description: 'AllergyIntolerance as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017. An allergy or intolerance describes a patient’s tendency towards hypersensitivity to a certain substance, so that an unwanted physiological reaction is expected after exposure to the substance, while most people would not exhibit such a reaction to that amount. The observed physiological changes are usually the result of an immunological reaction. The substances can be categorized as follows:\r\n* Medicine\r\n* Medicine category\r\n* Ingredient/addition\r\n* Nutrition\r\n* Environmental factor\r\n* Animal\r\n* Plants\r\n* Chemicals\r\n* Inhaled allergenic'
package_name: nictiz.fhir.nl.stu3.zib2017
derivation: constraint
name: Zib AllergyIntolerance
type: AllergyIntolerance
elements:
  patient:
    type: Reference
    short: Patient
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient']
    index: 18
  onset:
    short: StartDateTime
    choices: []
    index: 20
  category:
    extensions:
      AllergieCategorieCodelijst:
        url: h
        short: AllergyCategory
        type: Extension
        index: 5
        elements:
          valueCodeableConcept:
            index: 6
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 6}
    elements:
      extension:
        index: 4
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            AllergieCategorieCodelijst:
              match: {url: null}
              schema:
                short: AllergyCategory
                type: Extension
                url: h
                index: 5
                elements:
                  valueCodeableConcept:
                    index: 6
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 6}
  criticality:
    index: 7
    extensions:
      CriticalExtentCodelist:
        url: h
        short: Criticality
        type: Extension
        index: 9
        elements:
          valueCodeableConcept:
            index: 10
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 10}
    elements:
      extension:
        index: 8
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            CriticalExtentCodelist:
              match: {url: null}
              schema:
                short: Criticality
                type: Extension
                url: h
                index: 9
                elements:
                  valueCodeableConcept:
                    index: 10
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 10}
  clinicalStatus:
    extensions:
      AllergieStatusCodelijst:
        url: h
        short: AllergyStatus
        type: Extension
        index: 2
        elements:
          valueCodeableConcept:
            index: 3
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 3}
    elements:
      extension:
        index: 1
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            AllergieStatusCodelijst:
              match: {url: null}
              schema:
                short: AllergyStatus
                type: Extension
                url: h
                index: 2
                elements:
                  valueCodeableConcept:
                    index: 3
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 3}
  asserter:
    type: Reference
    short: Informant
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient', 'http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner', 'http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson']
    index: 24
    extensions:
      practitionerRole: {url: h, max: 1, type: Extension, index: 26}
    elements:
      extension:
        index: 25
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            practitionerRole:
              match: {url: null}
              schema: {type: Extension, url: h, index: 26}
              max: 1
  note:
    elements:
      author:
        short: Author
        choices: [authorString, authorReference, authorReference, authorReference]
        index: 29
      authorString: {type: string, short: Author, choiceOf: author, index: 30}
      authorReference:
        type: Reference
        short: Author
        choiceOf: author
        refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner']
        index: 31
      author[x]:
        extensions:
          practitionerRole: {url: h, max: 1, type: Extension, index: 35}
        elements:
          extension:
            index: 34
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: null
              slices:
                practitionerRole:
                  match: {url: null}
                  schema: {type: Extension, url: h, index: 35}
                  max: 1
      text: {short: Comment, index: 36}
  recorder:
    type: Reference
    short: Recorder
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient', 'http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner']
    index: 21
    extensions:
      practitionerRole: {url: h, max: 1, type: Extension, index: 23}
    elements:
      extension:
        index: 22
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            practitionerRole:
              match: {url: null}
              schema: {type: Extension, url: h, index: 23}
              max: 1
  code:
    short: CausativeAgent
    index: 11
    elements:
      coding:
        index: 12
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            causativeAgentAllergicAgentCodelist:
              match: {system: null}
              schema: {index: 13}
            causativeAgentHPKCodelist:
              match: {system: null}
              schema: {index: 14}
            causativeAgentSNKCodelist:
              match: {system: null}
              schema: {index: 15}
            causativeAgentSSKCodelist:
              match: {system: null}
              schema: {index: 16}
            causativeAgentThesaurus122Codelist:
              match: {system: null}
              schema: {index: 17}
  identifier: {short: Identifier, index: 0}
  lastOccurrence: {short: LastReactionDateTime, index: 27}
  reaction:
    short: Reaction
    index: 37
    elements:
      substance:
        short: SpecificSubstance
        index: 38
        elements:
          coding:
            index: 39
            slicing:
              rules: open
              discriminator:
              - {path: system, type: value}
              min: null
              slices:
                specificSubstanceAllergicAgentCodelist:
                  match: {system: null}
                  schema: {index: 40}
                specificSubstanceHPKCodelist:
                  match: {system: null}
                  schema: {index: 41}
                specificSubstanceSNKCodelist:
                  match: {system: null}
                  schema: {index: 42}
                specificSubstanceSSKCodelist:
                  match: {system: null}
                  schema: {index: 43}
                specificSubstanceThesaurus122Codelist:
                  match: {system: null}
                  schema: {index: 44}
      manifestation: {short: Symptom, index: 45}
      description: {short: ReactionDescription, index: 46}
      onset: {short: ReactionTime, index: 47}
      severity: {short: Severity, index: 48}
      exposureRoute: {short: MannerOfExposure, index: 49}
package_version: 1.3.1
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance
base: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
version: 2.1.1