My Health Record FHIR IG

My Health Record FHIR IG - Local Development build (v1.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MHR AllergyIntolerance

The purpose of this profile is to support a consolidated view of allergies or intolerance in a patient's My Health Record. It is based on the AU Core AllergyIntolerance profile and describes the data structures and obligations to be met when conforming to this profile.

Usages:

• Refer to this Profile: MHR Medical Conditions View Document Composition and MHR Provenance
• Examples for this Profile: AllergyIntolerance/peanut-01 and AllergyIntolerance/sulfonamide-01

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	AUCoreAllergyIntolerance	An allergy or intolerance statement in an Australian healthcare context Constraints: ait-1, ait-2
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-detailed-type-mhr-1 Binding: Adverse Reaction Type (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SOΣC	1..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: active
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
verificationStatus	?!SOΣC	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	SOΣ	1..1	CodeableConcept	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:handle MHR Gateway Requester
patient	SOΣ	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:handle MHR Gateway Requester
onset[x]	SO	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
recordedDate	SO	0..1	dateTime	Date first version of the resource instance was recorded Obligations Actor SHALL:handle MHR Gateway Requester
note	SO	0..*	Annotation	Additional text not captured in other fields
reaction	SO	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
manifestation	SO	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
AllergyIntolerance.clinicalStatus	required	Pattern Value: active 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.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()

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
id		1..1	id	Logical id of this artifact
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-detailed-type-mhr-1 Binding: Adverse Reaction Type (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
clinicalStatus		1..1	CodeableConcept	active | inactive | resolved Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
code		1..1	code	Symbol in syntax defined by the system Fixed Value: active
code	O	1..1	CodeableConcept	Code that identifies the allergy or intolerance Obligations Actor SHALL:handle MHR Gateway Requester
patient	O	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:handle MHR Gateway Requester
recordedDate	SO	0..1	dateTime	Date first version of the resource instance was recorded Obligations Actor SHALL:handle MHR Gateway Requester
reaction		0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance
manifestation	O	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Obligations Actor SHALL:handle MHR Gateway Requester
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 Constraints: ait-1, ait-2
id	Σ	1..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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-detailed-type-mhr-1 Binding: Adverse Reaction Type (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!SOΣC	1..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: active
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
verificationStatus	?!SOΣC	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	SOΣ	1..1	CodeableConcept	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:handle MHR Gateway Requester
patient	SOΣ	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:handle MHR Gateway Requester
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]	SO	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
recordedDate	SO	0..1	dateTime	Date first version of the resource instance was recorded Obligations Actor SHALL:handle MHR Gateway Requester
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
reaction	SO	0..1	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	SO	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
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.
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 / Code	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	Pattern Value: active 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.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: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• MHR Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-mhr-1)

Extensions

This structure refers to these extensions:

• http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-detailed-type-mhr-1

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 Constraints: ait-1, ait-2
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-detailed-type-mhr-1 Binding: Adverse Reaction Type (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SOΣC	1..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: active
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
verificationStatus	?!SOΣC	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	SOΣ	1..1	CodeableConcept	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:handle MHR Gateway Requester
patient	SOΣ	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:handle MHR Gateway Requester
onset[x]	SO	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
recordedDate	SO	0..1	dateTime	Date first version of the resource instance was recorded Obligations Actor SHALL:handle MHR Gateway Requester
note	SO	0..*	Annotation	Additional text not captured in other fields
reaction	SO	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
manifestation	SO	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
AllergyIntolerance.clinicalStatus	required	Pattern Value: active 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.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()

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
id		1..1	id	Logical id of this artifact
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-detailed-type-mhr-1 Binding: Adverse Reaction Type (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
clinicalStatus		1..1	CodeableConcept	active | inactive | resolved Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
code		1..1	code	Symbol in syntax defined by the system Fixed Value: active
code	O	1..1	CodeableConcept	Code that identifies the allergy or intolerance Obligations Actor SHALL:handle MHR Gateway Requester
patient	O	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:handle MHR Gateway Requester
recordedDate	SO	0..1	dateTime	Date first version of the resource instance was recorded Obligations Actor SHALL:handle MHR Gateway Requester
reaction		0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance
manifestation	O	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

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 Constraints: ait-1, ait-2
id	Σ	1..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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-detailed-type-mhr-1 Binding: Adverse Reaction Type (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!SOΣC	1..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: active
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
verificationStatus	?!SOΣC	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	SOΣ	1..1	CodeableConcept	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:handle MHR Gateway Requester
patient	SOΣ	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:handle MHR Gateway Requester
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]	SO	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
recordedDate	SO	0..1	dateTime	Date first version of the resource instance was recorded Obligations Actor SHALL:handle MHR Gateway Requester
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
reaction	SO	0..1	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	SO	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: Clinical Finding (preferred) Obligations Actor SHALL:handle MHR Gateway Requester
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.
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 / Code	URI
AllergyIntolerance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
AllergyIntolerance.clinicalStatus	required	Pattern Value: active 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.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: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• MHR Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-mhr-1)

Extensions

This structure refers to these extensions:

• http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-detailed-type-mhr-1

Other representations of profile: CSV, Excel, Schematron