AU Patient Summary Implementation Guide
0.2.0-preview - Preview

AU Patient Summary Implementation Guide - Local Development build (v0.2.0-preview) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AU PS AllergyIntolerance

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance | Version: 0.2.0-preview
Standards status: Draft | Maturity Level: 0 | Computable Name: AUPSAllergyIntolerance
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

This profile sets minimum expectations for an AllergyIntolerance resource in the context of a patient summary in an Australian context. It is based on the AU Core AllergyIntolerance profile, and applies the additional requirements from AllergyIntolerance (IPS).

See Comparison with other national and international IGs for a comparison between AU Patient Summary profiles and profiles in other implementation guides.

### Profile specific implementation guidance

- See the guidance on implementing the AllergyIntolerance resource in AU Core.

Usages:

- Use this Profile: AU PS Bundle
- Refer to this Profile: AU PS Composition

### 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 AUCoreAllergyIntolerance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AUCoreAllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context This profile also complies with the profile AllergyIntolerance (IPS)
clinicalStatus |  | 0..1 | CodeableConceptIPS | active | inactive | resolved
verificationStatus |  | 0..1 | CodeableConceptIPS | unconfirmed | confirmed | refuted | entered-in-error
type | S | 0..1 | code | allergy | intolerance - Underlying mechanism (if known)
code |  | 1..1 | CodeableConceptIPS | Code that identifies the allergy or intolerance
patient |  | 1..1 | Reference(AU PS Patient) | Who the sensitivity is for
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
onset[x] |  | 0..1 |  | When allergy or intolerance was identified
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
reaction |  | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
manifestation |  | 1..* | CodeableConceptIPS | Clinical symptoms/signs associated with the Event
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AUCoreAllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context This profile also complies with the profile AllergyIntolerance (IPS) Constraints: ait-1, ait-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!SO Σ C | 0..1 | CodeableConceptIPS | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
verificationStatus | ?!SO Σ C | 0..1 | CodeableConceptIPS | 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
type | S Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
code | SO Σ | 1..1 | CodeableConceptIPS | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (extensible)
Additional Bindings | Purpose
Adverse Reaction Substances and Negated Findings | candidate
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
patient | SO Σ | 1..1 | Reference(AU PS Patient) | Who the sensitivity is for
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
onset[x] | SO | 0..1 |  | When allergy or intolerance was identified
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
note | SO | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
reaction | SO | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
manifestation | SO | 1..* | CodeableConceptIPS | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
severity | SO | 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1` From the FHIR Standard
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes `http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1` From the FHIR Standard
AllergyIntolerance.type | required | AllergyIntoleranceType `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1` From the FHIR Standard
AllergyIntolerance.code | extensible | IndicatorOfHypersensitivityOrIntoleranceToSubstance `https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` From the FHIR Standard

#### Constraints

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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AUCoreAllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context This profile also complies with the profile AllergyIntolerance (IPS) Constraints: ait-1, ait-2
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | ?!SO Σ C | 0..1 | CodeableConceptIPS | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
verificationStatus | ?!SO Σ C | 0..1 | CodeableConceptIPS | 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
type | S 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 | SO Σ | 1..1 | CodeableConceptIPS | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (extensible)
Additional Bindings | Purpose
Adverse Reaction Substances and Negated Findings | candidate
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
patient | SO Σ | 1..1 | Reference(AU PS Patient) | Who the sensitivity is for
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter |  | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] | SO | 0..1 |  | When allergy or intolerance was identified
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
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 | SO | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
reaction | SO | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
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 | SO | 1..* | CodeableConceptIPS | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
description |  | 0..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Date(/time) when manifestations showed
severity | SO | 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
AllergyIntolerance.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1` From the FHIR Standard
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes `http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1` From the FHIR Standard
AllergyIntolerance.type | required | AllergyIntoleranceType `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1` From the FHIR Standard
AllergyIntolerance.category | required | AllergyIntoleranceCategory `http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1` From the FHIR Standard
AllergyIntolerance.criticality | required | AllergyIntoleranceCriticality `http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1` From the FHIR Standard
AllergyIntolerance.code | extensible | IndicatorOfHypersensitivityOrIntoleranceToSubstance `https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.patient.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
AllergyIntolerance.reaction.substance | preferred | AdverseReactionAgent `https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute | preferred | RouteOfAdministration `https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1` From https://tx.ontoserver.csiro.au/fhir

