<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="NICE-GeneralMeasurement" />
  <meta>
    <lastUpdated value="2023-10-04T15:03:36.4076323+00:00" />
  </meta>
  <url value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-GeneralMeasurement-2022Q1" />
  <name value="NICE-GeneralMeasurement" />
  <title value="NICE-GeneralMeasurement" />
  <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="The NICE-Observation is a FHIR profile that encapsulates the various measurements of patients in the ICU." />
  <purpose value="This profile is used to submit measurement 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) GeneralMeasurement, 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>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <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/#96" />
        <comment value="Pre-operative ejection fraction" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#900" />
        <comment value="DOSS Screening" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#901" />
        <comment value="CAM-ICU Screening" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#902" />
        <comment value="IC-DSC Screening" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Complication" />
        <map value="https://www.stichting-nice.nl/dd/#903" />
        <comment value="Other Screening" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#563" />
        <comment value="Intracranial pressure (ICP)" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#568" />
        <comment value="Neuro Checks" />
      </mapping>
    </element>
    <element id="Observation.extension">
      <path value="Observation.extension" />
      <min value="1" />
    </element>
    <element id="Observation.extension:Verified">
      <path value="Observation.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="Observation.status">
      <path value="Observation.status" />
      <short value="The status of the result value" />
      <definition value="The status of the result value has to be completed, so is therefore always 'final'." />
      <fixedCode value="final" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <binding>
        <strength value="extensible" />
        <valueSetReference>
          <reference value="https://fhir.stichting-nice.nl/ValueSet/NICE-GeneralMeasurementCodeList" />
          <display value="MeasurementNameCodeList" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" />
      </type>
    </element>
    <element id="Observation.context">
      <path value="Observation.context" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1" />
      </type>
    </element>
  </differential>
</StructureDefinition>