| Left: | US Core AllergyIntolerance Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance) |
| Right: | US Core AllergyIntolerance Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance) |
| Error | StructureDefinition.version | Values for version differ: '6.1.0' vs '10.0.0-ballot' |
| Information | StructureDefinition.date | Values for date differ: '2022-04-20' vs '2023-10-17' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Cross-Group Projects' |
| Information | StructureDefinition.definition | Values for definition differ: '\-' vs 'Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.' |
| Information | StructureDefinition.comment | Values for comment differ: '\-' vs 'Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.' |
| Information | AllergyIntolerance.language | Example/preferred bindings differ at AllergyIntolerance.language using binding from USCoreAllergyIntolerance |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) active | inactive | resolved' vs 'active | inactive | resolved' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) unconfirmed | confirmed | refuted | entered-in-error' vs 'unconfirmed | confirmed | refuted | entered-in-error' |
| Information | StructureDefinition.short | Values for short differ: 'low | high | unable-to-assess' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: low | high | unable-to-assess' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Code that identifies the allergy or intolerance' vs 'Code that identifies the allergy or intolerance' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Who the sensitivity is for' vs 'Who the sensitivity is for' |
| Information | StructureDefinition.short | Values for short differ: 'Who recorded the sensitivity' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the sensitivity' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Adverse Reaction Events linked to exposure to substance' vs 'Adverse Reaction Events linked to exposure to substance' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Clinical symptoms/signs associated with the Event' vs 'Clinical symptoms/signs associated with the Event' |
| 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 |
|
| 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. |
|
| 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 |
|
| 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 | 10.0.0-ballot |
|
| 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) | C | 0..* | AllergyIntolerance | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) | |||||||||
 id | 0..1 | id | Logical id of this artifact | 0..1 | id | Logical id of this artifact | |||||||||||
| meta | 0..1 | Meta | Metadata about the resource | 0..1 | Meta | Metadata about the resource | |||||||||||
| implicitRules | 0..1 | uri | A set of rules under which this content was created | 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.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
|
| ||||||||||
| 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 | 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 | |||||||||||
| 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 | 0..* | Identifier | External ids for this item | 0..* | Identifier | External ids for this item | |||||||||||
| clinicalStatus | C | 0..1 | CodeableConcept | (USCDI) active | inactive | resolved Binding: ?? (required) | C | 0..1 | CodeableConcept | active | inactive | resolved Binding: ?? (required) | |||||||||
| verificationStatus | C | 0..1 | CodeableConcept | (USCDI) unconfirmed | confirmed | refuted | entered-in-error Binding: ?? (required) | C | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: ?? (required) | |||||||||
| type | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk. | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk. | |||||||||||
| category | 0..* | code | food | medication | environment | biologic Binding: ?? (required): Category of an identified substance associated with allergies or intolerances. | 0..* | code | food | medication | environment | biologic Binding: ?? (required): Category of an identified substance associated with allergies or intolerances. | |||||||||||
| criticality | 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. | 0..1 | code | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: low | high | unable-to-assess Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. | |||||||||||
| code | 1..1 | CodeableConcept | (USCDI) Code that identifies the allergy or intolerance Binding: ?? (extensible) | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: ?? (extensible) | |||||||||||
| patient | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who the sensitivity is for | 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(US Core Practitioner Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the sensitivity | |||||||||||
| asserter | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy | 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 | 0..* | BackboneElement | (USCDI) Adverse Reaction Events linked to exposure to substance | 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 | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 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 | 1..* | CodeableConcept | (USCDI) Clinical symptoms/signs associated with the Event Binding: ?? (extensible) | 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 | |||||||||||||||||