AU Patient Summary Implementation Guide
0.5.0-cibuild - CI Build Australia flag

AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.5.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-ps/ and changes regularly. See the Directory of published versions

Resource Profile: AU PS AllergyIntolerance

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance Version: 0.5.0-cibuild
Standards status: Draft Maturity Level: 0 Computable Name: AUPSAllergyIntolerance

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

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

See Comparison With Other National and International IGs for a comparison between AU Patient Summary (AU PS) profiles and profiles in other implementation guides.

Profile Specific Implementation Guidance

The additional obligation on AllergyIntolerance.onsetDateTime for AU PS Producer is SHOULD:able-to-populate. This obligation is in addition to the obligation of SHALL:populate-if-known. There is no additional obligation for AU PS Consumer, the obligations of SHALL:handle and SHOULD:display apply.

This additional obligation is present in the underlying structure but due to a tooling limitation is not currently rendered in the profile view. See Zulip discussion for more information.

Usages:

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.

This structure is derived from AUCoreAllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AUCoreAllergyIntolerance An allergy or intolerance statement in an Australian healthcare context
This profile also complies with the profile AllergyIntolerance (IPS)
... clinicalStatus O 0..1 CodeableConceptIPS active | inactive | resolved
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... verificationStatus O 0..1 CodeableConceptIPS unconfirmed | confirmed | refuted | entered-in-error
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SO 0..1 code allergy | intolerance - Underlying mechanism (if known)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... patient O 1..1 Reference(AU PS Patient) Who the sensitivity is for
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... onset[x] O 0..1 When allergy or intolerance was identified
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... note O 0..* Annotation Additional text not captured in other fields
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... reaction O 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... manifestation O 1..* CodeableConceptIPS Clinical symptoms/signs associated with the Event
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... severity O 0..1 code mild | moderate | severe (of event as a whole)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AUCoreAllergyIntolerance An allergy or intolerance statement in an Australian healthcare context
This profile also complies with the profile AllergyIntolerance (IPS)
Constraints: ait-1, ait-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SOΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... code SOΣ 1..1 CodeableConceptIPS Code that identifies the allergy or intolerance
Binding: Indicator of Hypersensitivity or Intolerance to Substance . (extensible)
Additional BindingsPurpose
Adverse Reaction Substances and Negated Findings . candidate
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... patient SOΣ 1..1 Reference(AU PS Patient) Who the sensitivity is for
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... onset[x] SO 0..1 When allergy or intolerance was identified
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... note SO 0..* Annotation Additional text not captured in other fields
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... reaction SO 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... manifestation SO 1..* CodeableConceptIPS Clinical symptoms/signs associated with the Event
Binding: Clinical Finding . (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
From the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
From the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
From the FHIR Standard
AllergyIntolerance.codeextensibleIndicatorOfHypersensitivityOrIntoleranceToSubstance .
https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.reaction.manifestationpreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AUCoreAllergyIntolerance An allergy or intolerance statement in an Australian healthcare context
This profile also complies with the profile AllergyIntolerance (IPS)
Constraints: ait-1, ait-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... verificationStatus ?!SOΣC 0..1 CodeableConceptIPS unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SOΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... 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 CodeableConceptIPS Code that identifies the allergy or intolerance
Binding: Indicator of Hypersensitivity or Intolerance to Substance . (extensible)
Additional BindingsPurpose
Adverse Reaction Substances and Negated Findings . candidate
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... patient SOΣ 1..1 Reference(AU PS Patient) Who the sensitivity is for
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] SO 0..1 When allergy or intolerance was identified
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... recorder 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the sensitivity
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Source of the information about the allergy
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note SO 0..* Annotation Additional text not captured in other fields
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... reaction SO 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: Adverse Reaction Agent . (preferred)
.... manifestation SO 1..* CodeableConceptIPS Clinical symptoms/signs associated with the Event
Binding: Clinical Finding . (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
From the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
From the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
From the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
From the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
From the FHIR Standard
AllergyIntolerance.codeextensibleIndicatorOfHypersensitivityOrIntoleranceToSubstance .
https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.patient.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
AllergyIntolerance.reaction.substancepreferredAdverseReactionAgent .
https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1
AllergyIntolerance.reaction.manifestationpreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
From the FHIR Standard
AllergyIntolerance.reaction.exposureRoutepreferredRouteOfAdministration .
https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from AUCoreAllergyIntolerance

