臺灣中醫實作指引
0.1.0 - ci-build
臺灣中醫實作指引
0.1.0 - ci-build
臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions
| Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/allergyintolerance-twcm | Version: 0.1.0 | |||
| Draft as of 2026-10-07 | Computable Name: AllergyIntoleranceTWCM | |||
此過敏或不耐症(AllergyIntolerance TWCM)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以呈現中醫門診單之過敏與不耐症的詳細資料。
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| 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 | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3 |
| AllergyIntolerance.reaction.manifestation | Base | extensible | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from TWCoreAllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  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） | |
  code |
1..1 | CodeableConceptTW | 表明此過敏或不耐症的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible) | |
  text |
1..1 | string | 標識過敏或不耐受的描述。[應填入於門診病摘之過敏史Allergy] | |
  patient |
1..1 | Reference(病人資料(Patient TWCM)) | 誰有此過敏或不耐受？ | |
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | 過敏或不耐症被確認時的就醫事件(Encounter) | |
| recorder |
0..1 | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | |
| asserter |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) | 關於過敏的資訊來源 | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| AllergyIntolerance.code | Base | extensible | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3 |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | ||||
 id |
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。 | |||||
 meta |
0..1 | Meta | 此AllergyIntolerance Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| 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。
Example Value: zh-TW | |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 過敏或不耐症之外部識別碼 | |||||
| clinicalStatus |
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。 | |||||
| verificationStatus |
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。 | |||||
| type |
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。 | |||||
| category |
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。 | |||||
| criticality |
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。 | |||||
| code |
1..1 | CodeableConceptTW |
表明此過敏或不耐症的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| text |
1..1 | string | 標識過敏或不耐受的描述。[應填入於門診病摘之過敏史Allergy] | |||||
| patient |
1..1 | Reference(病人資料(Patient TWCM)) | 誰有此過敏或不耐受？ | |||||
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | 過敏或不耐症被確認時的就醫事件(Encounter) | |||||
 onset[x] |
0..1 | 過敏或不耐症被識別的時間 | ||||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| recordedDate |
0..1 | dateTime | resource實例的第一個版本被記錄的日期 | |||||
| recorder |
0..1 | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | |||||
| asserter |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) | 關於過敏的資訊來源 | |||||
| lastOccurrence |
0..1 | dateTime | 最後一次已知反應發生的日期（/時間） | |||||
| note |
0..* | Annotation | 其他欄位中沒有記錄的額外文字陳述 | |||||
 reaction |
0..* | BackboneElement | 暴露於此過敏或不耐症物質的不良反應 | |||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| 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。 | |||||
| manifestation |
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。 | |||||
| description |
0..1 | string | 對整個活動的描述 | |||||
| onset |
0..1 | dateTime | 症狀顯現的日期（/時間） | |||||
| 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。 | |||||
| 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。 | |||||
| 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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| 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 | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3 |
| 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. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from TWCoreAllergyIntolerance
Summary
Mandatory: 1 element
Must-Support: 1 element
Structures
This structure refers to these other structures:
Key Elements View
| 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 | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3 |
| AllergyIntolerance.reaction.manifestation | Base | extensible | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from TWCoreAllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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） | |
| code |
1..1 | CodeableConceptTW | 表明此過敏或不耐症的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible) | |
| text |
1..1 | string | 標識過敏或不耐受的描述。[應填入於門診病摘之過敏史Allergy] | |
| patient |
1..1 | Reference(病人資料(Patient TWCM)) | 誰有此過敏或不耐受？ | |
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | 過敏或不耐症被確認時的就醫事件(Encounter) | |
| recorder |
0..1 | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | |
| asserter |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) | 關於過敏的資訊來源 | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| AllergyIntolerance.code | Base | extensible | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | ||||
| id |
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。 | |||||
| meta |
0..1 | Meta | 此AllergyIntolerance Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| 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。
Example Value: zh-TW | |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 過敏或不耐症之外部識別碼 | |||||
| clinicalStatus |
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。 | |||||
| verificationStatus |
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。 | |||||
| type |
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。 | |||||
| category |
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。 | |||||
| criticality |
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。 | |||||
| code |
1..1 | CodeableConceptTW |
表明此過敏或不耐症的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| text |
1..1 | string | 標識過敏或不耐受的描述。[應填入於門診病摘之過敏史Allergy] | |||||
| patient |
1..1 | Reference(病人資料(Patient TWCM)) | 誰有此過敏或不耐受？ | |||||
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | 過敏或不耐症被確認時的就醫事件(Encounter) | |||||
| onset[x] |
0..1 | 過敏或不耐症被識別的時間 | ||||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| recordedDate |
0..1 | dateTime | resource實例的第一個版本被記錄的日期 | |||||
| recorder |
0..1 | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | |||||
| asserter |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) | 關於過敏的資訊來源 | |||||
| lastOccurrence |
0..1 | dateTime | 最後一次已知反應發生的日期（/時間） | |||||
| note |
0..* | Annotation | 其他欄位中沒有記錄的額外文字陳述 | |||||
| reaction |
0..* | BackboneElement | 暴露於此過敏或不耐症物質的不良反應 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| 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。 | |||||
| manifestation |
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。 | |||||
| description |
0..1 | string | 對整個活動的描述 | |||||
| onset |
0..1 | dateTime | 症狀顯現的日期（/時間） | |||||
| 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。 | |||||
| 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。 | |||||
| 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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| 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 | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3 |
| 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. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from TWCoreAllergyIntolerance
Summary
Mandatory: 1 element
Must-Support: 1 element
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron