臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.2.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 過敏史-AllergyIntolerance TWPAS

此過敏史-AllergyIntolerance TWPAS Profile說明本IG如何進一步定義臺灣核心-過敏或不耐症（TW Core AllergyIntolerance）Profile以呈現免疫製劑事前審查之過敏史

Usages:

• Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
• Refer to this Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS and 癌藥事前審查-Claim TWPAS
• Examples for this Profile: AllergyIntolerance/all-min
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

You can also check for usages in the FHIR IG Statistics

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..*	TWCoreAllergyIntolerance	過敏或不耐症（通常指：對某種物質有不良反應的風險） Constraints: ait-1, ait-2
AllergyIntolerance.meta	Σ This element is included in summaries.	1..1	Meta	此AllergyIntolerance Resource的metadata
AllergyIntolerance.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-twpas
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.clinicalStatus	S This element must be supported.	0..1	CodeableConceptTW	active | inactive | resolved ，過敏或不耐症的臨床狀態。 Binding: AllergyIntoleranceClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.verificationStatus	S This element must be supported.	0..1	CodeableConceptTW	unconfirmed | confirmed | refuted | entered-in-error ，一個人對特定物質產生反應的可能性或風險有多確定的陳述。 Binding: AllergyIntoleranceVerificationStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.code	S This element must be supported.	1..1	CodeableConceptTW	過敏史，由醫院自行填寫。 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	誰有此過敏或不耐受？
AllergyIntolerance.recordedDate	S This element must be supported.	0..1	dateTime	resource實例的第一個版本被記錄的日期
AllergyIntolerance.recorder	S This element must be supported.	0..1	Reference(醫事人員-Practitioner TWPAS | 病人資訊-Patient TWPAS | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄了過敏或不耐受
AllergyIntolerance.note	S This element must be supported.	0..*	Annotation	其他欄位中沒有記錄的額外文字陳述
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	暴露於此過敏或不耐症物質的不良反應
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	CodeableConceptTW	與此事件相關的臨床症狀/體徵 Binding: SNOMEDCTClinicalFindings (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.code	Base	extensible	AllergyIntolerance Substance/Product, Condition and Negation Codes	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	extensible	SNOMED CT Clinical Findings	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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 TWCoreAllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	TWCoreAllergyIntolerance	過敏或不耐症（通常指：對某種物質有不良反應的風險）
AllergyIntolerance.meta		1..1	Meta	此AllergyIntolerance Resource的metadata
AllergyIntolerance.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-twpas
AllergyIntolerance.code		1..1	CodeableConceptTW	過敏史，由醫院自行填寫。
AllergyIntolerance.patient		1..1	Reference(病人資訊-Patient TWPAS)	誰有此過敏或不耐受？
AllergyIntolerance.recorder		0..1	Reference(醫事人員-Practitioner TWPAS | 病人資訊-Patient TWPAS | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄了過敏或不耐受
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	TWCoreAllergyIntolerance	過敏或不耐症（通常指：對某種物質有不良反應的風險） Constraints: ait-1, ait-2
AllergyIntolerance.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的AllergyIntolerance紀錄，通常又稱為邏輯性ID。
AllergyIntolerance.meta	Σ This element is included in summaries.	1..1	Meta	此AllergyIntolerance Resource的metadata
AllergyIntolerance.meta.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
AllergyIntolerance.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
AllergyIntolerance.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
AllergyIntolerance.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
AllergyIntolerance.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-twpas
AllergyIntolerance.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
AllergyIntolerance.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
AllergyIntolerance.language		0..1	code	用以表述AllergyIntolerance Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
AllergyIntolerance.text		0..1	Narrative	AllergyIntolerance Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
