Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.r4.cio#1.0.0-beta.5 (93 ms)
| Package | nictiz.fhir.nl.r4.cio |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.cio@1.0.0-beta.5&canonical=http://nictiz.nl/fhir/StructureDefinition/cio-Reaction |
| Url | http://nictiz.nl/fhir/StructureDefinition/cio-Reaction |
| Version | 1.0.0-beta.5 |
| Status | draft |
| Name | CioReaction |
| Title | cio Reaction |
| Experimental | False |
| Realm | nl |
| Description | An adverse clinical response that is possible, probable or proven to result from exposure to a substance or group of substances. |
| Purpose | This AllergyIntolerance resource represents the Reaction 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) Reaction 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-Reaction profile in the future. |
| 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. |
| Type | AllergyIntolerance |
| Kind | resource |
Resources that use this resource
Resources that this resource uses
Source
{
"resourceType" : "StructureDefinition",
"id" : "cio-Reaction",
"url" : "http://nictiz.nl/fhir/StructureDefinition/cio-Reaction",
"version" : "1.0.0-beta.5",
"name" : "CioReaction",
"title" : "cio Reaction",
"status" : "draft",
"publisher" : "Nictiz",
"contact" : [
{
"name" : "Nictiz",
"telecom" : [
{
"system" : "url",
"value" : "https://www.nictiz.nl",
"use" : "work"
}
]
}
],
"description" : "An adverse clinical response that is possible, probable or proven to result from exposure to a substance or group of substances.",
"purpose" : "This AllergyIntolerance resource represents the Reaction 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) Reaction 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-Reaction profile in the future.",
"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" : "cio-dataset-200-beta2-20231214",
"uri" : "https://decor.nictiz.nl/pub/cio/cio-html-20231214T100742/ds-2.16.840.1.113883.2.4.3.11.60.26.1.2-2020-04-02T000000.html",
"name" : "ART-DECOR Dataset Contraindications and hypersensitivities 2.0.0-beta.2 20231214"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"uri" : "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" : "ART-DECOR Dataset Contraindications and hypersensitivities 2.0.0-beta.3 20241023"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "AllergyIntolerance",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "AllergyIntolerance",
"path" : "AllergyIntolerance",
"short" : "Reaction",
"comment" : "In order to convey the registration information of a Reaction 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 AllergyIntolerance resource.\r\n\r\nNote that not all concepts within the Reaction building block are mapped to elements within this profile (e.g. DiagnosisName (cio-dataelement-20-815)). To convey the complete Reaction building block, an AllergyIntolerance resource conforming to this profile SHOULD always be used together with an instance conforming to the [cio-Condition](http://nictiz.nl/fhir/StructureDefinition/cio-Condition) profile. This profile contains more detailed information on the reaction, while the cio-Condition profile contains the underlying condition and diagnosis. Note however, that several concepts from the CiO data set are mapped to elements in both this profile and the cio-Condition profile, such as the DiagnosticInsightDate (cio-dataelement-20-811) or the Diagnostician (cio-dataelement-20-809). This is done to populate all instances with as much relevant information as possible, hence making instances conforming to these two profiles more valuable to be considered in isolation. If such an overlapping element is present in one of the resources, it SHALL also be present in the other resource, having the same value.",
"alias" : [
"Reactie"
],
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-464",
"comment" : "Reaction"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-464",
"comment" : "Reaction"
}
]
},
{
"id" : "AllergyIntolerance.extension",
"path" : "AllergyIntolerance.extension",
"min" : 4
},
{
"id" : "AllergyIntolerance.extension:type",
"path" : "AllergyIntolerance.extension",
"sliceName" : "type",
"comment" : "This is a pre-adopt of R5 in which the _required_ binding on `AllergyIntolerance.type` is changed to _preferred_.",
"min" : 1,
"type" : [
{
"code" : "Extension",
"profile" : [
"http://nictiz.nl/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type"
]
}
]
},
{
"id" : "AllergyIntolerance.extension:type.value[x]",
"path" : "AllergyIntolerance.extension.value[x]",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "281647001"
}
]
}
},
{
"id" : "AllergyIntolerance.extension:diagnosticInsightDate",
"path" : "AllergyIntolerance.extension",
"sliceName" : "diagnosticInsightDate",
"min" : 1,
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"
]
}
]
},
{
"id" : "AllergyIntolerance.extension:diagnosticInsightDate.value[x]",
"path" : "AllergyIntolerance.extension.value[x]",
"short" : "DiagnosticInsightDate",
"definition" : "Date (and time) at which the health professional obtained the diagnostic insight.",
"alias" : [
"DiagnostischInzichtDatum"
],
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-811",
"comment" : "DiagnosticInsightDate"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-811",
"comment" : "DiagnosticInsightDate"
