RIVO-Noord Zorgviewer Implementation Guide
1.21.0 - CI build Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide - Local Development build (v1.21.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AllergyIntolerance

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/AllergyIntolerance Version: 1.21.0
Active as of 2025-10-15 Computable Name: AllergyIntolerance

Allergie & Intolerantie

Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Allergie Intolerantie

FMS Adequate Registratie

Als bron voor de must-support flags en de UI guidance is gebruikt: Fit-gap analyse allergie-intolerantie

View Definition

ViewDefinition voor Allergieën en Intoleranties

UI Wireframe

Allergieen en intoleranties

>< Bron Datum Stof Toelichting Categorie Ernst(1) Ernst(2) Reacties Status StatusCS (VStatus)
+ Chipsoft 12-11-2019 ALLE NSAID'S (INCL. SALICYLATEN) Medicijn Licht Huiduitslag active Actief unconfirmed
+ Epic 3-12-2017 PINDA food moderate Erythrodermie active confirmed
+ Nexus 8-11-2008 Bijengif high severe active confirmed
+ Sanday 6-8-2025 HUISSTOFMIJTENALLERGEEN opmerking bij overgevoeligheid medication low active confirmed

Kolom Definities

Kolom label FHIR Path Expression FHIR Type Zib element Toelichting of regels
Bron meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name
Datum onsetPeriod.start | onsetDateTime dateTime StartDateTime
Stof code.text | code.coding[0].display string CausativeAgent
Toelichting note.text string Comment
Categorie category.extension('http://nictiz.nl/fhir/StructureDefinition/code-specification').valueCodeableConcept.text | category.join(',') code nvt Meerdere opties die tegelijk getoond kunnen worden
Ernst(1) criticality.extension('http://nictiz.nl/fhir/StructureDefinition/code-specification').valueCodeableConcept.text | criticality code MateVanKritiek
Ernst(2) reaction[0].severity code Reactie/Ernst
Reacties reaction[0].manifestation[0].text string Reactie/Symptoom
Status clinicalStatus code AllergieStatus Actief, Niet meer aanwezig, Achterhaald en Foutief status wordt niet getoond in de Zorgviewer (wordt uitgefilterd). Indien geen extensie aanwezig, dan worden de waarden als volgt gemapped: active -> Actief; inactive -> Achterhaald; resolved -> Niet meer aanwezig
StatusCS clinicalStatus.extension('http://nictiz.nl/fhir/StructureDefinition/code-specification').valueCodeableConcept.text code AllergieStatus Zie Status
MARKERING
(VStatus) verificationStatus code AllergieStatus

Request

  1. Opvragen (search) allergieen en intoleranties

    GET <ontsluiten-bronsysteem-base>/AllergyIntolerance/?patient=<fhir_patient_id>

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Usages:

  • CapabilityStatements using this Profile: Ontsluiten Bronsysteem
  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 1.20.0:

  • New Content

    • Formal Views of Profile Content

    Description of Profiles, Differentials, Snapshots and how the different presentations work.

