## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips vs http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance

Left: | AllergyIntolerance (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips)
Right: | AU PS AllergyIntolerance (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips' vs 'http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance'
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '1.0.0-preview'
Information | StructureDefinition.name | Values for name differ: 'AllergyIntoleranceUvIps' vs 'AUPSAllergyIntolerance'
Information | StructureDefinition.title | Values for title differ: 'AllergyIntolerance (IPS)' vs 'AU PS AllergyIntolerance'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2026-05-11T07:29:50+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Australia'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#AU'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/AllergyIntolerance' vs 'http://hl7.org.au/fhir/core/StructureDefinition/au-core-allergyintolerance'
Information | StructureDefinition.short | Values for short differ: 'Allergy or Intolerance (generally: Risk of adverse reaction to a substance)' vs 'An allergy or intolerance statement in an Australian healthcare context'
Information | StructureDefinition.short | Values for short differ: 'Extension' vs 'Additional content defined by implementations'
Information | StructureDefinition.definition | Values for definition differ: 'An Extension' vs 'May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
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.'
Warning | AllergyIntolerance.verificationStatus | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | AllergyIntolerance.note | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | AllergyIntolerance.reaction.substance | Example/preferred bindings differ at AllergyIntolerance.reaction.substance using binding from AUPSAllergyIntolerance
Information | AllergyIntolerance.reaction.manifestation | Example/preferred bindings differ at AllergyIntolerance.reaction.manifestation using binding from AllergyIntoleranceUvIps
Information | AllergyIntolerance.reaction.exposureRoute | Example/preferred bindings differ at AllergyIntolerance.reaction.exposureRoute using binding from AUPSAllergyIntolerance

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/AllergyIntolerance | http://hl7.org.au/fhir/core/StructureDefinition/au-core-allergyintolerance | Values Differ
copyright |  | Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2024+; Licensed Under Creative Commons No Rights Reserved. | Added the item 'Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2024+; Licensed Under Creative Commons No Rights Reserved.'
date | 2024-06-19T10:50:07-05:00 | 2026-05-11T07:29:50+00:00 | 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 profile sets minimum expectations for an AllergyIntolerance resource in the context of a patient summary in an Australian context. It is based on the [AU Core AllergyIntolerance](https://build.fhir.org/ig/hl7au/au-fhir-core/StructureDefinition-au-core-allergyintolerance.html) profile, and applies the additional requirements from [AllergyIntolerance (IPS)](http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips). | 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] |  | urn:iso:std:iso:3166#AU | Added the item 'urn:iso:std:iso:3166#AU'
kind | resource |
name | AllergyIntoleranceUvIps | AUPSAllergyIntolerance | Values Differ
publisher | HL7 International / Patient Care | HL7 Australia | 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 |
title | AllergyIntolerance (IPS) | AU PS AllergyIntolerance | Values Differ
type | AllergyIntolerance |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips | http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance | Values Differ
version | 2.0.0 | 1.0.0-preview | 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..* | AUCoreAllergyIntolerance | An allergy or intolerance statement in an Australian healthcare context This profile also complies with the profile AllergyIntolerance (IPS) |
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 resource 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 | 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 | Σ | 0..* | Identifier | External ids for this item |
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)
| ?!SO Σ C | 0..1 | ?? | active | inactive | resolved Binding: ?? (required): The clinical status of the allergy or intolerance.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
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. | ?!SO Σ C | 0..1 | ?? | 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.
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true'
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)
| 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 | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
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 | low | high | unable-to-assess 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)
| SO Σ | 1..1 | ?? | Code that identifies the allergy or intolerance Binding: ?? (extensible)
Additional Bindings | Purpose
?? | candidate
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
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)
| SO Σ | 1..1 | Reference(AU PS Patient) | Who the sensitivity is for
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
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)
| SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
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)
| SO | 0..1 | dateTime S, Age, Period, Range | When allergy or intolerance was identified
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
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(Practitioner | PractitionerRole | Patient | 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(Patient | RelatedPerson | Practitioner | PractitionerRole) | Source of the information about the allergy |
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 | SO | 0..* | Annotation | Additional text not captured in other fields
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Elements differ in definition for mustSupport: 'false' vs 'true'
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)
| SO | 0..* | BackboneElement | Adverse Reaction Events linked to exposure to substance
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
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 AUPSAllergyIntolerance
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)
| SO | 1..* | ?? | Clinical symptoms/signs associated with the Event Binding: ?? (preferred)
Obligations | Actor | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
| Example/preferred bindings differ at AllergyIntolerance.reaction.manifestation using binding from AllergyIntoleranceUvIps
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 | 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)
| 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 | Source
SHALL:populate-if-known | AU Core Responder | from AU Core AllergyIntolerance
SHALL:no-error | AU Core Requester | from AU Core AllergyIntolerance
SHALL:populate-if-known | AU PS Producer |
SHALL:handle | AU PS Consumer |
SHOULD:display | AU PS Consumer |
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: ?? (preferred) | Example/preferred bindings differ at AllergyIntolerance.reaction.exposureRoute using binding from AUPSAllergyIntolerance
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