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{
  "resourceType": "StructureDefinition",
  "id": "NICE-LaboratoryTestResultObservation",
  "meta": {
    "lastUpdated": "2022-08-30T13:21:21.7836526+00:00"
  },
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-LaboratoryTestResultObservation-2022Q1",
  "name": "NICE-LaboratoryTestResultObservation",
  "title": "NICE-LaboratoryTestResultObservation",
  "status": "active",
  "date": "2022-01-14T15:17:44.2219996+00:00",
  "publisher": "NICE",
  "contact": [
    {
      "name": "NICE",
      "telecom": [
        {
          "system": "email",
          "value": "vragen@stichting-nice.nl"
        }
      ]
    }
  ],
  "description": "This profile is for sumbitting results of a laboratory test to the NICE.",
  "purpose": "This profile is used to submit laboratory test result related information to the Dutch National Intensive Care Evaluation (NICE). It was derived from the Nictiz Health and Care Information Model (HCIM; Dutch: Zorginformatiebouwsteen or ZIB) LaboratoryTestResultObservation, 2017 release version 3.1",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "NICE-Datadictionary-MDS",
      "uri": "https://www.stichting-nice.nl/dd/#528",
      "name": "NICE-Datadictionary-MDS",
      "comment": "The Minimal Data Set (MDS)"
    },
    {
      "identity": "NICE-Datadictionary-KIIC",
      "uri": "https://www.stichting-nice.nl/dd/#906",
      "name": "NICE-Datadictionary-KIIC",
      "comment": "The Quality Indicators Intensive Care (KIIC) module"
    },
    {
      "identity": "NICE-Datadictionary-SOFA",
      "uri": "https://www.stichting-nice.nl/dd/#547",
      "name": "NICE-Datadictionary-SOFA",
      "comment": "The Sequential Organ Failure Assessment (SOFA) module"
    },
    {
      "identity": "NICE-Datadictionary-Sepsis",
      "uri": "https://www.stichting-nice.nl/dd/#646",
      "name": "NICE-Datadictionary-Sepsis",
      "comment": "The Sepsis registration"
    },
    {
      "identity": "NICE-Datadictionary-Capacity",
      "uri": "https://www.stichting-nice.nl/dd/#561",
      "name": "NICE-Datadictionary-Capacity",
      "comment": "The Patient Acuity Registration"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "mapping": [
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#233",
            "comment": "PaO2"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#152",
            "comment": "Lowest hematocrit"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#40",
            "comment": "Lowest bicarbonate"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#410",
            "comment": "Lowest thrombocytes"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#338",
            "comment": "Lowest potassium"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#60",
            "comment": "Lowest creatinine"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#24",
            "comment": "Lowest albumin"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#382",
            "comment": "Lowest sodium"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#59",
            "comment": "Highest creatinine"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#151",
            "comment": "Highest hematocrit"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#41",
            "comment": "Highest bilirubin"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#337",
            "comment": "Highest potassium"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#381",
            "comment": "Highest sodium"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#438",
            "comment": "Lowest white bloodcells"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#437",
            "comment": "Highest white blood cells"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#23",
            "comment": "Highest albumin"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#231",
            "comment": "PaCO2"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#239",
            "comment": "Arterial pH"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#133",
            "comment": "Lowest glucose during first 24 hours of IC admission"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#39",
            "comment": "Highest bicarbonate"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#132",
            "comment": "Highest glucose during first 24 hours of IC admission"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#429",
            "comment": "Serum ureum"
          },
          {
            "identity": "NICE-Datadictionary-KIIC",
            "map": "https://www.stichting-nice.nl/dd/#131",
            "comment": "Glucose value"
          },
          {
            "identity": "NICE-Datadictionary-KIIC",
            "map": "https://www.stichting-nice.nl/dd/#798",
            "comment": "Glucose-target lower threshold"
          },
          {
            "identity": "NICE-Datadictionary-KIIC",
            "map": "https://www.stichting-nice.nl/dd/#797",
            "comment": "Glucose-target upper threshold"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#391",
            "comment": "PaO2"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#387",
            "comment": "FiO2"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#392",
            "comment": "Thrombocytes"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#383",
            "comment": "Bilirubin"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#388",
            "comment": "Creatinine"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#681",
            "comment": "Value of lactate measurement"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#680",
            "comment": "Date of lactate measurement"
          }
        ]
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 2
      },
      {
        "id": "Observation.extension:Verified",
        "path": "Observation.extension",
        "sliceName": "Verified",
        "short": "Is the instance validated by a medical professional?",
        "definition": "Extension that is used to indicate whether the entire instance has been validated.\r\n\r\nEvery instance shall be validated by a hospital member / datamanager. However, this is not always feasible in case of automated submission of NICE data elements. This extensions shall be used to indicate the validation status of the instance.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1"
          }
        ]
      },
      {
        "id": "Observation.extension:ExtremeValueType",
        "path": "Observation.extension",
        "sliceName": "ExtremeValueType",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ExtremeValueType-2022Q1"
          }
        ]
      },
      {
        "id": "Observation.extension:ScoreDay",
        "path": "Observation.extension",
        "sliceName": "ScoreDay",
        "min": 1,
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ScoreDay-2022Q1"
          }
        ]
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.status.extension",
        "path": "Observation.status.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Observation.status.extension:TestResultStatus",
        "path": "Observation.status.extension",
        "sliceName": "TestResultStatus",
        "min": 0
      },
      {
        "id": "Observation.status.extension:TestResultStatus.valueCodeableConcept:valueCodeableConcept.coding.code",
        "path": "Observation.status.extension.valueCodeableConcept.coding.code",
        "fixedCode": "final"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.code.coding:NICELaboratoryTestResultCodelist",
        "path": "Observation.code.coding",
        "sliceName": "NICELaboratoryTestResultCodelist",
        "min": 1,
        "binding": {
          "strength": "extensible",
          "description": "The different LOINC codes describing the various types of laboratory results used by the NICE.",
          "valueSetReference": {
            "reference": "https://fhir.stichting-nice.nl/fhir/ValueSet/NICE-LaboratoryTestResultCodeList"
          }
        }
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.context",
        "path": "Observation.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effectiveDateTime",
        "sliceName": "effectiveDateTime",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.value[x]:valueQuantity",
        "path": "Observation.valueQuantity",
        "sliceName": "valueQuantity",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "definition": "To find the dateTime of the test, we require information on the specimen that was used when this observation was made.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-LaboratoryTestResultSpecimen-2022Q1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.low",
        "path": "Observation.referenceRange.low",
        "label": "ReferenceRangeLowerLimit",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.high",
        "path": "Observation.referenceRange.high",
        "label": "ReferenceRangeUpperLimit",
        "mustSupport": true
      }
    ]
  }
}

name : NICE-LaboratoryTestResultObservation

{

}