Australian Digital Health Agency FHIR, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/mcv/ and changes regularly. See the Directory of published versions

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Resource Profile: MHR Medical Conditions View 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.

Usage:

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

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
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
detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-mhr-allergyintolerance-detailed-type-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
AllergyIntolerance	C	0..*	AUCoreAllergyIntolerance	An allergy or intolerance statement in an Australian healthcare context ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	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
detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-mhr-allergyintolerance-detailed-type-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 Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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
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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester SHALL:handle MHR Gateway Requester
patient	SOΣ	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester SHALL:handle MHR Gateway Requester
onset[x]	SO	0..1		When allergy or intolerance was identified Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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
reaction	SO	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester 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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
AllergyIntolerance.clinicalStatus	required	Pattern: 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 Additional Bindings Purpose Documentation Adverse Reaction Substances and Negated Findings candidate The Adverse Reaction Substances and Negated Findings value set comprises terms used to identify a predisposition to adverse reactions to substances, as well as negated findings. 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

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AUCoreAllergyIntolerance	An allergy or intolerance statement in an Australian healthcare context ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-mhr-allergyintolerance-detailed-type-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 Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester SHALL:handle MHR Gateway Requester
patient	SOΣ	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester 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 Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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		0..*	Annotation	Additional text not captured in other fields
reaction	SO	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester 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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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 Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
AllergyIntolerance.clinicalStatus	required	Pattern: 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 Additional Bindings Purpose Documentation Adverse Reaction Substances and Negated Findings candidate The Adverse Reaction Substances and Negated Findings value set comprises terms used to identify a predisposition to adverse reactions to substances, as well as negated findings. 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

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-mhr-allergyintolerance-detailed-type-1

Differential View

This structure is derived from AUCoreAllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
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
detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-mhr-allergyintolerance-detailed-type-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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AUCoreAllergyIntolerance	An allergy or intolerance statement in an Australian healthcare context ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	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
detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-mhr-allergyintolerance-detailed-type-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 Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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
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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester SHALL:handle MHR Gateway Requester
patient	SOΣ	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester SHALL:handle MHR Gateway Requester
onset[x]	SO	0..1		When allergy or intolerance was identified Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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
reaction	SO	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester 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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
AllergyIntolerance.clinicalStatus	required	Pattern: 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 Additional Bindings Purpose Documentation Adverse Reaction Substances and Negated Findings candidate The Adverse Reaction Substances and Negated Findings value set comprises terms used to identify a predisposition to adverse reactions to substances, as well as negated findings. 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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	AUCoreAllergyIntolerance	An allergy or intolerance statement in an Australian healthcare context ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
detailedType	SO	0..1	CodeableConcept	The detailed type of allergy or intolerance URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-mhr-allergyintolerance-detailed-type-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 Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester SHALL:handle MHR Gateway Requester
patient	SOΣ	1..1	Reference(MHR Patient)	Who the sensitivity is for Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester 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 Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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		0..*	Annotation	Additional text not captured in other fields
reaction	SO	0..1	BackboneElement	Adverse Reaction Events linked to exposure to substance Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester 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. Obligations Actor SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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 Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
AllergyIntolerance.clinicalStatus	required	Pattern: 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 Additional Bindings Purpose Documentation Adverse Reaction Substances and Negated Findings candidate The Adverse Reaction Substances and Negated Findings value set comprises terms used to identify a predisposition to adverse reactions to substances, as well as negated findings. 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

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-mhr-allergyintolerance-detailed-type-1

Other representations of profile: CSV, Excel, Schematron