This page is part of AU Base v4.1.0 based on FHIR R4. For a full list of available versions, see the Directory of published versions

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Resource Profile: AU Base Allergy Intolerance

This profile defines an allergy intolerance structure including core localisation concepts, including identifiers and terminology, for use in an Australian context.

Usage:

• Examples for this Resource Profile: AllergyIntolerance/example0, AllergyIntolerance/example1, AllergyIntolerance/example2, AllergyIntolerance/example3

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

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: https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 (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: https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 (preferred)
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
AllergyIntolerance.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.reaction.substance	preferred	https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1
AllergyIntolerance.reaction.manifestation	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.exposureRoute	preferred	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
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: https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 (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: https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 (preferred)
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.reaction.substance	preferred	https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1
AllergyIntolerance.reaction.manifestation	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.exposureRoute	preferred	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
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. Additional Bindings Purpose AllLanguages Max Binding
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: https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 (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: https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 (preferred)
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (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: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.type	required	AllergyIntoleranceType
AllergyIntolerance.category	required	AllergyIntoleranceCategory
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality
AllergyIntolerance.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.reaction.substance	preferred	https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1
AllergyIntolerance.reaction.manifestation	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1

This structure is derived from AllergyIntolerance

Summary

Maturity: 1

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: https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 (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: https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 (preferred)
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
AllergyIntolerance.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.reaction.substance	preferred	https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1
AllergyIntolerance.reaction.manifestation	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.exposureRoute	preferred	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
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: https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 (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: https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 (preferred)
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.reaction.substance	preferred	https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1
AllergyIntolerance.reaction.manifestation	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.exposureRoute	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AllergyIntolerance	An allergy or intolerance statement in an Australian healthcare context
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. Additional Bindings Purpose AllLanguages Max Binding
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: https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2 (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: https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1 (preferred)
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (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: https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 (preferred)
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes
AllergyIntolerance.type	required	AllergyIntoleranceType
AllergyIntolerance.category	required	AllergyIntoleranceCategory
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality
AllergyIntolerance.code	preferred	https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.reaction.substance	preferred	https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1
AllergyIntolerance.reaction.manifestation	preferred	https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity
AllergyIntolerance.reaction.exposureRoute	preferred	https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1

This structure is derived from AllergyIntolerance

Summary

Maturity: 1

Other representations of profile: CSV, Excel, Schematron

Notes: