{ "resourceType": "StructureDefinition", "id": "zib-AllergyIntolerance", "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance", "version": "3.0.7", "name": "Zib AllergyIntolerance", "title": "HCIM AllergyIntolerance", "status": "active", "publisher": "Nictiz", "contact": [ { "name": "Nictiz", "telecom": [ { "system": "url", "value": "https://www.nictiz.nl", "use": "work" } ] } ], "description": "AllergyIntolerance as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017. 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:\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": "Documenting and communicating allergies and intolerances is an important part of medical registration. It concerns the core of patient safety in general and medication safety in particular. In the execution of research, treatment and care, these patient characteristics constantly have to be taken into account. \r\nIn principle, allergies and intolerances are also disorders and also could be entered as a problem. Nevertheless, these are usually entered separately.\r\nAllergies/Intolerances have a lot in common with warnings (Alert). An important difference is that with allergies and intolerances, a lot of detailed information is recorded on things such as the reactions to the causative substance. Furthermore, not every warning is a problem or medical condition. Every allergy/intolerance is, however, while not every allergy or intolerance implies a warning.", "copyright": "CC0", "fhirVersion": "3.0.2", "mapping": [ { "identity": "hcim-allergyintolerance-v3.2-2017EN", "uri": "https://zibs.nl/wiki/AllergyIntolerance-v3.2(2017EN)", "name": "HCIM AllergyIntolerance-v3.2(2017EN)" }, { "identity": "hcim-basicelements-v1.0-2017EN", "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)", "name": "HCIM BasicElements-v1.0(2017EN)" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "uri": "https://zibs.nl/wiki/AllergyIntolerance-v3.0(2016EN)", "name": "HCIM AllergyIntolerance-v3.0(2016EN)" }, { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "uri": "https://zibs.nl/wiki/AllergyIntolerance-v1.0.2(2015EN)", "name": "HCIM AllergyIntolerance-v1.0.2(2015EN)" } ], "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": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.1", "comment": "AllergyIntolerance" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.1", "comment": "AllergyIntolerance" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.1", "comment": "AllergyIntolerance" } ] }, { "id": "AllergyIntolerance.identifier", "path": "AllergyIntolerance.identifier", "short": "Identifier", "alias": [ "Identificatie" ], "mapping": [ { "identity": "hcim-basicelements-v1.0-2017EN", "map": "NL-CM:0.0.6", "comment": "IdentificationNumber" } ] }, { "id": "AllergyIntolerance.clinicalStatus", "path": "AllergyIntolerance.clinicalStatus", "short": "AllergyStatus", "alias": [ "AllergieStatus" ], "binding": { "strength": "required", "valueSetReference": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap", "valueReference": { "reference": "http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-allergy-status", "display": "AllergieStatusCodelijst-to-allergy-status" } } ] } }, "mapping": [ { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.5", "comment": "AllergyStatus. See for details the ConceptMap https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-allergy-status" } ] }, { "id": "AllergyIntolerance.clinicalStatus.extension", "path": "AllergyIntolerance.clinicalStatus.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst", "path": "AllergyIntolerance.clinicalStatus.extension", "sliceName": "AllergieStatusCodelijst", "short": "AllergyStatus", "definition": "Statement on the status of the patient’s hypersensitivity.", "alias": [ "AllergieStatus" ], "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification" } ], "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.5", "comment": "AllergyStatus. See for details the ConceptMap https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-allergy-status" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.5", "comment": "AllergyStatus. See for details the ConceptMap https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-allergy-status" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.5", "comment": "AllergyStatus. See for details the ConceptMap https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/ConceptMap/AllergieStatusCodelijst-to-allergy-status" } ] }, { "id": "AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.valueCodeableConcept:valueCodeableConcept", "path": "AllergyIntolerance.clinicalStatus.extension.valueCodeableConcept", "sliceName": "valueCodeableConcept", "binding": { "strength": "extensible", "description": "AllergieStatusCodelijst", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.3--20171231000000", "display": "AllergieStatusCodelijst" } } }, { "id": "AllergyIntolerance.verificationStatus", "path": "AllergyIntolerance.verificationStatus", "short": "AllergyStatus", "comment": "When