{
"description": "A Condition resource as used within the Contraindications and intolerances (Dutch: Contra-indicaties en overgevoeligheden, abbreviated as CiO) information standard.",
"_filename": "cio-HypersensitivityDisposition.json",
"package_name": "nictiz.fhir.nl.r4.cio",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"name": "CioHypersensitivityDisposition",
"mapping": [ {
"uri": "https://decor.nictiz.nl/pub/cio/cio-html-20230424T150542/ds-2.16.840.1.113883.2.4.3.11.60.26.1.2-2020-04-02T000000.html",
"name": "ART-DECOR Dataset Contraindications and intolerances 2.0.0-beta.1 20230424",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"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": "Condition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "cio HypersensitivityDisposition",
"package_version": "1.0.0-beta.1",
"status": "draft",
"id": "fa655033-db91-45e6-b424-96a945cac9af",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/cio-HypersensitivityDisposition",
"version": null,
"differential": {
"element": [ {
"id": "Condition",
"path": "Condition",
"mapping": [ {
"map": "cio-dataelement-20-456",
"comment": "HypersensitivityDisposition",
"identity": "cio-dataset-200-beta1-20230424"
} ]
}, {
"id": "Condition.extension",
"min": 2,
"path": "Condition.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Condition.extension:substanceToMonitor",
"max": "1",
"min": 1,
"path": "Condition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/condition-dueTo" ]
} ],
"sliceName": "substanceToMonitor",
"isModifier": false
}, {
"id": "Condition.extension:substanceToMonitor.value[x]",
"path": "Condition.extension.value[x]",
"alias": [ "TeBewakenStof" ],
"short": "SubstanceToMonitor",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.10--20230406110820"
},
"mapping": [ {
"map": "cio-dataelement-20-457",
"comment": "SubstanceToMonitor",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Substance or group of substances which is monitored."
}, {
"id": "Condition.extension:startMonitoringDateTime",
"min": 1,
"path": "Condition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" ]
} ],
"sliceName": "startMonitoringDateTime",
"isModifier": false
}, {
"id": "Condition.extension:startMonitoringDateTime.value[x]",
"path": "Condition.extension.value[x]",
"alias": [ "StartBewakingDatumTijd" ],
"short": "StartMonitoringDateTime",
"mapping": [ {
"map": "cio-dataelement-20-472",
"comment": "StartMonitoringDateTime",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "The date and time at which the first author has started the monitoring."
}, {
"id": "Condition.extension:methodOfEstablishment",
"min": 0,
"path": "Condition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-HypersensitivityDisposition.MethodOfEstablishment" ]
} ],
"sliceName": "methodOfEstablishment",
"isModifier": false
}, {
"id": "Condition.extension:sourceDescription",
"min": 0,
"path": "Condition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-HypersensitivityDisposition.SourceDescription" ]
} ],
"sliceName": "sourceDescription",
"isModifier": false
}, {
"id": "Condition.extension:reasonClosure",
"min": 0,
"path": "Condition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-HypersensitivityDisposition.ReasonClosure" ]
} ],
"sliceName": "reasonClosure",
"isModifier": false
}, {
"id": "Condition.extension:relationHypersensitivityDisposition",
"max": "1",
"min": 0,
"path": "Condition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" ]
} ],
"sliceName": "relationHypersensitivityDisposition",
"isModifier": false
}, {
"id": "Condition.extension:relationHypersensitivityDisposition.value[x]",
"path": "Condition.extension.value[x]",
"type": [ {
"code": "CodeableConcept"
}, {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/MedicationAdministration", "http://hl7.org/fhir/StructureDefinition/Immunization", "http://hl7.org/fhir/StructureDefinition/MedicationStatement", "http://nictiz.nl/fhir/StructureDefinition/cio-HypersensitivityDisposition" ]
} ],
"alias": [ "RelatieOvergevoeligheid" ],
"short": "RelationHypersensitivityDisposition",
"mapping": [ {
"map": "cio-dataelement-20-734",
"comment": "RelationHypersensitivityDisposition",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"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": "Condition.identifier",
"min": 1,
"path": "Condition.identifier",
"alias": [ "Identificatie" ],
"short": "Identification",
"mapping": [ {
"map": "cio-dataelement-20-471",
"comment": "Identification",
"identity": "cio-dataset-200-beta1-20230424"
} ]
}, {
"id": "Condition.clinicalStatus",
"path": "Condition.clinicalStatus",
"alias": [ "OvergevoeligheidStatus" ],
"short": "HypersensitivityStatus",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1",
"_valueSet": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
"valueCanonical": "http://nictiz.nl/fhir/ConceptMap/OvergevoeligheidStatusCodelijst-to-ConditionClinicalStatusCodes"
} ]
},
"description": "Use ConceptMap OvergevoeligheidStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes"
},
"mapping": [ {
"map": "cio-dataelement-20-459",
"comment": "HypersensitivityStatus",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Statement on the status of the patient’s hypersensitivity."
}, {
"id": "Condition.category",
"min": 1,
"path": "Condition.category",
"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-beta1-20230424"
} ],
"definition": "Identifies the hypersensitivity category."
}, {
"id": "Condition.code",
"min": 1,
"path": "Condition.code",
"patternCodeableConcept": {
"coding": [ {
"code": "157471000146100",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Condition.subject",
"path": "Condition.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
} ],
"mapping": [ {
"map": "cio-dataelement-20-302",
"comment": "Patient",
"identity": "cio-dataset-200-beta1-20230424"
} ]
}, {
"id": "Condition.onset[x]",
"path": "Condition.onset[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Condition.onset[x]:onsetDateTime",
"path": "Condition.onset[x]",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "BeginDatumTijd" ],
"short": "OnsetDateTime",
"mapping": [ {
"map": "cio-dataelement-20-460",
"comment": "OnsetDateTime",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"sliceName": "onsetDateTime",
"definition": "The date and time of onset of the hypersensitivity, defined by the first reaction manifestation. This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year)."
