description: 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.\r\nThe 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.r4.zib2020
derivation: constraint
name: ZibAllergyIntolerance
abstract: true
type: AllergyIntolerance
elements:
  onset:
    choices: []
    index: 12
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        onsetDateTime:
          match: {}
          schema:
            short: StartDateTime
            choices: [onsetDateTime]
            index: 14
  category:
    short: AllergyCategory
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1'}
    index: 2
    extensions:
      allergyCategoryCodelist:
        url: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
        type: Extension
        index: 3
        elements:
          value:
            short: AllergyCategory
            choices: []
            index: 5
    elements:
      extension:
        type: Extension
        url: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
        index: 3
        slicing:
          slices:
            allergyCategoryCodelist:
              match: {}
              schema:
                type: Extension
                url: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
                index: 3
                elements:
                  value:
                    short: AllergyCategory
                    choices: []
                    index: 5
  criticality:
    short: Criticality
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1'}
    index: 6
    extensions:
      criticalExtentCodelist:
        url: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
        type: Extension
        index: 7
        elements:
          value:
            short: Criticality
            choices: []
            index: 9
    elements:
      extension:
        type: Extension
        url: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
        index: 7
        slicing:
          slices:
            criticalExtentCodelist:
              match: {}
              schema:
                type: Extension
                url: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
                index: 7
                elements:
                  value:
                    short: Criticality
                    choices: []
                    index: 9
  clinicalStatus:
    short: AllergyStatus
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1'}
    index: 0
  note:
    index: 17
    elements:
      text: {short: Comment, index: 18}
  code:
    short: CausativeAgent
    binding: {strength: required, valueSet: 'http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.2--20200901000000'}
    index: 10
  onsetDateTime:
    short: StartDateTime
    type: dateTime
    choiceOf: onset
    index: 15
    slicing:
      slices:
        onsetDateTime:
          match: {}
          schema: {short: StartDateTime, type: dateTime, choiceOf: onset, index: 15}
  lastOccurrence: {short: LastReactionDateTime, index: 16}
  verificationStatus:
    short: AllergyStatus
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1'}
    index: 1
  reaction:
    short: Reaction
    index: 19
    elements:
      substance:
        short: SpecificSubstance
        binding: {strength: required, valueSet: 'http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.1--20200901000000'}
        index: 20
      manifestation:
        short: Symptom
        binding: {strength: extensible, valueSet: 'http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20200901000000'}
        index: 21
      description: {short: ReactionDescription, index: 22}
      onset: {short: ReactionTime, index: 23}
      severity:
        short: Severity
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1'}
        index: 24
      exposureRoute:
        short: RouteOfExposure
        binding: {strength: required, valueSet: 'http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12--20200901000000'}
        index: 25
package_version: 0.10.0-beta.1
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance
base: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
version: null