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. AllergyIntolerance C 0..* Zib AllergyIntolerance(3.0.7) AllergyIntolerance
    Constraints: ait-1, ait-2
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... clinicalStatus ?!SΣC 0..1 code AllergyStatus
    Binding: AllergyIntoleranceClinicalStatus (required): The clinical status of the allergy or intolerance.
    .... Slices for extension Content/Rules for all slices
    ..... extension:AllergieStatusCodelijst 0..1 (Complex) AllergyStatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: AllergieStatusCodelijst (extensible): AllergieStatusCodelijst
    ... category SΣ 0..* code food | medication | environment | biologic
    Binding: AllergyIntoleranceCategory (required): Category of an identified substance.
    .... Slices for extension Content/Rules for all slices
    ..... extension:AllergieCategorieCodelijst 0..1 (Complex) AllergyCategory
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: AllergieCategorieCodelijst (extensible): AllergieCategorieCodelijst
    ... code SΣ 1..1 CodeableConcept CausativeAgent
    Binding: AllergyIntolerance Substance/Product, Condition and Negation Codes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system
    ..... coding:All Slices Content/Rules for all slices
    ...... display SΣ 0..1 string Representation defined by the system
    ..... coding:causativeAgentAllergicAgentCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofAllergeneStoffenCodelijst (required): SNOMED CT - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ..... coding:causativeAgentHPKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofHPKCodelijst (required): G-Standaard Handels Product Kode (HPK) - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.7
    ..... coding:causativeAgentSNKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofSNKCodelijst (required): G-standaard Stofnaamcode (SNK) - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.750
    ..... coding:causativeAgentSSKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofSSKCodelijst (required): G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.725
    ..... coding:causativeAgentThesaurus122Codelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofThesaurus122Codelijst (required): G-standaard Ongewenste medicatiegroepen - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.902.122
    .... text SΣ 0..1 string Plain text representation of the concept
    ... patient Σ 1..1 Reference(nl-core-patient(2.2.5)) Patient
    ... Slices for onset[x] S 0..1 When allergy or intolerance was identified
    Slice: Unordered, Closed by type:$this
    .... onsetDateTime dateTime
    .... onsetPeriod Period
    .... onset[x]:onsetDateTime S 0..1 dateTime StartDateTime
    .... onset[x]:onsetPeriod S 0..1 Period When allergy or intolerance was identified
    ... note S 0..* Annotation Additional text not captured in other fields
    .... Slices for author[x] Σ 0..1 Author
    Slice: Unordered, Closed by type:$this
    ..... authorString string
    ..... authorReference Reference(nl-core-practitioner(2.0.7) | nl-core-patient(2.2.5) | nl-core-relatedperson(2.0.5))
    ..... author[x]:authorReference Σ 0..1 Reference(Practitioner | Patient | RelatedPerson) Individual responsible for the annotation
    ...... Slices for extension Content/Rules for all slices
    ....... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    ..... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
    .... text S 1..1 string Comment
    ... reaction 0..* BackboneElement Reaction
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... manifestation S 1..* CodeableConcept Symptom
    Binding: SymptoomCodelijst (required): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... severity S 0..1 code Severity
    Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
    ..... Slices for extension Content/Rules for all slices
    ...... extension:SeverityCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ....... extension 0..0
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ....... Slices for value[x] Content/Rules for all slices
    ........ value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: ErnstCodelijst (extensible): ErnstCodelijst

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    AllergyIntolerance.clinicalStatus Base required AllergyIntoleranceClinicalStatus 📦3.0.2 FHIR Std.
    AllergyIntolerance.clinicalStatus.​extension:AllergieStatusCodelijst.​value[x]:valueCodeableConcept Base extensible AllergieStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.verificationStatus Base required AllergyIntoleranceVerificationStatus 📦3.0.2 FHIR Std.
    AllergyIntolerance.category Base required AllergyIntoleranceCategory 📦3.0.2 FHIR Std.
    AllergyIntolerance.category.​extension:AllergieCategorieCodelijst.​value[x]:valueCodeableConcept Base extensible AllergieCategorieCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📦3.0.2 FHIR Std.
    AllergyIntolerance.code.​coding:causativeAgentAllergicAgentCodelist Base required VeroorzakendeStofAllergeneStoffenCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentHPKCodelist Base required VeroorzakendeStofHPKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentSNKCodelist Base required VeroorzakendeStofSNKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentSSKCodelist Base required VeroorzakendeStofSSKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentThesaurus122Codelist Base required VeroorzakendeStofThesaurus122Codelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​manifestation Base required SymptoomCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📦3.0.2 FHIR Std.
    AllergyIntolerance.reaction.​severity.extension:SeverityCodelist.​value[x]:valueCodeableConcept Base extensible ErnstCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0

    Constraints

    Id Grade Path(s) Description Expression
    ait-1 error AllergyIntolerance AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. verificationStatus='entered-in-error' or clinicalStatus.exists()
    ait-2 error AllergyIntolerance AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus!='entered-in-error' or clinicalStatus.empty()
    dom-1 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error AllergyIntolerance If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error AllergyIntolerance If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst, AllergyIntolerance.category.extension:AllergieCategorieCodelijst, AllergyIntolerance.note.author[x]:authorReference.extension:practitionerRole, AllergyIntolerance.reaction.severity.extension:SeverityCodelist Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from Zib AllergyIntolerance

