<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="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. The substances can be categorized as follows: * Medicine * Medicine category * Ingredient/addition * Nutrition * Environmental factor * Animal * Plants * Chemicals * Inhaled allergenic" /> <purpose value="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 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="zib-allergyintolerance-v3.3-2020EN" /> <uri value="https://zibs.nl/wiki/AllergyIntolerance-v3.3(2020EN)" /> <name value="zib AllergyIntolerance-v3.3(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="AllergyIntolerance" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" /> <derivation value="constraint" /> <differential> <element id="AllergyIntolerance"> <path value="AllergyIntolerance" /> <short value="AllergyIntolerance" /> <comment value="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_. For 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 value="AllergieIntolerantie" /> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.1" /> <comment value="AllergyIntolerance" /> </mapping> </element> <element id="AllergyIntolerance.clinicalStatus"> <path value="AllergyIntolerance.clinicalStatus" /> <short value="AllergyStatus" /> <definition value="Statement on the status of the patient’s hypersensitivity." /> <comment value="See the comment on the root element for guidance on mapping zib AllergyStatus to FHIR." /> <alias value="AllergieStatus" /> <binding> <strength value="required" /> <description value="Use ConceptMap AllergieStatusCodelijst_to_AllergyIntoleranceClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceClinicalStatusCodes." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1"> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-AllergyIntoleranceClinicalStatusCodes" /> </extension> </valueSet> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.5" /> <comment value="AllergyStatus" /> </mapping> </element> <element id="AllergyIntolerance.verificationStatus"> <path value="AllergyIntolerance.verificationStatus" /> <short value="AllergyStatus" /> <definition value="Statement on the status of the patient’s hypersensitivity." /> <comment value="See the comment on the root element for guidance on mapping zib AllergyStatus to FHIR." /> <alias value="AllergieStatus" /> <binding> <strength value="required" /> <description value="Use ConceptMap AllergieStatusCodelijst_to_AllergyIntoleranceVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceVerificationStatusCodes." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1"> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-AllergyIntoleranceVerificationStatus" /> </extension> </valueSet> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.5" /> <comment value="AllergyStatus" /> </mapping> </element> <element id="AllergyIntolerance.category"> <path value="AllergyIntolerance.category" /> <short value="AllergyCategory" /> <definition value="Identifies the allergy category such as medication, food or environment." /> <alias value="AllergieCategorie" /> <max value="1" /> <binding> <strength value="required" /> <description value="Use ConceptMap AllergieCategorieCodelijst_to_AllergyIntoleranceCategory to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceCategory." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1"> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/AllergieCategorieCodelijst-to-AllergyIntoleranceCategory" /> </extension> </valueSet> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.4" /> <comment value="AllergyCategory" /> </mapping> </element> <element id="AllergyIntolerance.category.extension:allergyCategoryCodelist"> <path value="AllergyIntolerance.category.extension" /> <sliceName value="allergyCategoryCodelist" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" /> </type> </element> <element id="AllergyIntolerance.category.extension:allergyCategoryCodelist.value[x]"> <path value="AllergyIntolerance.category.extension.value[x]" /> <short value="AllergyCategory" /> <definition value="Identifies the allergy category such as medication, food or environment." /> <alias value="AllergieCategorie" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20200901000000" /> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.4" /> <comment value="AllergyCategory" /> </mapping> </element> <element id="AllergyIntolerance.criticality"> <path value="AllergyIntolerance.criticality" /> <short value="Criticality" /> <definition value="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 value="MateVanKritiekZijn" /> <binding> <strength value="required" /> <description value="Use ConceptMap MateVanKritiekZijnCodelijst_to_AllergyIntoleranceCriticality to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceCriticality." /> <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1"> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/MateVanKritiekZijnCodelijst-to-AllergyIntoleranceCriticality" /> </extension> </valueSet> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.7" /> <comment value="Criticality" /> </mapping> </element> <element id="AllergyIntolerance.criticality.extension:criticalExtentCodelist"> <path value="AllergyIntolerance.criticality.extension" /> <sliceName value="criticalExtentCodelist" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" /> </type> </element> <element id="AllergyIntolerance.criticality.extension:criticalExtentCodelist.value[x]"> <path value="AllergyIntolerance.criticality.extension.value[x]" /> <short