HCIM AllergyStatus = _Nullified_, `.verificationStatus` should be set to _entered-in-error_. In all other cases it is up to the sending system to populate this element with the correct value.", "alias": [ "AllergieStatus" ], "mapping": [ { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.5", "comment": "AllergyStatus (for Nullified only)" } ] }, { "id": "AllergyIntolerance.category", "path": "AllergyIntolerance.category", "binding": { "strength": "required", "valueSetReference": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap", "valueReference": { "reference": "http://nictiz.nl/fhir/ConceptMap/AllergieCategorieCodelijst-to-allergy-intolerance-category", "display": "AllergieCategorieCodelijst-to-allergy-intolerance-category" } } ] } } }, { "id": "AllergyIntolerance.category.extension", "path": "AllergyIntolerance.category.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "AllergyIntolerance.category.extension:AllergieCategorieCodelijst", "path": "AllergyIntolerance.category.extension", "sliceName": "AllergieCategorieCodelijst", "short": "AllergyCategory", "definition": "Identifies the allergy category such as medication, food or environment.", "alias": [ "AllergieCategorie" ], "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification" } ], "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.4", "comment": "AllergyCategory. See for details the ConceptMap https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/ConceptMap/AllergieCategorieCodelijst-to-allergy-intolerance-category" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.4", "comment": "AllergyCategory. See for details the ConceptMap https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/ConceptMap/AllergieCategorieCodelijst-to-allergy-intolerance-category" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.4", "comment": "AllergyCategory. See for details the ConceptMap https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/ConceptMap/AllergieCategorieCodelijst-to-allergy-intolerance-category" } ] }, { "id": "AllergyIntolerance.category.extension:AllergieCategorieCodelijst.valueCodeableConcept:valueCodeableConcept", "path": "AllergyIntolerance.category.extension.valueCodeableConcept", "sliceName": "valueCodeableConcept", "binding": { "strength": "extensible", "description": "AllergieCategorieCodelijst", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20171231000000", "display": "AllergieCategorieCodelijst" } } }, { "id": "AllergyIntolerance.criticality", "path": "AllergyIntolerance.criticality", "binding": { "strength": "required", "valueSetReference": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap", "valueReference": { "reference": "http://nictiz.nl/fhir/ConceptMap/MateVanKritiekZijnCodelijst-to-allergy-intolerance-criticality", "display": "MateVanKritiekZijnCodelijst-to-allergy-intolerance-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", "short": "Criticality", "definition": "Critical extent is defined as “the potential severity of future reactions.” \r\nThis 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" ], "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification" } ], "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.7", "comment": "CriticalExtent. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/MateVanKritiekZijnCodelijst-to-allergy-intolerance-criticality." }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.7", "comment": "CriticalExtent. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/MateVanKritiekZijnCodelijst-to-allergy-intolerance-criticality." }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.7", "comment": "Criticality. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/MateVanKritiekZijnCodelijst-to-allergy-intolerance-criticality." } ] }, { "id": "AllergyIntolerance.criticality.extension:CriticalExtentCodelist.valueCodeableConcept:valueCodeableConcept", "path": "AllergyIntolerance.criticality.extension.valueCodeableConcept", "sliceName": "valueCodeableConcept", "binding": { "strength": "extensible", "description": "CriticalExtentCodelist", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4--20171231000000", "display": "MateVanKritiekZijnCodelijst" } } }, { "id": "AllergyIntolerance.code", "path": "AllergyIntolerance.code", "short": "CausativeAgent", "alias": [ "VeroorzakendeStof" ], "min": 1, "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.2", "comment": "CausativeSubstance" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.2", "comment": "CausativeSubstance" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.2", "comment": "CausativeAgent" } ] }, { "id": "AllergyIntolerance.code.coding", "path": "AllergyIntolerance.