#### Constraints

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 AUCoreAllergyIntolerance

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)

Maturity: 0

Differential View

This structure is derived from AUCoreAllergyIntolerance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance |  | 0..* | AUCoreAllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context This profile also complies with the profile AllergyIntolerance (IPS)
clinicalStatus |  | 0..1 | CodeableConceptIPS | active | inactive | resolved
verificationStatus |  | 0..1 | CodeableConceptIPS | unconfirmed | confirmed | refuted | entered-in-error
type | S | 0..1 | code | allergy | intolerance - Underlying mechanism (if known)
code |  | 1..1 | CodeableConceptIPS | Code that identifies the allergy or intolerance
patient |  | 1..1 | Reference(AU PS Patient) | Who the sensitivity is for
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
onset[x] |  | 0..1 |  | When allergy or intolerance was identified
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
reaction |  | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
manifestation |  | 1..* | CodeableConceptIPS | Clinical symptoms/signs associated with the Event
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AUCoreAllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context This profile also complies with the profile AllergyIntolerance (IPS) Constraints: ait-1, ait-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!SO Σ C | 0..1 | CodeableConceptIPS | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
verificationStatus | ?!SO Σ C | 0..1 | CodeableConceptIPS | 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
type | S Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
code | SO Σ | 1..1 | CodeableConceptIPS | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (extensible)
Additional Bindings | Purpose
Adverse Reaction Substances and Negated Findings | candidate
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
patient | SO Σ | 1..1 | Reference(AU PS Patient) | Who the sensitivity is for
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
onset[x] | SO | 0..1 |  | When allergy or intolerance was identified
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
note | SO | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
reaction | SO | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
manifestation | SO | 1..* | CodeableConceptIPS | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
severity | SO | 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1` From the FHIR Standard
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes `http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1` From the FHIR Standard
AllergyIntolerance.type | required | AllergyIntoleranceType `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1` From the FHIR Standard
AllergyIntolerance.code | extensible | IndicatorOfHypersensitivityOrIntoleranceToSubstance `https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` From the FHIR Standard

#### Constraints

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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AllergyIntolerance | C | 0..* | AUCoreAllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context This profile also complies with the profile AllergyIntolerance (IPS) Constraints: ait-1, ait-2
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | ?!SO Σ C | 0..1 | CodeableConceptIPS | active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
verificationStatus | ?!SO Σ C | 0..1 | CodeableConceptIPS | 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
type | S 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 | SO Σ | 1..1 | CodeableConceptIPS | Code that identifies the allergy or intolerance Binding: Indicator of Hypersensitivity or Intolerance to Substance (extensible)
Additional Bindings | Purpose
Adverse Reaction Substances and Negated Findings | candidate
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
patient | SO Σ | 1..1 | Reference(AU PS Patient) | Who the sensitivity is for
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter |  | 0..1 | Reference(Encounter) | Encounter when the allergy or intolerance was asserted
onset[x] | SO | 0..1 |  | When allergy or intolerance was identified
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
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 | SO | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
reaction | SO | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
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 | SO | 1..* | CodeableConceptIPS | Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
description |  | 0..1 | string | Description of the event as a whole
onset |  | 0..1 | dateTime | Date(/time) when manifestations showed
severity | SO | 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.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
AllergyIntolerance.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1` From the FHIR Standard
AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes `http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1` From the FHIR Standard
AllergyIntolerance.type | required | AllergyIntoleranceType `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1` From the FHIR Standard
AllergyIntolerance.category | required | AllergyIntoleranceCategory `http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1` From the FHIR Standard
AllergyIntolerance.criticality | required | AllergyIntoleranceCriticality `http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1` From the FHIR Standard
AllergyIntolerance.code | extensible | IndicatorOfHypersensitivityOrIntoleranceToSubstance `https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.patient.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
AllergyIntolerance.reaction.substance | preferred | AdverseReactionAgent `https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.reaction.manifestation | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` From https://tx.ontoserver.csiro.au/fhir
AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` From the FHIR Standard
AllergyIntolerance.reaction.exposureRoute | preferred | RouteOfAdministration `https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1` From https://tx.ontoserver.csiro.au/fhir

#### Constraints

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 AUCoreAllergyIntolerance

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron