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Source1

{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-VoS-AllergyIntolerance",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_AllergyIntolerance",
  "version": "2.2.0",
  "name": "KBV_PR_VoS_AllergyIntolerance",
  "title": "KBV_PR_VoS_AllergyIntolerance",
  "status": "draft",
  "date": "2025-10-01",
  "description": "Übergabe von Allergie-Informationen aus dem PVS an die VoS",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "AllergyIntolerance",
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_AllergyIntolerance|1.7.0",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "AllergyIntolerance.id",
        "path": "AllergyIntolerance.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.meta",
        "path": "AllergyIntolerance.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.meta.source",
        "path": "AllergyIntolerance.meta.source",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.meta.profile",
        "path": "AllergyIntolerance.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.meta.profile:vosProfile",
        "path": "AllergyIntolerance.meta.profile",
        "sliceName": "vosProfile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_AllergyIntolerance|2.2.0",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.meta.security",
        "path": "AllergyIntolerance.meta.security",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.meta.tag",
        "path": "AllergyIntolerance.meta.tag",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.implicitRules",
        "path": "AllergyIntolerance.implicitRules",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.language",
        "path": "AllergyIntolerance.language",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.contained",
        "path": "AllergyIntolerance.contained",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.extension",
        "path": "AllergyIntolerance.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "closed"
        }
      },
      {
        "id": "AllergyIntolerance.extension:abatement",
        "path": "AllergyIntolerance.extension",
        "sliceName": "abatement",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.extension:abatement-lebensphase-bis",
        "path": "AllergyIntolerance.extension",
        "sliceName": "abatement-lebensphase-bis",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.identifier",
        "path": "AllergyIntolerance.identifier",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.clinicalStatus",
        "path": "AllergyIntolerance.clinicalStatus",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding",
        "path": "AllergyIntolerance.clinicalStatus.coding",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding.system",
        "path": "AllergyIntolerance.clinicalStatus.coding.system",
        "fixedUri": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding.version",
        "path": "AllergyIntolerance.clinicalStatus.coding.version",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding.code",
        "path": "AllergyIntolerance.clinicalStatus.coding.code",
        "fixedCode": "draft",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding.display",
        "path": "AllergyIntolerance.clinicalStatus.coding.display",
        "fixedString": "draft",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.coding.userSelected",
        "path": "AllergyIntolerance.clinicalStatus.coding.userSelected",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.clinicalStatus.text",
        "path": "AllergyIntolerance.clinicalStatus.text",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.verificationStatus",
        "path": "AllergyIntolerance.verificationStatus",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding",
        "path": "AllergyIntolerance.verificationStatus.coding",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding.system",
        "path": "AllergyIntolerance.verificationStatus.coding.system",
        "fixedUri": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding.version",
        "path": "AllergyIntolerance.verificationStatus.coding.version",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding.code",
        "path": "AllergyIntolerance.verificationStatus.coding.code",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding.display",
        "path": "AllergyIntolerance.verificationStatus.coding.display",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.verificationStatus.coding.userSelected",
        "path": "AllergyIntolerance.verificationStatus.coding.userSelected",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.verificationStatus.text",
        "path": "AllergyIntolerance.verificationStatus.text",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.type",
        "path": "AllergyIntolerance.type",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.category",
        "path": "AllergyIntolerance.category",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.criticality",
        "path": "AllergyIntolerance.criticality",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.code",
        "path": "AllergyIntolerance.code",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding",
        "path": "AllergyIntolerance.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "closed"
        }
      },
      {
        "id": "AllergyIntolerance.code.coding:snomed",
        "path": "AllergyIntolerance.code.coding",
        "sliceName": "snomed",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:snomed.system",
        "path": "AllergyIntolerance.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:snomed.version",
        "path": "AllergyIntolerance.code.coding.version",
        "fixedString": "http://snomed.info/sct/11000274103/version/20240515",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:snomed.code",
        "path": "AllergyIntolerance.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:snomed.display",
        "path": "AllergyIntolerance.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:ask",
        "path": "AllergyIntolerance.code.coding",
        "sliceName": "ask",
        "definition": "Hier soll der Code für die Substanz als ASK-Nummer eingetragen werden.",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:ask.system",