}, {
"id": "Condition.abatement[x]",
"path": "Condition.abatement[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Condition.abatement[x]:abatementDateTime",
"path": "Condition.abatement[x]",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "DatumTijdAfsluiten" ],
"short": "DateTimeClosure",
"mapping": [ {
"map": "cio-dataelement-20-538",
"comment": "DateTimeClosure",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"sliceName": "abatementDateTime",
"definition": "The date (and time) to stop the monitoring."
}, {
"id": "Condition.recordedDate",
"min": 1,
"path": "Condition.recordedDate",
"alias": [ "RegistratieDatumTijd" ],
"short": "RegistrationDateTime",
"mapping": [ {
"map": "cio-dataelement-20-713",
"comment": "RegistrationDateTime",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "The date and time at which the hypersensitivity has been entered. Date and time are required (order of the registrations must be clear in cases with multiple registrations on one day)."
}, {
"path": "Condition.recorder",
"min": 1,
"definition": "The health professional or health care provider who is responsible for a registration which takes place after the initial (first) registration by the first author.",
"short": "Author",
"mapping": [ {
"map": "cio-dataelement-20-473",
"comment": "Author",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-590",
"comment": "HealthProfessional",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-735",
"comment": "HealthcareProvider",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"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" ],
"id": "Condition.recorder",
"comment": "Whenever a HealthcareProvider is the author of this registration, this concept refers to a PractitionerRole instance in which the nl-core-HealthcareProvider-Organization instance is referred to in `PractitionerRole.organization`. This use of the PractitionerRole resource type is described in the current FHIR build as: 'For use cases where an organization has activities where a practitioner is not defined/pre-allocated for a specific role (e.g. an un-named surgeon at XYZ Hospital), a PractitionerRole resource can be used with an empty Practitioner property, and the other relevant role properties populated'.\r\n\r\nNote that, although the nl-core-HealthcareProvider profile (with resource type Location) is the focal profile of the zib HealthcareProvider, this (indirect) reference to the nl-core-HealthcareProvider-Organization profile is sufficient, because the concept is concerned with the organizational information of the author."
}, {
"path": "Condition.asserter",
"min": 1,
"definition": "The health professional or the healthcare provider who is responsible for the initial (first) registration.",
"short": "FirstAuthor",
"mapping": [ {
"map": "cio-dataelement-20-709",
"comment": "FirstAuthor",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-710",
"comment": "HealthProfessional",
"identity": "cio-dataset-200-beta1-20230424"
}, {
"map": "cio-dataelement-20-737",
"comment": "HealthcareProvider",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"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": [ "EersteAuteur" ],
"id": "Condition.asserter",
"comment": "Whenever a HealthcareProvider is the author of the initial registration of this hypersensitivity, this concept refers to a PractitionerRole instance in which the nl-core-HealthcareProvider-Organization instance is referred to in `PractitionerRole.organization`. This use of the PractitionerRole resource type is described in the current FHIR build as: 'For use cases where an organization has activities where a practitioner is not defined/pre-allocated for a specific role (e.g. an un-named surgeon at XYZ Hospital), a PractitionerRole resource can be used with an empty Practitioner property, and the other relevant role properties populated'.\r\n\r\nNote that, although the nl-core-HealthcareProvider profile (with resource type Location) is the focal profile of the zib HealthcareProvider, this (indirect) reference to the nl-core-HealthcareProvider-Organization profile is sufficient, because the concept is concerned with the organizational information of the first author."
}, {
"id": "Condition.evidence.code",
"path": "Condition.evidence.code",
"alias": [ "ReactieVerschijnsel" ],
"short": "ReactionPhenomenon",
"binding": {
"strength": "extensible",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.3--20210715104207"
},
"comment": "The concept ReactionPhenomenon (cio-dataelement-20-465) is also mapped on `Observation.component:reactionPhenomenon.valueCodeableConcept` in the cio-Reaction profile. Whenever a Reaction has one or more ReactionPhenomenon elements that need to be exchanged, these SHALL be present in the aforementioned element within the cio-Reaction profile, and they MAY also be included here. However, if both elements are used, they should align with each other, which means that all reaction phenomena present in cio-Reaction instances linked via `.evidence.detail` should also be included here.",
"mapping": [ {
"map": "cio-dataelement-20-465",
"comment": "ReactionPhenomenon",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "The substantive specifications of the reaction (symptoms) that occurs when the patient is exposed to the substance."
}, {
"id": "Condition.evidence.detail",
"path": "Condition.evidence.detail",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
}
}, {
"id": "Condition.evidence.detail:reaction",
"path": "Condition.evidence.detail",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/cio-Reaction" ]
} ],
"mapping": [ {
"map": "cio-dataelement-20-549",
"comment": "Reaction",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"sliceName": "reaction"
}, {
"id": "Condition.note",
"max": "1",
"path": "Condition.note"
}, {
"id": "Condition.note.text",
"path": "Condition.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "cio-dataelement-20-463",
"comment": "Comment",
"identity": "cio-dataset-200-beta1-20230424"
} ],
"definition": "Textual explanation of the hypersensitivity which cannot be entered in any of the other fields."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}