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. AllergyIntolerance 0..* Zib AllergyIntolerance(3.0.7) AllergyIntolerance
    ... clinicalStatus S 0..1 code AllergyStatus
    ... category S 0..* code food | medication | environment | biologic
    ... code S 1..1 CodeableConcept CausativeAgent
    .... coding
    ..... display S 0..1 string Representation defined by the system
    .... text S 0..1 string Plain text representation of the concept
    .... onsetDateTime dateTime
    .... onsetPeriod Period
    ... onsetDateTime S 0..1 dateTime StartDateTime
    ... onsetPeriod S 0..1 Period When allergy or intolerance was identified
    ... note S 0..* Annotation Additional text not captured in other fields
    .... text S 1..1 string Comment
    ... reaction
    .... manifestation S 1..* CodeableConcept Symptom
    ..... text S 0..1 string Plain text representation of the concept
    .... severity S 0..1 code Severity

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. AllergyIntolerance C 0..* Zib AllergyIntolerance(3.0.7) AllergyIntolerance
    Constraints: ait-1, ait-2
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional Content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Identifier
    ... clinicalStatus ?!SΣC 0..1 code AllergyStatus
    Binding: AllergyIntoleranceClinicalStatus (required): The clinical status of the allergy or intolerance.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:AllergieStatusCodelijst 0..1 (Complex) AllergyStatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: AllergieStatusCodelijst (extensible): AllergieStatusCodelijst
    .... value 0..1 code Primitive value for code
    ... verificationStatus ?!ΣC 1..1 code AllergyStatus
    Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
    ... type Σ 0..1 code allergy | intolerance - Underlying mechanism (if known)
    Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
    ... category SΣ 0..* code food | medication | environment | biologic
    Binding: AllergyIntoleranceCategory (required): Category of an identified substance.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:AllergieCategorieCodelijst 0..1 (Complex) AllergyCategory
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: AllergieCategorieCodelijst (extensible): AllergieCategorieCodelijst
    .... value 0..1 code Primitive value for code
    ... criticality Σ 0..1 code low | high | unable-to-assess
    Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:CriticalExtentCodelist 0..1 (Complex) Criticality
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: MateVanKritiekZijnCodelijst (extensible): CriticalExtentCodelist
    .... value 0..1 code Primitive value for code
    ... code SΣ 1..1 CodeableConcept CausativeAgent
    Binding: AllergyIntolerance Substance/Product, Condition and Negation Codes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system
    ..... coding:All Slices Content/Rules for all slices
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 0..1 uri Identity of the terminology system
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display SΣ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentAllergicAgentCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofAllergeneStoffenCodelijst (required): SNOMED CT - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentHPKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofHPKCodelijst (required): G-Standaard Handels Product Kode (HPK) - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.7
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentSNKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofSNKCodelijst (required): G-standaard Stofnaamcode (SNK) - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.750
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentSSKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofSSKCodelijst (required): G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.725
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentThesaurus122Codelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofThesaurus122Codelijst (required): G-standaard Ongewenste medicatiegroepen - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.902.122
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    .... text SΣ 0..1 string Plain text representation of the concept
    ... patient Σ 1..1 Reference(nl-core-patient(2.2.5)) Patient
    ... Slices for onset[x] S 0..1 When allergy or intolerance was identified
    Slice: Unordered, Closed by type:$this
    .... onsetDateTime dateTime
    .... onsetPeriod Period
    .... onset[x]:onsetDateTime S 0..1 dateTime StartDateTime
    .... onset[x]:onsetPeriod S 0..1 Period When allergy or intolerance was identified
    ... assertedDate 0..1 dateTime Date record was believed accurate
    ... recorder 0..1 Reference(nl-core-practitioner(2.0.7) | nl-core-patient(2.2.5)) Recorder
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... asserter Σ 0..1 Reference(nl-core-patient(2.2.5) | nl-core-relatedperson(2.0.5) | nl-core-practitioner(2.0.7)) Informant
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... lastOccurrence 0..1 dateTime LastReactionDateTime
    ... note S 0..* Annotation Additional text not captured in other fields
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... Slices for author[x] Σ 0..1 Author
    Slice: Unordered, Closed by type:$this
    ..... authorString string
    ..... authorReference Reference(nl-core-practitioner(2.0.7) | nl-core-patient(2.2.5) | nl-core-relatedperson(2.0.5))
    ..... author[x]:authorReference Σ 0..1 Reference(Practitioner | Patient | RelatedPerson) Individual responsible for the annotation
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    ...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    ...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ...... display Σ 0..1 string Text alternative for the resource
    ..... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
    .... time Σ 0..1 dateTime When the annotation was made
    .... text S 1..1 string Comment
    ... reaction 0..* BackboneElement Reaction
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... substance 0..1 CodeableConcept SpecificSubstance
    Binding: Substance Code (example): Codes defining the type of the substance (including pharmaceutical products).
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system
    ...... coding:specificSubstanceAllergicAgentCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofAllergeneStoffenCodelijst (required): SNOMED CT - SNOMED CT: ^42931000146101| Dutch non-drug allergen simple reference set (foundation metadata concept)
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ...... coding:specificSubstanceHPKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofHPKCodelijst (required): G-Standaard Handels Product Kode (HPK) - Alle waarden
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.7
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ...... coding:specificSubstanceSNKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofSNKCodelijst (required): G-standaard Stofnaamcode (SNK) - Alle waarden
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.750
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ...... coding:specificSubstanceSSKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofSSKCodelijst (required): SpecifiekeStofSSKCodelijst
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.725
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ...... coding:specificSubstanceThesaurus122Codelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofThesaurus122Codelijst (required): G-standaard Ongewenste medicatiegroepen - Alle waarden
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.902.122
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    .... manifestation S 1..* CodeableConcept Symptom
    Binding: SymptoomCodelijst (required): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 0..* Coding Code defined by a terminology system
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... description 0..1 string ReactionDescription
    .... onset 0..1 dateTime ReactionTime
    .... severity S 0..1 code Severity
    Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... extension:SeverityCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..0
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ....... Slices for value[x] Content/Rules for all slices
    ........ value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: ErnstCodelijst (extensible): ErnstCodelijst
    ..... value 0..1 code Primitive value for code
    .... exposureRoute 0..1 CodeableConcept MannerOfExposure
    Binding: WijzeVanBlootstellingCodelijst (extensible): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
    .... note 0..* Annotation Text about event not captured in other fields

