Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips vs http://hl7.eu/fhir/base-r5/StructureDefinition/allergyIntolerance-eu-core

Left:AllergyIntolerance (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips)
Right:AllergyIntolerance (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/allergyIntolerance-eu-core)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips' vs 'http://hl7.eu/fhir/base-r5/StructureDefinition/allergyIntolerance-eu-core'
ErrorStructureDefinition.versionValues for version differ: '2.0.0' vs '2.0.0-recon'
InformationStructureDefinition.nameValues for name differ: 'AllergyIntoleranceUvIps' vs 'AllergyIntoleranceEuCore'
InformationStructureDefinition.titleValues for title differ: 'AllergyIntolerance (IPS)' vs 'AllergyIntolerance (EU core)'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2024-06-19T10:50:07-05:00' vs '2026-02-24T09:37:27+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
WarningStructureDefinition.fhirVersionValues for fhirVersion differ: '4.0.1' vs '5.0.0'
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 'Risk of harmful or undesirable physiological response which is specific to an individual and associated with exposure to a substance.'
InformationStructureDefinition.commentValues for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' vs 'Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.'
InformationStructureDefinition.commentValues for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.'
InformationStructureDefinition.shortValues for short differ: 'Language of the resource content' vs 'Language of the allergy or intolerance content'
InformationStructureDefinition.commentValues for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.' vs 'Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
InformationStructureDefinition.definitionValues for definition differ: 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.' vs 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.'
InformationStructureDefinition.commentValues for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'External ids for this item' vs 'Business identifier for the allergy or intolerance'
InformationStructureDefinition.commentValues for comment differ: 'This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.' vs 'This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R5/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.'
InformationStructureDefinition.shortValues for short differ: 'active | inactive | resolved' vs 'Current allergy or Intolerance status'
InformationStructureDefinition.commentValues for comment differ: 'Refer to [discussion](http://hl7.org/fhir/R4/extensibility.html#Special-Case) if clincalStatus is missing data. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.' vs 'AllergyIntolerance.clinicalStatus should be present if verificationStatus is not entered-in-error and the AllergyIntolerance.code isn't negated (No Known Allergy, No Drug Allergy, No Food Allergy, No Latex Allergy). Refer to [discussion](http://hl7.org/fhir/R5/extensibility.html#Special-Case) if clinicalStatus is missing data. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.'
WarningAllergyIntolerance.clinicalStatusElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'unconfirmed | confirmed | refuted | entered-in-error' vs 'Certainty'
InformationStructureDefinition.definitionValues for definition differ: 'Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).' vs 'Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product). The verification status pertains to the allergy or intolerance, itself, not to any specific AllergyIntolerance attribute.'
InformationStructureDefinition.commentValues for comment differ: 'In the scope of the IPS the entered-in-error concept is not allowed.' vs 'The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.'
InformationStructureDefinition.shortValues for short differ: 'allergy | intolerance - Underlying mechanism (if known)' vs 'Type of propensity'
WarningAllergyIntolerance.typeElements 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 '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/R5/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.'
InformationStructureDefinition.shortValues for short differ: 'low | high | unable-to-assess' vs 'Criticality'
WarningAllergyIntolerance.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Who the sensitivity is for' vs 'Who the allergy or intolerance concerns'
WarningAllergyIntolerance.patientElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'When allergy or intolerance was identified' vs 'Date of onset of the allergy or intolerance'
WarningAllergyIntolerance.onset[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Date first version of the resource instance was recorded' vs 'Date when the allergy or intolerance was recorded'
InformationStructureDefinition.commentValues for comment differ: 'This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.' vs 'This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the AllergyIntolerance.note element should be used.'
WarningAllergyIntolerance.reactionElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
WarningAllergyIntolerance.reaction.manifestationElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.commentValues for comment differ: 'Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.' vs 'Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the note field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.'
InformationStructureDefinition.shortValues for short differ: 'Date(/time) when manifestations showed' vs 'Reaction onset'
InformationStructureDefinition.shortValues for short differ: 'mild | moderate | severe (of event as a whole)' vs 'Reaction severity'
WarningAllergyIntolerance.reaction.severityElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/AllergyIntolerance
      .copyrightCopyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).
      • Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
      .date2024-06-19T10:50:07-05:002026-02-24T09:37:27+00:00
      • Values Differ
      .descriptionThis profile represents the constraints applied to the AllergyIntolerance resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the patient summary as an instance of an AllergyIntolerance resource constrained by this profile. It documents the relevant allergies or intolerances for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.This profile introduces essential constraints and extensions for the AllergyIntolerance resource that apply across multiple use cases.
      • Values Differ
      .experimental
        .fhirVersion4.0.15.0.0
        • Values Differ
        .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]http://unstats.un.org/unsd/methods/m49/m49.htm#150
          • Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
          .kindresource
            .nameAllergyIntoleranceUvIpsAllergyIntoleranceEuCore
            • Values Differ
            .publisherHL7 International / Patient CareHL7 Europe
            • Values Differ
            .purposeThis profile constrains the representation of a record of an allergy or intolerance of the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.
            • Removed the item 'This profile constrains the representation of a record of an allergy or intolerance of the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.'
            .statusactivedraft
            • Values Differ
            .titleAllergyIntolerance (IPS)AllergyIntolerance (EU core)
            • Values Differ
            .typeAllergyIntolerance
              .urlhttp://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ipshttp://hl7.eu/fhir/base-r5/StructureDefinition/allergyIntolerance-eu-core
              • Values Differ
              .version2.0.02.0.0-recon
              • Values Differ

              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)
              0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
                ... 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 interpretation
                      This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                      0..1NarrativeText 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..*ResourceContained, inline Resources
                        0..*ResourceContained, inline Resources
                          ... Slices for extension 0..*ExtensionExtension
                          Slice: Unordered, Open by value:url
                          0..*ExtensionExtension
                          Slice: Unordered, Open by value:url
                            ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                            ?!Σ0..*ExtensionExtensions that cannot be ignored
                              ... identifier Σ0..*IdentifierExternal ids for this item
                              Σ0..*IdentifierBusiness identifier for the allergy or intolerance
                                ... clinicalStatus ?!SOΣC0..1??active | inactive | resolved
                                Binding: ?? (required): The clinical status of the allergy or intolerance.
                                ObligationsActor
                                SHALL:populate-if-knownCreator (IPS)
                                SHALL:handleConsumer (IPS)
                                SHOULD:displayConsumer (IPS)
                                ?!Σ0..1CodeableConceptCurrent allergy or Intolerance status
                                Binding: ?? (required): The clinical status of the allergy or intolerance.
                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                ... verificationStatus ?!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.
                                ?!Σ0..1CodeableConceptCertainty
                                Binding: ?? (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
                                  ... type SOΣ0..1codeallergy | intolerance - Underlying mechanism (if known)
                                  Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.
                                  ObligationsActor
                                  SHALL:populate-if-knownCreator (IPS)
                                  SHALL:handleConsumer (IPS)
                                  SHOULD:displayConsumer (IPS)
                                  Σ0..1CodeableConceptType of propensity
                                  Binding: ?? (preferred): Identification of the underlying physiological mechanism for a Reaction Risk.
                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                  ... 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..1codeCriticality
                                    Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
                                      ... code SOΣ1..1??Code that identifies the allergy or intolerance
                                      Binding: ?? (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy.