Differential View

This structure is derived from AUCoreAllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AUCoreAllergyIntolerance An allergy or intolerance statement in an Australian healthcare context
This profile also complies with the profile AllergyIntolerance (IPS)
... clinicalStatus O 0..1 CodeableConceptIPS active | inactive | resolved
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... verificationStatus O 0..1 CodeableConceptIPS unconfirmed | confirmed | refuted | entered-in-error
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SO 0..1 code allergy | intolerance - Underlying mechanism (if known)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... patient O 1..1 Reference(AU PS Patient) Who the sensitivity is for
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... onset[x] O 0..1 When allergy or intolerance was identified
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... note O 0..* Annotation Additional text not captured in other fields
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... reaction O 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... manifestation O 1..* CodeableConceptIPS Clinical symptoms/signs associated with the Event
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... severity O 0..1 code mild | moderate | severe (of event as a whole)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AUCoreAllergyIntolerance An allergy or intolerance statement in an Australian healthcare context
This profile also complies with the profile AllergyIntolerance (IPS)
Constraints: ait-1, ait-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SOΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... code SOΣ 1..1 CodeableConceptIPS Code that identifies the allergy or intolerance
Binding: Indicator of Hypersensitivity or Intolerance to Substance . (extensible)
Additional BindingsPurpose
Adverse Reaction Substances and Negated Findings . candidate
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... patient SOΣ 1..1 Reference(AU PS Patient) Who the sensitivity is for
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... onset[x] SO 0..1 When allergy or intolerance was identified
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... note SO 0..* Annotation Additional text not captured in other fields
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... reaction SO 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... manifestation SO 1..* CodeableConceptIPS Clinical symptoms/signs associated with the Event
Binding: Clinical Finding . (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
From the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
From the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
From the FHIR Standard
AllergyIntolerance.codeextensibleIndicatorOfHypersensitivityOrIntoleranceToSubstance .
https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.reaction.manifestationpreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AUCoreAllergyIntolerance An allergy or intolerance statement in an Australian healthcare context
This profile also complies with the profile AllergyIntolerance (IPS)
Constraints: ait-1, ait-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... verificationStatus ?!SOΣC 0..1 CodeableConceptIPS unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SOΣ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... 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 CodeableConceptIPS Code that identifies the allergy or intolerance
Binding: Indicator of Hypersensitivity or Intolerance to Substance . (extensible)
Additional BindingsPurpose
Adverse Reaction Substances and Negated Findings . candidate
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... patient SOΣ 1..1 Reference(AU PS Patient) Who the sensitivity is for
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter when the allergy or intolerance was asserted
... onset[x] SO 0..1 When allergy or intolerance was identified
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... recordedDate 0..1 dateTime Date first version of the resource instance was recorded
... recorder 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the sensitivity
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Source of the information about the allergy
... lastOccurrence 0..1 dateTime Date(/time) of last known occurrence of a reaction
... note SO 0..* Annotation Additional text not captured in other fields
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... reaction SO 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... substance 0..1 CodeableConcept Specific substance or pharmaceutical product considered to be responsible for event
Binding: Adverse Reaction Agent . (preferred)
.... manifestation SO 1..* CodeableConceptIPS Clinical symptoms/signs associated with the Event
Binding: Clinical Finding . (preferred)
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AllergyIntolerance.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
AllergyIntolerance.clinicalStatusrequiredAllergyIntoleranceClinicalStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1
From the FHIR Standard
AllergyIntolerance.verificationStatusrequiredAllergyIntoleranceVerificationStatusCodes
http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1
From the FHIR Standard
AllergyIntolerance.typerequiredAllergyIntoleranceType
http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1
From the FHIR Standard
AllergyIntolerance.categoryrequiredAllergyIntoleranceCategory
http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1
From the FHIR Standard
AllergyIntolerance.criticalityrequiredAllergyIntoleranceCriticality
http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1
From the FHIR Standard
AllergyIntolerance.codeextensibleIndicatorOfHypersensitivityOrIntoleranceToSubstance .
https://healthterminologies.gov.au/fhir/ValueSet/indicator-hypersensitivity-intolerance-to-substance-2
AllergyIntolerance.patient.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
AllergyIntolerance.reaction.substancepreferredAdverseReactionAgent .
https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1
AllergyIntolerance.reaction.manifestationpreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
AllergyIntolerance.reaction.severityrequiredAllergyIntoleranceSeverity
http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1
From the FHIR Standard
AllergyIntolerance.reaction.exposureRoutepreferredRouteOfAdministration .
https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1

Constraints

IdGradePath(s)DetailsRequirements
ait-1errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceAllergyIntolerance.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-2errorAllergyIntoleranceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAllergyIntoleranceIf 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-4errorAllergyIntoleranceIf 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-5errorAllergyIntoleranceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAllergyIntoleranceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from AUCoreAllergyIntolerance

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron