{
"description": "An AllergyIntolerance resource as used within the Contraindications and intolerances (Dutch: Contra-indicaties en overgevoeligheden, abbreviated as CiO) information standard.",
"_filename": "cio-HypersensitivityDispositionReaction.json",
"package_name": "nictiz.fhir.nl.r4.cio",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"name": "CioHypersensitivityDispositionReaction",
"mapping": [ {
"uri": "https://decor.nictiz.nl/pub/cio/cio-html-20230424T150542/ds-2.16.840.1.113883.2.4.3.11.60.26.1.2-2020-04-02T000000.html",
"name": "ART-DECOR Dataset Contraindications and intolerances 2.0.0-beta.1 20230424",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"abstract": false,
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"type": "AllergyIntolerance",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "cio HypersensitivityDispositionReaction",
"package_version": "1.0.0-beta.1",
"status": "draft",
"id": "13e92d1b-1223-45d9-b342-d21c7049d737",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/cio-HypersensitivityDispositionReaction",
"version": null,
"differential": {
"element": [ {
"id": "AllergyIntolerance",
"path": "AllergyIntolerance",
"mapping": [ {
"map": "cio-dataelement-20-456",
"comment": "HypersensitivityDisposition",
"identity": "cio-dataset-200-beta1-20230424"
} ]
}, {
"id": "AllergyIntolerance.extension",
"min": 1,
"path": "AllergyIntolerance.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "AllergyIntolerance.extension:startMonitoringDateTime",
"min": 1,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate" ]
} ],
"sliceName": "startMonitoringDateTime"
}, {
"id": "AllergyIntolerance.extension:startMonitoringDateTime.value[x]",
"path": "AllergyIntolerance.extension.value[x]",
"alias": [ "StartBewakingDatumTijd" ],
"short": "StartMonitoringDateTime",
"mapping": [ {
"map": "cio-dataelement-20-472",
"comment": "StartMonitoringDateTime",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "The date and time at which the first author has started the monitoring."
}, {
"id": "AllergyIntolerance.extension:methodOfEstablishment",
"min": 0,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-HypersensitivityDisposition.MethodOfEstablishment" ]
} ],
"sliceName": "methodOfEstablishment"
}, {
"id": "AllergyIntolerance.extension:sourceDescription",
"min": 0,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-HypersensitivityDisposition.SourceDescription" ]
} ],
"sliceName": "sourceDescription"
}, {
"id": "AllergyIntolerance.extension:dateTimeClosure",
"min": 0,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-HypersensitivityDisposition.DateTimeClosure" ]
} ],
"sliceName": "dateTimeClosure"
}, {
"id": "AllergyIntolerance.extension:reasonClosure",
"min": 0,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-HypersensitivityDisposition.ReasonClosure" ]
} ],
"sliceName": "reasonClosure"
}, {
"id": "AllergyIntolerance.extension:relationHypersensitivityDisposition",
"min": 0,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-HypersensitivityDisposition.RelationHypersensitivity" ]
} ],
"sliceName": "relationHypersensitivityDisposition"
}, {
"id": "AllergyIntolerance.identifier",
"min": 1,
"path": "AllergyIntolerance.identifier",
"alias": [ "Identificatie" ],
"short": "Identification",
"mapping": [ {
"map": "cio-dataelement-20-471",
"comment": "Identification",
"identity": "cio-dataset-200-beta1-20230424"
} ]
}, {
"id": "AllergyIntolerance.clinicalStatus",
"path": "AllergyIntolerance.clinicalStatus",
"alias": [ "OvergevoeligheidStatus" ],
"short": "HypersensitivityStatus",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/OvergevoeligheidStatusCodelijst-to-AllergyIntoleranceClinicalStatusCodes"
} ]
},
"description": "Use ConceptMap OvergevoeligheidStatusCodelijst_to_AllergyIntoleranceClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceClinicalStatusCodes"
},
"mapping": [ {
"map": "cio-dataelement-20-459",
"comment": "HypersensitivityStatus",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Statement on the status of the patient’s hypersensitivity."
}, {
"id": "AllergyIntolerance.category",
"min": 1,
"path": "AllergyIntolerance.category",
"alias": [ "OvergevoeligheidCategorie" ],
"short": "HypersensitivityCategory",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/OvergevoeligheidCategorieCodelijst-to-AllergyIntoleranceCategory"
} ]
},
"description": "Use ConceptMap OvergevoeligheidCategorieCodelijst_to_AllergyIntoleranceCategory to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceCategory"
},
"mapping": [ {
"map": "cio-dataelement-20-458",
"comment": "HypersensitivityCategory",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Identifies the hypersensitivity category."
}, {
"id": "AllergyIntolerance.category.extension",
"min": 0,
"path": "AllergyIntolerance.category.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "AllergyIntolerance.category.extension:hypersensitivityCategoryCodelist",
"max": "1",
"min": 0,
"path": "AllergyIntolerance.category.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" ]
} ],
"sliceName": "hypersensitivityCategoryCodelist"
}, {
"id": "AllergyIntolerance.category.extension:hypersensitivityCategoryCodelist.value[x]",
"path": "AllergyIntolerance.category.extension.value[x]",
"alias": [ "OvergevoeligheidCategorie" ],
"short": "HypersensitivityCategory",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.7--20211028090253"
},
"mapping": [ {
"map": "cio-dataelement-20-458",
"comment": "HypersensitivityCategory",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Identifies the hypersensitivity category."