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    AllergyIntolerance.language Base extensible Common Languages 📦3.0.2 FHIR Std.
    AllergyIntolerance.clinicalStatus Base required AllergyIntoleranceClinicalStatus 📦3.0.2 FHIR Std.
    AllergyIntolerance.clinicalStatus.​extension:AllergieStatusCodelijst.​value[x]:valueCodeableConcept Base extensible AllergieStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.verificationStatus Base required AllergyIntoleranceVerificationStatus 📦3.0.2 FHIR Std.
    AllergyIntolerance.type Base required AllergyIntoleranceType 📦3.0.2 FHIR Std.
    AllergyIntolerance.category Base required AllergyIntoleranceCategory 📦3.0.2 FHIR Std.
    AllergyIntolerance.category.​extension:AllergieCategorieCodelijst.​value[x]:valueCodeableConcept Base extensible AllergieCategorieCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.criticality Base required AllergyIntoleranceCriticality 📦3.0.2 FHIR Std.
    AllergyIntolerance.criticality.​extension:CriticalExtentCodelist.​value[x]:valueCodeableConcept Base extensible MateVanKritiekZijnCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📦3.0.2 FHIR Std.
    AllergyIntolerance.code.​coding:causativeAgentAllergicAgentCodelist Base required VeroorzakendeStofAllergeneStoffenCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentHPKCodelist Base required VeroorzakendeStofHPKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentSNKCodelist Base required VeroorzakendeStofSNKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentSSKCodelist Base required VeroorzakendeStofSSKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentThesaurus122Codelist Base required VeroorzakendeStofThesaurus122Codelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance Base example Substance Code 📦3.0.2 FHIR Std.
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceAllergicAgentCodelist Base required SpecifiekeStofAllergeneStoffenCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceHPKCodelist Base required SpecifiekeStofHPKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceSNKCodelist Base required SpecifiekeStofSNKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceSSKCodelist Base required SpecifiekeStofSSKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceThesaurus122Codelist Base required SpecifiekeStofThesaurus122Codelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​manifestation Base required SymptoomCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📦3.0.2 FHIR Std.
    AllergyIntolerance.reaction.​severity.extension:SeverityCodelist.​value[x]:valueCodeableConcept Base extensible ErnstCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​exposureRoute Base extensible WijzeVanBlootstellingCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0

