<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="NICE-Condition" />
  <meta>
    <lastUpdated value="2023-10-04T15:03:31.6479374+00:00" />
  </meta>
  <url value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Condition-2022Q1" />
  <name value="NICE-Condition" />
  <title value="NICE-Condition" />
  <status value="active" />
  <date value="2023-10-04T15:33:14.3221484+00:00" />
  <publisher value="NICE" />
  <contact>
    <name value="NICE" />
    <telecom>
      <system value="email" />
      <value value="vragen@stichting-nice.nl" />
    </telecom>
  </contact>
  <description value="The NICE-Condition is a FHIR profile that encapsulates the various conditions of patients in the ICU." />
  <purpose value="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 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-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-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="Condition" />
  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-Problem" />
  <derivation value="constraint" />
  <differential>
    <element id="Condition">
      <path value="Condition" />
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#47" />
        <comment value="Chronic cardiovascular insufficiency" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#57" />
        <comment value="Chronic Obstructive Pulmonary Disease" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#49" />
        <comment value="Chronic renal insufficiency" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#363" />
        <comment value="Chronic respiratory insufficiency" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#411" />
        <comment value="Thrombolytic therapy following acute myocardial infarction" />
      </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/#219" />
        <comment value="Metastasised neoplasma" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#149" />
        <comment value="Haematological malignancy" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#20" />
        <comment value="AIDS" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#43" />
        <comment value="Burns" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#125" />
        <comment value="Gastrointestinal bleeding" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#78" />
        <comment value="Diabetes" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#195" />
        <comment value="Myocardial infarction for IC admission" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#56" />
        <comment value="Proven infection" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#25" />
        <comment value="APACHE IV diagnosis category" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#69" />
        <comment value="Pressure ulcer" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#904" />
        <comment value="Delirium" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#54" />
        <comment value="Complication" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#914" />
        <comment value="Pneumothorax in ICU" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#51" />
        <comment value="IC acquired weakness" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#130" />
        <comment value="Digestive tract bleeding" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#896" />
        <comment value="Tracheotomy-related problems" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#897" />
        <comment value="Central line sepsis" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#899" />
        <comment value="Acute renal failure / AKI" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#11014" />
        <comment value="Complication dag" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#570" />
        <comment value="Rhythm (problems)" />
      </mapping>
    </element>
    <element id="Condition.extension">
      <path value="Condition.extension" />
      <min value="1" />
    </element>
    <element id="Condition.extension:Verified">
      <path value="Condition.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.&#xD;&#xA;&#xD;&#xA;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="Condition.verificationStatus.extension:VerificatieStatusCodelijst">
      <path value="Condition.verificationStatus.extension" />
      <sliceName value="VerificatieStatusCodelijst" />
    </element>
    <element id="Condition.verificationStatus.extension:VerificatieStatusCodelijst.valueCodeableConcept:valueCodeableConcept.coding.code">
      <path value="Condition.verificationStatus.extension.valueCodeableConcept.coding.code" />
      <definition value="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).&#xD;&#xA;&#xD;&#xA;Is always 410605003 (Confirmed Present)" />
      <fixedCode value="410605003" />
    </element>
    <element id="Condition.code">
      <path value="Condition.code" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="The condition name defines the condition." />
        <valueSetUri value="https://fhir.stichting-nice.nl/fhir/ValueSet/NICE-ConditionCodeList" />
      </binding>
    </element>
    <element id="Condition.subject">
      <path value="Condition.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.context">
      <path value="Condition.context" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.onsetDateTime:onsetDateTime">
      <path value="Condition.onsetDateTime" />
      <sliceName value="onsetDateTime" />
      <mustSupport value="true" />
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#11015" />
        <comment value="Complication date" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Sepsis" />
        <map value="https://www.stichting-nice.nl/dd/#657" />
        <comment value="Date of suspicion of sepsis" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>