value="Criticality" /> <definition value="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 value="MateVanKritiekZijn" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4--20200901000000" /> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.7" /> <comment value="Criticality" /> </mapping> </element> <element id="AllergyIntolerance.code"> <path value="AllergyIntolerance.code" /> <short value="CausativeAgent" /> <definition value="Substance, group of substances or environmental factor to which the patient is allergic or hypersensitive." /> <alias value="VeroorzakendeStof" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.2--20200901000000" /> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.2" /> <comment value="CausativeAgent" /> </mapping> </element> <element id="AllergyIntolerance.onset[x]"> <path value="AllergyIntolerance.onset[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="AllergyIntolerance.onset[x]:onsetDateTime"> <path value="AllergyIntolerance.onset[x]" /> <sliceName value="onsetDateTime" /> <short value="StartDateTime" /> <definition value="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 value="BeginDatumTijd" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.6" /> <comment value="StartDateTime" /> </mapping> </element> <element id="AllergyIntolerance.lastOccurrence"> <path value="AllergyIntolerance.lastOccurrence" /> <short value="LastReactionDateTime" /> <definition value="Entry of the last time a hypersensitive reaction took place." /> <alias value="LaatsteReactieDatumTijd" /> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.8" /> <comment value="LastReactionDateTime" /> </mapping> </element> <element id="AllergyIntolerance.note"> <path value="AllergyIntolerance.note" /> <max value="1" /> </element> <element id="AllergyIntolerance.note.text"> <path value="AllergyIntolerance.note.text" /> <short value="Comment" /> <definition value="Textual explanation of the hypersensitivity which cannot be entered in any of the other fields." /> <alias value="Toelichting" /> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.9" /> <comment value="Comment" /> </mapping> </element> <element id="AllergyIntolerance.reaction"> <path value="AllergyIntolerance.reaction" /> <short value="Reaction" /> <alias value="Reactie" /> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.10" /> <comment value="Reaction" /> </mapping> </element> <element id="AllergyIntolerance.reaction.substance"> <path value="AllergyIntolerance.reaction.substance" /> <short value="SpecificSubstance" /> <definition value="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 value="SpecifiekeStof" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.1--20200901000000" /> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.12" /> <comment value="SpecificSubstance" /> </mapping> </element> <element id="AllergyIntolerance.reaction.manifestation"> <path value="AllergyIntolerance.reaction.manifestation" /> <short value="Symptom" /> <definition value="The content specifications of the reaction that takes place when the patient is exposed to the causative substance." /> <alias value="Symptoom" /> <binding> <strength value="extensible" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20200901000000" /> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.11" /> <comment value="Symptom" /> </mapping> </element> <element id="AllergyIntolerance.reaction.description"> <path value="AllergyIntolerance.reaction.description" /> <short value="ReactionDescription" /> <definition value="Textual description of the reaction as a whole." /> <alias value="ReactieBeschrijving" /> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.13" /> <comment value="ReactionDescription" /> </mapping> </element> <element id="AllergyIntolerance.reaction.onset"> <path value="AllergyIntolerance.reaction.onset" /> <short value="ReactionTime" /> <definition value="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 value="ReactieTijdstip" /> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.17" /> <comment value="ReactionTime" /> </mapping> </element> <element id="AllergyIntolerance.reaction.severity"> <path value="AllergyIntolerance.reaction.severity" /> <short value="Severity" /> <definition value="The severity of the reaction as a result of exposure to the causative substance." /> <alias value="Ernst" /> <binding> <strength value="required" /> <description value="Use ConceptMap ErnstCodelijst_to_AllergyIntoleranceSeverity to translate terminology from the functional model to profile terminology in ValueSet AllergyIntoleranceSeverity." /> <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1"> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/ErnstCodelijst-to-AllergyIntoleranceSeverity" /> </extension> </valueSet> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.14" /> <comment value="Severity" /> </mapping> </element> <element id="AllergyIntolerance.reaction.exposureRoute"> <path value="AllergyIntolerance.reaction.exposureRoute" /> <short value="RouteOfExposure" /> <definition value="Way in which the patient came into contact with the causative agent or the way in which the agent was administered." /> <alias value="WijzeVanBlootstelling" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12--20200901000000" /> </binding> <mapping> <identity value="zib-allergyintolerance-v3.3-2020EN" /> <map value="NL-CM:8.2.15" /> <comment value="RouteOfExposure" /> </mapping> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.