    Constraints

    Id Grade Path(s) Description Expression
    ait-1 error AllergyIntolerance AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. verificationStatus='entered-in-error' or clinicalStatus.exists()
    ait-2 error AllergyIntolerance AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus!='entered-in-error' or clinicalStatus.empty()
    dom-1 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error AllergyIntolerance If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error AllergyIntolerance If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst, AllergyIntolerance.category.extension:AllergieCategorieCodelijst, AllergyIntolerance.criticality.extension:CriticalExtentCodelist, AllergyIntolerance.recorder.extension:practitionerRole, AllergyIntolerance.asserter.extension:practitionerRole, AllergyIntolerance.note.author[x]:authorReference.extension:practitionerRole, AllergyIntolerance.reaction.severity.extension:SeverityCodelist Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from Zib AllergyIntolerance

    Summary

    Must-Support: 13 elements

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. AllergyIntolerance C 0..* Zib AllergyIntolerance(3.0.7) AllergyIntolerance
    Constraints: ait-1, ait-2
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... clinicalStatus ?!SΣC 0..1 code AllergyStatus
    Binding: AllergyIntoleranceClinicalStatus (required): The clinical status of the allergy or intolerance.
    .... Slices for extension Content/Rules for all slices
    ..... extension:AllergieStatusCodelijst 0..1 (Complex) AllergyStatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: AllergieStatusCodelijst (extensible): AllergieStatusCodelijst
    ... category SΣ 0..* code food | medication | environment | biologic
    Binding: AllergyIntoleranceCategory (required): Category of an identified substance.
    .... Slices for extension Content/Rules for all slices
    ..... extension:AllergieCategorieCodelijst 0..1 (Complex) AllergyCategory
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: AllergieCategorieCodelijst (extensible): AllergieCategorieCodelijst
    ... code SΣ 1..1 CodeableConcept CausativeAgent
    Binding: AllergyIntolerance Substance/Product, Condition and Negation Codes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system
    ..... coding:All Slices Content/Rules for all slices
    ...... display SΣ 0..1 string Representation defined by the system
    ..... coding:causativeAgentAllergicAgentCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofAllergeneStoffenCodelijst (required): SNOMED CT - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ..... coding:causativeAgentHPKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofHPKCodelijst (required): G-Standaard Handels Product Kode (HPK) - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.7
    ..... coding:causativeAgentSNKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofSNKCodelijst (required): G-standaard Stofnaamcode (SNK) - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.750
    ..... coding:causativeAgentSSKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofSSKCodelijst (required): G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.725
    ..... coding:causativeAgentThesaurus122Codelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofThesaurus122Codelijst (required): G-standaard Ongewenste medicatiegroepen - Alle waarden
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.902.122
    .... text SΣ 0..1 string Plain text representation of the concept
    ... patient Σ 1..1 Reference(nl-core-patient(2.2.5)) Patient
    ... Slices for onset[x] S 0..1 When allergy or intolerance was identified
    Slice: Unordered, Closed by type:$this
    .... onsetDateTime dateTime
    .... onsetPeriod Period
    .... onset[x]:onsetDateTime S 0..1 dateTime StartDateTime
    .... onset[x]:onsetPeriod S 0..1 Period When allergy or intolerance was identified
    ... note S 0..* Annotation Additional text not captured in other fields
    .... Slices for author[x] Σ 0..1 Author
    Slice: Unordered, Closed by type:$this
    ..... authorString string
    ..... authorReference Reference(nl-core-practitioner(2.0.7) | nl-core-patient(2.2.5) | nl-core-relatedperson(2.0.5))
    ..... author[x]:authorReference Σ 0..1 Reference(Practitioner | Patient | RelatedPerson) Individual responsible for the annotation
    ...... Slices for extension Content/Rules for all slices
    ....... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    ..... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
    .... text S 1..1 string Comment
    ... reaction 0..* BackboneElement Reaction
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... manifestation S 1..* CodeableConcept Symptom
    Binding: SymptoomCodelijst (required): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... severity S 0..1 code Severity
    Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
    ..... Slices for extension Content/Rules for all slices
    ...... extension:SeverityCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ....... extension 0..0
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ....... Slices for value[x] Content/Rules for all slices
    ........ value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: ErnstCodelijst (extensible): ErnstCodelijst

