| Left: | US Core AllergyIntolerance Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance) |
| Right: | DAPL AllergyIntolerance (http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-allergyintolerance) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance' vs 'http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-allergyintolerance' |
| Error | StructureDefinition.version | Values for version differ: '9.0.0-ballot' vs '0.1.0' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreAllergyIntolerance' vs 'DAPLAllergyIntolerance' |
| Information | StructureDefinition.title | Values for title differ: 'US Core AllergyIntolerance Profile' vs 'DAPL AllergyIntolerance' |
| Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2026-03-26T14:18:44+00:00' |
| Information | StructureDefinition.short | Values for short differ: 'Allergy or Intolerance (generally: Risk of adverse reaction to a substance)' vs 'DAPL AllergyIntolerance' |
| Information | StructureDefinition.definition | Values 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 profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized Allergies and Intolerances.' |
| Information | StructureDefinition.short | Values for short differ: 'Logical id of this artifact' vs 'The AllergyIntolerance identifier generated by the DARTS deidentification or anonymization service' |
| Information | StructureDefinition.definition | Values for definition differ: 'The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.' vs 'DAPL resource identifier.' |
| Warning | AllergyIntolerance.id | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Text summary of the resource, for human interpretation' vs 'Cannot include any text in the resource as part of the deidentified or anonymized data.' |
| Information | AllergyIntolerance.text | Element maximum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.short | Values for short differ: 'Contained, inline Resources' vs 'Cannot include any contained resources in the resource as part of the deidentified or anonymized data.' |
| Information | AllergyIntolerance.contained | Element maximum cardinalities differ: '2147483647' vs '0' |
| Warning | AllergyIntolerance.type | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | AllergyIntolerance.category | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | AllergyIntolerance.criticality | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | AllergyIntolerance.onset[x] | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | AllergyIntolerance.recordedDate | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who recorded the sensitivity' vs 'Who recorded the sensitivity' |
| Warning | AllergyIntolerance.reaction.severity | Elements differ in definition for mustSupport: 'false' vs 'true' |
| 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 | 2023-10-17 | 2026-03-26T14:18:44+00:00 |
|
| description | 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. | The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized Allergies and Intolerances. |
|
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreAllergyIntolerance | DAPLAllergyIntolerance |
|
| publisher | HL7 International / Cross-Group Projects | ||
| purpose | |||
| status | active | ||
| title | US Core AllergyIntolerance Profile | DAPL AllergyIntolerance |
|
| type | AllergyIntolerance | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-allergyintolerance |
|
| version | 9.0.0-ballot | 0.1.0 |
|
| 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 | DAPL AllergyIntolerance | |||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | SΣ | 0..1 | id | The AllergyIntolerance identifier generated by the DARTS deidentification or anonymization service |
| ||||||||
| 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.
| 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..0 | Cannot include any text in the resource as part of the deidentified or anonymized data. This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..0 | Cannot include any contained resources in the resource as part of the deidentified or anonymized data. |
| |||||||||||
 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 | active | inactive | resolved Binding: ?? (required) | ?!SΣC | 0..1 | CodeableConcept | active | inactive | resolved Binding: ?? (required): The clinical status of the allergy or intolerance. | |||||||||
| verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: ?? (required) | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | confirmed | refuted | entered-in-error Binding: ?? (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: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk. | SΣ | 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. | SΣ | 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. | SΣ | 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 | Code that identifies the allergy or intolerance Binding: ?? (extensible) | SΣ | 1..1 | CodeableConcept | Code that identifies the allergy or intolerance Binding: ?? (extensible): The set of codes indicating the allergy or intolerance | |||||||||
 patient | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the sensitivity is for | SΣ | 1..1 | Reference(DAPL Deidentified Patient) | Who the sensitivity is for | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing |
| |||||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| ||||||||||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (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..0 | Text alternative for the resource |
| |||||||||||||
| 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 | S | 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 | S | 0..1 | dateTime | Date first version of the resource instance was recorded |
| |||||||||
| recorder | 0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: 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 | 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 | Clinical symptoms/signs associated with the Event Binding: ?? (extensible) | S | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event Binding: ?? (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 | 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. | S | 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 | |||||||||||||||||