{ "description": "Basis profile for allergy intolerance, to be used in Norway. The profile is adapted to support the norwegian standard for critical information (KI standard).", "_filename": "no-basis-AllergyIntolerance.StructureDefinition.json", "package_name": "hl7.fhir.no.basis", "date": "2019-07-03", "derivation": "constraint", "publisher": null, "fhirVersion": "4.0.1", "name": "NoBasisAllergyIntolerance", "abstract": false, "type": "AllergyIntolerance", "experimental": null, "resourceType": "StructureDefinition", "title": "no-basis-AllergyIntolerance", "package_version": "2.1.1", "status": "active", "id": "c0c4173c-2477-4a32-8e09-776fbfd50fa4", "kind": "resource", "url": "http://hl7.no/fhir/StructureDefinition/no-basis-AllergyIntolerance", "version": "2.0.17", "differential": { "element": [ { "id": "AllergyIntolerance", "path": "AllergyIntolerance", "definition": "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.\r\n\r\nNorwegian profile: \r\nno-basis-AllergyIntolerance is the basic profile for communicating Allergy intoleeance identifed for a patient. It is adapted to be used in Norway. The profile has the following changes from AllergyIntolerance:\r\n- There are restrictions to use verificationStatus since KI is using Certainty that has similar use\r\n- Reference to patient is changes. no-basis-patient should be used.\r\n- Substance is required and should include one of: ATC, FestSubstance, FestMedication\r\n- manifestation is changed to use codingsystem 7497\r\n- the profile is extended with certanity and sourceOfInformation to support national KI standard" }, { "id": "AllergyIntolerance.extension", "path": "AllergyIntolerance.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "AllergyIntolerance.extension:sourceofinformation", "path": "AllergyIntolerance.extension", "type": [ { "code": "Extension", "profile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-sourceofinformation" ] } ], "sliceName": "sourceofinformation" }, { "id": "AllergyIntolerance.clinicalStatus", "path": "AllergyIntolerance.clinicalStatus", "definition": "Inaktiv if refuted or entered-in-error, others = active." }, { "id": "AllergyIntolerance.verificationStatus", "path": "AllergyIntolerance.verificationStatus", "short": "unconfirmed | presumed | confirmed | refuted | entered-in-error", "definition": "Mapping KI sannsynlighet: KJ: \r\nMistenkt=unconfirmed\r\nSannsynlig=presumed\r\nBekreftet=confirmed\r\nAvkreftet = refuted\r\nSlette = entered-in-error" }, { "id": "AllergyIntolerance.verificationStatus.coding.system", "path": "AllergyIntolerance.verificationStatus.coding.system", "fixedUri": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" }, { "id": "AllergyIntolerance.code.coding", "path": "AllergyIntolerance.code.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" } ] } }, { "id": "AllergyIntolerance.code.coding:ATC", "path": "AllergyIntolerance.code.coding", "sliceName": "ATC" }, { "id": "AllergyIntolerance.code.coding:ATC.system", "path": "AllergyIntolerance.code.coding.system", "fixedUri": "http://www.whocc.no/atc" }, { "id": "AllergyIntolerance.code.coding:FESTSubstance", "path": "AllergyIntolerance.code.coding", "sliceName": "FESTSubstance" }, { "id": "AllergyIntolerance.code.coding:FESTSubstance.system", "path": "AllergyIntolerance.code.coding.system", "fixedUri": "http://ehelse.no/FESTSubstance" }, { "id": "AllergyIntolerance.code.coding:FESTMedication", "path": "AllergyIntolerance.code.coding", "sliceName": "FESTMedication" }, { "id": "AllergyIntolerance.code.coding:FESTMedication.system", "path": "AllergyIntolerance.code.coding.system", "fixedUri": "http://ehelse.no/FESTMedication" }, { "id": "AllergyIntolerance.patient", "path": "AllergyIntolerance.patient", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Patient" ] } ] }, { "id": "AllergyIntolerance.recorder", "path": "AllergyIntolerance.recorder", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.no/fhir/StructureDefinition/no-basis-Patient", "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner", "http://hl7.no/fhir/StructureDefinition/no-basis-PractitionerRole", "http://hl7.no/fhir/StructureDefinition/no-basis-RelatedPerson" ] } ] }, { "id": "AllergyIntolerance.asserter", "path": "AllergyIntolerance.asserter", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner", "http://hl7.no/fhir/StructureDefinition/no-basis-PractitionerRole", "http://hl7.no/fhir/StructureDefinition/no-basis-Patient", "http://hl7.no/fhir/StructureDefinition/no-basis-RelatedPerson" ] } ] }, { "id": "AllergyIntolerance.reaction", "max": "1", "min": 1, "path": "AllergyIntolerance.reaction" }, { "id": "AllergyIntolerance.reaction.manifestation", "max": "1", "path": "AllergyIntolerance.reaction.manifestation", "definition": "Clinical symptoms and/or signs that are observed or associated with the adverse reaction event. Coding system 7497 shall be used." }, { "id": "AllergyIntolerance.reaction.manifestation.coding", "max": "1", "min": 1, "path": "AllergyIntolerance.reaction.manifestation.coding" }, { "id": "AllergyIntolerance.reaction.manifestation.coding.system", "min": 1, "path": "AllergyIntolerance.reaction.manifestation.coding.system", "fixedUri": "urn:uid:2.16.578.1.12.4.1.1.7497" }, { "id": "AllergyIntolerance.reaction.manifestation.coding.code", "min": 1, "path": "AllergyIntolerance.reaction.manifestation.coding.code" }, { "id": "AllergyIntolerance.reaction.manifestation.coding.display", "min": 1, "path": "AllergyIntolerance.reaction.manifestation.coding.display" }, { "id": "AllergyIntolerance.reaction.severity", "path": "AllergyIntolerance.reaction.severity", "definition": "Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations. Mapping to KI standard is Severe=Alvorlig. Moderate=Mild=Mindre alvorlig." } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" }