<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="A symptom is a phenomenon with which a condition in the patient presents itself. This also includes a complaint or a finding, but not additional research, such as laboratory tests, function tests and imaging studies." /> <purpose value="This Observation resource represents the Symptom building block for implementations following the information standard [CiO](https://informatiestandaarden.nictiz.nl/wiki/Landingspagina_Contra-indicaties_en_Overgevoeligheden). This profile is based on the Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Symptom that is part of the 2024 prepublication. Therefore it has no dependency on a corresponding nl-core profile and mappings to zib concepts are not defined. Instead mappings to the CiO data set have been added. It is the intention to derive this profile from a more general nl-core-Symptom profile in the future." /> <copyright value="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 value="4.0.1" /> <mapping> <identity value="cio-dataset-200-beta3-20241023" /> <uri value="https://decor.nictiz.nl/pub/cio/cio-html-20241023T071643/ds-2.16.840.1.113883.2.4.3.11.60.26.1.2-2020-04-02T000000.html" /> <name value="ART-DECOR Dataset Contraindications and hypersensitivities 2.0.0-beta.3 20241023" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="Symptom" /> <comment value="In order to convey the registration information of a Symptom building block, this profile is used together with an instance conforming to the [cio-RegistrationInformation](http://nictiz.nl/fhir/StructureDefinition/cio-RegistrationInformation) profile wherein `Provenance.target` refers to the Observation resource. This profile is always used together with instances conforming to the [cio-Condition](http://nictiz.nl/fhir/StructureDefinition/cio-Condition) and [cio-Reaction](http://nictiz.nl/fhir/StructureDefinition/cio-Reaction) profiles. Please note that on a functional level, the building block Symptom references the building block Condition, but in FHIR this direction is reversed. Therefore, the concept RelationCondition (cio-dataelement-20-921) is mapped on `Condition.evidence.detail` in the cio-Condition profile instead of in this profile." /> <alias value="Symptoom" /> <mapping> <identity value="cio-dataset-200-beta3-20241023" /> <map value="cio-dataelement-20-890" /> <comment value="Symptom" /> </mapping> </element> <element id="Observation.extension"> <path value="Observation.extension" /> <min value="1" /> </element> <element id="Observation.extension:medicationHypersensitivityIdentifier"> <path value="Observation.extension" /> <sliceName value="medicationHypersensitivityIdentifier" /> <min value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-MedicationHypersensitivity.Identifier" /> </type> </element> <element id="Observation.extension:medicationHypersensitivityIdentifier.value[x]"> <path value="Observation.extension.value[x]" /> <mapping> <identity value="cio-dataset-200-beta3-20241023" /> <map value="cio-dataelement-20-888" /> <comment value="IdentificationGMO" /> </mapping> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <short value="IdentificationNumber" /> <definition value="Globally unique number that identifies the instantiation of the information model. The number is composed of an identification of the issuer organization and a unique number assigned by this organization." /> <alias value="Identificatienummer" /> <min value="1" /> <mapping> <identity value="cio-dataset-200-beta3-20241023" /> <map value="cio-dataelement-20-780" /> <comment value="IdentificationNumber" /> </mapping> </element> <element id="Observation.code"> <path value="Observation.code" /> <short value="SymptomName" /> <definition value="Name and code of the symptom via selection from a code list, based on a standardised coding system." /> <alias value="SymptoomNaam" /> <binding> <strength value="required" /> <description value="Identification of the symptom." /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.35--20240501114333" /> </binding> <mapping> <identity value="cio-dataset-200-beta3-20241023" /> <map value="cio-dataelement-20-901" /> <comment value="SymptomName" /> </mapping> </element> <element id="Observation.code.text"> <path value="Observation.code.text" /> <short value="FurtherSpecificationSymptomName" /> <definition value="More detailed specification of the symptom name that has been selected from the code list, because that list does not (yet) contain the required level of detail." /> <alias value="NadereSpecificatieSymptoomNaam" /> <mapping> <identity value="cio-dataset-200-beta3-20241023" /> <map value="cio-dataelement-20-902" /> <comment value="FurtherSpecificationSymptomName" /> </mapping> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" /> </type> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.component:severity"> <path value="Observation.component" /> <sliceName value="severity" /> <max value="1" /> </element> <element id="Observation.component:severity.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="246112005" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:severity.value[x]"> <path value="Observation.component.value[x]" /> <short value="SymptomSeverity" /> <definition value="Indicates the degree of severity of the symptom at the moment of the CreationDateTime (cio-dataelement-20-783)." /> <alias value="SymptoomErnst" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.34--20240501114150" /> </binding> <mapping> <identity value="cio-dataset-200-beta3-20241023" /> <map value="cio-dataelement-20-898" /> <comment value="SymptomSeverity" /> </mapping> </element> </differential> </StructureDefinition>