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

## Resource Profile: 過敏或不耐症(AllergyIntolerance TWCM)

Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/allergyintolerance-twcm | Version: 0.1.0
Draft as of 2026-08-31 | 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:

- Use this Profile: 中醫-資料交換基本單位(Bundle TWCM)
- Refer to this Profile: 中醫-臨床文件架構(Composition TWCM)
- Examples for this Profile: AllergyIntolerance/AllergyIntoleranceTWCM-min

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
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | S | 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 | S | 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。
code | S | 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)
coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼
text | S Σ | 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 | S Σ | 1..1 | Reference(病人資料(Patient TWCM)) | 誰有此過敏或不耐受？
encounter | S | 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)
recordedDate | S | 0..1 | dateTime | resource實例的第一個版本被記錄的日期
recorder | S | 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 | Σ | 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
note | S | 0..* | Annotation | 其他欄位中沒有記錄的額外文字陳述
reaction | S | 0..* | BackboneElement | 暴露於此過敏或不耐症物質的不良反應
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
manifestation | S | 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 | 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.

#### Constraints

Id | Grade | Path(s) | Description | Expression

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）
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 | S | 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

#### Terminology Bindings (Differential)

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: 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
id | Σ | 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 | Σ | 0..1 | Meta | 此AllergyIntolerance Resource的metadata
implicitRules | ?!Σ | 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。
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Σ | 0..* | Identifier | 過敏或不耐症之外部識別碼
clinicalStatus | S | 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 | S | 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 | Σ | 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 | Σ | 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 | Σ | 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 | S | 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 | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼
text | S Σ | 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 | S Σ | 1..1 | Reference(病人資料(Patient TWCM)) | 誰有此過敏或不耐受？
encounter | S | 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 | S | 0..1 | dateTime | resource實例的第一個版本被記錄的日期
recorder | S | 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 | Σ | 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 | S | 0..* | Annotation | 其他欄位中沒有記錄的額外文字陳述
reaction | S | 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 | ?!Σ | 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 | S | 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

#### Terminology Bindings

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.

#### Constraints

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:

- 病人資料(Patient TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm)
- 就醫事件(Encounter TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm)
- 健康照護服務提供人員資料(Practitioner TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm)
- 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
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | S | 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 | S | 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。
code | S | 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)
coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼
text | S Σ | 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 | S Σ | 1..1 | Reference(病人資料(Patient TWCM)) | 誰有此過敏或不耐受？
encounter | S | 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)
recordedDate | S | 0..1 | dateTime | resource實例的第一個版本被記錄的日期
recorder | S | 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 | Σ | 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
note | S | 0..* | Annotation | 其他欄位中沒有記錄的額外文字陳述
reaction | S | 0..* | BackboneElement | 暴露於此過敏或不耐症物質的不良反應
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
manifestation | S | 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 | 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.

#### Constraints

Id | Grade | Path(s) | Description | Expression

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）
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 | S | 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

#### Terminology Bindings (Differential)

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: 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
id | Σ | 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 | Σ | 0..1 | Meta | 此AllergyIntolerance Resource的metadata
implicitRules | ?!Σ | 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。
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Σ | 0..* | Identifier | 過敏或不耐症之外部識別碼
clinicalStatus | S | 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 | S | 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 | Σ | 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 | Σ | 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 | Σ | 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 | S | 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 | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼
text | S Σ | 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 | S Σ | 1..1 | Reference(病人資料(Patient TWCM)) | 誰有此過敏或不耐受？
encounter | S | 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 | S | 0..1 | dateTime | resource實例的第一個版本被記錄的日期
recorder | S | 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 | Σ | 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 | S | 0..* | Annotation | 其他欄位中沒有記錄的額外文字陳述
reaction | S | 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 | ?!Σ | 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 | S | 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

#### Terminology Bindings

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.

#### Constraints

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:

- 病人資料(Patient TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm)
- 就醫事件(Encounter TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm)
- 健康照護服務提供人員資料(Practitioner TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm)
- 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