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FHIR IG Statistics: StructureDefinition/cio-Symptom

Packagenictiz.fhir.nl.r4.cio
Resource TypeStructureDefinition
Idcio-Symptom
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.cio@1.0.0-beta.5&canonical=http://nictiz.nl/fhir/StructureDefinition/cio-Symptom
URLhttp://nictiz.nl/fhir/StructureDefinition/cio-Symptom
Version1.0.0-beta.5
Statusdraft
NameCioSymptom
Titlecio Symptom
Realmnl
DescriptionA 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.
PurposeThis 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.
CopyrightCopyright 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.
TypeObservation
Kindresource

Resources that use this resource

CapabilityStatement
cio-MedicationHypersensitivities.RetrieveServecio MedicationHypersensitivities.RetrieveServe
cio-MedicationHypersensitivities.SendReceivecio MedicationHypersensitivities.SendReceive
StructureDefinition
cio-Conditioncio Condition
cio-RegistrationInformationcio RegistrationInformation

Resources that this resource uses

StructureDefinition
nl-core-Patientnl core Patient
ext-MedicationHypersensitivity.Identifierext MedicationHypersensitivity.Identifier
ValueSet
2.16.840.1.113883.2.4.3.11.60.26.11.34--20240501114150SymptoomErnstCodelijst
2.16.840.1.113883.2.4.3.11.60.26.11.35--20240501114333SymptoomNaamCodelijst

Narrative

No narrative content found in resource


Source

{
  "resourceType": "StructureDefinition",
  "id": "cio-Symptom",
  "url": "http://nictiz.nl/fhir/StructureDefinition/cio-Symptom",
  "version": "1.0.0-beta.5",
  "name": "CioSymptom",
  "title": "cio Symptom",
  "status": "draft",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "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": "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": "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-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": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "Symptom",
        "comment": "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.\r\n\r\nThis 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.\r\n\r\nPlease 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": [
          "Symptoom"
        ],
        "mapping": [
          {
            "identity": "cio-dataset-200-beta3-20241023",
            "map": "cio-dataelement-20-890",
            "comment": "Symptom"
          }
        ]
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "min": 1
      },
      {
        "id": "Observation.extension:medicationHypersensitivityIdentifier",
        "path": "Observation.extension",
        "sliceName": "medicationHypersensitivityIdentifier",
        "min": 1,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationHypersensitivity.Identifier"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:medicationHypersensitivityIdentifier.value[x]",
        "path": "Observation.extension.value[x]",
        "mapping": [
          {
            "identity": "cio-dataset-200-beta3-20241023",
            "map": "cio-dataelement-20-888",
            "comment": "IdentificationGMO"
          }
        ]
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.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-beta3-20241023",
            "map": "cio-dataelement-20-780",
            "comment": "IdentificationNumber"
          }
        ]
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "SymptomName",
        "definition": "Name and code of the symptom via selection from a code list, based on a standardised coding system.",
        "alias": [
          "SymptoomNaam"
        ],
        "binding": {
          "strength": "required",
          "description": "Identification of the symptom.",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.35--20240501114333"
        },
        "mapping": [
          {
            "identity": "cio-dataset-200-beta3-20241023",
            "map": "cio-dataelement-20-901",
            "comment": "SymptomName"
          }
        ]
      },
      {
        "id": "Observation.code.text",
        "path": "Observation.code.text",
        "short": "FurtherSpecificationSymptomName",
        "definition": "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": [
          "NadereSpecificatieSymptoomNaam"
        ],
        "mapping": [
          {
            "identity": "cio-dataset-200-beta3-20241023",
            "map": "cio-dataelement-20-902",
            "comment": "FurtherSpecificationSymptomName"
          }
        ]
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"
            ]
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:severity",
        "path": "Observation.component",
        "sliceName": "severity",
        "max": "1"
      },
      {
        "id": "Observation.component:severity.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "246112005"
            }
          ]
        }
      },
      {
        "id": "Observation.component:severity.value[x]",
        "path": "Observation.component.value[x]",
        "short": "SymptomSeverity",
        "definition": "Indicates the degree of severity of the symptom at the moment of the CreationDateTime (cio-dataelement-20-783).",
        "alias": [
          "SymptoomErnst"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.26.11.34--20240501114150"
        },
        "mapping": [
          {
            "identity": "cio-dataset-200-beta3-20241023",
            "map": "cio-dataelement-20-898",
            "comment": "SymptomSeverity"
          }
        ]
      }
    ]
  }
}