{
  "resourceType": "StructureDefinition",
  "id": "NICE-LaboratoryTestResultSpecimen",
  "meta": {
    "lastUpdated": "2023-10-04T15:03:42.0691435+00:00"
  },
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-LaboratoryTestResultSpecimen-2022Q1",
  "name": "NICE-LaboratoryTestResultSpecimen",
  "title": "NICE-LaboratoryTestResultSpecimen",
  "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": "This profile is for sumbitting test dates of a laboratory test requiring specimen samples to the NICE.",
  "purpose": "This profile is used to submit test date 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) LaboratoryTestResultSpecimen, 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-KIIC",
      "uri": "https://www.stichting-nice.nl/dd/#906",
      "name": "NICE-Datadictionary-KIIC",
      "comment": "The Quality Indicators Intensive Care (KIIC) module"
    },
    {
      "identity": "NICE-Datadictionary-SOFA",
      "uri": "https://www.stichting-nice.nl/dd/#547",
      "name": "NICE-Datadictionary-SOFA",
      "comment": "The Sequential Organ Failure Assessment (SOFA) module"
    },
    {
      "identity": "NICE-Datadictionary-Sepsis",
      "uri": "https://www.stichting-nice.nl/dd/#646",
      "name": "NICE-Datadictionary-Sepsis",
      "comment": "The Sepsis registration"
    },
    {
      "identity": "NICE-Datadictionary-Capacity",
      "uri": "https://www.stichting-nice.nl/dd/#561",
      "name": "NICE-Datadictionary-Capacity",
      "comment": "The Patient Acuity Registration"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Specimen",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Specimen",
        "path": "Specimen",
        "mapping": [
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#233",
            "comment": "PaO2"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#152",
            "comment": "Lowest hematocrit"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#338",
            "comment": "Lowest potassium"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#60",
            "comment": "Lowest creatinine"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#24",
            "comment": "Lowest albumin"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#40",
            "comment": "Lowest bicarbonate"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#382",
            "comment": "Lowest sodium"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#410",
            "comment": "Lowest thrombocytes"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#59",
            "comment": "Highest creatinine"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#151",
            "comment": "Highest hematocrit"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#337",
            "comment": "Highest potassium"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#381",
            "comment": "Highest sodium"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#41",
            "comment": "Bilirubin (MDS)"
          },
          {
            "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/#10",
            "comment": "Acute renal failure"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#438",
            "comment": "Lowest white bloodcells"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#437",
            "comment": "Highest white blood cells"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#23",
            "comment": "Highest albumin"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#39",
            "comment": "Highest bicarbonate"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#231",
            "comment": "PaCO2"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#239",
            "comment": "pH"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#133",
            "comment": "Lowest glucose during first 24 hours of IC admission"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#132",
            "comment": "Highest glucose during first 24 hours of IC admission"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#429",
            "comment": "Serum ureum"
          },
          {
            "identity": "NICE-Datadictionary-KIIC",
            "map": "https://www.stichting-nice.nl/dd/#131",
            "comment": "Glucose value"
          },
          {
            "identity": "NICE-Datadictionary-KIIC",
            "map": "https://www.stichting-nice.nl/dd/#199",
            "comment": "Glucose measuring time"
          },
          {
            "identity": "NICE-Datadictionary-KIIC",
            "map": "https://www.stichting-nice.nl/dd/#134",
            "comment": "Glucose sequence number"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#392",
            "comment": "Thrombocytes"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#383",
            "comment": "Bilirubin (SOFA)"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#388",
            "comment": "Creatinine"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#624",
            "comment": "Blood samples"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#11091",
            "comment": "Sequence number lactate measurement"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#676",
            "comment": "Date of blood culture"
          }
        ]
      },
      {
        "id": "Specimen.extension",
        "path": "Specimen.extension",
        "min": 1
      },
      {
        "id": "Specimen.extension:Verified",
        "path": "Specimen.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": "Specimen.subject",
        "path": "Specimen.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Specimen.collection.collected[x]",
        "path": "Specimen.collection.collected[x]",
        "mustSupport": true
      },
      {
        "id": "Specimen.collection.collected[x]:collectedDateTime",
        "path": "Specimen.collection.collected[x]",
        "sliceName": "collectedDateTime",
        "mustSupport": true
      },
      {
        "id": "Specimen.collection.collected[x]:collectedPeriod",
        "path": "Specimen.collection.collected[x]",
        "sliceName": "collectedPeriod",
        "mustSupport": true
      }
    ]
  }
}