{
"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",
"_filename": "zib-AllergyIntolerance.json",
"package_name": "nictiz.fhir.nl.r4.zib2020",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This AllergyIntolerance resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) AllergyIntolerance-v3.3(2020EN)](https://zibs.nl/wiki/AllergyIntolerance-v3.3(2020EN)).",
"name": "ZibAllergyIntolerance",
"mapping": [ {
"uri": "https://zibs.nl/wiki/AllergyIntolerance-v3.3(2020EN)",
"name": "zib AllergyIntolerance-v3.3(2020EN)",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"abstract": true,
"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": "zib AllergyIntolerance",
"package_version": "0.5.0-beta1",
"status": "draft",
"id": "90f38890-f2f6-4747-bc16-992f08cd66c4",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance",
"version": null,
"differential": {
"element": [ {
"id": "AllergyIntolerance",
"path": "AllergyIntolerance",
"alias": [ "AllergieIntolerantie" ],
"short": "AllergyIntolerance",
"comment": "The zib defines certain allergy statuses in the AllergieStatusCodelijst (NL-CM:8.2.5 AllergyStatus). These statuses are represented using both the FHIR elements `AllergyIntolerance.clinicalStatus` and `AllergyIntolerance.verificationStatus`; most of the zib codes map to a `.clinicalStatus` code, but the zib code _nullified_ can only be represented by `.verificationStatus`=_entered-in-error_.\r\n\r\nFor both these FHIR elements, a separate ConceptMap is defined. Although both ConceptMaps include _unmatched_ concepts, together they provide an _equal_ mapping of each AllergieStatusCodelijst concept. Therefore, there's no need to include the zib code using the codeSpecification extension, as would normally be expected in these situations.",
"mapping": [ {
"map": "NL-CM:8.2.1",
"comment": "AllergyIntolerance",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ]
}, {
"id": "AllergyIntolerance.clinicalStatus",
"path": "AllergyIntolerance.clinicalStatus",
"alias": [ "AllergieStatus" ],
"short": "AllergyStatus",
"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",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-AllergyIntoleranceClinicalStatusCodes"
} ]
},
"description": "Use ConceptMap AllergieStatusCodelijst_to_AllergyIntoleranceClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceClinicalStatusCodes"
},
"comment": "See the comment on the root element for guidance on mapping zib AllergyStatus to FHIR.",
"mapping": [ {
"map": "NL-CM:8.2.5",
"comment": "AllergyStatus",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Statement on the status of the patient’s hypersensitivity."
}, {
"id": "AllergyIntolerance.verificationStatus",
"path": "AllergyIntolerance.verificationStatus",
"alias": [ "AllergieStatus" ],
"short": "AllergyStatus",
"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/AllergieStatusCodelijst-to-AllergyIntoleranceVerificationStatus"
} ]
},
"description": "Use ConceptMap AllergieStatusCodelijst_to_AllergyIntoleranceVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceVerificationStatusCodes"
},
"comment": "See the comment on the root element for guidance on mapping zib AllergyStatus to FHIR.",
"mapping": [ {
"map": "NL-CM:8.2.5",
"comment": "AllergyStatus",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Statement on the status of the patient’s hypersensitivity."
}, {
"id": "AllergyIntolerance.category",
"max": "1",
"path": "AllergyIntolerance.category",
"alias": [ "AllergieCategorie" ],
"short": "AllergyCategory",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/AllergieCategorieCodelijst-to-AllergyIntoleranceCategory"
} ]
},
"description": "Use ConceptMap AllergieCategorieCodelijst_to_AllergyIntoleranceCategory to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceCategory"
},
"mapping": [ {
"map": "NL-CM:8.2.4",
"comment": "AllergyCategory",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Identifies the allergy category such as medication, food or environment."
}, {
"id": "AllergyIntolerance.category.extension",
"min": 0,
"path": "AllergyIntolerance.category.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "AllergyIntolerance.category.extension:allergyCategoryCodelist",
"max": "1",
"min": 0,
"path": "AllergyIntolerance.category.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" ]
} ],
"sliceName": "allergyCategoryCodelist"
}, {
"id": "AllergyIntolerance.category.extension:allergyCategoryCodelist.value[x]",
"path": "AllergyIntolerance.category.extension.value[x]",
"alias": [ "AllergieCategorie" ],
"short": "AllergyCategory",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20200901000000"
},
"mapping": [ {
"map": "NL-CM:8.2.4",
"comment": "AllergyCategory",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Identifies the allergy category such as medication, food or environment."
}, {
"id": "AllergyIntolerance.criticality",
"path": "AllergyIntolerance.criticality",
"alias": [ "MateVanKritiekZijn" ],
"short": "Criticality",
"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/MateVanKritiekZijnCodelijst-to-AllergyIntoleranceCriticality"
} ]
},
"description": "Use ConceptMap MateVanKritiekZijnCodelijst_to_AllergyIntoleranceCriticality to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceCriticality"
},
"mapping": [ {
"map": "NL-CM:8.2.7",
"comment": "Criticality",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Critical extent is defined as “the potential severity of future reactions.” This represents a clinical evaluation of the worst case scenario for a future reaction. It can be based on the severity of past reactions, the dose and manner of exposure which caused reactions in the past, and the life-threatening potential of the type of reaction. Critical extent is a property of the allergy, and not of the reaction itself."