AllergyIntolerance.contained		0..*	Resource	Contained, inline Resources
AllergyIntolerance.extension		0..*	Extension	Additional content defined by implementations
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.identifier	Σ This element is included in summaries.	0..*	Identifier	過敏或不耐症之外部識別碼
AllergyIntolerance.clinicalStatus	S This element must be supported.	0..1	CodeableConceptTW	active | inactive | resolved ，過敏或不耐症的臨床狀態。 Binding: AllergyIntoleranceClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.verificationStatus	S This element must be supported.	0..1	CodeableConceptTW	unconfirmed | confirmed | refuted | entered-in-error ，一個人對特定物質產生反應的可能性或風險有多確定的陳述。 Binding: AllergyIntoleranceVerificationStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.type	Σ This element is included in summaries.	0..1	code	allergy | intolerance - 根本原因或運作機制（如果知道）。 Binding: AllergyIntoleranceType (required): 確定反應風險的基本生理機制；應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.category	Σ This element is included in summaries.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): 確定的物質的類別；應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.criticality	Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): 對已識別物質的反應的潛在臨床危害程度，或稱嚴重性估計；應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.code	S This element must be supported.	1..1	CodeableConceptTW	過敏史，由醫院自行填寫。 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	誰有此過敏或不耐受？
AllergyIntolerance.encounter		0..1	Reference(TW Core Encounter)	過敏或不耐症被確認時的就醫事件(Encounter)
AllergyIntolerance.onset[x]		0..1		過敏或不耐症被識別的時間
AllergyIntolerance.onset[x].onsetDateTime			dateTime
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.onset[x].onsetString			string
AllergyIntolerance.recordedDate	S This element must be supported.	0..1	dateTime	resource實例的第一個版本被記錄的日期
AllergyIntolerance.recorder	S This element must be supported.	0..1	Reference(醫事人員-Practitioner TWPAS | 病人資訊-Patient TWPAS | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄了過敏或不耐受
AllergyIntolerance.asserter	Σ This element is included in summaries.	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	關於過敏的資訊來源
AllergyIntolerance.lastOccurrence		0..1	dateTime	最後一次已知反應發生的日期（/時間）
AllergyIntolerance.note	S This element must be supported.	0..*	Annotation	其他欄位中沒有記錄的額外文字陳述
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	暴露於此過敏或不耐症物質的不良反應
AllergyIntolerance.reaction.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.reaction.extension		0..*	Extension	Additional content defined by implementations
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.substance		0..1	CodeableConceptTW	被認為是事件原因的特定物質或醫藥產品 Binding: SubstanceCode (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	CodeableConceptTW	與此事件相關的臨床症狀/體徵 Binding: SNOMEDCTClinicalFindings (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.reaction.description		0..1	string	對整個活動的描述
AllergyIntolerance.reaction.onset		0..1	dateTime	症狀顯現的日期（/時間）
AllergyIntolerance.reaction.severity		0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required): 整個事件的程度，應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.reaction.exposureRoute		0..1	CodeableConceptTW	此對象如何接觸到該物質 Binding: SNOMEDCTRouteCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.reaction.note		0..*	Annotation	其他資料項目未記錄之關於事件的文字表述
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
AllergyIntolerance.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
AllergyIntolerance.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📍4.0.1	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📍4.0.1	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📍4.0.1	FHIR Std.
AllergyIntolerance.code	Base	extensible	AllergyIntolerance Substance/Product, Condition and Negation Codes	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	extensible	Substance Code	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	extensible	SNOMED CT Clinical Findings	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	extensible	SNOMED CT Route Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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 TWCoreAllergyIntolerance

