<status value="active" /> <date value="2023-10-26T14:21:42.886+00:00" /> <publisher value="NICE" /> <contact> <name value="NICE" /> <telecom> <system value="email" /> <value value="vragen@stichting-nice.nl" /> </telecom> </contact> <description value="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 value="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 value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="NICE-Datadictionary-MDS" /> <uri value="https://www.stichting-nice.nl/dd/#528" /> <name value="NICE-Datadictionary-MDS" /> <comment value="The Minimal Data Set (MDS)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-KIIC" /> <uri value="https://www.stichting-nice.nl/dd/#906" /> <name value="NICE-Datadictionary-KIIC" /> <comment value="The Quality Indicators Intensive Care (KIIC) module" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Complication" /> <uri value="https://www.stichting-nice.nl/dd/#905" /> <name value="NICE-Datadictionary-Complication" /> <comment value="The Complication registration" /> </mapping> <mapping> <identity value="NICE-Datadictionary-SOFA" /> <uri value="https://www.stichting-nice.nl/dd/#547" /> <name value="NICE-Datadictionary-SOFA" /> <comment value="The Sequential Organ Failure Assessment (SOFA) module" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <uri value="https://www.stichting-nice.nl/dd/#561" /> <name value="NICE-Datadictionary-Capacity" /> <comment value="The Patient Acuity Registration" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Sepsis" /> <uri value="https://www.stichting-nice.nl/dd/#646" /> <name value="NICE-Datadictionary-Sepsis" /> <comment value="The Sepsis registration" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Procedure" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-Procedure" /> <derivation value="constraint" /> <differential> <element id="Procedure"> <path value="Procedure" /> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#182" /> <comment value="Mechanical ventilation within 24 hours." /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#181" /> <comment value="Mechanical ventilation on IC admission." /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#50" /> <comment value="Chronic dialysis" /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#10" /> <comment value="Acute renal failure" /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#52" /> <comment value="Cirrhosis" /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#58" /> <comment value="Cardio Pulmonary Resuscitation (CPR)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#96" /> <comment value="Pre-operative ejection fraction" /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#225" /> <comment value="Number of grafts" /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#158" /> <comment value="Internal Mammary Arterial graft" /> </mapping> <mapping> <identity value="NICE-Datadictionary-KIIC" /> <map value="https://www.stichting-nice.nl/dd/#29" /> <comment value="End of mechanical ventilation" /> </mapping> <mapping> <identity value="NICE-Datadictionary-KIIC" /> <map value="https://www.stichting-nice.nl/dd/#30" /> <comment value="Start of mechanical ventilation" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Complicatie" /> <map value="https://www.stichting-nice.nl/dd/#894" /> <comment value="Re-intubation/ re-ventilation" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Complicatie" /> <map value="https://www.stichting-nice.nl/dd/#413" /> <comment value="Trachea cannula present" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Complicatie" /> <map value="https://www.stichting-nice.nl/dd/#898" /> <comment value="Central venous catheter in place" /> </mapping> <mapping> <identity value="NICE-Datadictionary-SOFA" /> <map value="https://www.stichting-nice.nl/dd/#364" /> <comment value="Respiratory support" /> </mapping> <mapping> <identity value="NICE-Datadictionary-SOFA" /> <map value="https://www.stichting-nice.nl/dd/#395" /> <comment value="Special ventilation methods (SOFA)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-SOFA" /> <map value="https://www.stichting-nice.nl/dd/#174" /> <comment value="Artificial liver support (SOFA)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-SOFA" /> <map value="https://www.stichting-nice.nl/dd/#28" /> <comment value="Cardiac Assist Device (SOFA)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-SOFA" /> <map value="https://www.stichting-nice.nl/dd/#378" /> <comment value="Renal replacement therapy, (SOFA)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-SOFA" /> <map value="https://www.stichting-nice.nl/dd/#156" /> <comment value="Intracranial pressure measurement (SOFA)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#566" /> <comment value="Continuous EEG monitoring" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#28" /> <comment value="Cardiac support (SOFA)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#571" /> <comment value="Heart massage or cardioversion" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#573" /> <comment value="ECG monitoring" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#575" /> <comment value="Arterial access" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#578" /> <comment value="Arterial pressure measurement" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#593" /> <comment value="Invasive venous pressure measurement" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#588" /> <comment value="Pulmonary or left atrium catheter" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#597" /> <comment value="Central venous catheter" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#598" /> <comment value="Heart minute volume measurement" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#601" /> <comment value="Ventilation" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#602" /> <comment value="Placement/replacement of artificial airway" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#603" /> <comment value="Bronchial toilet" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#604" /> <comment value="Special forms of ventilation - ECMO" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#605" /> <comment value="Special forms of ventilation - DLV" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#606" /> <comment value="Special forms of ventilation - NO" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#609" /> <comment value="Special forms of ventilation - abdomen" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#610" /> <comment value="Bronchoscopy" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#613" /> <comment value="Liver dialysis" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#614" /> <comment value="Balloon tamponade" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#596" /> <comment value="Scopy" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#615" /> <comment value="RRT by IC nurses" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#616" /> <comment value="RRT by dialysis nurse" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#618" /> <comment value="Urinary tract catheter" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#631" /> <comment value="Thermoregulation" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#632" /> <comment value="Drains" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Capacity" /> <map value="https://www.stichting-nice.nl/dd/#633" /> <comment value="Hygiene procedures" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Sepsis" /> <map value="https://www.stichting-nice.nl/dd/#746" /> <comment value="Cardiac Assist Device (Sepsis)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Sepsis" /> <map value="https://www.stichting-nice.nl/dd/#734" /> <comment value="Special ventilation methods (Sepsis)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Sepsis" /> <map value="https://www.stichting-nice.nl/dd/#748" /> <comment value="Renal replacement therapy" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Sepsis" /> <map value="https://www.stichting-nice.nl/dd/#741" /> <comment value="Artificial liver support (Sepsis)" /> </mapping> <mapping> <identity value="NICE-Datadictionary-Sepsis" /> <map value="https://www.stichting-nice.nl/dd/#747" /> <comment value="Intracranial pressure measurement (Sepsis)" /> </mapping> </element> <element id="Procedure.extension"> <path value="Procedure.extension" /> <min value="1" /> </element> <element id="Procedure.extension:Verified"> <path value="Procedure.extension" /> <sliceName value="Verified" /> <short value="Is the instance validated by a medical professional?" /> <definition value="Extension that is used to indicate whether the entire instance has been validated. Every 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 value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1" /> </type> </element> <element id="Procedure.status"> <path value="Procedure.status" /> <short value="completed (must be verified)" /> <fixedCode value="completed" /> <mustSupport value="true" /> </element> <element id="Procedure.category"> <path value="Procedure.category" /> <mustSupport value="true" /> </element> <element id="Procedure.code"> <path value="Procedure.code" /> <mustSupport value="true" /> </element> <element id="Procedure.code.coding:VerrichtingTypeCodelijst"> <path value="Procedure.code.coding" /> <sliceName value="VerrichtingTypeCodelijst" /> <short value="Procedure" /> <definition value="Procedures in the NICE" /> <alias value="Verrichting" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="NICE-ProcedureCodeList" /> <valueSetReference> <reference value="https://fhir.stichting-nice.nl/fhir/ValueSet/NICE-ProcedureCodeList" /> <display value="ProcedureCodeList" /> </valueSetReference> </binding> </element> <element id="Procedure.subject"> <path value="Procedure.subject" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.context"> <path value="Procedure.context" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1" /> </type> <mustSupport value="true" /> </element> </differential> </StructureDefinition>