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ZD AllergyIntolerance

Resources conforming to this profile are requested by ZorgDomein when populating the referral letter or request form with data from the source information system.

Queries on the https://[FHIRServerUrl]/AllergyIntolerance endpoint may include the following query parameters:

  • patient=[PatientID]: [PatientID] refers to the patient ID that was provided in the JWT during SSO.
  • category=[food|medication|environment|biologic]: indicates that the result must only contain AlleryIntolerance resources that have the indicated value(s) for AllergyIntolerance.category.

The canonical URL for this profile is:

http://zorgdomein.nl/fhir/StructureDefinition/zd-activation-allergyintolerance

This profile builds on AllergyIntolerance.


identifierΣ0..*Identifier
clinicalStatusΣ ?!0..1codeBinding
verificationStatusΣ ?!1..1codeBinding
typeΣ0..1codeBinding
categoryS Σ0..*codeBinding
criticalityΣ0..1codeBinding
codingΣ0..*Coding
textΣ1..1string
patientS Σ1..1Reference(Patient)
onsetDateTimedateTime
onsetPeriodPeriod
assertedDate0..1dateTime
recorder0..1Reference(Practitioner | Patient)
asserterΣ0..1Reference(Patient | RelatedPerson | Practitioner)
lastOccurrence0..1dateTime
note0..*Annotation
substance0..1CodeableConcept
manifestation1..*CodeableConcept
description0..1string
onset0..1dateTime
severity0..1codeBinding
exposureRoute0..1CodeableConcept
note0..*Annotation

See the profile on simplifier.net for additional details.

Resource example

Below you find an example of a ZD AllergyIntolerance resource. 

{
  "resourceType" : "AllergyIntolerance",
  "id" : "zd-allergyintolerance-1",
  "meta" : {
    "profile" : [
      "http://zorgdomein.nl/fhir/StructureDefinition/zd-allergyintolerance"
    ]
  },
  "clinicalStatus" : "active",
  "verificationStatus" : "confirmed",
  "type" : "allergy",
  "category" : [
    "food"
  ],
  "criticality" : "high",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "227493005",
        "display" : "Cashew nuts"
      }
    ]
  },
  "patient" : {
    "reference" : "Patient/zd-patient-1"
  },
  "onsetDateTime" : "2004",
  "assertedDate" : "2014-10-09T14:58:00+11:00",
  "recorder" : {
    "reference" : "Practitioner/zd-practitioner-1"
  },
  "asserter" : {
    "reference" : "Patient/zd-practitioner-1"
  },
  "lastOccurrence" : "2015-03",
  "reaction" : [
    {
      "manifestation" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "39579001",
              "display" : "Anaphylactic reaction"
            }
          ]
        }
      ],
      "description" : "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered",
      "onset" : "2012-06-12",
      "severity" : "severe",
      "exposureRoute" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "34206005",
            "display" : "Subcutaneous route"
          }
        ]
      }
    },
    {
      "manifestation" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "64305001",
              "display" : "Urticaria"
            }
          ]
        }
      ],
      "onset" : "2004",
      "severity" : "moderate",
      "note" : [
        {
          "text" : "The patient reports that the onset of urticaria was within 15 minutes of eating cashews."
        }
      ]
    }
  ]
}
<?xml version="1.0" encoding="UTF-8"?>
<AllergyIntolerance xmlns="http://hl7.org/fhir">
  <id value="zd-allergyintolerance-1"/>
  <meta>
    <profile value="http://zorgdomein.nl/fhir/StructureDefinition/zd-allergyintolerance"/>
  </meta>
  <clinicalStatus value="active"/>
  <verificationStatus value="confirmed"/>
  <type value="allergy"/>
  <category value="food"/>
  <criticality value="high"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="227493005"/>
      <display value="Cashew nuts"/>
    </coding>
  </code>
  <patient>
    <reference value="Patient/zd-patient-1"/>
  </patient>
  <onsetDateTime value="2004"/>
  <assertedDate value="2014-10-09T14:58:00+11:00"/>
  <recorder>
    <reference value="Practitioner/zd-practitioner-1"/>
  </recorder>
  <asserter>
    <reference value="Patient/zd-practitioner-1"/>
  </asserter>
  <lastOccurrence value="2015-03"/>
  <reaction>
    <manifestation>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="39579001"/>
        <display value="Anaphylactic reaction"/>
      </coding>
    </manifestation>
    <description value="Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered"/>
    <onset value="2012-06-12"/>
    <severity value="severe"/>
    <exposureRoute>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="34206005"/>
        <display value="Subcutaneous route"/>
      </coding>
    </exposureRoute>
  </reaction>
  <reaction>
    <manifestation>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="64305001"/>
        <display value="Urticaria"/>
      </coding>
    </manifestation>
    <onset value="2004"/>
    <severity value="moderate"/>
    <note>
      <text value="The patient reports that the onset of urticaria was within 15 minutes of eating cashews."/>
    </note>
  </reaction>
</AllergyIntolerance>