## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips vs http://hl7.eu/fhir/eps/StructureDefinition/allergyintolerance-obl-eu-eps

Left: | AllergyIntolerance (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips)
Right: | AllergyIntolerance - Obligations (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/allergyintolerance-obl-eu-eps)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips' vs 'http://hl7.eu/fhir/eps/StructureDefinition/allergyintolerance-obl-eu-eps'
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '1.0.0-ballot'
Information | StructureDefinition.name | Values for name differ: 'AllergyIntoleranceUvIps' vs 'AllergyIntoleranceOblEuEps'
Information | StructureDefinition.title | Values for title differ: 'AllergyIntolerance (IPS)' vs 'AllergyIntolerance - Obligations (EPS)'
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2026-06-06T09:06:30+02:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/AllergyIntolerance' vs 'http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core'
Information | StructureDefinition.short | Values for short differ: 'Language of the resource content' vs 'Language of the allergy or intolerance content'
Information | StructureDefinition.short | Values for short differ: 'External ids for this item' vs 'Business identifier for the allergy or intolerance'
Information | StructureDefinition.short | Values for short differ: 'active | inactive | resolved' vs 'Current allergy or Intolerance status'
Warning | AllergyIntolerance.clinicalStatus | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'unconfirmed | confirmed | refuted | entered-in-error' vs 'Certainty'
Information | StructureDefinition.comment | Values 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.'
Information | StructureDefinition.short | Values for short differ: 'allergy | intolerance - Underlying mechanism (if known)' vs 'Type of propensity'
Warning | AllergyIntolerance.type | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'low | high | unable-to-assess' vs 'Criticality'
Warning | AllergyIntolerance.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Who the sensitivity is for' vs 'Who the allergy or intolerance concerns'
Warning | AllergyIntolerance.patient | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | AllergyIntolerance.patient.reference | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | AllergyIntolerance.patient.reference | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'When allergy or intolerance was identified' vs 'Date of onset of the allergy or intolerance'
Warning | AllergyIntolerance.onset[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Date first version of the resource instance was recorded' vs 'Date when the allergy or intolerance was recorded'
Information | StructureDefinition.short | Values for short differ: 'Who recorded the sensitivity' vs 'Who recorded the allergy or intolerance'
Information | StructureDefinition.short | Values for short differ: 'Source of the information about the allergy' vs 'Who asserts the allergy or intolerance'
Warning | AllergyIntolerance.reaction | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | AllergyIntolerance.reaction.manifestation | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Date(/time) when manifestations showed' vs 'Reaction onset'
Information | StructureDefinition.short | Values for short differ: 'mild | moderate | severe (of event as a whole)' vs 'Reaction severity'
Warning | AllergyIntolerance.reaction.severity | Elements differ in definition for mustSupport: 'true' vs 'false'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/AllergyIntolerance | http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core | Values Differ
copyright |  | Copyright 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).'
date | 2024-06-19T10:50:07-05:00 | 2026-06-06T09:06:30+02:00 | Values Differ
description | This 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 profiles set the IPS obligations on the EU Core AllergyIntolerance profile. | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
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'
kind | resource |
name | AllergyIntoleranceUvIps | AllergyIntoleranceOblEuEps | Values Differ
publisher | HL7 International / Patient Care | HL7 Europe | Values Differ
purpose | 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. |  | 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.'
status | active | draft | Values Differ
title | AllergyIntolerance (IPS) | AllergyIntolerance - Obligations (EPS) | Values Differ
type | AllergyIntolerance |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips | http://hl7.eu/fhir/eps/StructureDefinition/allergyintolerance-obl-eu-eps | Values Differ
version | 2.0.0 | 1.0.0-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) | C | 0..* | AllergyIntoleranceEuCore | Allergy or Intolerance (generally: Risk of adverse reaction to a substance) |
id | Σ | 0..1 | id | 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 allergy or intolerance content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
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..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 |
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 | Business identifier for the allergy or intolerance |
clinicalStatus | ?!SO Σ C | 0..1 | ?? | active | inactive | resolved Binding: ?? (required): The clinical status of the allergy or intolerance.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| ?!O Σ C | 0..1 | CodeableConcept | Current allergy or Intolerance status Binding: ?? (required): The clinical status of the allergy or intolerance.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
verificationStatus | ?!Σ C | 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. | ?!Σ C | 0..1 | CodeableConcept | Certainty Binding: ?? (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. |
type | SO Σ | 0..1 | code | allergy | intolerance - Underlying mechanism (if known) Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 0..1 | code | Type of propensity Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
category | Σ | 0..* | code | food | medication | environment | biologic 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. |
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. | Σ | 0..1 | code | Criticality Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. |
code | SO Σ | 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
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 1..1 | CodeableConcept | 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
?? | Preferred
?? | Preferred
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
patient | SO Σ | 1..1 | Reference(Patient (IPS)) | Who the sensitivity is for
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 1..1 | Reference(Patient (EU core)) | Who the allergy or intolerance concerns
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| 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 | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
| O Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
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 |  | 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] | SO | 0..1 | dateTime, Age, Period, Range, string | When allergy or intolerance was identified Slice: Unordered, Open by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O | 0..1 | dateTime, Age, Period, Range, string | Date of onset of the allergy or intolerance Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
recordedDate |  | 0..1 | dateTime | Date first version of the resource instance was recorded |  | 0..1 | dateTime | Date when the allergy or intolerance was recorded |
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the sensitivity |  | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the allergy or intolerance |
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who asserts the allergy or intolerance |
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 |
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
author[x] |  |  |  |  | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | Individual responsible for the annotation | Added this element
time |  |  |  |  | Σ | 0..1 | dateTime | When the annotation was made | Added this element
text |  |  |  |  | Σ | 1..1 | markdown | Additional information about the allergy or intolerance | Added this element
reaction | SO | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| 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: ?? (example) |
manifestation | SO | 1..* | ?? | Clinical symptoms/signs associated with the Event Binding: ?? (preferred): Code for the allergy or intolerance reaction manifestation from SNOMED CT.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O | 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
?? | Preferred
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
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 | Reaction onset |
severity | SO | 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.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O | 0..1 | code | Reaction severity Binding: ?? (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
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