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    AllergyIntolerance.clinicalStatus Base required AllergyIntoleranceClinicalStatus 📦3.0.2 FHIR Std.
    AllergyIntolerance.clinicalStatus.​extension:AllergieStatusCodelijst.​value[x]:valueCodeableConcept Base extensible AllergieStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.verificationStatus Base required AllergyIntoleranceVerificationStatus 📦3.0.2 FHIR Std.
    AllergyIntolerance.category Base required AllergyIntoleranceCategory 📦3.0.2 FHIR Std.
    AllergyIntolerance.category.​extension:AllergieCategorieCodelijst.​value[x]:valueCodeableConcept Base extensible AllergieCategorieCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📦3.0.2 FHIR Std.
    AllergyIntolerance.code.​coding:causativeAgentAllergicAgentCodelist Base required VeroorzakendeStofAllergeneStoffenCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentHPKCodelist Base required VeroorzakendeStofHPKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentSNKCodelist Base required VeroorzakendeStofSNKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentSSKCodelist Base required VeroorzakendeStofSSKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentThesaurus122Codelist Base required VeroorzakendeStofThesaurus122Codelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​manifestation Base required SymptoomCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📦3.0.2 FHIR Std.
    AllergyIntolerance.reaction.​severity.extension:SeverityCodelist.​value[x]:valueCodeableConcept Base extensible ErnstCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0

    Constraints

    Id Grade Path(s) Description Expression
    ait-1 error AllergyIntolerance AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. verificationStatus='entered-in-error' or clinicalStatus.exists()
    ait-2 error AllergyIntolerance AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus!='entered-in-error' or clinicalStatus.empty()
    dom-1 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error AllergyIntolerance If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error AllergyIntolerance If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst, AllergyIntolerance.category.extension:AllergieCategorieCodelijst, AllergyIntolerance.note.author[x]:authorReference.extension:practitionerRole, AllergyIntolerance.reaction.severity.extension:SeverityCodelist Must have either extensions or value[x], not both extension.exists() != value.exists()

    Differential View

    This structure is derived from Zib AllergyIntolerance

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. AllergyIntolerance 0..* Zib AllergyIntolerance(3.0.7) AllergyIntolerance
    ... clinicalStatus S 0..1 code AllergyStatus
    ... category S 0..* code food | medication | environment | biologic
    ... code S 1..1 CodeableConcept CausativeAgent
    .... coding
    ..... display S 0..1 string Representation defined by the system
    .... text S 0..1 string Plain text representation of the concept
    .... onsetDateTime dateTime
    .... onsetPeriod Period
    ... onsetDateTime S 0..1 dateTime StartDateTime
    ... onsetPeriod S 0..1 Period When allergy or intolerance was identified
    ... note S 0..* Annotation Additional text not captured in other fields
    .... text S 1..1 string Comment
    ... reaction
    .... manifestation S 1..* CodeableConcept Symptom
    ..... text S 0..1 string Plain text representation of the concept
    .... severity S 0..1 code Severity

