Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
date	2022-04-20	2023-10-17	Values Differ
description	To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the AllergyIntolerance resource to record, search, and fetch allergies/adverse reactions associated with a patient. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.	The US Core AllergyIntolerance Profile inherits from the FHIR [AllergyIntolerance](https://hl7.org/fhir/R4/allergyintolerance.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the AllergyIntolerance resource to record, search, and fetch allergies/adverse reactions associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreAllergyIntolerance
publisher	HL7 International - Cross-Group Projects	HL7 International / Cross-Group Projects	Values Differ
purpose
status	active
title	US Core AllergyIntolerance Profile
type	AllergyIntolerance
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance
version	6.1.0	8.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy 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	C	0..*	AllergyIntolerance	Allergy 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
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!SΣC	0..1	CodeableConcept	(USCDI) active | inactive | resolved Binding: ?? (required)	?!SΣC	0..1	CodeableConcept	active | inactive | resolved Binding: ?? (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	(USCDI) unconfirmed | confirmed | refuted | entered-in-error Binding: ?? (required)	?!SΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: ?? (required)
type	Σ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.	Σ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: ?? (required): Category of an identified substance associated with allergies or intolerances.	Σ	0..*	code	food | medication | environment | biologic Binding: ?? (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.	Σ	0..1	code	low | high | unable-to-assess Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	SΣ	1..1	CodeableConcept	(USCDI) Code that identifies the allergy or intolerance Binding: ?? (extensible)	SΣ	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: ?? (extensible)
patient	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who the sensitivity is for	SΣ	1..1	Reference(US Core Patient Profile)	Who the sensitivity is for
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]		0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified		0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields		0..*	Annotation	Additional text not captured in other fields
reaction	S	0..*	BackboneElement	(USCDI) Adverse Reaction Events linked to exposure to substance	S	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: ?? (example): Codes defining the type of the substance (including pharmaceutical products).		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: ?? (example): Codes defining the type of the substance (including pharmaceutical products).
manifestation	S	1..*	CodeableConcept	(USCDI) Clinical symptoms/signs associated with the Event Binding: ?? (extensible)	S	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: ?? (extensible)
description		0..1	string	Description of the event as a whole		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed		0..1	dateTime	Date(/time) when manifestations showed
severity		0..1	code	mild | 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..1	code	mild | 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..1	CodeableConcept	How 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..1	CodeableConcept	How 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.
note		0..*	Annotation	Text about event not captured in other fields		0..*	Annotation	Text about event not captured in other fields
Documentation for this format