        "path": "AllergyIntolerance.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:ask.version",
        "path": "AllergyIntolerance.code.coding.version",
        "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",
        "definition": "Hier soll der Code für die Substanz als ATC-Code eingetragen werden.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://fhir.de/StructureDefinition/CodingATC"
            ]
          }
        ],
        "patternCoding": {
          "system": "http://fhir.de/CodeSystem/bfarm/atc"
        },
        "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:pzn",
        "path": "AllergyIntolerance.code.coding",
        "sliceName": "pzn",
        "definition": "Hier soll der Code für ein Medikament als PZN eingetragen werden.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://fhir.de/StructureDefinition/CodingPZN"
            ]
          }
        ],
        "patternCoding": {
          "system": "http://fhir.de/CodeSystem/ifa/pzn"
        },
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:pzn.system",
        "path": "AllergyIntolerance.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.coding:pzn.code",
        "path": "AllergyIntolerance.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.code.text",
        "path": "AllergyIntolerance.code.text",
        "definition": "Hier muss die Bezeichnung der Substanz bzw. der Allergie oder Unverträglichkeit als Freitext eingetragen werden.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.patient",
        "path": "AllergyIntolerance.patient",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.patient.reference",
        "path": "AllergyIntolerance.patient.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.patient.type",
        "path": "AllergyIntolerance.patient.type",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.patient.identifier",
        "path": "AllergyIntolerance.patient.identifier",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.patient.display",
        "path": "AllergyIntolerance.patient.display",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.encounter",
        "path": "AllergyIntolerance.encounter",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.onset[x]",
        "path": "AllergyIntolerance.onset[x]",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.onset[x]:onsetDateTime",
        "path": "AllergyIntolerance.onset[x]",
        "sliceName": "onsetDateTime",
        "max": "0",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.onset[x]:onsetAge",
        "path": "AllergyIntolerance.onset[x]",
        "sliceName": "onsetAge",
        "max": "0",
        "type": [
          {
            "code": "Age"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.recordedDate",
        "path": "AllergyIntolerance.recordedDate",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.recorder",
        "path": "AllergyIntolerance.recorder",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.asserter",
        "path": "AllergyIntolerance.asserter",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.lastOccurrence",
        "path": "AllergyIntolerance.lastOccurrence",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.note",
        "path": "AllergyIntolerance.note",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.note.author[x]",
        "path": "AllergyIntolerance.note.author[x]",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.note.author[x]:authorReference",
        "path": "AllergyIntolerance.note.author[x]",
        "sliceName": "authorReference",
        "max": "0",
        "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",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient|1.7.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner|1.7.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_RelatedPerson|1.7.0",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization|1.7.0"
            ]
          }
        ]
      },
      {
        "id": "AllergyIntolerance.note.author[x]:authorString",
        "path": "AllergyIntolerance.note.author[x]",
        "sliceName": "authorString",
        "max": "0",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.note.time",
        "path": "AllergyIntolerance.note.time",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.note.text",
        "path": "AllergyIntolerance.note.text",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction",
        "path": "AllergyIntolerance.reaction",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.substance",
        "path": "AllergyIntolerance.reaction.substance",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation",
        "path": "AllergyIntolerance.reaction.manifestation",
        "short": "Allergische Reaktion",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding",
        "path": "AllergyIntolerance.reaction.manifestation.coding",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding:snomed",
        "path": "AllergyIntolerance.reaction.manifestation.coding",
        "sliceName": "snomed",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding:snomed.system",
        "path": "AllergyIntolerance.reaction.manifestation.coding.system",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding:snomed.version",
        "path": "AllergyIntolerance.reaction.manifestation.coding.version",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding:snomed.code",
        "path": "AllergyIntolerance.reaction.manifestation.coding.code",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding:snomed.display",
        "path": "AllergyIntolerance.reaction.manifestation.coding.display",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.text",
        "path": "AllergyIntolerance.reaction.manifestation.text",
        "short": "Allergische Reaktion",
        "mustSupport": true
      },
      {
        "id": "AllergyIntolerance.reaction.description",
        "path": "AllergyIntolerance.reaction.description",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.reaction.onset",
        "path": "AllergyIntolerance.reaction.onset",
        "max": "0"
      },
      {
        "id": "AllergyIntolerance.reaction.severity",
        "path": "AllergyIntolerance.reaction.severity",
        "mustSupport": true
      }
    ]
  }
}