Profile Comparison between https://www.ehealth.fgov.be/standards/fhir/allergy/StructureDefinition/be-allergyintolerance vs https://www.ehealth.fgov.be/standards/fhir/allergy/StructureDefinition/be-allergyintolerance

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
copyright
date	2022-06-07T10:36:44+02:00	2022-09-13T17:51:47+02:00	Values Differ
description	Belgian federal profile for an allergy and/or an intolerance. Initially based on the functional description of the NIHDI.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#BE
kind	resource
name	BeAllergyIntolerance
publisher	eHealth Platform
purpose
status	active
title
type	AllergyIntolerance
url	https://www.ehealth.fgov.be/standards/fhir/allergy/StructureDefinition/be-allergyintolerance
version	1.0.0	1.0.1	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
AllergyIntolerance	I	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)	I	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance) be-inv-asserter-person-rel-type: Checks that the person relationship type of the RelatedPerson in asserter is from BeVSPatientRelationshipType
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: todo (preferred): A human language. Additional Bindings Purpose todo Max Binding		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
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	SΣ	0..*	Identifier	External ids for this item Slice: Unordered, Open by value:system	Elements differ in definition for mustSupport: 'false' vs 'true'
clinicalStatus	?!SΣI	0..1	CodeableConcept	active | inactive | resolved Binding: todo (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.	Elements differ in definition: 'The clinical status of the allergy or intolerance. When available, a provider SHOULD include it. When given, a consumer SHALL record this in its consuming system.' vs 'The clinical status of the allergy or intolerance. When available, a provider SHOULD include it. When given, a consumer SHALL record this in its consuming system. Use 'resolved' only in case of pediatric allergies, in case of complete recovery, use 'inactive' in case of longlasting tolerance after a desensitisation treatment'
verificationStatus	?!SΣI	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: todo (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: todo (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	SΣ	0..*	code	food | medication | environment | biologic Binding: todo (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.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: todo (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.	Σ	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: todo (extensible): Causative agent codes as defined by NIHDI	SΣ	1..1	CodeableConcept	Use ATC, CNK or CTI-extended in case of medication allergy Binding: BeAllergyIntoleranceCode (extensible): Causative agent codes as defined by NIHDI	Elements differ in short: 'Code that identifies the allergy or intolerance' vs 'Use ATC, CNK or CTI-extended in case of medication allergy' Elements differ in definition: 'Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. A provider SHALL include it in the istance and a consumer SHALL record this in its consuming system. If needed codes can be used outside the given valueset, SNOMED-CT is preferred.' vs 'Code for an allergy or intolerance statement. This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a general or categorical negated statement (e.g., "No known allergy"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. A provider SHALL include it in the instance and a consumer SHALL record this in its consuming system. Medication related allergies or intolerances will be registered using the CNK, ATC or CTI-extended namingsystem.' Elements differ in comments: 'It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. When a substance or product code is specified for the 'code' element, the "default" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the "Causative agent" relationship. The 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.' vs 'Code for an allergy or intolerance statement. This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a general or categorical negated statement (e.g., "No known allergy"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. A provider SHALL include it in the instance and a consumer SHALL record this in its consuming system. Medication related allergies or intolerances will be registered using the CNK, ATC or CTI-extended namingsystem.'
patient	SΣ	1..1	Reference(https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)	Who the sensitivity is for	SΣ	1..1	Reference(BePatient)	Who the sensitivity is for	Type Mismatch: Reference([CanonicalType[https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient]]) vs Reference([CanonicalType[https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient]])
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	S	1..1	dateTime	Date first version of the resource instance was recorded	S	1..1	dateTime	Date first version of the resource instance was recorded
recorder	S	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient | https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner | https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)	Who recorded the sensitivity	S	1..1	Reference(BePractitioner | BePractitionerRole | BePatient)	Who recorded the sensitivity	Elements differ in definition: 'Individual who recorded the record and takes responsibility for its content. A provider SHALL include it in the istance and a consumer SHALL record this in its consuming system.' vs 'Individual who takes responsibility for the content of the record. BePatient is added to allow a patient to record his/her own allergies. Organisations can be a recorder, using a PractitionerRole, but the you SHALL add a BePractioner who is responsable for the organisation. A provider SHALL include it in the instance and a consumer SHALL record this in its consuming system.'
asserter	SΣ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy	SΣ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy	Elements differ in definition: 'The source of the information about the allergy that is recorded. When available, a provider SHOULD include it in the istance. When given, a consumer SHALL record this in its consuming system.' vs 'The source of the information about the allergy that is recorded. When available, a provider SHOULD include it in the instance. When given, a consumer SHALL record this in its consuming system.'
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	S	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: todo (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: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
manifestation	S	1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: todo (extensible)	S	1..1	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: BeRiskManifestation (extensible)	Element maximum cardinalities differ: '2147483647' vs '1'
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	S	0..1	dateTime	Date(/time) when manifestations showed	Elements differ in definition for mustSupport: 'false' vs 'true'
severity		0..1	code	mild | moderate | severe (of event as a whole) Binding: todo (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: 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: todo (extensible)		0..1	CodeableConcept	How the subject was exposed to the substance Binding: BeExposureRoute (extensible)
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