{
"description": "The diagnostic insight that the patient is predisposed to develop an undesirable reaction when exposed to a specific substance or group of substances on the basis of an allergy or pseudoallergy.",
"_filename": "cio-HypersensitivityIntolerance.json",
"package_name": "nictiz.fhir.nl.r4.cio",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This AllergyIntolerance resource represents the HypersensitivityIntolerance 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) HypersensitivityIntolerance 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-HypersensitivityIntolerance profile in the future.",
"name": "CioHypersensitivityIntolerance",
"mapping": [ {
"uri": "https://decor.nictiz.nl/pub/cio/cio-html-20231214T100742/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 20231214",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"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 HypersensitivityIntolerance",
"package_version": "1.0.0-beta.3",
"status": "draft",
"id": "84c2fc4c-c503-402e-b6ae-7f3127b67d99",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/cio-HypersensitivityIntolerance",
"version": "1.0.0-beta.3",
"differential": {
"element": [ {
"id": "AllergyIntolerance",
"path": "AllergyIntolerance",
"alias": [ "Overgevoeligheid" ],
"short": "HypersensitivityIntolerance",
"comment": "Note that not all concepts within the HypersensitivityIntolerance building block are mapped to elements within this profile. To convey the complete HypersensitivityIntolerance building block, an AllergyIntolerance resource conforming to this profile SHOULD always be used together with an instance conforming to the [cio-Condition](http://nictiz.nl/fhir/StructureDefinition/cio-Condition) profile, as well as an instance conforming to the [cio-RegistrationInformation](http://nictiz.nl/fhir/StructureDefinition/cio-RegistrationInformation) profile wherein `Provenance.target` refers to the AllergyIntolerance and Condition resources.",
"mapping": [ {
"map": "cio-dataelement-20-456",
"comment": "HypersensitivityIntolerance",
"identity": "cio-dataset-200-beta2-20231214"
} ]
}, {
"id": "AllergyIntolerance.extension",
"min": 3,
"path": "AllergyIntolerance.extension"
}, {
"id": "AllergyIntolerance.extension:type",
"min": 1,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-AllergyIntolerance-Type" ]
} ],
"sliceName": "type"
}, {
"id": "AllergyIntolerance.extension:type.value[x]",
"path": "AllergyIntolerance.extension.value[x]",
"patternCodeableConcept": {
"coding": [ {
"code": "609433001",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "AllergyIntolerance.extension:diagnosticInsightDate",
"min": 1,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate" ]
} ],
"sliceName": "diagnosticInsightDate"
}, {
"id": "AllergyIntolerance.extension:diagnosticInsightDate.value[x]",
"path": "AllergyIntolerance.extension.value[x]",
"alias": [ "DiagnostischInzichtDatum" ],
"short": "DiagnosticInsightDate",
"mapping": [ {
"map": "cio-dataelement-20-799",
"comment": "DiagnosticInsightDate",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "Date (and time) at which the health professional obtained the diagnostic insight."
}, {
"id": "AllergyIntolerance.extension:wayOfDetermination",
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-WayOfDetermination" ]
} ],
"sliceName": "wayOfDetermination"
}, {
"id": "AllergyIntolerance.extension:wayOfDetermination.value[x]",
"path": "AllergyIntolerance.extension.value[x]",
"mapping": [ {
"map": "cio-dataelement-20-555",
"comment": "WayOfDetermination",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "The way in which the hypersensitivity or intolerance is determined."
}, {
"id": "AllergyIntolerance.extension:relationCondition",
"min": 1,
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-RelationCondition" ]
} ],
"sliceName": "relationCondition"
}, {
"id": "AllergyIntolerance.extension:relationCondition.value[x]",
"path": "AllergyIntolerance.extension.value[x]",
"alias": [ "RelatieAandoeningOfGesteldheid" ],
"short": "RelationCondition",
"mapping": [ {
"map": "cio-dataelement-20-932",
"comment": "RelationCondition",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "The condition of which the hypersensitivity or intolerance is the interpretation."
}, {
"id": "AllergyIntolerance.extension:medicationHypersensitivityIdentifier",
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationHypersensitivity.Identifier" ]
} ],
"sliceName": "medicationHypersensitivityIdentifier",
"isModifier": false
}, {
"id": "AllergyIntolerance.extension:medicationHypersensitivityIdentifier.value[x]",
"path": "AllergyIntolerance.extension.value[x]",
"mapping": [ {
"map": "cio-dataelement-20-888",
"comment": "IdentificationGMO",
"identity": "cio-dataset-200-beta2-20231214"
} ]
}, {
"id": "AllergyIntolerance.identifier",
"path": "AllergyIntolerance.identifier",
"alias": [ "Identificatienummer" ],
"short": "IdentificationNumber",
"mapping": [ {
"map": "cio-dataelement-20-780",
"comment": "IdentificationNumber",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"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": "AllergyIntolerance.clinicalStatus",
"path": "AllergyIntolerance.clinicalStatus",
"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"
} ]
}
}
}, {
"id": "AllergyIntolerance.verificationStatus",
"path": "AllergyIntolerance.verificationStatus",
"alias": [ "ZekerheidStatus" ],
"short": "CertaintyStatus",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/ZekerheidStatusCodelijst-to-AllergyIntoleranceVerificationStatus"
} ]
},
"description": "Use ConceptMap ZekerheidStatusCodelijst_to_AllergyIntoleranceVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceVerificationStatusCodes."
