIntolerance.verificationStatus`	required	http://hl7.org/fhir/ValueSet/allergyintolerance-verification
`AllergyIntolerance.type`	required	http://hl7.org/fhir/ValueSet/allergy-intolerance-type
`AllergyIntolerance.category`	required	http://hl7.org/fhir/ValueSet/allergy-intolerance-category
`AllergyIntolerance.criticality`	required	http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality
`AllergyIntolerance.code`	example	http://hl7.org/fhir/ValueSet/allergyintolerance-code
`AllergyIntolerance.reaction.substance`	example	http://hl7.org/fhir/ValueSet/substance-code
`AllergyIntolerance.reaction.manifestation`	example	http://hl7.org/fhir/ValueSet/clinical-findings
`AllergyIntolerance.reaction.severity`	required	http://hl7.org/fhir/ValueSet/reaction-event-severity
`AllergyIntolerance.reaction.exposureRoute`	example	http://hl7.org/fhir/ValueSet/route-codes

Official examples

AllergyIntolerance/ExampleNPCoreAllergyIntolerance

View in IG ↗

{
  "resourceType": "AllergyIntolerance",
  "id": "ExampleNPCoreAllergyIntolerance",
  "meta": {
    "profile": [
      "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-allergyintolerance"
    ]
  },
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active",
        "display": "Active"
      }
    ]
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code": "confirmed",
        "display": "Confirmed"
      }
    ]
  },
  "type": "allergy",
  "category": [
    "medication"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "372687004",
        "display": "Amoxicillin"
      }
    ]
  },
  "patient": {
    "reference": "Patient/ExampleNPCorePatient"
  },
  "recordedDate": "2026-05-10",
  "reaction": [
    {
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271807003",
              "display": "Skin rash"
            }
          ]
        }
      ],
      "severity": "moderate"
    }
  ]
}

Narrative (text) removed for readability.