STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

U.S. Data Access Framework (DAF) AllergyIntolerance Profile vs QICore-AllergyIntolerance

Messages

A series of messages from the comparison algorithm. Errors indicate that solutions cannot be interoperable across both implementation guides (or that there are structural flaws in the definition of at least one).

PathMessage
Errors Detected
(None)
Warnings about the comparison
AllergyIntoleranceStructureDefinition QICore-AllergyIntolerance has a constraint that is not found in U.S. Data Access Framework (DAF) AllergyIntolerance Profile and it is uncertain whether they are compatible (not(f:status/@value != 'refuted' and f:extension/@url='http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted'))
Notes about differences (e.g. definitions)
AllergyIntolerance.extensionElements differ in definition for short:
"Additional Content defined by implementations"
"Extension"
AllergyIntolerance.extensionElements differ in definition for definition:
"May be used to represent additional information that is not part of the basic definition of the resource. In order 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."
"An Extension"
AllergyIntolerance.statusElements differ in definition for comments:
"Decision support would typically raise alerts for 'Unconfirmed', 'Confirmed', and 'Resolved' and ignore a 'Refuted' reaction. In particular, 'Refuted' may be useful for reconciliation of the Adverse Reaction List. Some implementations may choose to make this field mandatory."
"DAFAllergyIntoleranceStatus binding same as used in base resource AllergyIntoleranceStatus(Required) with same valueset so do not need to specify bindin."
AllergyIntolerance.reaction.extensionElements differ in definition for short:
"Additional Content defined by implementations"
"Extension"
AllergyIntolerance.reaction.extensionElements differ in definition for definition:
"May be used to represent additional information that is not part of the basic definition of the element. In order 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."
"An Extension"
AllergyIntolerance.reaction.substanceExample/preferred bindings differ at AllergyIntolerance.reaction.substance using binding from U.S. Data Access Framework (DAF) AllergyIntolerance Profile

Intersection

The intersection of the 2 constraint statements. This is what resource authors (either client or server) would need to conform to produce content valid against both implementation guides.

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance I0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk Of Adverse reaction to a substance)
inv-1: extension: reasonRefuted is only permitted if status is refuted
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S ∑0..*IdentifierExternal ids for this item
... status ?! S∑0..1codeactive | unconfirmed | confirmed | inactive | resolved | refuted | entered-in-error
Binding: AllergyIntoleranceStatus (required)
... type S ∑0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required)
... category S ∑0..1codefood | medication | environment | other - Category of Substance
Binding: AllergyIntoleranceCategory (required)
... criticality S ∑0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required)
... substance S ∑1..1CodeableConceptSubstance, (or class) considered to be responsible for risk
Binding: DAF Substance-Reactant for Intolerance and Negation Codes (preferred)
... patient S ∑1..1Reference(DAF-Patient)Who the sensitivity is for
... recordedDate S ∑0..1dateTimeWhen recorded
... recorder S ∑0..1Reference(DAF-Pract | DAF-Patient)Who recorded the sensitivity
... reporter S ∑0..1Reference(DAF-Pract | DAF-Patient | DAF-RelatedPerson)Source of the information about the allergy
... onset S ∑0..1dateTimeDate(/time) when manifestations showed
... lastOccurence ∑0..1dateTimeDate(/time) of last known occurrence of a reaction
... note 0..*AnnotationAdditional text not captured in other fields
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... allergyintolerance-duration S0..1Durationleft: Additional Content defined by implementations; right: Extension
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... substance S ∑0..1CodeableConceptSpecific substance considered to be responsible for event
Binding: DAF Substance-Reactant for Intolerance and Negation Codes (preferred)
.... certainty ∑0..1codeunlikely | likely | confirmed - clinical certainty about the specific substance
Binding: AllergyIntoleranceCertainty (required)
.... manifestation S ∑1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding: Manifestation C-CDA codes (preferred)
.... description 0..1stringDescription of the event as a whole
.... onset S ∑0..1dateTimeDate(/time) when manifestations showed
.... severity ∑0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required)
.... exposureRoute ∑0..1CodeableConceptHow the subject was exposed to the substance
Binding: SNOMED CT Route Codes (example)
.... note 0..*AnnotationText about event not captured in other fields

doco Documentation for this format

Union

The union of the 2 constraint statements. This is what resource authors (either client or server) would need to be able to handle to accept content valid against either implementation guides.

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..*AllergyIntoleranceAllergy or Intolerance (generally: Risk Of Adverse reaction to a substance)
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... allergyintolerance-reasonRefuted 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted
Binding: Reasons for refuting allergy or intolerance codes (example)
... allergyintolerance-resolutionAge 0..1AgeExtension
URL: http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S ∑0..*IdentifierExternal ids for this item
... status ?! S∑0..1codeactive | unconfirmed | confirmed | inactive | resolved | refuted | entered-in-error
Binding: AllergyIntoleranceStatus (required)
... type S ∑0..1codeallergy | intolerance - Underlying mechanism (if known)
Binding: AllergyIntoleranceType (required)
... category S ∑0..1codefood | medication | environment | other - Category of Substance
Binding: AllergyIntoleranceCategory (required)
... criticality S ∑0..1codelow | high | unable-to-assess
Binding: AllergyIntoleranceCriticality (required)
... substance S ∑1..1CodeableConceptSubstance, (or class) considered to be responsible for risk
Binding: DAF Substance-Reactant for Intolerance and Negation Codes (preferred)
... patient S ∑1..1Reference(#1)Who the sensitivity is for
... recordedDate S ∑0..1dateTimeWhen recorded
... recorder S ∑0..1Reference(#3 | #1)Who recorded the sensitivity
... reporter S ∑0..1Reference(Practitioner | Patient | RelatedPerson)Source of the information about the allergy
... onset S ∑0..1dateTimeDate(/time) when manifestations showed
... lastOccurence ∑0..1dateTimeDate(/time) of last known occurrence of a reaction
... note 0..*AnnotationAdditional text not captured in other fields
... reaction S0..*BackboneElementAdverse Reaction Events linked to exposure to substance
.... extension S0..*Extensionleft: Additional Content defined by implementations; right: Extension
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... substance S ∑0..1CodeableConceptSpecific substance considered to be responsible for event
Binding: ???? (preferred)
.... certainty ∑0..1codeunlikely | likely | confirmed - clinical certainty about the specific substance
Binding: AllergyIntoleranceCertainty (required)
.... manifestation S ∑1..*CodeableConceptClinical symptoms/signs associated with the Event
Binding: Manifestation C-CDA codes (preferred)
.... description 0..1stringDescription of the event as a whole
.... onset S ∑0..1dateTimeDate(/time) when manifestations showed
.... severity ∑0..1codemild | moderate | severe (of event as a whole)
Binding: AllergyIntoleranceSeverity (required)
.... exposureRoute ∑0..1CodeableConceptHow the subject was exposed to the substance
Binding: SNOMED CT Route Codes (example)
.... note 0..*AnnotationText about event not captured in other fields

doco Documentation for this format