{
  "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": "HdBe-AllergyIntolerance.json",
  "package_name": "healthdata.be.r4.cbb",
  "date": "2022-07-07T15:04:03.2592055+00:00",
  "derivation": "constraint",
  "publisher": "Healthdata.be (Sciensano)",
  "fhirVersion": "4.0.1",
  "name": "HdBeAllergyIntolerance",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/AllergyIntolerance-v3.3(2020EN)",
    "name": "zib AllergyIntolerance-v3.3(2020EN)",
    "identity": "zib-allergyintolerance-v3.3-2020EN"
  }, {
    "uri": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Patient",
    "name": "HdBe logical model AllergyIntolerance",
    "identity": "HdBe-AllergyIntolerance"
  } ],
  "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": "HdBe AllergyIntolerance",
  "package_version": "0.9.0-alpha",
  "status": "draft",
  "id": "bbdbe88f-4476-4ed0-bc4f-258caa3b4e08",
  "kind": "resource",
  "url": "https://fhir.healthdata.be/StructureDefinition/HdBe-AllergyIntolerance",
  "version": null,
  "differential": {
    "element": [ {
      "id": "AllergyIntolerance",
      "path": "AllergyIntolerance",
      "alias": [ "AllergieIntolerantie" ],
      "short": "AllergyIntolerance",
      "mapping": [ {
        "map": "NL-CM:8.2.1",
        "comment": "AllergyIntolerance",
        "identity": "zib-allergyintolerance-v3.3-2020EN"
      }, {
        "map": "AllergyIntolerance",
        "identity": "HdBe-AllergyIntolerance"
      } ]
    }, {
      "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": "https://fhir.healthdata.be/ConceptMap/AllergyStatus-to-AllergyIntoleranceClinicalStatusCodes"
          } ]
        },
        "description": "Use ConceptMap AllergyStatusCodelist_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"
      }, {
        "map": "AllergyIntolerance.AllergyStatus",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "definition": "Statement on the status of the patient’s hypersensitivity."
    }, {
      "id": "AllergyIntolerance.verificationStatus",
      "path": "AllergyIntolerance.verificationStatus",
      "alias": [ "AllergieStatus" ],
      "short": "AllergyStatus",
      "mapping": [ {
        "map": "NL-CM:8.2.5",
        "comment": "AllergyStatus",
        "identity": "zib-allergyintolerance-v3.3-2020EN"
      } ]
    }, {
      "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": "https://fhir.healthdata.be/ConceptMap/AllergyCategory-to-AllergyIntoleranceCategory"
          } ]
        },
        "description": "Use ConceptMap AllergyCategoryCodelist_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"
      }, {
        "map": "AllergyIntolerance.AllergyCategory",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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": [ "https://fhir.healthdata.be/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": "https://fhir.healthdata.be/ValueSet/AllergyCategory"
      },
      "mapping": [ {
        "map": "NL-CM:8.2.4",
        "comment": "AllergyCategory",
        "identity": "zib-allergyintolerance-v3.3-2020EN"
      }, {
        "map": "AllergyIntolerance.AllergyCategory",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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": "https://fhir.healthdata.be/ConceptMap/CriticalExtent-to-AllergyIntoleranceCriticality"
          } ]
        },
        "description": "Use ConceptMap CriticalExtentCodelist_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"
      }, {
        "map": "AllergyIntolerance.Criticality",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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": [ "https://fhir.healthdata.be/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": "https://fhir.healthdata.be/ValueSet/CriticalExtent"
      },
      "mapping": [ {
        "map": "NL-CM:8.2.7",
        "comment": "Criticality",
        "identity": "zib-allergyintolerance-v3.3-2020EN"
      }, {
        "map": "AllergyIntolerance.Criticality",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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": "https://fhir.healthdata.be/ValueSet/CausativeAgent"
      },
      "mapping": [ {
        "map": "NL-CM:8.2.2",
        "comment": "CausativeAgent",
        "identity": "zib-allergyintolerance-v3.3-2020EN"
      }, {
        "map": "AllergyIntolerance.CausativeAgent",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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"
      }, {
        "map": "AllergyIntolerance.StartDateTime",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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"
      }, {
        "map": "AllergyIntolerance.LastReactionDateTime",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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"
      }, {
        "map": "AllergyIntolerance.Comment",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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"
      }, {
        "map": "AllergyIntolerance.Reaction",
        "identity": "HdBe-AllergyIntolerance"
      } ]
    }, {
      "id": "AllergyIntolerance.reaction.substance",
      "path": "AllergyIntolerance.reaction.substance",
      "alias": [ "SpecifiekeStof" ],
      "short": "SpecificSubstance",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.healthdata.be/ValueSet/CausativeAgent"
      },
      "mapping": [ {
        "map": "NL-CM:8.2.12",
        "comment": "SpecificSubstance",
        "identity": "zib-allergyintolerance-v3.3-2020EN"
      }, {
        "map": "AllergyIntolerance.Reaction.SpecificSubstance",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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": "https://fhir.healthdata.be/ValueSet/Symptom"
      },
      "mapping": [ {
        "map": "NL-CM:8.2.11",
        "comment": "Symptom",
        "identity": "zib-allergyintolerance-v3.3-2020EN"
      }, {
        "map": "AllergyIntolerance.Reaction.Symptom",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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"
      }, {
        "map": "AllergyIntolerance.Reaction.ReactionDescription",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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"
      }, {
        "map": "AllergyIntolerance.Reaction.ReactionTime",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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": "https://fhir.healthdata.be/ConceptMap/CriticalExtent-to-AllergyIntoleranceSeverity"
          } ]
        },
        "description": "Use ConceptMap CriticalExtentCodelist_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"
      }, {
        "map": "AllergyIntolerance.Reaction.Severity",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "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": "https://fhir.healthdata.be/ValueSet/RouteOfExposure"
      },
      "mapping": [ {
        "map": "NL-CM:8.2.15",
        "comment": "RouteOfExposure",
        "identity": "zib-allergyintolerance-v3.3-2020EN"
      }, {
        "map": "AllergyIntolerance.Reaction.RouteOfExposure",
        "identity": "HdBe-AllergyIntolerance"
      } ],
      "definition": "Way in which the patient came into contact with the causative agent or the way in which the agent was administered."
    } ]
  },
  "contact": [ {
    "name": "Service portal – healthdata.be",
    "telecom": [ {
      "use": "work",
      "value": "https://sciensano.service-now.com/sp",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
}