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist", "path": "AllergyIntolerance.code.coding", "sliceName": "causativeAgentAllergicAgentCodelist", "binding": { "strength": "required", "description": "SNOMED CT - Alle waarden", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.17--20171231000000", "display": "VeroorzakendeStofAllergeneStoffenCodelijst" } } }, { "id": "AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist.system", "path": "AllergyIntolerance.code.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct" }, { "id": "AllergyIntolerance.code.coding:causativeAgentHPKCodelist", "path": "AllergyIntolerance.code.coding", "sliceName": "causativeAgentHPKCodelist", "binding": { "strength": "required", "description": "G-Standaard Handels Product Kode (HPK) - Alle waarden", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.19--20171231000000", "display": "VeroorzakendeStofHPKCodelijst" } } }, { "id": "AllergyIntolerance.code.coding:causativeAgentHPKCodelist.system", "path": "AllergyIntolerance.code.coding.system", "min": 1, "fixedUri": "urn:oid:2.16.840.1.113883.2.4.4.7" }, { "id": "AllergyIntolerance.code.coding:causativeAgentSNKCodelist", "path": "AllergyIntolerance.code.coding", "sliceName": "causativeAgentSNKCodelist", "binding": { "strength": "required", "description": "G-standaard Stofnaamcode (SNK) - Alle waarden", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.14--20171231000000", "display": "VeroorzakendeStofSNKCodelijst" } } }, { "id": "AllergyIntolerance.code.coding:causativeAgentSNKCodelist.system", "path": "AllergyIntolerance.code.coding.system", "min": 1, "fixedUri": "urn:oid:2.16.840.1.113883.2.4.4.1.750" }, { "id": "AllergyIntolerance.code.coding:causativeAgentSSKCodelist", "path": "AllergyIntolerance.code.coding", "sliceName": "causativeAgentSSKCodelist", "binding": { "strength": "required", "description": "G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.13--20171231000000", "display": "VeroorzakendeStofSSKCodelijst" } } }, { "id": "AllergyIntolerance.code.coding:causativeAgentSSKCodelist.system", "path": "AllergyIntolerance.code.coding.system", "min": 1, "fixedUri": "urn:oid:2.16.840.1.113883.2.4.4.1.725" }, { "id": "AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist", "path": "AllergyIntolerance.code.coding", "sliceName": "causativeAgentThesaurus122Codelist", "binding": { "strength": "required", "description": "G-standaard Ongewenste medicatiegroepen - Alle waarden", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.15--20171231000000", "display": "VeroorzakendeStofThesaurus122Codelijst" } } }, { "id": "AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist.system", "path": "AllergyIntolerance.code.coding.system", "min": 1, "fixedUri": "urn:oid:2.16.840.1.113883.2.4.4.1.902.122" }, { "id": "AllergyIntolerance.patient", "path": "AllergyIntolerance.patient", "short": "Patient", "alias": [ "Patiënt" ], "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" } ], "mapping": [ { "identity": "hcim-basicelements-v1.0-2017EN", "map": "NL-CM:0.0.11", "comment": "Subject" } ] }, { "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. \r\nThis 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": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.6", "comment": "StartDateTime" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.6", "comment": "StartDateTime" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.6", "comment": "StartDateTime" }, { "identity": "hcim-basicelements-v1.0-2017EN", "map": "NL-CM:0.0.14", "comment": "DateTime" } ] }, { "id": "AllergyIntolerance.recorder", "path": "AllergyIntolerance.recorder", "short": "Recorder", "alias": [ "Auteur" ], "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" } ], "mapping": [ { "identity": "hcim-basicelements-v1.0-2017EN", "map": "NL-CM:0.0.7", "comment": "Author" } ] }, { "id": "AllergyIntolerance.recorder.extension", "path": "AllergyIntolerance.recorder.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "AllergyIntolerance.recorder.extension:practitionerRole", "path": "AllergyIntolerance.recorder.extension", "sliceName": "practitionerRole", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ] }, { "id": "AllergyIntolerance.asserter", "path": "AllergyIntolerance.asserter", "short": "Informant", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" } ], "mapping": [ { "identity": "hcim-basicelements-v1.0-2017EN", "map": "NL-CM:0.0.2", "comment": "InformationSource" } ] }, { "id": "AllergyIntolerance.asserter.extension", "path": "AllergyIntolerance.asserter.