AU Base Implementation Guide
4.2.1-preview - Preview
AU Base Implementation Guide
4.2.1-preview - Preview
This page is part of the Australian Base IG (v4.2.1-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org.au/fhir/StructureDefinition/au-allergyintolerance | Version: 4.2.1-preview | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: AUBaseAllergyIntolerance | ||
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved. |
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This profile defines an allergy intolerance structure that localises core concepts, including terminology, for use in an Australian context. The purpose of this profile is to provide national level agreement on core localised concepts. This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  AllergyIntolerance |
0..* | AllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context | |
  code |
0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance  (preferred) | |
 reaction |
0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |
 substance |
0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: Adverse Reaction Agent (preferred) | |
| manifestation |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) | |
 exposureRoute |
0..1 | CodeableConcept | How the subject was exposed to the substance Binding: Route of Administration (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| AllergyIntolerance.code | preferred | IndicatorOfHypersensitivityOrIntoleranceToSubstance https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 | |
| AllergyIntolerance.reaction.substance | preferred | AdverseReactionAgent https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 | |
| AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | |
| AllergyIntolerance.reaction.exposureRoute | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | AllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. |
| code |
Σ | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (preferred) |
 patient |
Σ | 1..1 | Reference(Patient) | Who the sensitivity is for |
| reaction |
0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| substance |
0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: Adverse Reaction Agent (preferred) | |
| manifestation |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) | |
| exposureRoute |
0..1 | CodeableConcept | How the subject was exposed to the substance Binding: Route of Administration (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | |
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | |
| AllergyIntolerance.code | preferred | IndicatorOfHypersensitivityOrIntoleranceToSubstance https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 | |
| AllergyIntolerance.reaction.substance | preferred | AdverseReactionAgent https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 | |
| AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | |
| AllergyIntolerance.reaction.exposureRoute | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 |
| Id | Grade | Path(s) | Details | Requirements |
| ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
| ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | AllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External ids for this item | ||||
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. | ||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. | ||||
| type |
Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk. | ||||
| category |
Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances. | ||||
| criticality |
Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. | ||||
| code |
Σ | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (preferred) | ||||
| patient |
Σ | 1..1 | Reference(Patient) | Who the sensitivity is for | ||||
| encounter |
0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted | |||||
  onset[x] |
0..1 | When allergy or intolerance was identified | ||||||
 onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| recordedDate |
0..1 | dateTime | Date first version of the resource instance was recorded | |||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity | |||||
| asserter |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy | ||||
| lastOccurrence |
0..1 | dateTime | Date(/time) of last known occurrence of a reaction | |||||
| note |
0..* | Annotation | Additional text not captured in other fields | |||||
| reaction |
0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| substance |
0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: Adverse Reaction Agent (preferred) | |||||
| manifestation |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) | |||||
| description |
0..1 | string | Description of the event as a whole | |||||
| onset |
0..1 | dateTime | Date(/time) when manifestations showed | |||||
| severity |
0..1 | code | mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations. | |||||
| exposureRoute |
0..1 | CodeableConcept | How the subject was exposed to the substance Binding: Route of Administration (preferred) | |||||
| note |
0..* | Annotation | Text about event not captured in other fields | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | preferred | IndicatorOfHypersensitivityOrIntoleranceToSubstance https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 | ||||
| AllergyIntolerance.reaction.substance | preferred | AdverseReactionAgent https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 | ||||
| AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 |
| Id | Grade | Path(s) | Details | Requirements |
| ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
| ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AllergyIntolerance
Differential View
This structure is derived from AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance |
0..* | AllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context | |
| code |
0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (preferred) | |
| reaction |
0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |
| substance |
0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: Adverse Reaction Agent (preferred) | |
| manifestation |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) | |
| exposureRoute |
0..1 | CodeableConcept | How the subject was exposed to the substance Binding: Route of Administration (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| AllergyIntolerance.code | preferred | IndicatorOfHypersensitivityOrIntoleranceToSubstance https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 | |
| AllergyIntolerance.reaction.substance | preferred | AdverseReactionAgent https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 | |
| AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | |
| AllergyIntolerance.reaction.exposureRoute | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | AllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. |
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. |
| code |
Σ | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (preferred) |
| patient |
Σ | 1..1 | Reference(Patient) | Who the sensitivity is for |
| reaction |
0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| substance |
0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: Adverse Reaction Agent (preferred) | |
| manifestation |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) | |
| exposureRoute |
0..1 | CodeableConcept | How the subject was exposed to the substance Binding: Route of Administration (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | |
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | |
| AllergyIntolerance.code | preferred | IndicatorOfHypersensitivityOrIntoleranceToSubstance https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 | |
| AllergyIntolerance.reaction.substance | preferred | AdverseReactionAgent https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 | |
| AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | |
| AllergyIntolerance.reaction.exposureRoute | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 |
| Id | Grade | Path(s) | Details | Requirements |
| ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
| ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | AllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External ids for this item | ||||
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. | ||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. | ||||
| type |
Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk. | ||||
| category |
Σ | 0..* | code | food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances. | ||||
| criticality |
Σ | 0..1 | code | low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. | ||||
| code |
Σ | 0..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (preferred) | ||||
| patient |
Σ | 1..1 | Reference(Patient) | Who the sensitivity is for | ||||
| encounter |
0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted | |||||
| onset[x] |
0..1 | When allergy or intolerance was identified | ||||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| recordedDate |
0..1 | dateTime | Date first version of the resource instance was recorded | |||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity | |||||
| asserter |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy | ||||
| lastOccurrence |
0..1 | dateTime | Date(/time) of last known occurrence of a reaction | |||||
| note |
0..* | Annotation | Additional text not captured in other fields | |||||
| reaction |
0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| substance |
0..1 | CodeableConcept | Specific substance or pharmaceutical product considered to be responsible for event Binding: Adverse Reaction Agent (preferred) | |||||
| manifestation |
1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) | |||||
| description |
0..1 | string | Description of the event as a whole | |||||
| onset |
0..1 | dateTime | Date(/time) when manifestations showed | |||||
| severity |
0..1 | code | mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations. | |||||
| exposureRoute |
0..1 | CodeableConcept | How the subject was exposed to the substance Binding: Route of Administration (preferred) | |||||
| note |
0..* | Annotation | Text about event not captured in other fields | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | preferred | IndicatorOfHypersensitivityOrIntoleranceToSubstance https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 | ||||
| AllergyIntolerance.reaction.substance | preferred | AdverseReactionAgent https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 | ||||
| AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 |
| Id | Grade | Path(s) | Details | Requirements |
| ait-1 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
| ait-2 | error | AllergyIntolerance | AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | AllergyIntolerance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | AllergyIntolerance | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | AllergyIntolerance | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AllergyIntolerance
Other representations of profile: CSV, Excel, Schematron
IG © 2017+ HL7 Australia. Package hl7.fhir.au.base#4.2.1-preview based on FHIR 4.0.1. Generated 2024-06-20
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