}, {
"id": "AllergyIntolerance.code",
"min": 1,
"path": "AllergyIntolerance.code",
"alias": [ "TeBewakenStof" ],
"short": "SubstanceToMonitor",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.10--20230406110820"
},
"mapping": [ {
"map": "cio-dataelement-20-457",
"comment": "SubstanceToMonitor",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Substance or group of substances which is monitored."
}, {
"id": "AllergyIntolerance.patient",
"path": "AllergyIntolerance.patient",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
} ],
"mapping": [ {
"map": "cio-dataelement-20-302",
"comment": "Patient",
"identity": "cio-dataset-200-beta1-20230424"
} ]
}, {
"id": "AllergyIntolerance.onset[x]",
"path": "AllergyIntolerance.onset[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "AllergyIntolerance.onset[x]:onsetDateTime",
"path": "AllergyIntolerance.onset[x]",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "BeginDatumTijd" ],
"short": "OnsetDateTime",
"mapping": [ {
"map": "cio-dataelement-20-460",
"comment": "OnsetDateTime",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"sliceName": "onsetDateTime",
"definition": "The date and time of onset of the hypersensitivity, defined by the first reaction manifestation. This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year)."
}, {
"id": "AllergyIntolerance.recordedDate",
"min": 1,
"path": "AllergyIntolerance.recordedDate",
"alias": [ "RegistratieDatumTijd" ],
"short": "RegistrationDateTime",
"mapping": [ {
"map": "cio-dataelement-20-713",
"comment": "RegistrationDateTime",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "The date and time at which the hypersensitivity has been entered. Date and time are required (order of the registrations must be clear in cases with multiple registrations on one day)."
}, {
"path": "AllergyIntolerance.recorder",
"min": 1,
"definition": "The health professional or health care provider who is responsible for a registration which takes place after the initial (first) registration by the first author.",
"short": "Author",
"mapping": [ {
"map": "cio-dataelement-20-473",
"comment": "Author",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-590",
"comment": "HealthProfessional",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-735",
"comment": "HealthcareProvider",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"type": [ {
"code": "Reference",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ],
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ]
} ],
"alias": [ "Auteur" ],
"id": "AllergyIntolerance.recorder",
"comment": "Whenever a HealthcareProvider is the author of this registration, this concept refers to a PractitionerRole instance in which the nl-core-HealthcareProvider-Organization instance is referred to in `PractitionerRole.organization`. This use of the PractitionerRole resource type is described in the current FHIR build as: 'For use cases where an organization has activities where a practitioner is not defined/pre-allocated for a specific role (e.g. an un-named surgeon at XYZ Hospital), a PractitionerRole resource can be used with an empty Practitioner property, and the other relevant role properties populated'.\r\n\r\nNote that, although the nl-core-HealthcareProvider profile (with resource type Location) is the focal profile of the zib HealthcareProvider, this (indirect) reference to the nl-core-HealthcareProvider-Organization profile is sufficient, because the concept is concerned with the organizational information of the author."
}, {
"path": "AllergyIntolerance.asserter",
"min": 1,
"definition": "The health professional or the healthcare provider who is responsible for the initial (first) registration.",
"short": "FirstAuthor",
"mapping": [ {
"map": "cio-dataelement-20-709",
"comment": "FirstAuthor",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-710",
"comment": "HealthProfessional",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-737",
"comment": "HealthcareProvider",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"type": [ {
"code": "Reference",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ],
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ]
} ],
"alias": [ "EersteAuteur" ],
"id": "AllergyIntolerance.asserter",
"comment": "Whenever a HealthcareProvider is the author of the initial registration of this hypersensitivity, this concept refers to a PractitionerRole instance in which the nl-core-HealthcareProvider-Organization instance is referred to in `PractitionerRole.organization`. This use of the PractitionerRole resource type is described in the current FHIR build as: 'For use cases where an organization has activities where a practitioner is not defined/pre-allocated for a specific role (e.g. an un-named surgeon at XYZ Hospital), a PractitionerRole resource can be used with an empty Practitioner property, and the other relevant role properties populated'.\r\n\r\nNote that, although the nl-core-HealthcareProvider profile (with resource type Location) is the focal profile of the zib HealthcareProvider, this (indirect) reference to the nl-core-HealthcareProvider-Organization profile is sufficient, because the concept is concerned with the organizational information of the first author."
}, {
"id": "AllergyIntolerance.note",
"max": "1",
"path": "AllergyIntolerance.note"
}, {
"id": "AllergyIntolerance.note.text",
"path": "AllergyIntolerance.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "cio-dataelement-20-463",
"comment": "Comment",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Textual explanation of the hypersensitivity which cannot be entered in any of the other fields."
