{
  "resourceType": "StructureDefinition",
  "id": "no-basis-AllergyIntolerance",
  "url": "http://hl7.no/fhir/StructureDefinition/no-basis-AllergyIntolerance",
  "version": "2.0.17",
  "name": "NoBasisAllergyIntolerance",
  "title": "no-basis-AllergyIntolerance",
  "status": "active",
  "date": "2019-07-03",
  "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).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "AllergyIntolerance",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
  "derivation": "constraint",
  "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": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "AllergyIntolerance.extension:sourceofinformation",
        "path": "AllergyIntolerance.extension",
        "sliceName": "sourceofinformation",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-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": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "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",
        "path": "AllergyIntolerance.reaction",
        "min": 1,
        "max": "1"
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation",
        "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.",
        "max": "1"
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding",
        "path": "AllergyIntolerance.reaction.manifestation.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding.system",
        "path": "AllergyIntolerance.reaction.manifestation.coding.system",
        "min": 1,
        "fixedUri": "urn:uid:2.16.578.1.12.4.1.1.7497"
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding.code",
        "path": "AllergyIntolerance.reaction.manifestation.coding.code",
        "min": 1
      },
      {
        "id": "AllergyIntolerance.reaction.manifestation.coding.display",
        "path": "AllergyIntolerance.reaction.manifestation.coding.display",
        "min": 1
      },
      {
        "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."
      }
    ]
  }
}