Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-allergyintolerance vs http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-allergyintolerance

Left:IPA-AllergyIntolerance (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-allergyintolerance)
Right:AllergyIntolerance Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-allergyintolerance)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-allergyintolerance' vs 'http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-allergyintolerance'
InformationStructureDefinition.nameValues for name differ: 'IPAAllergyIntolerance' vs 'AllergyIntoleranceProfile'
InformationStructureDefinition.titleValues for title differ: 'IPA-AllergyIntolerance' vs 'AllergyIntolerance Profile'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2022-08-02' vs '2024-11-24'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Canada - FHIR Implementation Work Group'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'urn:iso:std:iso:3166#CA'
InformationStructureDefinition.shortValues for short differ: 'Allergy or Intolerance (generally: Risk of adverse reaction to a substance)' vs 'AllergyIntolerance Profile'
InformationStructureDefinition.definitionValues for definition differ: 'Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.' vs 'The AllergyIntolerance Profile is based upon the core FHIR AllergyIntolerance Resource'
WarningAllergyIntolerance.clinicalStatusElements differ in definition for mustSupport: 'true' vs 'false'
WarningAllergyIntolerance.verificationStatusElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.commentValues for comment differ: 'This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to [search](http://hl7.org/fhir/R4/search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.' vs 'Some implementers may utilize value sets where category is readily distinguishable while others may not, and those that do not use those value sets should consider making category MS in their profiles'
InformationAllergyIntolerance.codeElement minimum cardinalities differ: '1' vs '0'
WarningAllergyIntolerance.reaction.manifestationElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.commentValues for comment differ: 'Coding of the route of exposure with a terminology should be used wherever possible.' vs 'The binding strength of this element is [Preferred](https://www.hl7.org/fhir/terminologies.html#strength), meaning that codes are encouraged to draw from the RouteOfAdministration value set for interoperability purposes but are not required to do so to be considered conformant.'
InformationAllergyIntolerance.reaction.exposureRouteExample/preferred bindings differ at AllergyIntolerance.reaction.exposureRoute using binding from AllergyIntoleranceProfile

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/AllergyIntolerance
      .copyrightUsed by permission of HL7 International all rights reserved Creative Commons License
      • Removed the item 'Used by permission of HL7 International all rights reserved Creative Commons License'
      .date2022-08-022024-11-24
      • Values Differ
      .descriptionMinimum expectations for an AllergyIntolerance resource when accessed via a International Patient Access APIProposed constraints and extensions on the AllergyIntolerance Resource
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
          • Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
          ..jurisdiction[1]urn:iso:std:iso:3166#CA
          • Added the item 'urn:iso:std:iso:3166#CA'
          .kindresource
            .nameIPAAllergyIntoleranceAllergyIntoleranceProfile
            • Values Differ
            .publisherHL7 International / Patient CareHL7 Canada - FHIR Implementation Work Group
            • Values Differ
            .purpose
              .statusactivedraft
              • Values Differ
              .titleIPA-AllergyIntoleranceAllergyIntolerance Profile
              • Values Differ
              .typeAllergyIntolerance
                .urlhttp://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-allergyintolerancehttp://hl7.org/fhir/ca/baseline/StructureDefinition/profile-allergyintolerance
                • Values Differ
                .version1.1.0

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                  .. AllergyIntolerance C0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
                  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
                  C0..*AllergyIntoleranceAllergyIntolerance Profile
                  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
                  ca-baseline-allergy: AllergyIntolerance.verificationStatus SHALL be present if AllergyIntolerance.code represents NullFlavor concept
                  ca-baseline-allergy-notasked: if AllergyIntolerance.code is a NullFlavor value, then AllergyIntolerance.clinicalStatus, AllergyIntolerance.type, AllergyIntolerance.category, AllergyIntolerance.criticality SHALL NOT be present
                  ca-baseline-allergy-noallergy: if AllergyIntolerance.code is '716186003' No known allergy, then AllergyIntolerance.verificationStatus SHALL be one of the following: confirmed | refuted | entered-in-error
                    ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                      ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                          ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                            ... contained 0..*ResourceContained, inline Resources
                            0..*ResourceContained, inline Resources
                              ... extension 0..*ExtensionAdditional content defined by implementations
                              0..*ExtensionAdditional content defined by implementations
                                ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                ?!0..*ExtensionExtensions that cannot be ignored
                                  ... identifier Σ0..*IdentifierExternal ids for this item
                                  Σ0..*IdentifierExternal ids for this item
                                    ... clinicalStatus ?!SOΣC0..1CodeableConceptactive | inactive | resolved
                                    Binding: ?? (required): The clinical status of the allergy or intolerance.

                                    ObligationsActor
                                    SHALL:populate-if-knownhttp://hl7.org/fhir/uv/ipa/ActorDefinition/server
                                    SHALL:handlehttp://hl7.org/fhir/uv/ipa/ActorDefinition/client
                                    ?!ΣC0..1CodeableConceptactive | inactive | resolved
                                    Binding: ?? (required): The clinical status of the allergy or intolerance.

                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                    ... verificationStatus ?!SOΣC0..1CodeableConceptunconfirmed | confirmed | refuted | entered-in-error
                                    Binding: ?? (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

                                    ObligationsActor
                                    SHALL:populate-if-knownhttp://hl7.org/fhir/uv/ipa/ActorDefinition/server
                                    SHALL:handlehttp://hl7.org/fhir/uv/ipa/ActorDefinition/client
                                    ?!ΣC0..1CodeableConceptunconfirmed | confirmed | refuted | entered-in-error
                                    Binding: ?? (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                    ... type Σ0..1codeallergy | intolerance - Underlying mechanism (if known)
                                    Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.

