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

User-Interface guidance

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.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Zib AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	Zib AllergyIntolerance	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
onset[x]	S	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetPeriod			Period
reaction
manifestation	S	1..*	CodeableConcept	Symptom
text	S	0..1	string	Plain text representation of the concept
severity	S	0..1	code	Severity
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	Zib AllergyIntolerance	AllergyIntolerance dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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)
Slices for extension				Content/Rules for all slices
AllergieStatusCodelijst		0..1	(Complex)	AllergyStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: AllergieStatusCodelijst (extensible): AllergieStatusCodelijst
verificationStatus	?!ΣC	1..1	code	AllergyStatus Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
category	SΣ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
Slices for extension				Content/Rules for all slices
AllergieCategorieCodelijst		0..1	(Complex)	AllergyCategory URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
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)	Patient
Slices for onset[x]	S	0..1		When allergy or intolerance was identified Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetPeriod			Period
onset[x]:onsetDateTime		0..1	dateTime	StartDateTime
reaction		0..*	BackboneElement	Reaction ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
manifestation	S	1..*	CodeableConcept	Symptom Binding: SymptoomCodelijst (required)
text	SΣ	0..1	string	Plain text representation of the concept
severity	S	0..1	code	Severity Binding: AllergyIntoleranceSeverity (required)
Slices for extension				Content/Rules for all slices
SeverityCodelist		0..*	(Complex)	Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ErnstCodelijst (extensible): ErnstCodelijst
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatus http://hl7.org/fhir/ValueSet/allergy-clinical-status from the FHIR Standard
AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.value[x]:valueCodeableConcept	extensible	AllergieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.3--20171231000000
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergy-verification-status from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category from the FHIR Standard
AllergyIntolerance.category.extension:AllergieCategorieCodelijst.value[x]:valueCodeableConcept	extensible	AllergieCategorieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20171231000000
AllergyIntolerance.code	example	AllergyIntolerance Substance/Product, Condition and Negation Codes http://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard
AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist	required	VeroorzakendeStofAllergeneStoffenCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.17--20171231000000
AllergyIntolerance.code.coding:causativeAgentHPKCodelist	required	VeroorzakendeStofHPKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.7) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.19--20171231000000
AllergyIntolerance.code.coding:causativeAgentSNKCodelist	required	VeroorzakendeStofSNKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.750) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.14--20171231000000
AllergyIntolerance.code.coding:causativeAgentSSKCodelist	required	VeroorzakendeStofSSKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.725) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.13--20171231000000
AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist	required	VeroorzakendeStofThesaurus122Codelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.902.122) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.15--20171231000000
AllergyIntolerance.reaction.manifestation	required	SymptoomCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20171231000000
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity from the FHIR Standard
AllergyIntolerance.reaction.severity.extension:SeverityCodelist.value[x]:valueCodeableConcept	extensible	ErnstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.6--20171231000000

