{
"description": "A symptom is a phenomenon with which a condition in the patient presents itself. This also includes a complaint or a finding, but not additional research, such as laboratory tests, function tests and imaging studies.",
"_filename": "cio-Symptom.json",
"package_name": "nictiz.fhir.nl.r4.cio",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This Observation resource represents the Symptom building block for implementations following the information standard [CiO](https://informatiestandaarden.nictiz.nl/wiki/Landingspagina_Contra-indicaties_en_Overgevoeligheden). This profile is based on the Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Symptom that is part of the 2024 prepublication. Therefore it has no dependency on a corresponding nl-core profile and mappings to zib concepts are not defined. Instead mappings to the CiO data set have been added. It is the intention to derive this profile from a more general nl-core-Symptom profile in the future.",
"name": "CioSymptom",
"mapping": [ {
"uri": "https://decor.nictiz.nl/pub/cio/cio-html-20241014T185248/ds-2.16.840.1.113883.2.4.3.11.60.26.1.2-2020-04-02T000000.html",
"name": "ART-DECOR Dataset Contraindications and hypersensitivities 2.0.0-beta.3 20241014",
"identity": "cio-dataset-200-beta3-20241023"
} ],
"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": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "cio Symptom",
"package_version": "1.0.0-beta.3",
"status": "draft",
"id": "24ef0c56-92f5-42ca-89e6-d0fadf8db5ac",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/cio-Symptom",
"version": "1.0.0-beta.3",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "Symptoom" ],
"short": "Symptom",
"comment": "In order to convey the registration information of a Symptom building block, this profile is used together with an instance conforming to the [cio-RegistrationInformation](http://nictiz.nl/fhir/StructureDefinition/cio-RegistrationInformation) profile wherein `Provenance.target` refers to the Observation resource.\r\n\r\nThis profile is always used together with instances conforming to the [cio-Condition](http://nictiz.nl/fhir/StructureDefinition/cio-Condition) and [cio-Reaction](http://nictiz.nl/fhir/StructureDefinition/cio-Reaction) profiles.\r\n\r\nPlease note that on a functional level, the building block Symptom references the building block Condition, but in FHIR this direction is reversed. Therefore, the concept RelationCondition (cio-dataelement-20-921) is mapped on `Condition.evidence.detail` in the cio-Condition profile instead of in this profile.",
"mapping": [ {
"map": "cio-dataelement-20-890",
"comment": "Symptom",
"identity": "cio-dataset-200-beta3-20241023"
} ]
}, {
"id": "Observation.extension",
"min": 1,
"path": "Observation.extension"
}, {
"id": "Observation.extension:medicationHypersensitivityIdentifier",
"min": 1,
"path": "Observation.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationHypersensitivity.Identifier" ]
} ],
"sliceName": "medicationHypersensitivityIdentifier"
}, {
"id": "Observation.extension:medicationHypersensitivityIdentifier.value[x]",
"path": "Observation.extension.value[x]",
"mapping": [ {
"map": "cio-dataelement-20-888",
"comment": "IdentificationGMO",
"identity": "cio-dataset-200-beta3-20241023"
} ]
}, {
"id": "Observation.identifier",
"min": 1,
"path": "Observation.identifier",
"alias": [ "Identificatienummer" ],
"short": "IdentificationNumber",
"mapping": [ {
"map": "cio-dataelement-20-780",
"comment": "IdentificationNumber",
"identity": "cio-dataset-200-beta3-20241023"
} ],
"definition": "Globally unique number that identifies the instantiation of the information model. The number is composed of an identification of the issuer organization and a unique number assigned by this organization."
}, {
"id": "Observation.code",
"path": "Observation.code",
"alias": [ "SymptoomNaam" ],
"short": "SymptomName",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.35--20240501114333",
"description": "Identification of the symptom."
},
"mapping": [ {
"map": "cio-dataelement-20-901",
"comment": "SymptomName",
"identity": "cio-dataset-200-beta3-20241023"
} ],
"definition": "Name and code of the symptom via selection from a code list, based on a standardised coding system."
}, {
"id": "Observation.code.text",
"path": "Observation.code.text",
"alias": [ "NadereSpecificatieSymptoomNaam" ],
"short": "FurtherSpecificationSymptomName",
"mapping": [ {
"map": "cio-dataelement-20-902",
"comment": "FurtherSpecificationSymptomName",
"identity": "cio-dataset-200-beta3-20241023"
} ],
"definition": "More detailed specification of the symptom name that has been selected from the code list, because that list does not (yet) contain the required level of detail."
}, {
"id": "Observation.subject",
"min": 1,
"path": "Observation.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
} ]
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:severity",
"max": "1",
"path": "Observation.component",
"sliceName": "severity"
}, {
"id": "Observation.component:severity.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "246112005",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:severity.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "SymptoomErnst" ],
"short": "SymptomSeverity",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.34--20240501114150"
},
"mapping": [ {
"map": "cio-dataelement-20-898",
"comment": "SymptomSeverity",
"identity": "cio-dataset-200-beta3-20241023"
} ],
"definition": "Indicates the degree of severity of the symptom at the moment of the CreationDateTime (cio-dataelement-20-783)."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}