Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.5 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ManaakiNgaTahiAllergyIntolerance

Official URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/ManaakiNgaTahiAllergyIntolerance Version: 0.1.3
Active as of 2026-07-20 Computable Name: ManaakiNgaTahiAllergyIntolerance

AllergyIntolerance FHIR resource for Manaaki Nga Tahi

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... patient Σ 1..1 Reference(Patient) Who the sensitivity is for

doco 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.

Constraints

Id Grade Path(s) Description Expression
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())

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... contained 0..0 Contained, inline Resources
... criticality 0..0 low | high | unable-to-assess
... encounter 0..0 Encounter when the allergy or intolerance was asserted
... onset[x] 0..0 When allergy or intolerance was identified
... recordedDate 0..0 Date first version of the resource instance was recorded
... asserter 0..0 Source of the information about the allergy
... lastOccurrence 0..0 Date(/time) of last known occurrence of a reaction
... note 0..0 Additional text not captured in other fields
... reaction
.... extension 0..0 Extension
.... modifierExtension 0..0 Extension
.... substance 0..0 Specific substance or pharmaceutical product considered to be responsible for event
.... onset 0..0 Date(/time) when manifestations showed
.... exposureRoute 0..0 How the subject was exposed to the substance
.... note 0..0 Text about event not captured in other fields

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type Σ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
... category Σ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... code Σ 0..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
... patient Σ 1..1 Reference(Patient) Who the sensitivity is for
... recorder 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the sensitivity
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
.... description 0..1 string Description of the event as a whole
.... severity 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

doco 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.type Base required AllergyIntoleranceType 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

Prohibited: 17 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... patient Σ 1..1 Reference(Patient) Who the sensitivity is for

doco 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.

Constraints

Id Grade Path(s) Description Expression
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())

Differential View

This structure is derived from AllergyIntolerance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... contained 0..0 Contained, inline Resources
... criticality 0..0 low | high | unable-to-assess
... encounter 0..0 Encounter when the allergy or intolerance was asserted
... onset[x] 0..0 When allergy or intolerance was identified
... recordedDate 0..0 Date first version of the resource instance was recorded
... asserter 0..0 Source of the information about the allergy
... lastOccurrence 0..0 Date(/time) of last known occurrence of a reaction
... note 0..0 Additional text not captured in other fields
... reaction
.... extension 0..0 Extension
.... modifierExtension 0..0 Extension
.... substance 0..0 Specific substance or pharmaceutical product considered to be responsible for event
.... onset 0..0 Date(/time) when manifestations showed
.... exposureRoute 0..0 How the subject was exposed to the substance
.... note 0..0 Text about event not captured in other fields

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AllergyIntolerance C 0..* AllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Constraints: ait-1, ait-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... identifier Σ 0..* Identifier External ids for this item
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | inactive | resolved
Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | confirmed | refuted | entered-in-error
Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
... type Σ 0..1 code allergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
... category Σ 0..* code food | medication | environment | biologic
Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
... code Σ 0..1 CodeableConcept Code that identifies the allergy or intolerance
Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
... patient Σ 1..1 Reference(Patient) Who the sensitivity is for
... recorder 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the sensitivity
... reaction 0..* BackboneElement Adverse Reaction Events linked to exposure to substance
.... id 0..1 string Unique id for inter-element referencing
.... manifestation 1..* CodeableConcept Clinical symptoms/signs associated with the Event
Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
.... description 0..1 string Description of the event as a whole
.... severity 0..1 code mild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

doco 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.type Base required AllergyIntoleranceType 📍4.0.1 FHIR Std.
AllergyIntolerance.category Base required AllergyIntoleranceCategory 📍4.0.1 FHIR Std.
AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​manifestation Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

Prohibited: 17 elements

 

Other representations of profile: CSV, Excel, Schematron