Profile Comparison between http://fhir.ch/ig/ch-allergyintolerance/StructureDefinition/ch-allergyintolerance vs http://fhir.ch/ig/ch-allergyintolerance/StructureDefinition/ch-allergyintolerance

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
copyright	CC-BY-SA-4.0
date	2021-06-17T13:50:03+02:00	2022-02-11T14:13:49+01:00	Values Differ
description	This profile represents the constraints applied to the AllergyIntolerance resource in the Swiss context - in adaption of the definition by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the Swiss EPR, in a TransistionOfCare Document or similar as an instance of an AllergyIntolerance resource constrained by this profile. It documents the relevant allergies or intolerances (conditions) 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 represents the constraints applied to the AllergyIntolerance resource in the Swiss context - in adaption of the definition by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the Swiss EPR, in a TransitionOfCare transaction or similar 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.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#CH
kind	resource
name	CHAllergyIntolerance
publisher	HL7 Switzerland
purpose	This profile constrains the representation of a record of an allergy or intolerance of the patient, in the context of a Swiss patient in adaption of the one specified by the IPS project of HL7 International.
status	draft
title	CH Allergy Intolerance
type	AllergyIntolerance
url	http://fhir.ch/ig/ch-allergyintolerance/StructureDefinition/ch-allergyintolerance
version	0.2.0	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
AllergyIntolerance	SI	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)	SI	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	string	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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	?!SΣI	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.	?!SΣI	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣI	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.	?!SΣI	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	SΣ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.	SΣ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.	SΣ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.	Elements differ in definition for mustSupport: 'false' vs 'true'
criticality	SΣ	0..1	code	low | high | unable-to-assess Binding: AllergyIntoleranceCriticality (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: AllergyIntoleranceCriticality (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: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/ch-allergy-intolerance-value-set (preferred)	SΣ	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: CHAllergyIntoleranceValueSet (extensible)
patient	Σ	1..1	Reference(CH Core Patient Profile)	Who the sensitivity is for	Σ	1..1	Reference(CH 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
Slices for onset[x]		0..1	dateTime	When allergy or intolerance was identified Slice: Unordered, Closed by type:$this		0..1	dateTime	When allergy or intolerance was identified Slice: Unordered, Closed by type:$this
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(CH Core Practitioner Profile | CH Core Practitioner Role Profile | CH Core Patient Profile | 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(CH Core Practitioner Profile | CH Core Practitioner Role Profile | CH Core Patient Profile | RelatedPerson)	Source of the information about the allergy	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole]]) vs Reference([CanonicalType[http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner], CanonicalType[http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole], CanonicalType[http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance	S	0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: http://fhir.ch/ig/ch-allergyintolerance/ValueSet/ch-allergy-intolerance-substance-value-set (preferred)	S	0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: CHAllergyIntoleranceReactionSubstanceValueSet (extensible)
manifestation	S	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.	S	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: CHAllergyIntoleranceReactionManifestationValueSet (extensible)
description		0..1	string	Description of the event as a whole		0..1	string	Description of the event as a whole
onset	S	0..1	dateTime	Date(/time) when manifestations showed	S	0..1	dateTime	Date(/time) when manifestations showed
severity	S	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (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: AllergyIntoleranceSeverity (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: SNOMEDCTRouteCodes (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: SNOMEDCTRouteCodes (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