{
  "resourceType": "StructureDefinition",
  "id": "a94bbab8-c6ca-4a6a-b54c-f34fc3c04b34",
  "meta": {
    "versionId": "3",
    "lastUpdated": "2023-10-04T15:03:50.7034827+00:00"
  },
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Procedure-2022Q1",
  "version": "1",
  "name": "NICE-Procedure",
  "title": "NICE-Procedure",
  "status": "active",
  "date": "2023-10-26T14:21:42.886+00:00",
  "publisher": "NICE",
  "contact": [
    {
      "name": "NICE",
      "telecom": [
        {
          "system": "email",
          "value": "vragen@stichting-nice.nl"
        }
      ]
    }
  ],
  "description": "This profile is for sumbitting data to the NICE regarding the performance of procedures in the ICU.  Procedure indicates a therapeutic procedure undergone by the patient. If relevant, diagnostic procedures can be listed as well. A procedure can be a simple blood pressure measurement, but also a complex heart surgery.",
  "purpose": "This profile is used to submit procedure 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) Procedure, 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-Complication",
      "uri": "https://www.stichting-nice.nl/dd/#905",
      "name": "NICE-Datadictionary-Complication",
      "comment": "The Complication registration"
    },
    {
      "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-Capacity",
      "uri": "https://www.stichting-nice.nl/dd/#561",
      "name": "NICE-Datadictionary-Capacity",
      "comment": "The Patient Acuity Registration"
    },
    {
      "identity": "NICE-Datadictionary-Sepsis",
      "uri": "https://www.stichting-nice.nl/dd/#646",
      "name": "NICE-Datadictionary-Sepsis",
      "comment": "The Sepsis registration"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure",
        "path": "Procedure",
        "mapping": [
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#182",
            "comment": "Mechanical ventilation within 24 hours."
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#181",
            "comment": "Mechanical ventilation on IC admission."
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#50",
            "comment": "Chronic dialysis"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#10",
            "comment": "Acute renal failure"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#52",
            "comment": "Cirrhosis"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#58",
            "comment": "Cardio Pulmonary Resuscitation (CPR)"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#96",
            "comment": "Pre-operative ejection fraction"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#225",
            "comment": "Number of grafts"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#158",
            "comment": "Internal Mammary Arterial graft"
          },
          {
            "identity": "NICE-Datadictionary-KIIC",
            "map": "https://www.stichting-nice.nl/dd/#29",
            "comment": "End of mechanical ventilation"
          },
          {
            "identity": "NICE-Datadictionary-KIIC",
            "map": "https://www.stichting-nice.nl/dd/#30",
            "comment": "Start of mechanical ventilation"
          },
          {
            "identity": "NICE-Datadictionary-Complicatie",
            "map": "https://www.stichting-nice.nl/dd/#894",
            "comment": "Re-intubation/ re-ventilation"
          },
          {
            "identity": "NICE-Datadictionary-Complicatie",
            "map": "https://www.stichting-nice.nl/dd/#413",
            "comment": "Trachea cannula present"
          },
          {
            "identity": "NICE-Datadictionary-Complicatie",
            "map": "https://www.stichting-nice.nl/dd/#898",
            "comment": "Central venous catheter in place"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#364",
            "comment": "Respiratory support"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#395",
            "comment": "Special ventilation methods (SOFA)"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#174",
            "comment": "Artificial liver support (SOFA)"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#28",
            "comment": "Cardiac Assist Device (SOFA)"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#378",
            "comment": "Renal replacement therapy, (SOFA)"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#156",
            "comment": "Intracranial pressure measurement (SOFA)"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#566",
            "comment": "Continuous EEG monitoring"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#28",
            "comment": "Cardiac support (SOFA)"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#571",
            "comment": "Heart massage or cardioversion"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#573",
            "comment": "ECG monitoring"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#575",
            "comment": "Arterial access"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#578",
            "comment": "Arterial pressure measurement"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#593",
            "comment": "Invasive venous pressure measurement"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#588",
            "comment": "Pulmonary or left atrium catheter"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#597",
            "comment": "Central venous catheter"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#598",
            "comment": "Heart minute volume measurement"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#601",
            "comment": "Ventilation"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#602",
            "comment": "Placement/replacement of artificial airway"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#603",
            "comment": "Bronchial toilet"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#604",
            "comment": "Special forms of ventilation - ECMO"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#605",
            "comment": "Special forms of ventilation - DLV"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#606",
            "comment": "Special forms of ventilation - NO"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#609",
            "comment": "Special forms of ventilation - abdomen"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#610",
            "comment": "Bronchoscopy"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#613",
            "comment": "Liver dialysis"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#614",
            "comment": "Balloon tamponade"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#596",
            "comment": "Scopy"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#615",
            "comment": "RRT by IC nurses"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#616",
            "comment": "RRT by dialysis nurse"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#618",
            "comment": "Urinary tract catheter"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#631",
            "comment": "Thermoregulation"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#632",
            "comment": "Drains"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#633",
            "comment": "Hygiene procedures"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#746",
            "comment": "Cardiac Assist Device (Sepsis)"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#734",
            "comment": "Special ventilation methods (Sepsis)"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#748",
            "comment": "Renal replacement therapy"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#741",
            "comment": "Artificial liver support (Sepsis)"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#747",
            "comment": "Intracranial pressure measurement (Sepsis)"
          }
        ]
      },
      {
        "id": "Procedure.extension",
        "path": "Procedure.extension",
        "min": 1
      },
      {
        "id": "Procedure.extension:Verified",
        "path": "Procedure.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": "Procedure.status",
        "path": "Procedure.status",
        "short": "completed (must be verified)",
        "fixedCode": "completed",
        "mustSupport": true
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "mustSupport": true
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:VerrichtingTypeCodelijst",
        "path": "Procedure.code.coding",
        "sliceName": "VerrichtingTypeCodelijst",
        "short": "Procedure",
        "definition": "Procedures in the NICE",
        "alias": [
          "Verrichting"
        ],
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "NICE-ProcedureCodeList",
          "valueSetReference": {
            "reference": "https://fhir.stichting-nice.nl/fhir/ValueSet/NICE-ProcedureCodeList",
            "display": "ProcedureCodeList"
          }
        }
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.context",
        "path": "Procedure.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1"
          }
        ],
        "mustSupport": true
      }
    ]
  }
}