{
  "resourceType": "StructureDefinition",
  "id": "HdBe-AllergyIntolerance",
  "url": "https://fhir.healthdata.be/StructureDefinition/HdBe-AllergyIntolerance",
  "name": "HdBeAllergyIntolerance",
  "title": "HdBe AllergyIntolerance",
  "status": "draft",
  "date": "2022-10-17T09:09:13.9562003+00:00",
  "publisher": "Healthdata.be (Sciensano)",
  "contact": [
    {
      "name": "Service portal – healthdata.be",
      "telecom": [
        {
          "system": "url",
          "value": "https://sciensano.service-now.com/sp",
          "use": "work"
        }
      ]
    }
  ],
  "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",
  "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.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "zib-allergyintolerance-v3.3-2020EN",
      "uri": "https://zibs.nl/wiki/AllergyIntolerance-v3.3(2020EN)",
      "name": "zib AllergyIntolerance-v3.3(2020EN)"
    },
    {
      "identity": "HdBe-AllergyIntolerance",
      "uri": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Patient",
      "name": "HdBe logical model AllergyIntolerance"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "AllergyIntolerance",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "AllergyIntolerance",
        "path": "AllergyIntolerance",
        "short": "AllergyIntolerance",
        "alias": [
          "AllergieIntolerantie"
        ],
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.1",
            "comment": "AllergyIntolerance"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.clinicalStatus",
        "path": "AllergyIntolerance.clinicalStatus",
        "short": "AllergyStatus",
        "definition": "Statement on the status of the patient’s hypersensitivity.",
        "comment": "See the comment on the root element for guidance on mapping zib AllergyStatus to FHIR.",
        "alias": [
          "AllergieStatus"
        ],
        "binding": {
          "strength": "required",
          "description": "Use ConceptMap AllergyStatusCodelist_to_AllergyIntoleranceClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceClinicalStatusCodes",
          "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"
              }
            ]
          }
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.5",
            "comment": "AllergyStatus"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.AllergyStatus"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.verificationStatus",
        "path": "AllergyIntolerance.verificationStatus",
        "short": "AllergyStatus",
        "alias": [
          "AllergieStatus"
        ],
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.5",
            "comment": "AllergyStatus"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.category",
        "path": "AllergyIntolerance.category",
        "short": "AllergyCategory",
        "definition": "Identifies the allergy category such as medication, food or environment.",
        "alias": [
          "AllergieCategorie"
        ],
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "Use ConceptMap AllergyCategoryCodelist_to_AllergyIntoleranceCategory to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceCategory",
          "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"
              }
            ]
          }
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.4",
            "comment": "AllergyCategory"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.AllergyCategory"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.category.extension",
        "path": "AllergyIntolerance.category.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "AllergyIntolerance.category.extension:allergyCategoryCodelist",
        "path": "AllergyIntolerance.category.extension",
        "sliceName": "allergyCategoryCodelist",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.healthdata.be/StructureDefinition/ext-CodeSpecification"
            ]
          }
        ]
      },
      {
        "id": "AllergyIntolerance.category.extension:allergyCategoryCodelist.value[x]",
        "path": "AllergyIntolerance.category.extension.value[x]",
        "short": "AllergyCategory",
        "definition": "Identifies the allergy category such as medication, food or environment.",
        "alias": [
          "AllergieCategorie"
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.healthdata.be/ValueSet/AllergyCategory"
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.4",
            "comment": "AllergyCategory"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.AllergyCategory"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.criticality",
        "path": "AllergyIntolerance.criticality",
        "short": "Criticality",
        "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.",
        "alias": [
          "MateVanKritiekZijn"
        ],
        "binding": {
          "strength": "required",
          "description": "Use ConceptMap CriticalExtentCodelist_to_AllergyIntoleranceCriticality to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceCriticality",
          "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"
              }
            ]
          }
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.7",
            "comment": "Criticality"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Criticality"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.criticality.extension",
        "path": "AllergyIntolerance.criticality.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "AllergyIntolerance.criticality.extension:criticalExtentCodelist",
        "path": "AllergyIntolerance.criticality.extension",
        "sliceName": "criticalExtentCodelist",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.healthdata.be/StructureDefinition/ext-CodeSpecification"
            ]
          }
        ]
      },
      {
        "id": "AllergyIntolerance.criticality.extension:criticalExtentCodelist.value[x]",
        "path": "AllergyIntolerance.criticality.extension.value[x]",
        "short": "Criticality",
        "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.",
        "alias": [
          "MateVanKritiekZijn"
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.healthdata.be/ValueSet/CriticalExtent"
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.7",
