NIM

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Notes

FHIR note has author and time as optional data on notes so multiple note entries are allowed. Is there a strict reason to restrict cardinality on “Överkänslighetstillstånd.beskrivning”?

Mappings

• Text Summary
• Differential Table
• Snapshot Table
• Snapshot Table (Must Support)
• All

This structure is derived from AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
verificationStatus	S	0..1	CodeableConcept	Concerning the mappings of the value set, an assumption has been made that a negation can never be suspected. If this assumption is wrong, this should be remodeled, using for example, an certainty extension
criticality	S	0..1	code	ValueSet deviates from the required value set on criticality. A posibility would be to add extension for allvarlighetsgrad as well to preserve data that would have been lost otherwise. (Skadlig/besvärande)
onset[x]	S	0..1		Händelsetid
onsetDateTime			dateTime
onsetPeriod			Period
note	S	0..*	Annotation	Additional text not captured in other fields
reaction
substance	S	0..1	CodeableConcept	kod från urval agens överkänslighet eller << 105590001 | substans |
text		0..1	string	Fritextangivelse av överkänslighetsagens i de fall då kodat agens saknas eller behöver preciseras ytterligare
onset	S	0..1	dateTime	Note that reaction.onset only supports dateTime, not interval while NIM specifies both as alternatives.
severity	S	0..1	code	mild | moderate | severe (of event as a whole)
note	S	0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	I	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
id	Σ	0..1	string	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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
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	External ids for this item
clinicalStatus	?!ΣI	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣI	0..1	CodeableConcept	Concerning the mappings of the value set, an assumption has been made that a negation can never be suspected. If this assumption is wrong, this should be remodeled, using for example, an certainty extension Binding: AllergyIntoleranceVerificationStatusCodes (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	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	SΣ	0..1	code	ValueSet deviates from the required value set on criticality. A posibility would be to add extension for allvarlighetsgrad as well to preserve data that would have been lost otherwise. (Skadlig/besvärande) Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	Σ	0..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
patient	Σ	1..1	Reference(Patient)	Who the sensitivity is for
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]	S	0..1		Händelsetid
onsetDateTime			dateTime
onsetPeriod			Period
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note	S	0..*	Annotation	Additional text not captured in other fields
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance	S	0..1	CodeableConcept	kod från urval agens överkänslighet eller << 105590001 | substans | Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
id		0..1	string	Unique id for inter-element referencing
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	Σ	0..1	string	Fritextangivelse av överkänslighetsagens i de fall då kodat agens saknas eller behöver preciseras ytterligare
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
description		0..1	string	Description of the event as a whole
onset	S	0..1	dateTime	Note that reaction.onset only supports dateTime, not interval while NIM specifies both as alternatives.
severity	S	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note	S	0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	I	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
verificationStatus	?!ΣI	0..1	CodeableConcept	Concerning the mappings of the value set, an assumption has been made that a negation can never be suspected. If this assumption is wrong, this should be remodeled, using for example, an certainty extension Binding: AllergyIntoleranceVerificationStatusCodes (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
criticality	Σ	0..1	code	ValueSet deviates from the required value set on criticality. A posibility would be to add extension for allvarlighetsgrad as well to preserve data that would have been lost otherwise. (Skadlig/besvärande) Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
onset[x]		0..1		Händelsetid
onsetDateTime			dateTime
onsetPeriod			Period
note		0..*	Annotation	Additional text not captured in other fields
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
substance		0..1	CodeableConcept	kod från urval agens överkänslighet eller << 105590001 | substans | Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
onset		0..1	dateTime	Note that reaction.onset only supports dateTime, not interval while NIM specifies both as alternatives.
severity		0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
note		0..*	Annotation	Text about event not captured in other fields
Documentation for this format

This structure is derived from AllergyIntolerance

Summary

Must-Support: 8 elements

Differential View

This structure is derived from AllergyIntolerance

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance		0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
verificationStatus	S	0..1	CodeableConcept	Concerning the mappings of the value set, an assumption has been made that a negation can never be suspected. If this assumption is wrong, this should be remodeled, using for example, an certainty extension
criticality	S	0..1	code	ValueSet deviates from the required value set on criticality. A posibility would be to add extension for allvarlighetsgrad as well to preserve data that would have been lost otherwise. (Skadlig/besvärande)
onset[x]	S	0..1		Händelsetid
onsetDateTime			dateTime
onsetPeriod			Period
note	S	0..*	Annotation	Additional text not captured in other fields
reaction
substance	S	0..1	CodeableConcept	kod från urval agens överkänslighet eller << 105590001 | substans |
text		0..1	string	Fritextangivelse av överkänslighetsagens i de fall då kodat agens saknas eller behöver preciseras ytterligare
onset	S	0..1	dateTime	Note that reaction.onset only supports dateTime, not interval while NIM specifies both as alternatives.
severity	S	0..1	code	mild | moderate | severe (of event as a whole)
note	S	0..*	Annotation	Text about event not captured in other fields
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
AllergyIntolerance	I	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
id	Σ	0..1	string	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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
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	External ids for this item
clinicalStatus	?!ΣI	0..1	CodeableConcept	active | inactive | resolved Binding: AllergyIntoleranceClinicalStatusCodes (required): The clinical status of the allergy or intolerance.
verificationStatus	?!SΣI	0..1	CodeableConcept	Concerning the mappings of the value set, an assumption has been made that a negation can never be suspected. If this assumption is wrong, this should be remodeled, using for example, an certainty extension Binding: AllergyIntoleranceVerificationStatusCodes (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	Σ	0..*	code	food | medication | environment | biologic Binding: AllergyIntoleranceCategory (required): Category of an identified substance associated with allergies or intolerances.
criticality	SΣ	0..1	code	ValueSet deviates from the required value set on criticality. A posibility would be to add extension for allvarlighetsgrad as well to preserve data that would have been lost otherwise. (Skadlig/besvärande) Binding: AllergyIntoleranceCriticality (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	Σ	0..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes (example): Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.
patient	Σ	1..1	Reference(Patient)	Who the sensitivity is for
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
onset[x]	S	0..1		Händelsetid
onsetDateTime			dateTime
onsetPeriod			Period
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note	S	0..*	Annotation	Additional text not captured in other fields
reaction		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance	S	0..1	CodeableConcept	kod från urval agens överkänslighet eller << 105590001 | substans | Binding: SubstanceCode (example): Codes defining the type of the substance (including pharmaceutical products).
id		0..1	string	Unique id for inter-element referencing
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	Σ	0..1	string	Fritextangivelse av överkänslighetsagens i de fall då kodat agens saknas eller behöver preciseras ytterligare
manifestation		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: SNOMEDCTClinicalFindings (example): Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.
description		0..1	string	Description of the event as a whole
onset	S	0..1	dateTime	Note that reaction.onset only supports dateTime, not interval while NIM specifies both as alternatives.
severity	S	0..1	code	mild | moderate | severe (of event as a whole) Binding: AllergyIntoleranceSeverity (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note	S	0..*	Annotation	Text about event not captured in other fields
Documentation for this format