This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: 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

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Resource Profile: 門診病歷-過敏史

此Profiles用於紀錄病患過敏史

Usage:

• Use this Resource Profile: 門診病歷-Bundle
• Refer to this Resource Profile: 門診病歷-報告文件
• Examples for this Resource Profile: AllergyIntolerance/PMR-All5

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from TWCoreAllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
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	Major Illness
text		1..1	string	標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]
patient		1..1	Reference(門診病歷-病人基本資料)	誰有此過敏或不耐受？
reference	S	1..1	string	病人
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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） 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
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
clinicalStatus	S	0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: AllergyIntoleranceClinicalStatusCodes (required): 過過敏或不耐症的臨床狀態；應填入所綁定值集中的其中一個代碼。
verificationStatus	S	0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: AllergyIntoleranceVerificationStatusCodes (required): 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；應填入所綁定值集中的其中一個代碼。
code	S	1..1	CodeableConceptTW	Major Illness 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。
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
text	SΣ	1..1	string	標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]
patient	SΣ	1..1	Reference(門診病歷-病人基本資料)	誰有此過敏或不耐受？
reference	SΣC	1..1	string	病人
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 | RelatedPerson)	誰記錄了過敏或不耐受
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	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
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	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.code	extensible	AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes http://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard
AllergyIntolerance.reaction.manifestation	extensible	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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..*	TWCoreAllergyIntolerance	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。 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
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	Σ	0..*	Identifier	過敏或不耐症之外部識別碼
clinicalStatus	S	0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: AllergyIntoleranceClinicalStatusCodes (required): 過過敏或不耐症的臨床狀態；應填入所綁定值集中的其中一個代碼。
verificationStatus	S	0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: AllergyIntoleranceVerificationStatusCodes (required): 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；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	Major Illness 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。
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	SΣ	1..1	string	標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]
patient	SΣ	1..1	Reference(門診病歷-病人基本資料)	誰有此過敏或不耐受？
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	SΣC	1..1	string	病人
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(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 | RelatedPerson)	誰記錄了過敏或不耐受
asserter	Σ	0..1	Reference(TW Core Patient | 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	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
modifierExtension	?!Σ	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
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 （整個事件的程度） Binding: AllergyIntoleranceSeverity (required): 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	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	extensible	AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes http://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard
AllergyIntolerance.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
AllergyIntolerance.reaction.substance	extensible	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard
AllergyIntolerance.reaction.manifestation	extensible	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	extensible	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Constraints

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 TWCoreAllergyIntolerance

Summary

Mandatory: 2 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• 門診病歷-病人基本資料 (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRPatient)

Differential View

This structure is derived from TWCoreAllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
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	Major Illness
text		1..1	string	標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]
patient		1..1	Reference(門診病歷-病人基本資料)	誰有此過敏或不耐受？
reference	S	1..1	string	病人
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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） 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
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
clinicalStatus	S	0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: AllergyIntoleranceClinicalStatusCodes (required): 過過敏或不耐症的臨床狀態；應填入所綁定值集中的其中一個代碼。
verificationStatus	S	0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: AllergyIntoleranceVerificationStatusCodes (required): 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；應填入所綁定值集中的其中一個代碼。
code	S	1..1	CodeableConceptTW	Major Illness 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。
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
text	SΣ	1..1	string	標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]
patient	SΣ	1..1	Reference(門診病歷-病人基本資料)	誰有此過敏或不耐受？
reference	SΣC	1..1	string	病人
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 | RelatedPerson)	誰記錄了過敏或不耐受
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	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
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	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.code	extensible	AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes http://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard
AllergyIntolerance.reaction.manifestation	extensible	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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..*	TWCoreAllergyIntolerance	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。 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
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	Σ	0..*	Identifier	過敏或不耐症之外部識別碼
clinicalStatus	S	0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: AllergyIntoleranceClinicalStatusCodes (required): 過過敏或不耐症的臨床狀態；應填入所綁定值集中的其中一個代碼。
verificationStatus	S	0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: AllergyIntoleranceVerificationStatusCodes (required): 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；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	Major Illness 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。
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	SΣ	1..1	string	標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]
patient	SΣ	1..1	Reference(門診病歷-病人基本資料)	誰有此過敏或不耐受？
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	SΣC	1..1	string	病人
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(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 | RelatedPerson)	誰記錄了過敏或不耐受
asserter	Σ	0..1	Reference(TW Core Patient | 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	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
modifierExtension	?!Σ	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
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 （整個事件的程度） Binding: AllergyIntoleranceSeverity (required): 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	Conformance	ValueSet	URI
AllergyIntolerance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 from the FHIR Standard
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 from the FHIR Standard
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 from the FHIR Standard
AllergyIntolerance.code	extensible	AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes http://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard
AllergyIntolerance.patient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
AllergyIntolerance.reaction.substance	extensible	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard
AllergyIntolerance.reaction.manifestation	extensible	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 from the FHIR Standard
AllergyIntolerance.reaction.exposureRoute	extensible	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Constraints

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 TWCoreAllergyIntolerance

Summary

Mandatory: 2 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• 門診病歷-病人基本資料 (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRPatient)

Other representations of profile: CSV, Excel, Schematron