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	Zib AllergyIntolerance	AllergyIntolerance ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
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)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergieStatusCodelijst		0..1	(Complex)	AllergyStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: AllergieStatusCodelijst (extensible): AllergieStatusCodelijst
value		0..1	code	Primitive value for code
verificationStatus	?!ΣC	1..1	code	AllergyStatus Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	Σ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergieCategorieCodelijst		0..1	(Complex)	AllergyCategory URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
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)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
CriticalExtentCodelist		0..1	(Complex)	Criticality URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
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)	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		0..1	dateTime	StartDateTime
assertedDate		0..1	dateTime	Date record was believed accurate
recorder		0..1	Reference(nl-core-practitioner | nl-core-patient)	Recorder
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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 | nl-core-relatedperson | nl-core-practitioner)	Informant
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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		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 | nl-core-patient | nl-core-relatedperson)
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	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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		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)
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)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
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)
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatus http://hl7.org/fhir/ValueSet/allergy-clinical-status from the FHIR Standard
AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.value[x]:valueCodeableConcept	extensible	AllergieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.3--20171231000000
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergy-verification-status from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category from the FHIR Standard
AllergyIntolerance.category.extension:AllergieCategorieCodelijst.value[x]:valueCodeableConcept	extensible	AllergieCategorieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20171231000000
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality from the FHIR Standard
AllergyIntolerance.criticality.extension:CriticalExtentCodelist.value[x]:valueCodeableConcept	extensible	MateVanKritiekZijnCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4--20171231000000
AllergyIntolerance.code	example	AllergyIntolerance Substance/Product, Condition and Negation Codes http://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard
AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist	required	VeroorzakendeStofAllergeneStoffenCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.17--20171231000000
AllergyIntolerance.code.coding:causativeAgentHPKCodelist	required	VeroorzakendeStofHPKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.7) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.19--20171231000000
AllergyIntolerance.code.coding:causativeAgentSNKCodelist	required	VeroorzakendeStofSNKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.750) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.14--20171231000000
AllergyIntolerance.code.coding:causativeAgentSSKCodelist	required	VeroorzakendeStofSSKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.725) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.13--20171231000000
AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist	required	VeroorzakendeStofThesaurus122Codelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.902.122) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.15--20171231000000
AllergyIntolerance.reaction.substance	example	Substance Code http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard
AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist	required	SpecifiekeStofAllergeneStoffenCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.16--20171231000000
AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist	required	SpecifiekeStofHPKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.7) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.18--20171231000000
AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist	required	SpecifiekeStofSNKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.750) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.10--20171231000000
AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist	required	SpecifiekeStofSSKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.725) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.9--20171231000000
AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist	required	SpecifiekeStofThesaurus122Codelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.902.122) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.11--20171231000000
AllergyIntolerance.reaction.manifestation	required	SymptoomCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20171231000000
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity from the FHIR Standard
AllergyIntolerance.reaction.severity.extension:SeverityCodelist.value[x]:valueCodeableConcept	extensible	ErnstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.6--20171231000000
AllergyIntolerance.reaction.exposureRoute	extensible	WijzeVanBlootstellingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12--20171231000000

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Zib AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	Zib AllergyIntolerance	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
onset[x]	S	0..1		When allergy or intolerance was identified
onsetDateTime			dateTime
onsetPeriod			Period
reaction
manifestation	S	1..*	CodeableConcept	Symptom
text	S	0..1	string	Plain text representation of the concept
severity	S	0..1	code	Severity
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	Zib AllergyIntolerance	AllergyIntolerance dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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)
Slices for extension				Content/Rules for all slices
AllergieStatusCodelijst		0..1	(Complex)	AllergyStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: AllergieStatusCodelijst (extensible): AllergieStatusCodelijst
verificationStatus	?!ΣC	1..1	code	AllergyStatus Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
category	SΣ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
Slices for extension				Content/Rules for all slices
AllergieCategorieCodelijst		0..1	(Complex)	AllergyCategory URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
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)	Patient
Slices for onset[x]	S	0..1		When allergy or intolerance was identified Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetPeriod			Period
onset[x]:onsetDateTime		0..1	dateTime	StartDateTime
reaction		0..*	BackboneElement	Reaction ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
manifestation	S	1..*	CodeableConcept	Symptom Binding: SymptoomCodelijst (required)
text	SΣ	0..1	string	Plain text representation of the concept
severity	S	0..1	code	Severity Binding: AllergyIntoleranceSeverity (required)
Slices for extension				Content/Rules for all slices
SeverityCodelist		0..*	(Complex)	Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ErnstCodelijst (extensible): ErnstCodelijst
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatus http://hl7.org/fhir/ValueSet/allergy-clinical-status from the FHIR Standard
AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.value[x]:valueCodeableConcept	extensible	AllergieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.3--20171231000000
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergy-verification-status from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category from the FHIR Standard
AllergyIntolerance.category.extension:AllergieCategorieCodelijst.value[x]:valueCodeableConcept	extensible	AllergieCategorieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20171231000000
AllergyIntolerance.code	example	AllergyIntolerance Substance/Product, Condition and Negation Codes http://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard
AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist	required	VeroorzakendeStofAllergeneStoffenCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.17--20171231000000
AllergyIntolerance.code.coding:causativeAgentHPKCodelist	required	VeroorzakendeStofHPKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.7) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.19--20171231000000
AllergyIntolerance.code.coding:causativeAgentSNKCodelist	required	VeroorzakendeStofSNKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.750) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.14--20171231000000
AllergyIntolerance.code.coding:causativeAgentSSKCodelist	required	VeroorzakendeStofSSKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.725) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.13--20171231000000
AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist	required	VeroorzakendeStofThesaurus122Codelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.902.122) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.15--20171231000000
AllergyIntolerance.reaction.manifestation	required	SymptoomCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20171231000000
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity from the FHIR Standard
AllergyIntolerance.reaction.severity.extension:SeverityCodelist.value[x]:valueCodeableConcept	extensible	ErnstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.6--20171231000000

