FHIR IG Statistics: StructureDefinition/zib-AllergyIntolerance
| Package | nictiz.fhir.nl.r4.zib2020 |
| Resource Type | StructureDefinition |
| Id | zib-AllergyIntolerance |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.12.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance |
| URL | http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance |
| Status | draft |
| Name | ZibAllergyIntolerance |
| Title | zib AllergyIntolerance |
| Realm | nl |
| Authority | hl7 |
| 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.
The substances can be categorized as follows:
* Medicine
* Medicine category
* Ingredient/addition
* Nutrition
* Environmental factor
* Animal
* Plants
* Chemicals
* 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. |
| Type | AllergyIntolerance |
| Kind | resource |
Resources that use this resource
Resources that this resource uses
Narrative
Note: links and images are rebased to the (stated) source
No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
Source
{
"resourceType": "StructureDefinition",
"id": "zib-AllergyIntolerance",
"text": {
"status": "empty",
"div": "<!-- snip (see above) -->"
},
"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"
}
]
}
]
}
}
FHIR