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: 26
  onset:
    choices: []
    index: 28
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        onsetDateTime:
          match: {}
          schema:
            short: StartDateTime
            choices: [onsetDateTime]
            index: 30
  category:
    index: 6
    extensions:
      AllergieCategorieCodelijst:
        url: h
        short: AllergyCategory
        type: Extension
        index: 8
        elements:
          valueCodeableConcept:
            index: 9
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 9}
    elements:
      extension:
        index: 7
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 0
          slices:
            AllergieCategorieCodelijst:
              match: {url: null}
              schema:
                short: AllergyCategory
                type: Extension
                url: h
                index: 8
                elements:
                  valueCodeableConcept:
                    index: 9
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 9}
  criticality:
    index: 10
    extensions:
      CriticalExtentCodelist:
        url: h
        short: Criticality
        type: Extension
        index: 12
        elements:
          valueCodeableConcept:
            index: 13
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 13}
    elements:
      extension:
        index: 11
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 0
          slices:
            CriticalExtentCodelist:
              match: {url: null}
              schema:
                short: Criticality
                type: Extension
                url: h
                index: 12
                elements:
                  valueCodeableConcept:
                    index: 13
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 13}
  clinicalStatus:
    short: AllergyStatus
    index: 1
    extensions:
      AllergieStatusCodelijst:
        url: h
        short: AllergyStatus
        type: Extension
        index: 3
        elements:
          valueCodeableConcept:
            index: 4
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 4}
    elements:
      extension:
        index: 2
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 0
          slices:
            AllergieStatusCodelijst:
              match: {url: null}
              schema:
                short: AllergyStatus
                type: Extension
                url: h
                index: 3
                elements:
                  valueCodeableConcept:
                    index: 4
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 4}
  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: 35
    extensions:
      practitionerRole: {url: h, min: 0, max: 1, type: Extension, index: 37}
    elements:
      extension:
        index: 36
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 0
          slices:
            practitionerRole:
              match: {url: null}
              schema: {type: Extension, url: h, index: 37}
              min: 0
              max: 1
  note:
    elements:
      author:
        choices: [authorString]
        index: 53
        slicing:
          slices:
            authorString:
              match: {}
              schema:
                choices: [authorString]
                index: 53
      authorString:
        type: string
        choiceOf: author
        index: 54
        slicing:
          slices:
            authorString:
              match: {}
              schema: {type: string, choiceOf: author, index: 54}
      authorReference:
        type: Reference
        choiceOf: author
        refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner']
        index: 47
        slicing:
          slices:
            authorReference:
              match: {}
              schema:
                type: Reference
                choiceOf: author
                refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner']
                index: 47
      author[x]:
        extensions:
          practitionerRole: {url: h, min: 0, max: 1, type: Extension, index: 51}
        elements:
          extension:
            index: 50
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: 0
              slices:
                practitionerRole:
                  match: {url: null}
                  schema: {type: Extension, url: h, index: 51}
                  min: 0
                  max: 1
      text: {short: Comment, index: 55}
  recorder:
    type: Reference
    short: Recorder
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient', 'http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner']
    index: 32
    extensions:
      practitionerRole: {url: h, min: 0, max: 1, type: Extension, index: 34}
    elements:
      extension:
        index: 33
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 0
          slices:
            practitionerRole:
              match: {url: null}
              schema: {type: Extension, url: h, index: 34}
              min: 0
              max: 1
  code:
    short: CausativeAgent
    index: 14
    elements:
      coding:
        index: 15
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            causativeAgentAllergicAgentCodelist:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 16
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 17
                required: [system]
            causativeAgentHPKCodelist:
              match: {system: 'urn:oid:2.16.840.1.113883.2.4.4.7'}
              schema:
                index: 18
                elements:
                  system:
                    pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.4.7'}
                    index: 19
                required: [system]
            causativeAgentSNKCodelist:
              match: {system: 'urn:oid:2.16.840.1.113883.2.4.4.1.750'}
              schema:
                index: 20
                elements:
                  system:
                    pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.4.1.750'}
                    index: 21
                required: [system]
            causativeAgentSSKCodelist:
              match: {system: 'urn:oid:2.16.840.1.113883.2.4.4.1.725'}
              schema:
                index: 22
                elements:
                  system:
                    pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.4.1.725'}
                    index: 23
                required: [system]
            causativeAgentThesaurus122Codelist:
              match: {system: 'urn:oid:2.16.840.1.113883.2.4.4.1.902.122'}
              schema:
                index: 24
                elements:
                  system:
                    pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.4.1.902.122'}
                    index: 25
                required: [system]
  identifier: {short: Identifier, index: 0}
  onsetDateTime:
    short: StartDateTime
    type: dateTime
    choiceOf: onset
    index: 31
    slicing:
      slices:
        onsetDateTime:
          match: {}
          schema: {short: StartDateTime, type: dateTime, choiceOf: onset, index: 31}
  lastOccurrence: {short: LastReactionDateTime, index: 38}
  verificationStatus: {short: AllergyStatus, index: 5}
  reaction:
    short: Reaction
    index: 56
    elements:
      substance:
        short: SpecificSubstance
        index: 57
        elements:
          coding:
            index: 58
            slicing:
              rules: open
              discriminator:
              - {path: system, type: value}
              min: null
              slices:
                specificSubstanceAllergicAgentCodelist:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    index: 59
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 60
                    required: [system]
                specificSubstanceHPKCodelist:
                  match: {system: 'urn:oid:2.16.840.1.113883.2.4.4.7'}
                  schema:
                    index: 61
                    elements:
                      system:
                        pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.4.7'}
                        index: 62
                    required: [system]
                specificSubstanceSNKCodelist:
                  match: {system: 'urn:oid:2.16.840.1.113883.2.4.4.1.750'}
                  schema:
                    index: 63
                    elements:
                      system:
                        pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.4.1.750'}
                        index: 64
                    required: [system]
                specificSubstanceSSKCodelist:
                  match: {system: 'urn:oid:2.16.840.1.113883.2.4.4.1.725'}
                  schema:
                    index: 65
                    elements:
                      system:
                        pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.4.1.725'}
                        index: 66
                    required: [system]
                specificSubstanceThesaurus122Codelist:
                  match: {system: 'urn:oid:2.16.840.1.113883.2.4.4.1.902.122'}
                  schema:
                    index: 67
                    elements:
                      system:
                        pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.4.1.902.122'}
                        index: 68
                    required: [system]
      manifestation: {short: Symptom, index: 69}
      description: {short: ReactionDescription, index: 70}
      onset: {short: ReactionTime, index: 71}
      severity:
        short: Severity
        index: 72
        extensions:
          SeverityCodelist:
            url: h
            type: Extension
            index: 74
            elements:
              valueCodeableConcept:
                index: 75
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {index: 75}
        elements:
          extension:
            index: 73
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: 0
              slices:
                SeverityCodelist:
                  match: {url: null}
                  schema:
                    type: Extension
                    url: h
                    index: 74
                    elements:
                      valueCodeableConcept:
                        index: 75
                        slicing:
                          slices:
                            valueCodeableConcept:
                              match: {}
                              schema: {index: 75}
      exposureRoute: {short: MannerOfExposure, index: 76}
package_version: 2.2.3
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance
base: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
version: 3.0.4
required: [code]