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "AllergyIntolerance.asserter.extension:practitionerRole", "path": "AllergyIntolerance.asserter.extension", "sliceName": "practitionerRole", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ] }, { "id": "AllergyIntolerance.lastOccurrence", "path": "AllergyIntolerance.lastOccurrence", "short": "LastReactionDateTime", "definition": "Entry of the last time a hypersensitive reaction took place.", "alias": [ "LaatsteReactieDatumTijd" ], "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.8", "comment": "LastReactionDateTime" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.8", "comment": "LastReactionDateTime" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.8", "comment": "LastReactionDateTime" } ] }, { "id": "AllergyIntolerance.note.author[x]", "path": "AllergyIntolerance.note.author[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "short": "Author", "alias": [ "Auteur" ], "type": [ { "code": "string" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" } ] }, { "id": "AllergyIntolerance.note.author[x]:authorReference", "path": "AllergyIntolerance.note.author[x]", "sliceName": "authorReference", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" } ] }, { "id": "AllergyIntolerance.note.author[x]:authorReference.extension", "path": "AllergyIntolerance.note.author[x].extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "AllergyIntolerance.note.author[x]:authorReference.extension:practitionerRole", "path": "AllergyIntolerance.note.author[x].extension", "sliceName": "practitionerRole", "comment": "Relevant only in combination with Reference(Practitioner)", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ] }, { "id": "AllergyIntolerance.note.author[x]:authorString", "path": "AllergyIntolerance.note.author[x]", "sliceName": "authorString", "type": [ { "code": "string" } ] }, { "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": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.9", "comment": "Explanation" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.9", "comment": "Explanation" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.9", "comment": "Comment" } ] }, { "id": "AllergyIntolerance.reaction", "path": "AllergyIntolerance.reaction", "short": "Reaction", "alias": [ "Reactie" ], "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.10", "comment": "Reaction" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.10", "comment": "Reaction" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "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" ], "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.12", "comment": "SpecificSubstance" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.12", "comment": "SpecificSubstance" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.12", "comment": "SpecificSubstance" } ] }, { "id": "AllergyIntolerance.reaction.substance.coding", "path": "AllergyIntolerance.reaction.substance.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist", "path": "AllergyIntolerance.reaction.substance.coding", "sliceName": "specificSubstanceAllergicAgentCodelist", "comment": "SNOMED refset ^42931000146101 has been deprecated in favor of refset ^98061000146100. For compatibility reasons, this original refset has been re-activated, but its contents have been replaced with that of the new refset.", "binding": { "strength": "required", "description": "SNOMED CT - SNOMED CT: ^42931000146101| Dutch non-drug allergen simple reference set (foundation metadata concept)", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.16--20171231000000", "display": "SpecifiekeStofAllergeneStoffenCodelijst" } } }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist.system", "path": "AllergyIntolerance.reaction.substance.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct" }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist", "path": "AllergyIntolerance.reaction.substance.coding", "sliceName": "specificSubstanceHPKCodelist", "binding": { "strength": "required", "description": "G-Standaard Handels Product Kode (HPK) - Alle waarden", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.18--20171231000000", "display": "SpecifiekeStofHPKCodelijst" } } }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist.system", "path": "AllergyIntolerance.reaction.substance.coding.system", "min": 1, "fixedUri": "urn:oid:2.16.840.1.113883.2.4.4.7" }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist", "path": "AllergyIntolerance.reaction.substance.coding", "sliceName": "specificSubstanceSNKCodelist", "binding": { "strength": "required", "description": "G-standaard Stofnaamcode (SNK) - Alle waarden", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.10--20171231000000", "display": "SpecifiekeStofSNKCodelijst" } } }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist.system", "path": "AllergyIntolerance.reaction.substance.coding.system", "min": 