},
"mapping": [ {
"map": "cio-dataelement-20-794",
"comment": "CertaintyStatus",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "Indicates the conviction of the health professional with respect to the hypersensitivity/intolerance as interpretation of the condition."
}, {
"id": "AllergyIntolerance.verificationStatus.coding",
"min": 1,
"path": "AllergyIntolerance.verificationStatus.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
}
}, {
"id": "AllergyIntolerance.verificationStatus.coding:certaintyStatusCodelist",
"max": "1",
"min": 1,
"path": "AllergyIntolerance.verificationStatus.coding",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.15--20231120120828",
"description": "In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap can be used to relate these two ValueSets."
},
"sliceName": "certaintyStatusCodelist"
}, {
"id": "AllergyIntolerance.category",
"path": "AllergyIntolerance.category",
"alias": [ "Categorie" ],
"short": "Category",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.7--20211028090253",
"_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": "Category",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "Identifies the category of the agent to which the hypersensitivity or intolerance relates, such as medicines and nutritional substances."
}, {
"id": "AllergyIntolerance.category.extension:hypersensitivityCategoryCodelist",
"max": "1",
"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-beta2-20231214"
} ],
"definition": "Identifies the hypersensitivity category such as medicines and nutritional substances."
}, {
"id": "AllergyIntolerance.criticality",
"path": "AllergyIntolerance.criticality",
"alias": [ "VerwachtRisicoBijBlootstelling" ],
"short": "ExpectedRiskUponExposure",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/VerwachtRisicoBijBlootstelling-to-AllergyIntoleranceCriticality"
} ]
},
"description": "Use ConceptMap VerwachtRisicoBijBlootstelling_to_AllergyIntoleranceCriticality to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceCriticality."
},
"mapping": [ {
"map": "cio-dataelement-20-802",
"comment": "ExpectedRiskUponExposure",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "The healthcare professional's assessment of the expected severity of the reaction upon future exposure to the substance, group of substances or environmental factor to which the patient is hypersensitive or intolerant."
}, {
"id": "AllergyIntolerance.criticality.extension:expectedRiskUponExposureCodelist",
"max": "1",
"path": "AllergyIntolerance.criticality.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" ]
} ],
"sliceName": "expectedRiskUponExposureCodelist"
}, {
"id": "AllergyIntolerance.criticality.extension:expectedRiskUponExposureCodelist.value[x]",
"path": "AllergyIntolerance.criticality.extension.value[x]",
"alias": [ "VerwachtRisicoBijBlootstelling" ],
"short": "ExpectedRiskUponExposure",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.16--20231120123250"
},
"mapping": [ {
"map": "cio-dataelement-20-802",
"comment": "ExpectedRiskUponExposure",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "The health professional's assessment of the expected risk upon future exposure to the substance or group of substances to which the patient is hypersensitive."
}, {
"id": "AllergyIntolerance.code",
"min": 1,
"path": "AllergyIntolerance.code",
"alias": [ "Stof" ],
"short": "Substance",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.29--20231129132215"
},
"mapping": [ {
"map": "cio-dataelement-20-793",
"comment": "Substance",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "The substance or group of substances that trigger a reaction in the patient upon exposure."
}, {
"id": "AllergyIntolerance.patient",
"path": "AllergyIntolerance.patient",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
} ]
}, {
"id": "AllergyIntolerance.recordedDate",
"path": "AllergyIntolerance.recordedDate",
"alias": [ "OntstaansDatumTijd" ],
"short": "CreationDateTime",
"mapping": [ {
"map": "cio-dataelement-20-783",
"comment": "CreationDateTime",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "Date and time when the information about the patient was registered."
}, {
"id": "AllergyIntolerance.recorder",
"path": "AllergyIntolerance.recorder",
"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" ],
"short": "Author",
"mapping": [ {
"map": "cio-dataelement-20-781",
"comment": "Author",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "The person who has registered or had someone else register the information in the patient record."
}, {
"id": "AllergyIntolerance.asserter",
"min": 1,
"path": "AllergyIntolerance.asserter",
"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": [ "DiagnoseSteller" ],
"short": "Diagnostician",
"mapping": [ {
"map": "cio-dataelement-20-800",
"comment": "Diagnostician",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "The health professional that acquired the diagnostic insight of the reaction. This can be a different individual than the person who recorded the diagnostic insight."
}, {
"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-beta2-20231214"
} ],
"definition": "Textual explanation of the hypersensitivity/intolerance which cannot be entered in any of the other fields."
}, {
"id": "AllergyIntolerance.reaction",
"max": "0",
"path": "AllergyIntolerance.reaction"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
}