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	C	0..*	Zib AllergyIntolerance	AllergyIntolerance ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
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)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergieStatusCodelijst		0..1	(Complex)	AllergyStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: AllergieStatusCodelijst (extensible): AllergieStatusCodelijst
value		0..1	code	Primitive value for code
verificationStatus	?!ΣC	1..1	code	AllergyStatus Binding: AllergyIntoleranceVerificationStatus (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	Σ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: AllergyIntoleranceType (required): Identification of the underlying physiological mechanism for a Reaction Risk.
category	SΣ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
AllergieCategorieCodelijst		0..1	(Complex)	AllergyCategory URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
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)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
CriticalExtentCodelist		0..1	(Complex)	Criticality URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
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)	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		0..1	dateTime	StartDateTime
assertedDate		0..1	dateTime	Date record was believed accurate
recorder		0..1	Reference(nl-core-practitioner | nl-core-patient)	Recorder
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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 | nl-core-relatedperson | nl-core-practitioner)	Informant
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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		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 | nl-core-patient | nl-core-relatedperson)
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	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
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		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)
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)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
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)
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
AllergyIntolerance.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
AllergyIntolerance.clinicalStatus	required	AllergyIntoleranceClinicalStatus http://hl7.org/fhir/ValueSet/allergy-clinical-status from the FHIR Standard
AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.value[x]:valueCodeableConcept	extensible	AllergieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.3--20171231000000
AllergyIntolerance.verificationStatus	required	AllergyIntoleranceVerificationStatus http://hl7.org/fhir/ValueSet/allergy-verification-status from the FHIR Standard
AllergyIntolerance.type	required	AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type from the FHIR Standard
AllergyIntolerance.category	required	AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category from the FHIR Standard
AllergyIntolerance.category.extension:AllergieCategorieCodelijst.value[x]:valueCodeableConcept	extensible	AllergieCategorieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20171231000000
AllergyIntolerance.criticality	required	AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality from the FHIR Standard
AllergyIntolerance.criticality.extension:CriticalExtentCodelist.value[x]:valueCodeableConcept	extensible	MateVanKritiekZijnCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4--20171231000000
AllergyIntolerance.code	example	AllergyIntolerance Substance/Product, Condition and Negation Codes http://hl7.org/fhir/ValueSet/allergyintolerance-code from the FHIR Standard
AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist	required	VeroorzakendeStofAllergeneStoffenCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.17--20171231000000
AllergyIntolerance.code.coding:causativeAgentHPKCodelist	required	VeroorzakendeStofHPKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.7) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.19--20171231000000
AllergyIntolerance.code.coding:causativeAgentSNKCodelist	required	VeroorzakendeStofSNKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.750) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.14--20171231000000
AllergyIntolerance.code.coding:causativeAgentSSKCodelist	required	VeroorzakendeStofSSKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.725) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.13--20171231000000
AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist	required	VeroorzakendeStofThesaurus122Codelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.902.122) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.15--20171231000000
AllergyIntolerance.reaction.substance	example	Substance Code http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard
AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist	required	SpecifiekeStofAllergeneStoffenCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.16--20171231000000
AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist	required	SpecifiekeStofHPKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.7) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.18--20171231000000
AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist	required	SpecifiekeStofSNKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.750) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.10--20171231000000
AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist	required	SpecifiekeStofSSKCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.725) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.9--20171231000000
AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist	required	SpecifiekeStofThesaurus122Codelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.902.122) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.11--20171231000000
AllergyIntolerance.reaction.manifestation	required	SymptoomCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20171231000000
AllergyIntolerance.reaction.severity	required	AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity from the FHIR Standard
AllergyIntolerance.reaction.severity.extension:SeverityCodelist.value[x]:valueCodeableConcept	extensible	ErnstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.6--20171231000000
AllergyIntolerance.reaction.exposureRoute	extensible	WijzeVanBlootstellingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12--20171231000000

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Zib AllergyIntolerance

Summary

Must-Support: 9 elements