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	TWCoreAllergyIntolerance	過敏或不耐症（通常指：對某種物質有不良反應的風險） Constraints: ait-1, ait-2
AllergyIntolerance.meta	Σ This element is included in summaries.	1..1	Meta	此AllergyIntolerance Resource的metadata
AllergyIntolerance.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-twpas
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.clinicalStatus	S This element must be supported.	0..1	CodeableConceptTW	active | inactive | resolved ，過敏或不耐症的臨床狀態。 Binding: AllergyIntoleranceClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.verificationStatus	S This element must be supported.	0..1	CodeableConceptTW	unconfirmed | confirmed | refuted | entered-in-error ，一個人對特定物質產生反應的可能性或風險有多確定的陳述。 Binding: AllergyIntoleranceVerificationStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.code	S This element must be supported.	1..1	CodeableConceptTW	過敏史，由醫院自行填寫。 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	誰有此過敏或不耐受？
AllergyIntolerance.recordedDate	S This element must be supported.	0..1	dateTime	resource實例的第一個版本被記錄的日期
AllergyIntolerance.recorder	S This element must be supported.	0..1	Reference(醫事人員-Practitioner TWPAS | 病人資訊-Patient TWPAS | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄了過敏或不耐受
AllergyIntolerance.note	S This element must be supported.	0..*	Annotation	其他欄位中沒有記錄的額外文字陳述
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	暴露於此過敏或不耐症物質的不良反應
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	CodeableConceptTW	與此事件相關的臨床症狀/體徵 Binding: SNOMEDCTClinicalFindings (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.code	Base	extensible	AllergyIntolerance Substance/Product, Condition and Negation Codes	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	extensible	SNOMED CT Clinical Findings	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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 TWCoreAllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance		0..*	TWCoreAllergyIntolerance	過敏或不耐症（通常指：對某種物質有不良反應的風險）
AllergyIntolerance.meta		1..1	Meta	此AllergyIntolerance Resource的metadata
AllergyIntolerance.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-twpas
AllergyIntolerance.code		1..1	CodeableConceptTW	過敏史，由醫院自行填寫。
AllergyIntolerance.patient		1..1	Reference(病人資訊-Patient TWPAS)	誰有此過敏或不耐受？
AllergyIntolerance.recorder		0..1	Reference(醫事人員-Practitioner TWPAS | 病人資訊-Patient TWPAS | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄了過敏或不耐受
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
AllergyIntolerance	C	0..*	TWCoreAllergyIntolerance	過敏或不耐症（通常指：對某種物質有不良反應的風險） Constraints: ait-1, ait-2
AllergyIntolerance.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的AllergyIntolerance紀錄，通常又稱為邏輯性ID。
AllergyIntolerance.meta	Σ This element is included in summaries.	1..1	Meta	此AllergyIntolerance Resource的metadata
AllergyIntolerance.meta.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
AllergyIntolerance.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
AllergyIntolerance.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
AllergyIntolerance.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
AllergyIntolerance.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-twpas
AllergyIntolerance.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
AllergyIntolerance.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
AllergyIntolerance.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
AllergyIntolerance.language		0..1	code	用以表述AllergyIntolerance Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
AllergyIntolerance.text		0..1	Narrative	AllergyIntolerance Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
AllergyIntolerance.contained		0..*	Resource	Contained, inline Resources
AllergyIntolerance.extension		0..*	Extension	Additional content defined by implementations
AllergyIntolerance.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
AllergyIntolerance.identifier	Σ This element is included in summaries.	0..*	Identifier	過敏或不耐症之外部識別碼