            "comment": "Criticality"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Criticality"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.code",
        "path": "AllergyIntolerance.code",
        "short": "CausativeAgent",
        "definition": "Substance, group of substances or environmental factor to which the patient is allergic or hypersensitive.",
        "alias": [
          "VeroorzakendeStof"
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.healthdata.be/ValueSet/CausativeAgent"
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.2",
            "comment": "CausativeAgent"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.CausativeAgent"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.onset[x]",
        "path": "AllergyIntolerance.onset[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "AllergyIntolerance.onset[x]:onsetDateTime",
        "path": "AllergyIntolerance.onset[x]",
        "sliceName": "onsetDateTime",
        "short": "StartDateTime",
        "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).",
        "alias": [
          "BeginDatumTijd"
        ],
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.6",
            "comment": "StartDateTime"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.StartDateTime"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.lastOccurrence",
        "path": "AllergyIntolerance.lastOccurrence",
        "short": "LastReactionDateTime",
        "definition": "Entry of the last time a hypersensitive reaction took place.",
        "alias": [
          "LaatsteReactieDatumTijd"
        ],
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.8",
            "comment": "LastReactionDateTime"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.LastReactionDateTime"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.note",
        "path": "AllergyIntolerance.note",
        "max": "1"
      },
      {
        "id": "AllergyIntolerance.note.text",
        "path": "AllergyIntolerance.note.text",
        "short": "Comment",
        "definition": "Textual explanation of the hypersensitivity which cannot be entered in any of the other fields.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.9",
            "comment": "Comment"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Comment"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.reaction",
        "path": "AllergyIntolerance.reaction",
        "short": "Reaction",
        "alias": [
          "Reactie"
        ],
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.10",
            "comment": "Reaction"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Reaction"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.reaction.substance",
        "path": "AllergyIntolerance.reaction.substance",
        "short": "SpecificSubstance",
        "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.",
        "alias": [
          "SpecifiekeStof"
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.healthdata.be/ValueSet/CausativeAgent"
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.12",
            "comment": "SpecificSubstance"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Reaction.SpecificSubstance"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation",
        "path": "AllergyIntolerance.reaction.manifestation",
        "short": "Symptom",
        "definition": "The content specifications of the reaction that takes place when the patient is exposed to the causative substance.",
        "alias": [
          "Symptoom"
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "https://fhir.healthdata.be/ValueSet/Symptom"
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.11",
            "comment": "Symptom"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Reaction.Symptom"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.reaction.description",
        "path": "AllergyIntolerance.reaction.description",
        "short": "ReactionDescription",
        "definition": "Textual description of the reaction as a whole.",
        "alias": [
          "ReactieBeschrijving"
        ],
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.13",
            "comment": "ReactionDescription"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Reaction.ReactionDescription"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.reaction.onset",
        "path": "AllergyIntolerance.reaction.onset",
        "short": "ReactionTime",
        "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.",
        "alias": [
          "ReactieTijdstip"
        ],
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.17",
            "comment": "ReactionTime"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Reaction.ReactionTime"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.reaction.severity",
        "path": "AllergyIntolerance.reaction.severity",
        "short": "Severity",
        "definition": "The severity of the reaction as a result of exposure to the causative substance.",
        "alias": [
          "Ernst"
        ],
        "binding": {
          "strength": "required",
          "description": "Use ConceptMap CriticalExtentCodelist_to_AllergyIntoleranceSeverity to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceSeverity",
          "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"
              }
            ]
          }
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.14",
            "comment": "Severity"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Reaction.Severity"
          }
        ]
      },
      {
        "id": "AllergyIntolerance.reaction.exposureRoute",
        "path": "AllergyIntolerance.reaction.exposureRoute",
        "short": "RouteOfExposure",
        "definition": "Way in which the patient came into contact with the causative agent or the way in which the agent was administered.",
        "alias": [
          "WijzeVanBlootstelling"
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.healthdata.be/ValueSet/RouteOfExposure"
        },
        "mapping": [
          {
            "identity": "zib-allergyintolerance-v3.3-2020EN",
            "map": "NL-CM:8.2.15",
            "comment": "RouteOfExposure"
          },
          {
            "identity": "HdBe-AllergyIntolerance",
            "map": "AllergyIntolerance.Reaction.RouteOfExposure"
          }
        ]
      }
    ]
  }
}