                                      Additional BindingsPurpose
                                      ??candidate
                                      ObligationsActor
                                      SHALL:populate-if-knownCreator (IPS)
                                      SHALL:handleConsumer (IPS)
                                      SHOULD:displayConsumer (IPS)
                                      Σ1..1CodeableConceptCode that identifies the allergy or intolerance
                                      Binding: ?? (preferred)
                                      Additional BindingsPurpose
                                      ??candidate
                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      ... patient SOΣ1..1Reference(Patient (IPS))Who the sensitivity is for
                                      ObligationsActor
                                      SHALL:populate-if-knownCreator (IPS)
                                      SHALL:handleConsumer (IPS)
                                      SHOULD:displayConsumer (IPS)
                                      Σ1..1Reference(Patient (EU core))Who the allergy or intolerance concerns
                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      .... id 0..1stringUnique id for inter-element referencing
                                      • Removed this element
                                      .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                      Slice: Unordered, Open by value:url
                                      • Removed this element
                                      .... reference SOΣC1..1stringLiteral reference, Relative, internal or absolute URL
                                      ObligationsActor
                                      SHALL:populate-if-knownCreator (IPS)
                                      SHALL:handleConsumer (IPS)
                                      • Removed this element
                                      .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                      • Removed this element
                                      .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                                      • Removed this element
                                      .... display Σ0..1stringText alternative for the resource
                                      • Removed this element
                                      ... encounter 0..1Reference(Encounter)Encounter when the allergy or intolerance was asserted0..1Reference(Encounter)Encounter when the allergy or intolerance was asserted
                                        ... Slices for onset[x] SO0..1dateTime, Age, Period, Range, stringWhen allergy or intolerance was identified
                                        Slice: Unordered, Open by type:$this
                                        ObligationsActor
                                        SHALL:populate-if-knownCreator (IPS)
                                        SHALL:handleConsumer (IPS)
                                        SHOULD:displayConsumer (IPS)
                                        0..1dateTime, Age, Period, Range, stringDate of onset of the allergy or intolerance
                                        Slice: Unordered, Open by type:$this
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... recordedDate 0..1dateTimeDate first version of the resource instance was recorded0..1dateTimeDate when the allergy or intolerance was recorded
                                          ... recorder 0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the sensitivity
                                          • Removed this element
                                          ... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Source of the information about the allergy
                                          • Removed this element
                                          ... 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
                                              .... id 0..1idUnique 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
                                              .... author[x] Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization), stringIndividual responsible for the annotation
                                              • Added this element
                                              .... time Σ0..1dateTimeWhen the annotation was made
                                              • Added this element
                                              .... text Σ1..1markdownAdditional information about the allergy or intolerance
                                              • Added this element
                                              ... reaction SO0..*BackboneElementAdverse Reaction Events linked to exposure to substance
                                              ObligationsActor
                                              SHALL:populate-if-knownCreator (IPS)
                                              SHALL:handleConsumer (IPS)
                                              SHOULD:displayConsumer (IPS)
                                              0..*BackboneElementAdverse Reaction Events linked to exposure to substance
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              .... 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)
                                                      .... manifestation SO1..*??Clinical symptoms/signs associated with the Event
                                                      Binding: ?? (preferred): Code for the allergy or intolerance reaction manifestation from SNOMED CT.
                                                      ObligationsActor
                                                      SHALL:populate-if-knownCreator (IPS)
                                                      SHALL:handleConsumer (IPS)
                                                      SHOULD:displayConsumer (IPS)
                                                      1..*CodeableReference(Observation)Clinical symptoms/signs associated with the Event
                                                      Binding: ?? (preferred)
                                                      Additional BindingsPurpose
                                                      ??candidate

                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      .... description 0..1stringDescription of the event as a whole0..1stringDescription of the event as a whole
                                                        .... onset 0..1dateTimeDate(/time) when manifestations showed0..1dateTimeReaction onset
                                                          .... severity SO0..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.
                                                          ObligationsActor
                                                          SHALL:populate-if-knownCreator (IPS)
                                                          SHALL:handleConsumer (IPS)
                                                          SHOULD:displayConsumer (IPS)
                                                          0..1codeReaction severity
                                                          Binding: ?? (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
                                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                          .... 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: ?? (example): A coded concept describing the route or physiological path of exposure to a substance.
                                                            .... note 0..*AnnotationText about event not captured in other fields
                                                            0..*AnnotationText about event not captured in other fields
                                                              ... participant Σ0..*BackboneElementWho or what participated in the activities related to the allergy or intolerance and how they were involved
                                                              • Added this element

                                                              doco Documentation for this format