{ "resourceType": "StructureDefinition", "id": "NICE-Condition", "meta": { "lastUpdated": "2023-10-04T15:03:31.6479374+00:00" }, "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Condition-2022Q1", "name": "NICE-Condition", "title": "NICE-Condition", "status": "active", "date": "2023-10-04T15:33:14.3221484+00:00", "publisher": "NICE", "contact": [ { "name": "NICE", "telecom": [ { "system": "email", "value": "vragen@stichting-nice.nl" } ] } ], "description": "The NICE-Condition is a FHIR profile that encapsulates the various conditions of patients in the ICU.", "purpose": "This profile is used to submit Condition 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) Problem, 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-Complication", "uri": "https://www.stichting-nice.nl/dd/#905", "name": "NICE-Datadictionary-Complication", "comment": "The Complication registration" }, { "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": "Condition", "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-Problem", "derivation": "constraint", "differential": { "element": [ { "id": "Condition", "path": "Condition", "mapping": [ { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#47", "comment": "Chronic cardiovascular insufficiency" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#57", "comment": "Chronic Obstructive Pulmonary Disease" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#49", "comment": "Chronic renal insufficiency" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#363", "comment": "Chronic respiratory insufficiency" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#411", "comment": "Thrombolytic therapy following acute myocardial infarction" }, { "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/#219", "comment": "Metastasised neoplasma" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#149", "comment": "Haematological malignancy" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#20", "comment": "AIDS" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#43", "comment": "Burns" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#125", "comment": "Gastrointestinal bleeding" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#78", "comment": "Diabetes" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#195", "comment": "Myocardial infarction for IC admission" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#56", "comment": "Proven infection" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#25", "comment": "APACHE IV diagnosis category" }, { "identity": "NICE-Datadictionary-MDS", "map": "https://www.stichting-nice.nl/dd/#69", "comment": "Pressure ulcer" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#904", "comment": "Delirium" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#54", "comment": "Complication" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#914", "comment": "Pneumothorax in ICU" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#51", "comment": "IC acquired weakness" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#130", "comment": "Digestive tract bleeding" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#896", "comment": "Tracheotomy-related problems" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#897", "comment": "Central line sepsis" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#899", "comment": "Acute renal failure / AKI" }, { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#11014", "comment": "Complication dag" }, { "identity": "NICE-Datadictionary-Capacity", "map": "https://www.stichting-nice.nl/dd/#570", "comment": "Rhythm (problems)" } ] }, { "id": "Condition.extension", "path": "Condition.extension", "min": 1 }, { "id": "Condition.extension:Verified", "path": "Condition.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": "Condition.verificationStatus.extension:VerificatieStatusCodelijst", "path": "Condition.verificationStatus.extension", "sliceName": "VerificatieStatusCodelijst" }, { "id": "Condition.verificationStatus.extension:VerificatieStatusCodelijst.valueCodeableConcept:valueCodeableConcept.coding.code", "path": "Condition.verificationStatus.extension.valueCodeableConcept.coding.code", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).\r\n\r\nIs always 410605003 (Confirmed Present)", "fixedCode": "410605003" }, { "id": "Condition.code", "path": "Condition.code", "mustSupport": true, "binding": { "strength": "extensible", "description": "The condition name defines the condition.", "valueSetUri": "https://fhir.stichting-nice.nl/fhir/ValueSet/NICE-ConditionCodeList" } }, { "id": "Condition.subject", "path": "Condition.subject", "type": [ { "code": "Reference", "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" } ], "mustSupport": true }, { "id": "Condition.context", "path": "Condition.context", "type": [ { "code": "Reference", "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1" } ], "mustSupport": true }, { "id": "Condition.onsetDateTime:onsetDateTime", "path": "Condition.onsetDateTime", "sliceName": "onsetDateTime", "mustSupport": true, "mapping": [ { "identity": "NICE-Datadictionary-Complication", "map": "https://www.stichting-nice.nl/dd/#11015", "comment": "Complication date" }, { "identity": "NICE-Datadictionary-Sepsis", "map": "https://www.stichting-nice.nl/dd/#657", "comment": "Date of suspicion of sepsis" } ] } ] } }