}, {
"id": "AllergyIntolerance.reaction",
"path": "AllergyIntolerance.reaction",
"mapping": [ {
"map": "cio-dataelement-20-464",
"comment": "Reaction",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-549",
"comment": "Reaction",
"identity": "cio-dataset-200-beta1-20230424"
} ]
}, {
"id": "AllergyIntolerance.reaction.extension",
"min": 3,
"path": "AllergyIntolerance.reaction.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "AllergyIntolerance.reaction.extension:identification",
"min": 1,
"path": "AllergyIntolerance.reaction.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Reaction.Identification" ]
} ],
"sliceName": "identification"
}, {
"id": "AllergyIntolerance.reaction.extension:registrationDateTime",
"min": 1,
"path": "AllergyIntolerance.reaction.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Reaction.RegistrationDateTime" ]
} ],
"sliceName": "registrationDateTime"
}, {
"id": "AllergyIntolerance.reaction.extension:endDateTime",
"min": 0,
"path": "AllergyIntolerance.reaction.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Reaction.EndDateTime" ]
} ],
"sliceName": "endDateTime"
}, {
"id": "AllergyIntolerance.reaction.extension:duration",
"min": 0,
"path": "AllergyIntolerance.reaction.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration" ]
} ],
"sliceName": "duration"
}, {
"id": "AllergyIntolerance.reaction.extension:duration.value[x]",
"path": "AllergyIntolerance.reaction.extension.value[x]",
"alias": [ "TijdsDuur" ],
"short": "TimeDuration",
"mapping": [ {
"map": "cio-dataelement-20-583",
"comment": "TimeDuration",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Duration of the reaction."
}, {
"id": "AllergyIntolerance.reaction.extension:specificationExposure",
"min": 0,
"path": "AllergyIntolerance.reaction.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Reaction.SpecificationExposure" ]
} ],
"sliceName": "specificationExposure"
}, {
"id": "AllergyIntolerance.reaction.extension:author",
"min": 1,
"path": "AllergyIntolerance.reaction.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Reaction.Author" ]
} ],
"sliceName": "author"
}, {
"id": "AllergyIntolerance.reaction.extension:copyIndicator",
"min": 0,
"path": "AllergyIntolerance.reaction.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-CopyIndicator" ]
} ],
"sliceName": "copyIndicator"
}, {
"id": "AllergyIntolerance.reaction.extension:copyIndicator.value[x]",
"path": "AllergyIntolerance.reaction.extension.value[x]",
"mapping": [ {
"map": "cio-dataelement-20-714",
"comment": "CopyIndicator",
"identity": "cio-dataset-200-beta1-20230424"
} ]
}, {
"id": "AllergyIntolerance.reaction.substance",
"path": "AllergyIntolerance.reaction.substance",
"alias": [ "VeroorzakendeStof" ],
"short": "CausativeSubstance",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.11--20230407113754"
},
"mapping": [ {
"map": "cio-dataelement-20-466",
"comment": "CausativeSubstance",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "The substance that (presumably) caused the reaction."
}, {
"id": "AllergyIntolerance.reaction.manifestation",
"path": "AllergyIntolerance.reaction.manifestation",
"alias": [ "ReactieVerschijnsel" ],
"short": "ReactionPhenomenon",
"binding": {
"strength": "extensible",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.3--20210715104207"
},
"mapping": [ {
"map": "cio-dataelement-20-465",
"comment": "ReactionPhenomenon",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "The substantive specifications of the reaction (symptoms) that occurs when the patient is exposed to the substance."
}, {
"id": "AllergyIntolerance.reaction.description",
"min": 1,
"path": "AllergyIntolerance.reaction.description",
"alias": [ "ReactieBeschrijving" ],
"short": "ReactionDescription",
"mapping": [ {
"map": "cio-dataelement-20-661",
"comment": "ReactionDescription",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Textual description of the reaction as a whole including the reaction phenomena (symptoms)."
}, {
"id": "AllergyIntolerance.reaction.onset",
"path": "AllergyIntolerance.reaction.onset",
"alias": [ "BeginDatumTijd" ],
"short": "StartDateTime",
"mapping": [ {
"map": "cio-dataelement-20-581",
"comment": "StartDateTime",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Date and time the response started. This may only be a date or a partial date, if not known more precisely."
}, {
"id": "AllergyIntolerance.reaction.severity",
"path": "AllergyIntolerance.reaction.severity",
"alias": [ "Ernst" ],
"short": "Severity",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/ErnstCodelijst-to-AllergyIntoleranceSeverity"
} ]
},
"description": "Use ConceptMap ErnstCodelijst_to_AllergyIntoleranceSeverity to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceSeverity"
},
"mapping": [ {
"map": "cio-dataelement-20-468",
"comment": "Severity",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "The severity of the reaction as a result of exposure to the substance."
}, {
"id": "AllergyIntolerance.reaction.exposureRoute",
"path": "AllergyIntolerance.reaction.exposureRoute",
"alias": [ "WijzeVanBlootstelling" ],
"short": "RouteOfExposure",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20200901000000"
},
"mapping": [ {
"map": "cio-dataelement-20-469",
"comment": "RouteOfExposure",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Way in which the patient came into contact with the causative substance or the way in which the substance was administered."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
}