Profile Comparison between https://gematik.de/fhir/isik/StructureDefinition/ISiKAllergieUnvertraeglichkeit vs http://hl7.eu/fhir/hdr/StructureDefinition/allergyIntolerance-obl-eu-hdr

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/AllergyIntolerance	http://hl7.eu/fhir/hdr/StructureDefinition/allergyIntolerance-eu-hdr	Values Differ
copyright		Used by permission of HL7 Europe, all rights reserved Creative Commons License	Added the item 'Used by permission of HL7 Europe, all rights reserved Creative Commons License'
date	2025-06-26	2025-06-03T12:48:49+02:00	Values Differ
description	Diese Profil ermöglicht die Dokumentation von Allergien und Unverträglichkeiten in ISiK Szenarien. ### Motivation Die Möglichkeit, auf eine Übersicht der Allergien und Unverträglichkeiten eines Patienten zuzugreifen, ist eine wichtige Funktion im klinischen Behandlungsablauf. Dies gilt insbesondere, aber nicht ausschließlich, im Bereich der Arzneimitteltherapiesicherheit. Motivierender Use-Case zur Einführung dieser Profile ist die [Arzneitmitteltherapiesicherheit im Krankenhaus - AMTS](https://simplifier.net/guide/isik-medikation-v4/ImplementationGuide-markdown-UebergreifendeUseCases-AMTS). In FHIR werden Allergien und Unverträglichkeiten mit der [AllergyIntolerance](https://hl7.org/fhir/R4/allergyintolerance.html)-Ressource repräsentiert. ### Kompatibilität Für das Profil ISiKAllergieUnvertraeglichkeit wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISiKAllergieUnvertraeglichkeit valide sind, auch valide sind gegen: * [das Profil KBV_PR_Base_AllergyIntolerance der KBV](https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_AllergyIntolerance) * [das Profil EMDAF_PR_AllergyIntolerance der GEVKO](https://fhir.gevko.de/StructureDefinition/EMDAF_PR_AllergyIntolerance) * [das Profil AllergyIntolerance-uv-ips der International Patient Summary](http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips) Hinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.	This profile defines obligations for the AllergyIntolerance resource for the purpose of this project.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]		http://unstats.un.org/unsd/methods/m49/m49.htm#150	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind	resource
name	ISiKAllergieUnvertraeglichkeit	AllergyIntoleranceEuHdrObligation	Values Differ
publisher	gematik GmbH	HL7 Europe	Values Differ
purpose		This profile constrains the AllergyIntolerance resource for the purpose of project.	Added the item 'This profile constrains the AllergyIntolerance resource for the purpose of project.'
status	active	draft	Values Differ
title		Allergy Intolerance: obligations	Added the item 'Allergy Intolerance: obligations'
type	AllergyIntolerance
url	https://gematik.de/fhir/isik/StructureDefinition/ISiKAllergieUnvertraeglichkeit	http://hl7.eu/fhir/hdr/StructureDefinition/allergyIntolerance-obl-eu-hdr	Values Differ
version	5.0.0	0.1.0-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..*	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) This profile also imposes the profile Allergy Intolerance (IPS) 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	string	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	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		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	?!SΣC	0..1	CodeableConcept	klinischer Status Binding: ?? (required): The clinical status of the allergy or intolerance.	?!ΣC	0..1	??	Current allergy or Intolerance status Binding: ?? (required): The clinical status of the allergy or intolerance.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
coding	SΣ	1..1	Coding	Code defined by a terminology system					Removed this element
text	Σ	0..1	string	Plain text representation of the concept					Removed this element
verificationStatus	?!SΣC	0..1	CodeableConcept	Verifikationsstatus Binding: ?? (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.	?!ΣC	0..1	??	Certainty Binding: ?? (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
coding	SΣ	1..1	Coding	Code defined by a terminology system					Removed this element
text	Σ	0..1	string	Plain text representation of the concept					Removed this element
type	SΣ	0..1	code	Type (Allergie oder Unverträglichkeit) Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.	OΣ	0..1	code	Type of propensity Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk. Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
category	SΣ	0..*	code	Kategorie 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.	Elements differ in definition for mustSupport: 'true' vs 'false'
criticality	SΣ	0..1	code	Kritikalität Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.	Σ	0..1	code	Criticality Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.	Elements differ in definition for mustSupport: 'true' vs 'false'
code	SΣ	1..1	CodeableConcept	Benennung der Allergie/Unverträglichkeit Binding: ?? (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.	OΣ	1..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 Bindings Purpose ?? candidate ?? candidate Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false' Example/preferred bindings differ at AllergyIntolerance.code using binding from AllergyIntoleranceEuHdrObligation
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system					Removed this element
text	SΣ	0..1	string	Plain text representation of the concept					Removed this element
patient	SΣ	1..1	Reference(Patient)	Patientenbezug	OΣ	1..1	Reference(Patient (EU core))	Who the sensitivity is for Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Patienten-Link	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL	Elements differ in definition for mustSupport: 'true' vs 'false'
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).	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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
encounter	S	0..1	Reference(Encounter)	Aufenthaltsbezug		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	1..1	string	Encounter-Link					Removed this element
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).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
Slices for onset[x]	S	0..1	dateTime, Age, Period, Range, string	Beginn-Zeitpunkt Slice: Unordered, Open by type:$this		0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified Slice: Unordered, Closed by type:$this	Elements differ in definition for mustSupport: 'true' vs 'false'
recordedDate	S	0..1	dateTime	Datum an dem die Allergie/Unverträglichkeit aufgezeichnet wurde		0..1	dateTime	Date first version of the resource instance was recorded	Elements differ in definition for mustSupport: 'true' vs 'false'
recorder	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person/Rolle, die die Information dokumentiert		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
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).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	SΣ	0..1	string	Text alternative for the resource					Removed this element
asserter	SΣ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person/Rolle, die die Allergie/Unverträglichkeit festgestellt hat	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
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).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	SΣ	0..1	string	Text alternative for the resource					Removed this element
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	S	0..*	Annotation	Additional text not captured in other fields		0..*	Annotation	Additional text not captured in other fields	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
author[x]	SΣ	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization)	Individual responsible for the annotation					Removed this element
time	SΣ	0..1	dateTime	When the annotation was made					Removed this element
text	SΣ	1..1	markdown	The annotation - text content (as markdown)					Removed this element
reaction	S	0..*	BackboneElement	Unerwünschte Reaktion		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance	Elements differ in definition for mustSupport: 'true' vs 'false'
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: ?? (preferred)	Example/preferred bindings differ at AllergyIntolerance.reaction.substance using binding from AllergyIntoleranceEuHdrObligation
manifestation	S	1..*	CodeableConcept	Manifestation der Reaktion Binding: ?? (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: ?? (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU Additional Bindings Purpose ?? candidate	Elements differ in definition for mustSupport: 'true' vs 'false' Example/preferred bindings differ at AllergyIntolerance.reaction.manifestation using binding from AllergyIntoleranceEuHdrObligation
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system					Removed this element
text	SΣ	0..1	string	Plain text representation of the concept					Removed this element
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	S	0..1	code	Schweregrad der Reaktion Binding: ?? (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.		0..1	code	Reaction 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	S	0..1	CodeableConcept	Expositionsweg 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.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system					Removed this element
text	SΣ	0..1	string	Plain text representation of the concept					Removed this element
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