}, {
"id": "AllergyIntolerance.criticality.extension",
"min": 0,
"path": "AllergyIntolerance.criticality.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "AllergyIntolerance.criticality.extension:criticalExtentCodelist",
"max": "1",
"min": 0,
"path": "AllergyIntolerance.criticality.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" ]
} ],
"sliceName": "criticalExtentCodelist"
}, {
"id": "AllergyIntolerance.criticality.extension:criticalExtentCodelist.value[x]",
"path": "AllergyIntolerance.criticality.extension.value[x]",
"alias": [ "MateVanKritiekZijn" ],
"short": "Criticality",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4--20200901000000"
},
"mapping": [ {
"map": "NL-CM:8.2.7",
"comment": "Criticality",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Critical extent is defined as “the potential severity of future reactions.” This represents a clinical evaluation of the worst case scenario for a future reaction. It can be based on the severity of past reactions, the dose and manner of exposure which caused reactions in the past, and the life-threatening potential of the type of reaction. Critical extent is a property of the allergy, and not of the reaction itself."
}, {
"id": "AllergyIntolerance.code",
"path": "AllergyIntolerance.code",
"alias": [ "VeroorzakendeStof" ],
"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"
},
"mapping": [ {
"map": "NL-CM:8.2.2",
"comment": "CausativeAgent",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Substance, group of substances or environmental factor to which the patient is allergic or hypersensitive."
}, {
"id": "AllergyIntolerance.onset[x]",
"path": "AllergyIntolerance.onset[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "AllergyIntolerance.onset[x]:onsetDateTime",
"path": "AllergyIntolerance.onset[x]",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "BeginDatumTijd" ],
"short": "StartDateTime",
"mapping": [ {
"map": "NL-CM:8.2.6",
"comment": "StartDateTime",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"sliceName": "onsetDateTime",
"definition": "The date and time at which the allergy or undesired reaction was determined. This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year)."
}, {
"id": "AllergyIntolerance.lastOccurrence",
"path": "AllergyIntolerance.lastOccurrence",
"alias": [ "LaatsteReactieDatumTijd" ],
"short": "LastReactionDateTime",
"mapping": [ {
"map": "NL-CM:8.2.8",
"comment": "LastReactionDateTime",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Entry of the last time a hypersensitive reaction took place."
}, {
"id": "AllergyIntolerance.note",
"max": "1",
"path": "AllergyIntolerance.note"
}, {
"id": "AllergyIntolerance.note.text",
"path": "AllergyIntolerance.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:8.2.9",
"comment": "Comment",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Textual explanation of the hypersensitivity which cannot be entered in any of the other fields."
}, {
"id": "AllergyIntolerance.reaction",
"path": "AllergyIntolerance.reaction",
"alias": [ "Reactie" ],
"short": "Reaction",
"mapping": [ {
"map": "NL-CM:8.2.10",
"comment": "Reaction",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ]
}, {
"id": "AllergyIntolerance.reaction.substance",
"path": "AllergyIntolerance.reaction.substance",
"alias": [ "SpecifiekeStof" ],
"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"
},
"mapping": [ {
"map": "NL-CM:8.2.12",
"comment": "SpecificSubstance",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "More specific indication of the substance that caused the reaction. This can be a specific substance from a group of substances to which the patient is allergic or hypersensitive."
}, {
"id": "AllergyIntolerance.reaction.manifestation",
"path": "AllergyIntolerance.reaction.manifestation",
"alias": [ "Symptoom" ],
"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"
},
"mapping": [ {
"map": "NL-CM:8.2.11",
"comment": "Symptom",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "The content specifications of the reaction that takes place when the patient is exposed to the causative substance."
}, {
"id": "AllergyIntolerance.reaction.description",
"path": "AllergyIntolerance.reaction.description",
"alias": [ "ReactieBeschrijving" ],
"short": "ReactionDescription",
"mapping": [ {
"map": "NL-CM:8.2.13",
"comment": "ReactionDescription",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Textual description of the reaction as a whole."
}, {
"id": "AllergyIntolerance.reaction.onset",
"path": "AllergyIntolerance.reaction.onset",
"alias": [ "ReactieTijdstip" ],
"short": "ReactionTime",
"mapping": [ {
"map": "NL-CM:8.2.17",
"comment": "ReactionTime",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Date and time at which the reaction took place. This may also be just the date or a partial date, in the event that the exact date is unknown."
}, {
"id": "AllergyIntolerance.reaction.severity",
"path": "AllergyIntolerance.reaction.severity",
"alias": [ "Ernst" ],
"short": "Severity",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/ErnstCodelijst-to-AllergyIntoleranceSeverity"
} ]
},
"description": "Use ConceptMap ErnstCodelijst_to_AllergyIntoleranceSeverity to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceSeverity"
},
"mapping": [ {
"map": "NL-CM:8.2.14",
"comment": "Severity",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "The severity of the reaction as a result of exposure to the causative substance."
}, {
"id": "AllergyIntolerance.reaction.exposureRoute",
"path": "AllergyIntolerance.reaction.exposureRoute",
"alias": [ "WijzeVanBlootstelling" ],
"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"
},
"mapping": [ {
"map": "NL-CM:8.2.15",
"comment": "RouteOfExposure",
"identity": "zib-allergyintolerance-v3.3-2020EN"
} ],
"definition": "Way in which the patient came into contact with the causative agent or the way in which the agent was administered."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
}