<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="NICE-LaboratoryTestResultSpecimen" />
  <meta>
    <lastUpdated value="2023-10-04T15:03:42.0691435+00:00" />
  </meta>
  <url value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-LaboratoryTestResultSpecimen-2022Q1" />
  <name value="NICE-LaboratoryTestResultSpecimen" />
  <title value="NICE-LaboratoryTestResultSpecimen" />
  <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="This profile is for sumbitting test dates of a laboratory test requiring specimen samples to the NICE." />
  <purpose value="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 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-KIIC" />
    <uri value="https://www.stichting-nice.nl/dd/#906" />
    <name value="NICE-Datadictionary-KIIC" />
    <comment value="The Quality Indicators Intensive Care (KIIC) module" />
  </mapping>
  <mapping>
    <identity value="NICE-Datadictionary-SOFA" />
    <uri value="https://www.stichting-nice.nl/dd/#547" />
    <name value="NICE-Datadictionary-SOFA" />
    <comment value="The Sequential Organ Failure Assessment (SOFA) module" />
  </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>
  <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="Specimen" />
  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen" />
  <derivation value="constraint" />
  <differential>
    <element id="Specimen">
      <path value="Specimen" />
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#233" />
        <comment value="PaO2" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#152" />
        <comment value="Lowest hematocrit" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#338" />
        <comment value="Lowest potassium" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#60" />
        <comment value="Lowest creatinine" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#24" />
        <comment value="Lowest albumin" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#40" />
        <comment value="Lowest bicarbonate" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#382" />
        <comment value="Lowest sodium" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#410" />
        <comment value="Lowest thrombocytes" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#59" />
        <comment value="Highest creatinine" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#151" />
        <comment value="Highest hematocrit" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#337" />
        <comment value="Highest potassium" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#381" />
        <comment value="Highest sodium" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#41" />
        <comment value="Bilirubin (MDS)" />
      </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/#10" />
        <comment value="Acute renal failure" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#438" />
        <comment value="Lowest white bloodcells" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#437" />
        <comment value="Highest white blood cells" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#23" />
        <comment value="Highest albumin" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#39" />
        <comment value="Highest bicarbonate" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#231" />
        <comment value="PaCO2" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#239" />
        <comment value="pH" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#133" />
        <comment value="Lowest glucose during first 24 hours of IC admission" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#132" />
        <comment value="Highest glucose during first 24 hours of IC admission" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#429" />
        <comment value="Serum ureum" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-KIIC" />
        <map value="https://www.stichting-nice.nl/dd/#131" />
        <comment value="Glucose value" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-KIIC" />
        <map value="https://www.stichting-nice.nl/dd/#199" />
        <comment value="Glucose measuring time" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-KIIC" />
        <map value="https://www.stichting-nice.nl/dd/#134" />
        <comment value="Glucose sequence number" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-SOFA" />
        <map value="https://www.stichting-nice.nl/dd/#392" />
        <comment value="Thrombocytes" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-SOFA" />
        <map value="https://www.stichting-nice.nl/dd/#383" />
        <comment value="Bilirubin (SOFA)" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-SOFA" />
        <map value="https://www.stichting-nice.nl/dd/#388" />
        <comment value="Creatinine" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#624" />
        <comment value="Blood samples" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Sepsis" />
        <map value="https://www.stichting-nice.nl/dd/#11091" />
        <comment value="Sequence number lactate measurement" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Sepsis" />
        <map value="https://www.stichting-nice.nl/dd/#676" />
        <comment value="Date of blood culture" />
      </mapping>
    </element>
    <element id="Specimen.extension">
      <path value="Specimen.extension" />
      <min value="1" />
    </element>
    <element id="Specimen.extension:Verified">
      <path value="Specimen.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="Specimen.subject">
      <path value="Specimen.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Specimen.collection.collected[x]">
      <path value="Specimen.collection.collected[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Specimen.collection.collected[x]:collectedDateTime">
      <path value="Specimen.collection.collected[x]" />
      <sliceName value="collectedDateTime" />
      <mustSupport value="true" />
    </element>
    <element id="Specimen.collection.collected[x]:collectedPeriod">
      <path value="Specimen.collection.collected[x]" />
      <sliceName value="collectedPeriod" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>