{ "resourceType": "StructureDefinition", "id": "zib-AllergyIntolerance", "text": { "status": "empty", "div": "
No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
" }, "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance", "name": "ZibAllergyIntolerance", "title": "zib AllergyIntolerance", "status": "draft", "publisher": "Nictiz", "contact": [ { "name": "Nictiz", "telecom": [ { "system": "url", "value": "https://www.nictiz.nl", "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", "purpose": "This AllergyIntolerance resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) AllergyIntolerance v3.3 (2020)](https://zibs.nl/wiki/AllergyIntolerance-v3.3(2020EN)).", "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)" } ], "kind": "resource", "abstract": true, "type": "AllergyIntolerance", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance", "derivation": "constraint", "differential": { "element": [ { "id": "AllergyIntolerance", "path": "AllergyIntolerance", "short": "AllergyIntolerance", "comment": "The zib defines certain allergy statuses in the AllergieStatusCodelijst (NL-CM:8.2.5 AllergyStatus). These statuses are represented using both the FHIR elements `AllergyIntolerance.clinicalStatus` and `AllergyIntolerance.verificationStatus`; most of the zib codes map to a `.clinicalStatus` code, but the zib code _nullified_ can only be represented by `.verificationStatus` = _entered-in-error_.\r\n\r\nFor both these FHIR elements, a separate ConceptMap is defined. Although both ConceptMaps include _unmatched_ concepts, together they provide an _equal_ mapping of each AllergieStatusCodelijst concept. Therefore, there's no need to include the zib code using the ext-CodeSpecification extension, as would normally be expected in these situations.", "alias": [ "AllergieIntolerantie" ], "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.1", "comment": "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 AllergieStatusCodelijst_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": "http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-AllergyIntoleranceClinicalStatusCodes" } ] } }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.5", "comment": "AllergyStatus" } ] }, { "id": "AllergyIntolerance.verificationStatus", "path": "AllergyIntolerance.verificationStatus", "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 AllergieStatusCodelijst_to_AllergyIntoleranceVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceVerificationStatusCodes.", "valueSet": "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1", "_valueSet": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap", "valueCanonical": "http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-AllergyIntoleranceVerificationStatus" } ] } }, "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 AllergieCategorieCodelijst_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": "http://nictiz.nl/fhir/ConceptMap/AllergieCategorieCodelijst-to-AllergyIntoleranceCategory" } ] } }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.4", "comment": "AllergyCategory" } ] }, { "id": "AllergyIntolerance.category.extension:allergyCategoryCodelist", "path": "AllergyIntolerance.category.extension", "sliceName": "allergyCategoryCodelist", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/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": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20200901000000" }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.4", "comment": "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 MateVanKritiekZijnCodelijst_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": "http://nictiz.nl/fhir/ConceptMap/MateVanKritiekZijnCodelijst-to-AllergyIntoleranceCriticality" } ] } }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.7", "comment": "Criticality" } ] }, { "id": "AllergyIntolerance.criticality.extension:criticalExtentCodelist", "path": "AllergyIntolerance.criticality.extension", "sliceName": "criticalExtentCodelist", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/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": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4--20200901000000" }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.7", "comment": "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": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.2--20200901000000" }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.2", "comment": "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" } ] }, { "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" } ] }, { "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" } ] }, { "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" } ] }, { "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": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.1--20200901000000" }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.12", "comment": "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": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20200901000000" }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.11", "comment": "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" } ] }, { "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" } ] }, { "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 ErnstCodelijst_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": "http://nictiz.nl/fhir/ConceptMap/ErnstCodelijst-to-AllergyIntoleranceSeverity" } ] } }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.14", "comment": "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": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12--20200901000000" }, "mapping": [ { "identity": "zib-allergyintolerance-v3.3-2020EN", "map": "NL-CM:8.2.15", "comment": "RouteOfExposure" } ] } ] } }