臺灣核心實作指引(TW Core IG)
0.3.0 - Trial Use
臺灣核心實作指引(TW Core IG)
0.3.0 - Trial Use
This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore | Version: 0.3.0 | |||
| Active as of 2024-10-15 | Computable Name: TWCoreAllergyIntolerance | |||
此臺灣核心-過敏或不耐症（TW Core AllergyIntolerance） Profile說明本IG如何進一步定義FHIR的AllergyIntolerance Resource以呈現過敏與不耐症的詳細資料。
這是指一個人在接觸某種物質後，可能會出現的對該個人來說獨有的有害或不想要的生理反應的風險。
這是一份關於臨床評估過敏或不耐症的紀錄；一個人對於在未來接觸特定物質或類別物質時，可能出現不良反應的傾向或潛在風險。
當這種傾向被識別出來時，會記錄有關反應事件的資訊或證據，該事件是由於個人接觸已識別的物質或類別物質而觸發的，特點是對該個人來說特有的有害或不希望的生理反應。
物質包括但不限於：對個人以適當劑量正確施用的治療性物質、食物、從植物或動物中提取的材料（material）、或昆蟲叮咬的毒液。
國際HL7給FHIR審稿人的注意事項，實作者亦可留意
目前這個 resource （R4版） 面臨的開放性問題包括：
這個 resource 提供一個統一的位置，在健康紀錄中記錄關於對某些物質或產品的不良反應的各種臨床描述，包括：
使用這個 resource 來記錄有關不良反應風險存在的資訊，目的是：
用於記錄對廣泛物質的不良反應資訊，包括：生物和血品、藥物製劑中的賦形劑（Excipients）、食物、金屬鹽、以及有機化學化合物。
不良反應可能是：
在臨床實務中，區分過敏或不耐症是困難的，可能也不實際。通常「過敏」一詞被相當泛化地使用，可能與「不耐症」重疊，這兩個概念之間的界限可能不是很明確或被理解。如上所述，「不耐症」一詞通常應用於不良反應的傾向，這種傾向要麼被確定（在可能的範圍內），要麼被認為不是過敏或「類過敏」的。如果無法確定某個特定的傾向狀態是過敏還是不耐症，那麼應該從 resource 中省略該類型（type）資料項目。識別反應的type不代表對病人的嚴重性或傷害風險的評估，若要進行這類的評估，應該透過記錄臨床表現和評估危急程度來明確表達。
每個人對過敏或不耐症的敏感性是獨特的，這與食物或藥物的毒性、過量、藥物間的交互作用等情況引起的反應不同（這些是在相同情況下任何人都可能發生的反應）。
在沒有識別出可能導致的物質（包括藥品產品）或物質類別的情況下，不應記錄不良反應事件或表現的風險。如果不確定某一特定物質是原因，可以使用「verificationStatus」資料項目來記錄這種不確定性。如果有多個可能的物質可能導致反應/表現，則應為每種物質使用這個 resource 的單獨實例進行記錄，並將「verificationStatus」設定為「未確認（unconfirmed）」，以便在臨床系統中支援不良反應檢查。如果後來證明某種物質、劑量或類別不是某一反應的原因，則「verificationStatus」可以修改為「否認其正確性/已駁斥（refuted）」。
這個 resource 旨在允許記錄關於特定物質（例如：阿莫西林、牡蠣或蜜蜂蜇傷毒素）或藥品產品，或者物質的類別（例如：青霉素）的資訊。如果記錄了物質類別，則可以根據每次接觸的情況記錄確切的物質。
這個 FHIR resource 的範圍專注於識別一個在大多數臨床系統中使用或適合大多數常見臨床情境的實用資料集；如果需要，可以使用擴充資料項目來添加更多細節。在需要擴充的臨床情況包括：詳細的過敏科/免疫科評估、通報給監管機構、或在臨床試驗中使用等。
在健康記錄裡記錄任何不良反應涉及臨床評估，評估的是如果個人將來再次接觸到相同的物質/產品/類別時，可能會面臨的潛在風險。換句話說，這相當於一個相對的不宜使用提示，如果沒有更多資訊顯示更高的潛在風險，則應將預設的「危急程度（criticality）」設定為「低風險（Low Risk）」。如果醫生認為讓個人再次接觸該物質/產品不安全，比如發生生命威脅的過敏性休克，那麼「危急程度（criticality）」應該改為「高風險（High Risk）」。
向監管機構提交的正式不良事件報告是一份包含了除了不良反應具體細節外還有廣泛資訊的文件。這份報告可以使用這個 resource 的部分內容，並根據不同地區的要求添加額外資料。
不良反應或過敏/不耐症清單是記錄了個人對未來接觸某物質、產品、類別時所有已識別的不良反應傾向，並提供了查看每次反應事件細節（例如：反應表現）的機會。
當臨床醫生需要評估未來反應的可能性時，第一手重要資訊包括：
從每次接觸事件中，我們可以獲得更進一步的資訊，並且如果記錄中有的話，還可以連接到其他的詳細資訊，如病史、檢查和診斷等。
過敏不耐症與風險評估
AllergyIntolerance 描述的是對某種物質或產品有反應的特定風險類型，而風險評估（RiskAssessment） 則是針對個人的一般風險，這種風險通常不是基於某種反應。
過敏或不耐症與免疫接種反應
疫描接種反應（Immunization.reaction） 可能表示某人對某物質過敏或不耐症。如果確定是這樣的情況，應該另外創建一筆過敏或不耐症（AllergyIntolerance）紀錄來指出這一點，因為大部分系統不會去查詢過去的疫苗接種反應。
注意誤用的情況
這個 resource 被 醫療不良事件（AdverseEvent）、臨床臆斷（ClinicalImpression）、家庭成員病史（FamilyMemberHistory） 和 營養醫令（NutritionOrder）參照。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
  AllergyIntolerance |
0..* | AllergyIntolerance | 過敏或不耐症（通常指：對某種物質有不良反應的風險） | |||||
  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 | |||||
| identifier |
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 |
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 |
S | 1..1 | CodeableConceptTW | 表明此過敏或不耐症的代碼 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。 | ||||
 patient |
S | 1..1 | Reference(TW Core Patient) | 誰有此過敏或不耐受？ | ||||
| encounter |
0..1 | Reference(TW Core Encounter) | 過敏或不耐症被確認時的就醫事件(Encounter) | |||||
| onset[x] |
0..1 | dateTime, Age, Period, Range, string | 過敏或不耐症被識別的時間 | |||||
| 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(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | ||||
| asserter |
0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | 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 | ||||
 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | extensible | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.substance | extensible | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.manifestation | extensible | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | AllergyIntolerance | 過敏或不耐症（通常指：對某種物質有不良反應的風險） ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
 id |
Σ | 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。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | AllergyIntolerance Resource之內容摘要以供人閱讀 | |||||
 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: 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。 | ||||
| patient |
SΣ | 1..1 | Reference(TW Core Patient) | 誰有此過敏或不耐受？ | ||||
| encounter |
0..1 | Reference(TW Core Encounter) | 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(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | ||||
| asserter |
Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | 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 | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | extensible | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.substance | extensible | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.manifestation | extensible | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | AllergyIntolerance | 過敏或不耐症（通常指：對某種物質有不良反應的風險） ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
| id |
Σ | 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。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | AllergyIntolerance Resource之內容摘要以供人閱讀 | |||||