                                    Σ0..1codeallergy | intolerance - Underlying mechanism (if known)
                                    Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.

                                      ... category Σ0..*codefood | medication | environment | biologic
                                      Binding: ?? (required): Category of an identified substance associated with allergies or intolerances.


                                      Σ0..*codefood | medication | environment | biologic
                                      Binding: ?? (required): Category of an identified substance associated with allergies or intolerances.


                                        ... criticality Σ0..1codelow | high | unable-to-assess
                                        Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

                                        Σ0..1codelow | high | unable-to-assess
                                        Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.

                                          ... code SOΣ1..1CodeableConceptCode that identifies the allergy or intolerance
                                          Binding: ?? (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.

                                          ObligationsActor
                                          SHALL:populate-if-knownhttp://hl7.org/fhir/uv/ipa/ActorDefinition/server
                                          SHOULD:handlehttp://hl7.org/fhir/uv/ipa/ActorDefinition/client
                                          SΣ0..1CodeableConceptCode that identifies the allergy or intolerance
                                          Binding: ?? (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.

                                          • Element minimum cardinalities differ: '1' vs '0'
                                          .... id 0..1stringUnique id for inter-element referencing
                                          • Added this element
                                          .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                          Slice: Unordered, Open by value:url
                                          • Added this element
                                          .... Slices for coding Σ0..*CodingCode defined by a terminology system
                                          Slice: Unordered, Closed by value:system
                                          • Added this element
                                          .... text Σ0..1stringPlain text representation of the concept
                                          • Added this element
                                          ... patient SOΣ1..1Reference(IPA-Patient)Who the sensitivity is for
                                          ObligationsActor
                                          SHALL:populate-if-knownhttp://hl7.org/fhir/uv/ipa/ActorDefinition/server
                                          SΣ1..1Reference(Patient Profile)Who the sensitivity is for
                                            ... encounter 0..1Reference(Encounter)Encounter when the allergy or intolerance was asserted0..1Reference(Encounter Profile)Encounter when the allergy or intolerance was asserted
                                              ... onset[x] 0..1dateTime, Age, Period, Range, stringWhen allergy or intolerance was identified0..1dateTime, Age, Period, Range, stringWhen allergy or intolerance was identified
                                              Slice: Unordered, Open by type:$this
                                                ... recordedDate 0..1dateTimeDate first version of the resource instance was recorded0..1dateTimeDate first version of the resource instance was recorded
                                                  ... recorder 0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the sensitivity0..1Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile)Who recorded the sensitivity
                                                    ... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Source of the information about the allergyΣ0..1Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General))Source of the information about the allergy
                                                      ... lastOccurrence 0..1dateTimeDate(/time) of last known occurrence of a reaction0..1dateTimeDate(/time) of last known occurrence of a reaction
                                                        ... note 0..*AnnotationAdditional text not captured in other fields
                                                        0..*AnnotationAdditional text not captured in other fields
                                                          ... reaction 0..*BackboneElementAdverse Reaction Events linked to exposure to substance
                                                          0..*BackboneElementAdverse Reaction Events linked to exposure to substance
                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                              0..*ExtensionAdditional content defined by implementations
                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                  .... substance 0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
                                                                  Binding: ?? (example): Codes defining the type of the substance (including pharmaceutical products).

                                                                  0..1CodeableConceptSpecific substance or pharmaceutical product considered to be responsible for event
                                                                  Binding: ?? (example): Codes defining the type of the substance (including pharmaceutical products).

                                                                    ..... id 0..1stringUnique id for inter-element referencing
                                                                    • Added this element
                                                                    ..... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                    Slice: Unordered, Open by value:url
                                                                    • Added this element
                                                                    ..... Slices for coding Σ0..*CodingCode defined by a terminology system
                                                                    Slice: Unordered, Closed by value:system
                                                                    • Added this element
                                                                    ..... text Σ0..1stringPlain text representation of the concept
                                                                    • Added this element
                                                                    .... manifestation 1..*CodeableConceptClinical symptoms/signs associated with the Event
                                                                    Binding: ?? (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.


                                                                    S1..*CodeableConceptClinical symptoms/signs associated with the Event
                                                                    Binding: ?? (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.


                                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                    .... description 0..1stringDescription of the event as a whole0..1stringDescription of the event as a whole
                                                                      .... onset 0..1dateTimeDate(/time) when manifestations showed0..1dateTimeDate(/time) when manifestations showed
                                                                        .... severity 0..1codemild | moderate | severe (of event as a whole)
                                                                        Binding: ?? (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

                                                                        0..1codemild | moderate | severe (of event as a whole)
                                                                        Binding: ?? (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.

                                                                          .... exposureRoute 0..1CodeableConceptHow the subject was exposed to the substance
                                                                          Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

                                                                          0..1CodeableConceptHow the subject was exposed to the substance
                                                                          Binding: ?? (preferred): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

                                                                          • Example/preferred bindings differ at AllergyIntolerance.reaction.exposureRoute using binding from AllergyIntoleranceProfile
                                                                          .... note 0..*AnnotationText about event not captured in other fields
                                                                          0..*AnnotationText about event not captured in other fields

                                                                            doco Documentation for this format