FHIR IG Statistics: StructureDefinition/ISiKAllergieUnvertraeglichkeit

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{
  "resourceType": "StructureDefinition",
  "id": "ISiKAllergieUnvertraeglichkeit",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKAllergieUnvertraeglichkeit",
  "version": "5.0.0",
  "name": "ISiKAllergieUnvertraeglichkeit",
  "status": "active",
  "experimental": false,
  "date": "2025-06-26",
  "publisher": "gematik GmbH",
  "description": "\nDiese Profil ermöglicht die Dokumentation von Allergien und Unverträglichkeiten in ISiK Szenarien.\n### Motivation\n\nDie 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.\nMotivierender Use-Case zur Einführung dieser Profile ist die [Arzneitmitteltherapiesicherheit im Krankenhaus - AMTS](https://simplifier.net/guide/isik-medikation-v4/ImplementationGuide-markdown-UebergreifendeUseCases-AMTS).\n\nIn FHIR werden Allergien und Unverträglichkeiten mit der [AllergyIntolerance](https://hl7.org/fhir/R4/allergyintolerance.html)-Ressource repräsentiert.\n\n### Kompatibilität\n\nFür 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:\n* [das Profil KBV_PR_Base_AllergyIntolerance der KBV](https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_AllergyIntolerance)\n* [das Profil EMDAF_PR_AllergyIntolerance der GEVKO](https://fhir.gevko.de/StructureDefinition/EMDAF_PR_AllergyIntolerance)\n* [das Profil AllergyIntolerance-uv-ips der International Patient Summary](http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips)\n\nHinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "AllergyIntolerance",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "AllergyIntolerance.clinicalStatus",
        "path": "AllergyIntolerance.clinicalStatus",
        "short": "klinischer Status",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding",
        "path": "AllergyIntolerance.clinicalStatus.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding.system",
        "path": "AllergyIntolerance.clinicalStatus.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding.code",
        "path": "AllergyIntolerance.clinicalStatus.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus",
        "path": "AllergyIntolerance.verificationStatus",
        "short": "Verifikationsstatus",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding",
        "path": "AllergyIntolerance.verificationStatus.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding.system",
        "path": "AllergyIntolerance.verificationStatus.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding.code",
        "path": "AllergyIntolerance.verificationStatus.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.type",
        "path": "AllergyIntolerance.type",
        "short": "Type (Allergie oder Unverträglichkeit)",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.category",
        "path": "AllergyIntolerance.category",
        "short": "Kategorie",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.criticality",
        "path": "AllergyIntolerance.criticality",
        "short": "Kritikalität",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code",
        "path": "AllergyIntolerance.code",
        "short": "Benennung der Allergie/Unverträglichkeit",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding",
        "path": "AllergyIntolerance.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:snomed-ct",
        "path": "AllergyIntolerance.code.coding",
        "sliceName": "snomed-ct",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:ask",
        "path": "AllergyIntolerance.code.coding",
        "sliceName": "ask",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://fhir.de/StructureDefinition/CodingASK"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:ask.system",
        "path": "AllergyIntolerance.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:ask.code",
        "path": "AllergyIntolerance.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:ask.display",
        "path": "AllergyIntolerance.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:atc",
        "path": "AllergyIntolerance.code.coding",
        "sliceName": "atc",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://fhir.de/StructureDefinition/CodingATC"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:atc.system",
        "path": "AllergyIntolerance.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:atc.version",
        "path": "AllergyIntolerance.code.coding.version",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:atc.code",
        "path": "AllergyIntolerance.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:atc.display",
        "path": "AllergyIntolerance.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.text",
        "path": "AllergyIntolerance.code.text",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.patient",
        "path": "AllergyIntolerance.patient",
        "short": "Patientenbezug",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.patient.reference",
        "path": "AllergyIntolerance.patient.reference",
        "short": "Patienten-Link",
        "comment": "Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation \n    zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.encounter",
        "path": "AllergyIntolerance.encounter",
        "short": "Aufenthaltsbezug",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.encounter.reference",
        "path": "AllergyIntolerance.encounter.reference",
        "short": "Encounter-Link",
        "comment": "Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt \n    und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.onset[x]",
        "path": "AllergyIntolerance.onset[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Beginn-Zeitpunkt",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.onset[x]:onsetDateTime",
        "path": "AllergyIntolerance.onset[x]",
        "sliceName": "onsetDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.onset[x]:onsetAge",
        "path": "AllergyIntolerance.onset[x]",
        "sliceName": "onsetAge",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Age"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.onset[x]:onsetString",
        "path": "AllergyIntolerance.onset[x]",
        "sliceName": "onsetString",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.recordedDate",
        "path": "AllergyIntolerance.recordedDate",
        "short": "Datum an dem die Allergie/Unverträglichkeit aufgezeichnet wurde",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.recorder",
        "path": "AllergyIntolerance.recorder",
        "short": "Person/Rolle, die die Information dokumentiert",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.recorder.reference",
        "path": "AllergyIntolerance.recorder.reference",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.recorder.display",
        "path": "AllergyIntolerance.recorder.display",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.asserter",
        "path": "AllergyIntolerance.asserter",
        "short": "Person/Rolle, die die Allergie/Unverträglichkeit festgestellt hat",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.asserter.reference",
        "path": "AllergyIntolerance.asserter.reference",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.asserter.display",
        "path": "AllergyIntolerance.asserter.display",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.note",
        "path": "AllergyIntolerance.note",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.note.author[x]",
        "path": "AllergyIntolerance.note.author[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.note.author[x].reference",
        "path": "AllergyIntolerance.note.author[x].reference",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.note.author[x].display",
        "path": "AllergyIntolerance.note.author[x].display",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.note.time",
        "path": "AllergyIntolerance.note.time",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.note.text",
        "path": "AllergyIntolerance.note.text",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction",
        "path": "AllergyIntolerance.reaction",
        "short": "Unerwünschte Reaktion",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation",
        "path": "AllergyIntolerance.reaction.manifestation",
        "short": "Manifestation der Reaktion",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding",
        "path": "AllergyIntolerance.reaction.manifestation.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding:snomed-ct",
        "path": "AllergyIntolerance.reaction.manifestation.coding",
        "sliceName": "snomed-ct",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.text",
        "path": "AllergyIntolerance.reaction.manifestation.text",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.severity",
        "path": "AllergyIntolerance.reaction.severity",
        "short": "Schweregrad der Reaktion",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.exposureRoute",
        "path": "AllergyIntolerance.reaction.exposureRoute",
        "short": "Expositionsweg",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.exposureRoute.coding",
        "path": "AllergyIntolerance.reaction.exposureRoute.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.exposureRoute.coding:snomed-ct",
        "path": "AllergyIntolerance.reaction.exposureRoute.coding",
        "sliceName": "snomed-ct",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.exposureRoute.text",
        "path": "AllergyIntolerance.reaction.exposureRoute.text",
        "mustSupport": true
      }
    ]
  }
}