<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 denoting treatment restrictions on: - Heart massages - Ventilation treatments - Renal replacement therapy - Readmission" /> <purpose value="This profile is used to submit consent 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) TreatmentDirective, 2017 release version 3.1" /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="NICE-Datadictionary" /> <uri value="https://www.stichting-nice.nl/dd/#start" /> <name value="NICE Datadictionary" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Consent" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective" /> <derivation value="constraint" /> <differential> <element id="Consent"> <path value="Consent" /> <definition value="A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time. The required registration of treatment directives is categorised into four types: CPR, ventilator support, renal replacement therapy and ICU readmission." /> </element> <element id="Consent.extension"> <path value="Consent.extension" /> <min value="1" /> </element> <element id="Consent.extension:verification"> <path value="Consent.extension" /> <sliceName value="verification" /> </element> <element id="Consent.extension:verification.extension"> <path value="Consent.extension.extension" /> <min value="1" /> </element> <element id="Consent.extension:Verified"> <path value="Consent.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." /> <type> <code value="Extension" /> <profile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1" /> </type> </element> <element id="Consent.extension:treatment"> <path value="Consent.extension" /> <sliceName value="treatment" /> <definition value="The medical treatment to which the treatment instruction applies. The instruction is documented in the treatmentPermitted element." /> </element> <element id="Consent.extension:treatment.url"> <path value="Consent.extension.url" /> <fixedUri value="treatment" /> </element> <element id="Consent.extension:treatment.value[x]"> <path value="Consent.extension.value[x]" /> <binding> <strength value="extensible" /> <valueSetUri value="https://fhir.stichting-nice.nl/ValueSet/NICE-TreatmentCodeList" /> </binding> <mapping> <identity value="NICE-Datadictionary" /> <map value="https://www.stichting-nice.nl/dd/#924" /> <comment value="Ventilation treatment impairment on IC admission." /> </mapping> <mapping> <identity value="NICE-Datadictionary" /> <map value="https://www.stichting-nice.nl/dd/#925" /> <comment value="Ventilation treatment impairment on IC discharge." /> </mapping> <mapping> <identity value="NICE-Datadictionary" /> <map value="https://www.stichting-nice.nl/dd/#922" /> <comment value="Heart massage treatment impairment on IC admission." /> </mapping> <mapping> <identity value="NICE-Datadictionary" /> <map value="https://www.stichting-nice.nl/dd/#923" /> <comment value="Heart massage treatment impairment on IC discharge." /> </mapping> <mapping> <identity value="NICE-Datadictionary" /> <map value="https://www.stichting-nice.nl/dd/#928" /> <comment value="Re-admission treatment impairment" /> </mapping> </element> <element id="Consent.modifierExtension"> <path value="Consent.modifierExtension" /> <min value="1" /> </element> <element id="Consent.patient"> <path value="Consent.patient" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" /> </type> </element> <element id="Consent.dateTime"> <path value="Consent.dateTime" /> <short value="When this Consent was registered" /> <definition value="When this Consent/TreatmentDirective was registered." /> <min value="1" /> </element> <element id="Consent.consentingParty"> <path value="Consent.consentingParty" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" /> </type> </element> </differential> </StructureDefinition>