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. AllergyIntolerance C 0..* Zib AllergyIntolerance(3.0.7) AllergyIntolerance
    Constraints: ait-1, ait-2
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional Content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Identifier
    ... clinicalStatus ?!SΣC 0..1 code AllergyStatus
    Binding: AllergyIntoleranceClinicalStatus (required): The clinical status of the allergy or intolerance.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:AllergieStatusCodelijst 0..1 (Complex) AllergyStatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: AllergieStatusCodelijst (extensible): AllergieStatusCodelijst
    .... value 0..1 code Primitive value for code
    ... verificationStatus ?!ΣC 1..1 code AllergyStatus
    Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
    ... type Σ 0..1 code allergy | intolerance - Underlying mechanism (if known)
    Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
    ... category SΣ 0..* code food | medication | environment | biologic
    Binding: AllergyIntoleranceCategory (required): Category of an identified substance.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:AllergieCategorieCodelijst 0..1 (Complex) AllergyCategory
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: AllergieCategorieCodelijst (extensible): AllergieCategorieCodelijst
    .... value 0..1 code Primitive value for code
    ... criticality Σ 0..1 code low | high | unable-to-assess
    Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:CriticalExtentCodelist 0..1 (Complex) Criticality
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] Content/Rules for all slices
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: MateVanKritiekZijnCodelijst (extensible): CriticalExtentCodelist
    .... value 0..1 code Primitive value for code
    ... code SΣ 1..1 CodeableConcept CausativeAgent
    Binding: AllergyIntolerance Substance/Product, Condition and Negation Codes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system
    ..... coding:All Slices Content/Rules for all slices
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 0..1 uri Identity of the terminology system
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display SΣ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentAllergicAgentCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofAllergeneStoffenCodelijst (required): SNOMED CT - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentHPKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofHPKCodelijst (required): G-Standaard Handels Product Kode (HPK) - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.7
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentSNKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofSNKCodelijst (required): G-standaard Stofnaamcode (SNK) - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.750
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentSSKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofSSKCodelijst (required): G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.725
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... coding:causativeAgentThesaurus122Codelist Σ 0..* Coding Code defined by a terminology system
    Binding: VeroorzakendeStofThesaurus122Codelijst (required): G-standaard Ongewenste medicatiegroepen - Alle waarden
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.902.122
    ...... version Σ 0..1 string Version of the system - if relevant
    ...... code Σ 0..1 code Symbol in syntax defined by the system
    ...... display Σ 0..1 string Representation defined by the system
    ...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    .... text SΣ 0..1 string Plain text representation of the concept
    ... patient Σ 1..1 Reference(nl-core-patient(2.2.5)) Patient
    ... Slices for onset[x] S 0..1 When allergy or intolerance was identified
    Slice: Unordered, Closed by type:$this
    .... onsetDateTime dateTime
    .... onsetPeriod Period
    .... onset[x]:onsetDateTime S 0..1 dateTime StartDateTime
    .... onset[x]:onsetPeriod S 0..1 Period When allergy or intolerance was identified
    ... assertedDate 0..1 dateTime Date record was believed accurate
    ... recorder 0..1 Reference(nl-core-practitioner(2.0.7) | nl-core-patient(2.2.5)) Recorder
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... asserter Σ 0..1 Reference(nl-core-patient(2.2.5) | nl-core-relatedperson(2.0.5) | nl-core-practitioner(2.0.7)) Informant
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... lastOccurrence 0..1 dateTime LastReactionDateTime
    ... note S 0..* Annotation Additional text not captured in other fields
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... Slices for author[x] Σ 0..1 Author
    Slice: Unordered, Closed by type:$this
    ..... authorString string
    ..... authorReference Reference(nl-core-practitioner(2.0.7) | nl-core-patient(2.2.5) | nl-core-relatedperson(2.0.5))
    ..... author[x]:authorReference Σ 0..1 Reference(Practitioner | Patient | RelatedPerson) Individual responsible for the annotation
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    ...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    ...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ...... display Σ 0..1 string Text alternative for the resource
    ..... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
    .... time Σ 0..1 dateTime When the annotation was made
    .... text S 1..1 string Comment
    ... reaction 0..* BackboneElement Reaction
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... substance 0..1 CodeableConcept SpecificSubstance
    Binding: Substance Code (example): Codes defining the type of the substance (including pharmaceutical products).
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... Slices for coding Σ 0..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:system
    ...... coding:specificSubstanceAllergicAgentCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofAllergeneStoffenCodelijst (required): SNOMED CT - SNOMED CT: ^42931000146101| Dutch non-drug allergen simple reference set (foundation metadata concept)
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ...... coding:specificSubstanceHPKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofHPKCodelijst (required): G-Standaard Handels Product Kode (HPK) - Alle waarden
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.7
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ...... coding:specificSubstanceSNKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofSNKCodelijst (required): G-standaard Stofnaamcode (SNK) - Alle waarden
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.750
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ...... coding:specificSubstanceSSKCodelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofSSKCodelijst (required): SpecifiekeStofSSKCodelijst
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.725
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ...... coding:specificSubstanceThesaurus122Codelist Σ 0..* Coding Code defined by a terminology system
    Binding: SpecifiekeStofThesaurus122Codelijst (required): G-standaard Ongewenste medicatiegroepen - Alle waarden
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ....... system Σ 1..1 uri Identity of the terminology system
    Fixed Value: urn:oid:2.16.840.1.113883.2.4.4.1.902.122
    ....... version Σ 0..1 string Version of the system - if relevant
    ....... code Σ 0..1 code Symbol in syntax defined by the system
    ....... display Σ 0..1 string Representation defined by the system
    ....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    .... manifestation S 1..* CodeableConcept Symptom
    Binding: SymptoomCodelijst (required): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 0..* Coding Code defined by a terminology system
    ..... text SΣ 0..1 string Plain text representation of the concept
    .... description 0..1 string ReactionDescription
    .... onset 0..1 dateTime ReactionTime
    .... severity S 0..1 code Severity
    Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
    ..... id 0..1 string xml:id (or equivalent in JSON)
    ..... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... extension:SeverityCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ....... id 0..1 string xml:id (or equivalent in JSON)
    ....... extension 0..0
    ....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ....... Slices for value[x] Content/Rules for all slices
    ........ value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: ErnstCodelijst (extensible): ErnstCodelijst
    ..... value 0..1 code Primitive value for code
    .... exposureRoute 0..1 CodeableConcept MannerOfExposure
    Binding: WijzeVanBlootstellingCodelijst (extensible): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
    .... note 0..* Annotation Text about event not captured in other fields