}
]
},
{
"id" : "AllergyIntolerance.extension:wayOfDetermination",
"path" : "AllergyIntolerance.extension",
"sliceName" : "wayOfDetermination",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/ext-WayOfDetermination"
]
}
]
},
{
"id" : "AllergyIntolerance.extension:wayOfDetermination.value[x]",
"path" : "AllergyIntolerance.extension.value[x]",
"definition" : "The way in which the reaction is determined.",
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-813",
"comment" : "WayOfDetermination [DEPRECATED]"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-813",
"comment" : "WayOfDetermination"
}
]
},
{
"id" : "AllergyIntolerance.extension:relationCondition",
"path" : "AllergyIntolerance.extension",
"sliceName" : "relationCondition",
"min" : 1,
"type" : [
{
"code" : "Extension",
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/ext-RelationCondition"
]
}
]
},
{
"id" : "AllergyIntolerance.extension:relationCondition.value[x]",
"path" : "AllergyIntolerance.extension.value[x]",
"definition" : "The condition that the healthcare provider has identified as a reaction.",
"mapping" : [
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-923",
"comment" : "RelationCondition"
}
]
},
{
"id" : "AllergyIntolerance.extension:relationHypersensitivityIntolerance",
"path" : "AllergyIntolerance.extension",
"sliceName" : "relationHypersensitivityIntolerance",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/ext-Reaction.RelationHypersensitivityIntolerance"
]
}
]
},
{
"id" : "AllergyIntolerance.extension:relationHypersensitivityIntolerance.value[x]",
"path" : "AllergyIntolerance.extension.value[x]",
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-823",
"comment" : "RelationHypersensitivity [DEPRECATED]"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-823",
"comment" : "RelationHypersensitivityIntolerance"
}
]
},
{
"id" : "AllergyIntolerance.extension:medicationHypersensitivityIdentifier",
"path" : "AllergyIntolerance.extension",
"sliceName" : "medicationHypersensitivityIdentifier",
"min" : 1,
"type" : [
{
"code" : "Extension",
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationHypersensitivity.Identifier"
]
}
]
},
{
"id" : "AllergyIntolerance.extension:medicationHypersensitivityIdentifier.value[x]",
"path" : "AllergyIntolerance.extension.value[x]",
"mapping" : [
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-888",
"comment" : "IdentificationGMO"
}
]
},
{
"id" : "AllergyIntolerance.identifier",
"path" : "AllergyIntolerance.identifier",
"short" : "IdentificationNumber",
"definition" : "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" : [
"Identificatienummer"
],
"min" : 1,
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-780",
"comment" : "IdentificationNumber"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-780",
"comment" : "IdentificationNumber"
}
]
},
{
"id" : "AllergyIntolerance.clinicalStatus",
"path" : "AllergyIntolerance.clinicalStatus",
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-790",
"comment" : "ConditionPresence [DEPRECATED]"
}
]
},
{
"id" : "AllergyIntolerance.verificationStatus",
"path" : "AllergyIntolerance.verificationStatus",
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-812",
"comment" : "CertaintyStatus [DEPRECATED]"
}
]
},
{
"id" : "AllergyIntolerance.type",
"path" : "AllergyIntolerance.type",
"comment" : "Due to the _required_ binding on this element it is not possible to use it to indicate that an AllergyIntolerance resource conforming to this profile represents an instance of the Reaction building block. Therefore the `.type` element from R5 (with a _preferred_ binding) is pre-adopted via the [AllergyIntolerance.type extension](http://nictiz.nl/fhir/5.0/StructureDefinition/extension-AllergyIntolerance.type).",
"max" : "0"
},
{
"id" : "AllergyIntolerance.code",
"path" : "AllergyIntolerance.code",
"short" : "CausativeSubstance",
"definition" : "The substance that (presumably) caused the reaction.",
"comment" : "Strictly speaking the concept CausativeSubstance belongs on `.reaction.substance` (on which it is mapped as well), but since it must be clinically safe to only process the `.code` and ignore the `.reaction.substance`, it has been chosen to map this concept here as well.",
"alias" : [
"VeroorzakendeStof"
],
"min" : 1,
"binding" : {
"strength" : "required",
"valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.30--20231129132424"
},
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-466",
"comment" : "CausativeSubstance"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-466",
"comment" : "CausativeSubstance"
}
]
},
{
"id" : "AllergyIntolerance.patient",
"path" : "AllergyIntolerance.patient",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"
]
}
]
},
{
"id" : "AllergyIntolerance.recordedDate",
"path" : "AllergyIntolerance.recordedDate",
"short" : "CreationDateTime",
"definition" : "Date and time when the information about the patient was registered.",
"alias" : [
"OntstaansDatumTijd"
],
"min" : 1,
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-783",
"comment" : "RegistrationDateTime [DEPRECATED]"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-783",
"comment" : "CreationDateTime"
}
]
},
{
"id" : "AllergyIntolerance.recorder",
"path" : "AllergyIntolerance.recorder",
"short" : "Author",
