{
"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-Hypersensitivity.json",
"package_name": "nictiz.fhir.nl.r4.cio",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This AllergyIntolerance resource represents the Hypersensitivity 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) Hypersensitivity that will be 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-Hypersensitivity profile in the future.",
"name": "CioHypersensitivity",
"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.2 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 Hypersensitivity",
"package_version": "1.0.0-beta.2",
"status": "draft",
"id": "9ad7a4d7-1176-4dcc-845f-e23a05f0a510",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/cio-Hypersensitivity",
"version": "1.0.0-beta.2",
"differential": {
"element": [ {
"id": "AllergyIntolerance",
"path": "AllergyIntolerance",
"alias": [ "Overgevoeligheid" ],
"short": "Hypersensitivity",
"comment": "Note that not all concepts within the Hypersensitivity building block are mapped to elements within this profile. To convey the complete Hypersensitivity 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-RegistrationData](http://nictiz.nl/fhir/StructureDefinition/cio-RegistrationData) profile wherein `Provenance.target` refers to the AllergyIntolerance and Condition resources.",
"mapping": [ {
"map": "cio-dataelement-20-456",
"comment": "Hypersensitivity",
"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 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:relationHypersensitivity",
"path": "AllergyIntolerance.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-RelationHypersensitivity" ]
} ],
"sliceName": "relationHypersensitivity"
}, {
"id": "AllergyIntolerance.extension:relationHypersensitivity.value[x]",
"path": "AllergyIntolerance.extension.value[x]",
"mapping": [ {
"map": "cio-dataelement-20-734",
"comment": "RelationHypersensitivity",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "Relation to the hypersensitivity which was used to create a new, modified registration (as a result of changing one or more data elements or inactivating the hypersensitivity)."
}, {
"id": "AllergyIntolerance.identifier",
"min": 1,
"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",
"alias": [ "AandoeningAanwezigheid" ],
"short": "ConditionPresence",
"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/AandoeningAanwezigheidCodelijst-to-AllergyIntoleranceClinicalStatusCodes"
} ]
},
"description": "Use ConceptMap AandoeningAanwezigheidCodelijst_to_AllergyIntoleranceClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceClinicalStatusCodes."
},
"mapping": [ {
"map": "cio-dataelement-20-806",
"comment": "ConditionPresence",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "The presence of the condition. This is independent of the diagnostic insight for the condition. The presence status indicates whether the condition is present, no longer present (after having been present) or has been proven not to be present (not having been present)."
}, {
"id": "AllergyIntolerance.clinicalStatus.coding",
"min": 1,
"path": "AllergyIntolerance.clinicalStatus.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
}
}, {
"id": "AllergyIntolerance.clinicalStatus.coding:conditionPresenceCodelist",
"max": "1",
"min": 1,
"path": "AllergyIntolerance.clinicalStatus.coding",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.20--20231120132919",
"description": "In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap can be used to relate these two ValueSets."
},
"sliceName": "conditionPresenceCodelist"
}, {
"id": "AllergyIntolerance.verificationStatus",
"path": "AllergyIntolerance.verificationStatus",
"alias": [ "ZekerheidStatus" ],
"short": "CertaintyStatus",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/ZekerheidStatusCodelijst-to-AllergyIntoleranceVerificationStatus"
} ]
},
"description": "Use ConceptMap ZekerheidStatusCodelijst_to_AllergyIntoleranceVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceVerificationStatusCodes."
},
"mapping": [ {
"map": "cio-dataelement-20-794",
"comment": "CertaintyStatus",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "Indicates the conviction of the health professional with respect to the hypersensitivity as interpretation of the condition."
}, {
"id": "AllergyIntolerance.verificationStatus.coding",
"min": 1,
"path": "AllergyIntolerance.verificationStatus.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$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.type",
"max": "0",
"path": "AllergyIntolerance.type",
"comment": "Due to the required binding on this element it is not possible to use it to indicate that an AllergyIntolerance resource conforming to this profile represents an instance of the Hypersensitivity building block. Therefore the `.type` element from R5 (with a preferred binding) is implicitly pre-adopted via the [AllergyIntolerance-Type extension](http://nictiz.nl/fhir/StructureDefinition/ext-AllergyIntolerance-Type)."
}, {
"id": "AllergyIntolerance.category",
"path": "AllergyIntolerance.category",
"alias": [ "OvergevoeligheidCategorie" ],
"short": "HypersensitivityCategory",
"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/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": "HypersensitivityCategory",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "Identifies the hypersensitivity category 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 health professional's assessment of the expected severity of the reaction upon future exposure to the substance or group of substances to which the patient is hypersensitive."
}, {
"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.onset[x]",
"min": 1,
"path": "AllergyIntolerance.onset[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"path": "AllergyIntolerance.onset[x]",
"min": 1,
"definition": "Date and possibly time when the condition started. One will often use the start date of the first symptom. It may be a vague date.",
"short": "ConditionStartDateTime",
"mapping": [ {
"map": "cio-dataelement-20-804",
"comment": "ConditionStartDateTime",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"type": [ {
"code": "dateTime"
} ],
"sliceName": "onsetDateTime",
"alias": [ "AandoeningBeginDatumTijd" ],
"id": "AllergyIntolerance.onset[x]:onsetDateTime"
}, {
"id": "AllergyIntolerance.recordedDate",
"path": "AllergyIntolerance.recordedDate",
"alias": [ "RegistratieDatumTijd" ],
"short": "RegistrationDateTime",
"mapping": [ {
"map": "cio-dataelement-20-783",
"comment": "RegistrationDateTime",
"identity": "cio-dataset-200-beta2-20231214"
} ],
"definition": "Date and time when the information was recorded in the patient's record."
}, {
"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 is responsible for entering the information in the patient's 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 regarding the hypersensitivity. 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 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"
}