{
  "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.",
  "_filename": "StructureDefinition-ISiKAllergieUnvertraeglichkeit.json",
  "package_name": "de.gematik.isik",
  "date": "2025-04-09",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "ISiKAllergieUnvertraeglichkeit",
  "abstract": false,
  "type": "AllergyIntolerance",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "5.0.0-rc",
  "status": "active",
  "id": "70b7b519-5c2b-4d2d-9c11-04c16a80bccb",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKAllergieUnvertraeglichkeit",
  "version": "5.0.0-rc",
  "differential": {
    "element": [ {
      "id": "AllergyIntolerance.clinicalStatus",
      "path": "AllergyIntolerance.clinicalStatus",
      "short": "klinischer Status",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.clinicalStatus.coding",
      "max": "1",
      "min": 1,
      "path": "AllergyIntolerance.clinicalStatus.coding",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.clinicalStatus.coding.system",
      "min": 1,
      "path": "AllergyIntolerance.clinicalStatus.coding.system",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.clinicalStatus.coding.code",
      "min": 1,
      "path": "AllergyIntolerance.clinicalStatus.coding.code",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.verificationStatus",
      "path": "AllergyIntolerance.verificationStatus",
      "short": "Verifikationsstatus",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.verificationStatus.coding",
      "max": "1",
      "min": 1,
      "path": "AllergyIntolerance.verificationStatus.coding",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.verificationStatus.coding.system",
      "min": 1,
      "path": "AllergyIntolerance.verificationStatus.coding.system",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.verificationStatus.coding.code",
      "min": 1,
      "path": "AllergyIntolerance.verificationStatus.coding.code",
      "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",
      "min": 1,
      "path": "AllergyIntolerance.code",
      "short": "Benennung der Allergie/Unverträglichkeit",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.code.coding",
      "min": 1,
      "path": "AllergyIntolerance.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.code.coding:snomed-ct",
      "max": "1",
      "min": 1,
      "path": "AllergyIntolerance.code.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding" ]
      } ],
      "sliceName": "snomed-ct",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.code.coding:ask",
      "max": "1",
      "min": 0,
      "path": "AllergyIntolerance.code.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "http://fhir.de/StructureDefinition/CodingASK" ]
      } ],
      "sliceName": "ask",
      "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",
      "max": "1",
      "min": 0,
      "path": "AllergyIntolerance.code.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "http://fhir.de/StructureDefinition/CodingATC" ]
      } ],
      "sliceName": "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: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",
      "min": 1,
      "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.",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.encounter",
      "path": "AllergyIntolerance.encounter",
      "short": "Aufenthaltsbezug",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.encounter.reference",
      "min": 1,
      "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.",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.onset[x]",
      "path": "AllergyIntolerance.onset[x]",
      "short": "Beginn-Zeitpunkt",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.onset[x]:onsetDateTime",
      "max": "1",
      "min": 0,
      "path": "AllergyIntolerance.onset[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "onsetDateTime",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.onset[x]:onsetAge",
      "max": "1",
      "min": 0,
      "path": "AllergyIntolerance.onset[x]",
      "type": [ {
        "code": "Age"
      } ],
      "sliceName": "onsetAge",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.onset[x]:onsetString",
      "max": "1",
      "min": 0,
      "path": "AllergyIntolerance.onset[x]",
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "onsetString",
      "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": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.reaction.manifestation.coding:snomed-ct",
      "max": "1",
      "min": 0,
      "path": "AllergyIntolerance.reaction.manifestation.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding" ]
      } ],
      "sliceName": "snomed-ct",
      "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": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.reaction.exposureRoute.coding:snomed-ct",
      "max": "1",
      "min": 0,
      "path": "AllergyIntolerance.reaction.exposureRoute.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding" ]
      } ],
      "sliceName": "snomed-ct",
      "mustSupport": true
    }, {
      "id": "AllergyIntolerance.reaction.exposureRoute.text",
      "path": "AllergyIntolerance.reaction.exposureRoute.text",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
}