| 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: 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。 | ||||
| patient |
SΣ | 1..1 | Reference(TW Core Patient) | 誰有此過敏或不耐受？ | ||||
| encounter |
0..1 | Reference(TW Core Encounter) | 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(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | ||||
| asserter |
Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | extensible | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.substance | extensible | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.manifestation | extensible | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 AllergyIntolerance
Summary
Mandatory: 1 element
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
0..* | AllergyIntolerance | 過敏或不耐症（通常指：對某種物質有不良反應的風險） | |||||
| 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 | |||||
| identifier |
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 |
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 |
S | 1..1 | CodeableConceptTW | 表明此過敏或不耐症的代碼 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。 | ||||
| patient |
S | 1..1 | Reference(TW Core Patient) | 誰有此過敏或不耐受？ | ||||
| encounter |
0..1 | Reference(TW Core Encounter) | 過敏或不耐症被確認時的就醫事件(Encounter) | |||||
| onset[x] |
0..1 | dateTime, Age, Period, Range, string | 過敏或不耐症被識別的時間 | |||||
| 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(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | ||||
| asserter |
0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | 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 | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | extensible | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.substance | extensible | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.manifestation | extensible | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | AllergyIntolerance | 過敏或不耐症（通常指：對某種物質有不良反應的風險） ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
| id |
Σ | 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。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | AllergyIntolerance Resource之內容摘要以供人閱讀 | |||||
| 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: 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。 | ||||
| patient |
SΣ | 1..1 | Reference(TW Core Patient) | 誰有此過敏或不耐受？ | ||||
| encounter |
0..1 | Reference(TW Core Encounter) | 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(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | ||||
| asserter |
Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | 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 | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | extensible | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.substance | extensible | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.manifestation | extensible | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance |
C | 0..* | AllergyIntolerance | 過敏或不耐症（通常指：對某種物質有不良反應的風險） ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
| id |
Σ | 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。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | AllergyIntolerance Resource之內容摘要以供人閱讀 | |||||
| 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: 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。 | ||||
| patient |
SΣ | 1..1 | Reference(TW Core Patient) | 誰有此過敏或不耐受？ | ||||
| encounter |
0..1 | Reference(TW Core Encounter) | 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(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 誰記錄了過敏或不耐受 | ||||
| asserter |
Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| AllergyIntolerance.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceTypehttp://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategoryhttp://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticalityhttp://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.code | extensible | AllergyIntoleranceSubstance/Product,ConditionAndNegationCodeshttp://hl7.org/fhir/ValueSet/allergyintolerance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.substance | extensible | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codefrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.manifestation | extensible | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverityhttp://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1from the FHIR Standard | ||||
| AllergyIntolerance.reaction.exposureRoute | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 AllergyIntolerance
Summary
Mandatory: 1 element
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
以下概述了此Profile所需的RESTful FHIR互動功能。有關TW Core IG支援的RESTful互動功能的完整清單，請參閱TW Core Server能力聲明。
建議應該（SHOULD） 支援透過查詢參數 _id 查詢所有AllergyIntolerance：
(如何透過token查詢)
GET [base]/AllergyIntolerance?_id=[id]
GET [base]/AllergyIntolerance/[id]
例子：
(1) GET [base]/AllergyIntolerance?_id=all-nut-example
(2) GET [base]/AllergyIntolerance/all-nut-example
建議應該（SHOULD） 支援透過查詢參數 clinical-status 查詢所有AllergyIntolerance：
(如何透過token查詢)
GET [base]/AllergyIntolerance?clinical-status=[code]
例子：
(1) GET [base]/AllergyIntolerance?clinical-status=active