1, "fixedUri": "urn:oid:2.16.840.1.113883.2.4.4.1.750" }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist", "path": "AllergyIntolerance.reaction.substance.coding", "sliceName": "specificSubstanceSSKCodelist", "binding": { "strength": "required", "description": "SpecifiekeStofSSKCodelijst", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.9--20171231000000", "display": "SpecifiekeStofSSKCodelijst" } } }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist.system", "path": "AllergyIntolerance.reaction.substance.coding.system", "min": 1, "fixedUri": "urn:oid:2.16.840.1.113883.2.4.4.1.725" }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist", "path": "AllergyIntolerance.reaction.substance.coding", "sliceName": "specificSubstanceThesaurus122Codelist", "binding": { "strength": "required", "description": "G-standaard Ongewenste medicatiegroepen - Alle waarden", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.11--20171231000000", "display": "SpecifiekeStofThesaurus122Codelijst" } } }, { "id": "AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist.system", "path": "AllergyIntolerance.reaction.substance.coding.system", "min": 1, "fixedUri": "urn:oid:2.16.840.1.113883.2.4.4.1.902.122" }, { "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": "required", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20171231000000", "display": "SymptoomCodelijst" } }, "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.11", "comment": "Symptom" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.11", "comment": "Symptom" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.11", "comment": "Symptom" } ] }, { "id": "AllergyIntolerance.reaction.description", "path": "AllergyIntolerance.reaction.description", "short": "ReactionDescription", "alias": [ "ReactieBeschrijving" ], "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.13", "comment": "ReactionDescription" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.13", "comment": "ReactionDescription" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "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": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.17", "comment": "ReactionTime" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.17", "comment": "ReactionTime" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "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", "valueSetReference": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap", "valueReference": { "reference": "http://nictiz.nl/fhir/ConceptMap/ErnstCodelijst-to-AllergyIntoleranceSeverity", "display": "ErnstCodelijst-to-AllergyIntoleranceSeverity" } } ] } }, "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.14", "comment": "Severity. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/ErnstCodelijst-to-AllergyIntoleranceSeverity" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.14", "comment": "Severity. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/ErnstCodelijst-to-AllergyIntoleranceSeverity" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.14", "comment": "Severity. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/ErnstCodelijst-to-AllergyIntoleranceSeverity" } ] }, { "id": "AllergyIntolerance.reaction.severity.extension", "path": "AllergyIntolerance.reaction.severity.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "AllergyIntolerance.reaction.severity.extension:SeverityCodelist", "path": "AllergyIntolerance.reaction.severity.extension", "sliceName": "SeverityCodelist", "min": 0, "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification" } ] }, { "id": "AllergyIntolerance.reaction.severity.extension:SeverityCodelist.valueCodeableConcept:valueCodeableConcept", "path": "AllergyIntolerance.reaction.severity.extension.valueCodeableConcept", "sliceName": "valueCodeableConcept", "binding": { "strength": "extensible", "description": "ErnstCodelijst", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.6--20171231000000" } }, "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.14", "comment": "Severity" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.14", "comment": "Severity" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.14", "comment": "Severity" } ] }, { "id": "AllergyIntolerance.reaction.exposureRoute", "path": "AllergyIntolerance.reaction.exposureRoute", "short": "MannerOfExposure", "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": "extensible", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12--20171231000000", "display": "WijzeVanBlootstellingCodelijst" } }, "mapping": [ { "identity": "hcim-allergyintolerance-v1.0.2-2015EN", "map": "NL-CM:8.2.15", "comment": "MannerOfExposure" }, { "identity": "hcim-allergyintolerance-v3.0-2016EN", "map": "NL-CM:8.2.15", "comment": "MannerOfExposure" }, { "identity": "hcim-allergyintolerance-v3.2-2017EN", "map": "NL-CM:8.2.15", "comment": "RouteOfExposure" } ] } ] } }