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    AllergyIntolerance.language Base extensible Common Languages 📦3.0.2 FHIR Std.
    AllergyIntolerance.clinicalStatus Base required AllergyIntoleranceClinicalStatus 📦3.0.2 FHIR Std.
    AllergyIntolerance.clinicalStatus.​extension:AllergieStatusCodelijst.​value[x]:valueCodeableConcept Base extensible AllergieStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.verificationStatus Base required AllergyIntoleranceVerificationStatus 📦3.0.2 FHIR Std.
    AllergyIntolerance.type Base required AllergyIntoleranceType 📦3.0.2 FHIR Std.
    AllergyIntolerance.category Base required AllergyIntoleranceCategory 📦3.0.2 FHIR Std.
    AllergyIntolerance.category.​extension:AllergieCategorieCodelijst.​value[x]:valueCodeableConcept Base extensible AllergieCategorieCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.criticality Base required AllergyIntoleranceCriticality 📦3.0.2 FHIR Std.
    AllergyIntolerance.criticality.​extension:CriticalExtentCodelist.​value[x]:valueCodeableConcept Base extensible MateVanKritiekZijnCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code Base example AllergyIntolerance Substance/Product, Condition and Negation Codes 📦3.0.2 FHIR Std.
    AllergyIntolerance.code.​coding:causativeAgentAllergicAgentCodelist Base required VeroorzakendeStofAllergeneStoffenCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentHPKCodelist Base required VeroorzakendeStofHPKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentSNKCodelist Base required VeroorzakendeStofSNKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentSSKCodelist Base required VeroorzakendeStofSSKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.code.​coding:causativeAgentThesaurus122Codelist Base required VeroorzakendeStofThesaurus122Codelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance Base example Substance Code 📦3.0.2 FHIR Std.
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceAllergicAgentCodelist Base required SpecifiekeStofAllergeneStoffenCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceHPKCodelist Base required SpecifiekeStofHPKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceSNKCodelist Base required SpecifiekeStofSNKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceSSKCodelist Base required SpecifiekeStofSSKCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​substance.coding:specificSubstanceThesaurus122Codelist Base required SpecifiekeStofThesaurus122Codelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​manifestation Base required SymptoomCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​severity Base required AllergyIntoleranceSeverity 📦3.0.2 FHIR Std.
    AllergyIntolerance.reaction.​severity.extension:SeverityCodelist.​value[x]:valueCodeableConcept Base extensible ErnstCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    AllergyIntolerance.reaction.​exposureRoute Base extensible WijzeVanBlootstellingCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0

    Constraints

    Id Grade Path(s) Description Expression
    ait-1 error AllergyIntolerance AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. verificationStatus='entered-in-error' or clinicalStatus.exists()
    ait-2 error AllergyIntolerance AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus!='entered-in-error' or clinicalStatus.empty()
    dom-1 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
    dom-2 error AllergyIntolerance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error AllergyIntolerance If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4 error AllergyIntolerance If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst, AllergyIntolerance.category.extension:AllergieCategorieCodelijst, AllergyIntolerance.criticality.extension:CriticalExtentCodelist, AllergyIntolerance.recorder.extension:practitionerRole, AllergyIntolerance.asserter.extension:practitionerRole, AllergyIntolerance.note.author[x]:authorReference.extension:practitionerRole, AllergyIntolerance.reaction.severity.extension:SeverityCodelist Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from Zib AllergyIntolerance

    Summary

    Must-Support: 13 elements

     

    Other representations of profile: CSV, Excel, Schematron