AllergyIntolerance.clinicalStatus	S This element must be supported.	0..1	CodeableConceptTW	active | inactive | resolved ，過敏或不耐症的臨床狀態。 Binding: AllergyIntoleranceClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.verificationStatus	S This element must be supported.	0..1	CodeableConceptTW	unconfirmed | confirmed | refuted | entered-in-error ，一個人對特定物質產生反應的可能性或風險有多確定的陳述。 Binding: AllergyIntoleranceVerificationStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.type	Σ This element is included in summaries.	0..1	code	allergy | intolerance - 根本原因或運作機制（如果知道）。 Binding: AllergyIntoleranceType (required): 確定反應風險的基本生理機制；應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.category	Σ This element is included in summaries.	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): 確定的物質的類別；應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.criticality	Σ This element is included in summaries.	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (required): 對已識別物質的反應的潛在臨床危害程度，或稱嚴重性估計；應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.code	S This element must be supported.	1..1	CodeableConceptTW	過敏史，由醫院自行填寫。 Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	誰有此過敏或不耐受？
AllergyIntolerance.encounter		0..1	Reference(TW Core Encounter)	過敏或不耐症被確認時的就醫事件(Encounter)
AllergyIntolerance.onset[x]		0..1		過敏或不耐症被識別的時間
AllergyIntolerance.onset[x].onsetDateTime			dateTime
AllergyIntolerance.onset[x].onsetAge			Age
AllergyIntolerance.onset[x].onsetPeriod			Period
AllergyIntolerance.onset[x].onsetRange			Range
AllergyIntolerance.onset[x].onsetString			string
AllergyIntolerance.recordedDate	S This element must be supported.	0..1	dateTime	resource實例的第一個版本被記錄的日期
AllergyIntolerance.recorder	S This element must be supported.	0..1	Reference(醫事人員-Practitioner TWPAS | 病人資訊-Patient TWPAS | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄了過敏或不耐受
AllergyIntolerance.asserter	Σ This element is included in summaries.	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	關於過敏的資訊來源
AllergyIntolerance.lastOccurrence		0..1	dateTime	最後一次已知反應發生的日期（/時間）
AllergyIntolerance.note	S This element must be supported.	0..*	Annotation	其他欄位中沒有記錄的額外文字陳述
AllergyIntolerance.reaction	S This element must be supported.	0..*	BackboneElement	暴露於此過敏或不耐症物質的不良反應
AllergyIntolerance.reaction.id		0..1	string	Unique id for inter-element referencing
AllergyIntolerance.reaction.extension		0..*	Extension	Additional content defined by implementations
AllergyIntolerance.reaction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
AllergyIntolerance.reaction.substance		0..1	CodeableConceptTW	被認為是事件原因的特定物質或醫藥產品 Binding: SubstanceCode (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.reaction.manifestation	S This element must be supported.	1..*	CodeableConceptTW	與此事件相關的臨床症狀/體徵 Binding: SNOMEDCTClinicalFindings (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.reaction.description		0..1	string	對整個活動的描述
AllergyIntolerance.reaction.onset		0..1	dateTime	症狀顯現的日期（/時間）
AllergyIntolerance.reaction.severity		0..1	code	mild | moderate | severe Binding: AllergyIntoleranceSeverity (required): 整個事件的程度，應填入所綁定值集中的其中一個代碼。
AllergyIntolerance.reaction.exposureRoute		0..1	CodeableConceptTW	此對象如何接觸到該物質 Binding: SNOMEDCTRouteCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
AllergyIntolerance.reaction.note		0..*	Annotation	其他資料項目未記錄之關於事件的文字表述
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
AllergyIntolerance.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
AllergyIntolerance.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
AllergyIntolerance.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
AllergyIntolerance.clinicalStatus	Base	required	AllergyIntolerance Clinical Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.verificationStatus	Base	required	AllergyIntolerance Verification Status Codes	📍4.0.1	FHIR Std.
AllergyIntolerance.type	Base	required	AllergyIntoleranceType	📍4.0.1	FHIR Std.
AllergyIntolerance.category	Base	required	AllergyIntoleranceCategory	📍4.0.1	FHIR Std.
AllergyIntolerance.criticality	Base	required	AllergyIntoleranceCriticality	📍4.0.1	FHIR Std.
AllergyIntolerance.code	Base	extensible	AllergyIntolerance Substance/Product, Condition and Negation Codes	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​substance	Base	extensible	Substance Code	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​manifestation	Base	extensible	SNOMED CT Clinical Findings	📦4.0.1	FHIR Std.
AllergyIntolerance.reaction.​severity	Base	required	AllergyIntoleranceSeverity	📍4.0.1	FHIR Std.
AllergyIntolerance.reaction.​exposureRoute	Base	extensible	SNOMED CT Route Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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 TWCoreAllergyIntolerance

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)

Other representations of profile: CSV, Excel, Schematron