"definition" : "The person who has registered or had someone else register the information in the patient record.",
"alias" : [
"Auteur"
],
"type" : [
{
"code" : "Reference",
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference"
],
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Practitioner",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"
]
}
],
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-781",
"comment" : "Author"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-781",
"comment" : "Author"
}
]
},
{
"id" : "AllergyIntolerance.asserter",
"path" : "AllergyIntolerance.asserter",
"short" : "Diagnostician",
"definition" : "The health professional that acquired the diagnostic insight regarding the reaction. This can be a different individual than the person who recorded the diagnostic insight.",
"alias" : [
"DiagnoseSteller"
],
"min" : 1,
"type" : [
{
"code" : "Reference",
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference"
],
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Practitioner",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"
]
}
],
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-809",
"comment" : "Diagnostician"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-809",
"comment" : "Diagnostician"
}
]
},
{
"id" : "AllergyIntolerance.reaction",
"path" : "AllergyIntolerance.reaction",
"min" : 1,
"max" : "1"
},
{
"id" : "AllergyIntolerance.reaction.extension:latencyTime",
"path" : "AllergyIntolerance.reaction.extension",
"sliceName" : "latencyTime",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/ext-Reaction.LatencyTime"
]
}
]
},
{
"id" : "AllergyIntolerance.reaction.extension:latencyTime.value[x]",
"path" : "AllergyIntolerance.reaction.extension.value[x]",
"mapping" : [
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-917",
"comment" : "LatencyTime"
}
]
},
{
"id" : "AllergyIntolerance.reaction.extension:latencyTime.value[x]:valueRange",
"path" : "AllergyIntolerance.reaction.extension.value[x]",
"sliceName" : "valueRange"
},
{
"id" : "AllergyIntolerance.reaction.extension:latencyTime.value[x]:valueRange.low",
"path" : "AllergyIntolerance.reaction.extension.value[x].low",
"mapping" : [
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-958",
"comment" : "minimumValue"
}
]
},
{
"id" : "AllergyIntolerance.reaction.extension:latencyTime.value[x]:valueRange.high",
"path" : "AllergyIntolerance.reaction.extension.value[x].high",
"mapping" : [
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-959",
"comment" : "maximumValue"
}
]
},
{
"id" : "AllergyIntolerance.reaction.extension:latencyTime.value[x]:valueQuantity",
"path" : "AllergyIntolerance.reaction.extension.value[x]",
"sliceName" : "valueQuantity",
"mapping" : [
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-960",
"comment" : "nominalValue"
}
]
},
{
"id" : "AllergyIntolerance.reaction.substance",
"path" : "AllergyIntolerance.reaction.substance",
"short" : "CausativeSubstance",
"definition" : "The substance that (presumably) caused the reaction.",
"alias" : [
"VeroorzakendeStof"
],
"min" : 1,
"binding" : {
"strength" : "required",
"valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.30--20231129132424"
},
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-466",
"comment" : "CausativeSubstance"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-466",
"comment" : "CausativeSubstance"
}
]
},
{
"id" : "AllergyIntolerance.reaction.manifestation.text",
"path" : "AllergyIntolerance.reaction.manifestation.text",
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-465",
"comment" : "ReactionPhenomenon [DEPRECATED]"
}
]
},
{
"id" : "AllergyIntolerance.reaction.onset",
"path" : "AllergyIntolerance.reaction.onset",
"short" : "startDateTime",
"definition" : "The start date and time of the period in which the condition is/was present.",
"alias" : [
"startDatumTijd"
],
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-804",
"comment" : "ConditionStartDateTime [DEPRECATED]"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-954",
"comment" : "startDateTime"
}
]
},
{
"id" : "AllergyIntolerance.reaction.exposureRoute",
"path" : "AllergyIntolerance.reaction.exposureRoute",
"short" : "RouteOfExposure",
"definition" : "Way in which the patient came into contact with the causative substance or the way in which the substance was administered.",
"alias" : [
"WijzeVanBlootstelling"
],
"binding" : {
"strength" : "required",
"valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20200901000000"
},
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-469",
"comment" : "RouteOfExposure"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-469",
"comment" : "RouteOfExposure"
}
]
},
{
"id" : "AllergyIntolerance.reaction.note",
"path" : "AllergyIntolerance.reaction.note",
"max" : "1"
},
{
"id" : "AllergyIntolerance.reaction.note.text",
"path" : "AllergyIntolerance.reaction.note.text",
"short" : "Comment",
"definition" : "Textual explanation of the reaction which cannot be expressed in any of the other fields.",
"alias" : [
"Toelichting"
],
"mapping" : [
{
"identity" : "cio-dataset-200-beta2-20231214",
"map" : "cio-dataelement-20-818",
"comment" : "Comment"
},
{
"identity" : "cio-dataset-200-beta3-20241023",
"map" : "cio-dataelement-20-818",
"comment" : "Comment"
}
]
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.
FHIR