<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="NICE-Medication" />
  <meta>
    <lastUpdated value="2022-09-01T07:48:30.3787959+00:00" />
  </meta>
  <url value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Medication-2022Q1" />
  <version value="0.0.1" />
  <name value="NICE-Medication" />
  <title value="NICE-Medication" />
  <status value="active" />
  <date value="2021-11-30T15:53:41.0098926+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 submitting data to the NICE about the administration of medication to the patient." />
  <purpose value="This profile is used to submit medication 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) Medication, 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-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-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 Module" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Medication" />
  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-Product" />
  <derivation value="constraint" />
  <differential>
    <element id="Medication.code">
      <path value="Medication.code" />
      <definition value="A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.&#xD;&#xA;&#xD;&#xA;Only a few medication related codes are relevant for NICE, only codes pertaining to the ATC groups listed below will be processed [NICE dataelement : ATC-codes or ATC-(sub)group codes]:&#xD;&#xA;- Chronic Obstructive Pulmonary Disease: R03 subgroup (Drugs for obstructive airway diseases)&#xD;&#xA;- Diabetes: A10 subgroup (Dugs used in diabetes)&#xD;&#xA;- Immunological insufficiency: L04 subgroup (Immunosuppressants) or H02 subgroup (Corticosteroid for systemic use) or L01 subgroup (Antineoplastic agents)&#xD;&#xA;- Thrombolytic therapy following acute myocardial infarction: B01 subgroup (Antithrombotic agents)&#xD;&#xA;- Vasoactive medication: C01CA/CE subgroup (adrenergic and dopaminergic agents) or H01BA subgroup (Vasopressin and analogues) &#xD;&#xA;- Dobutamine administration: C01CA07&#xD;&#xA;- Highest adrenaline speed: B02BC09&#xD;&#xA;- Highest dopamine speed: C01CA04&#xD;&#xA;- Highest noradrenaline speed: C01CA24&#xD;&#xA;- Administration of phospodiesterase inhibitors: C01CE (Phospodiesterase inhibitors)&#xD;&#xA;- Continuous intravenous administration of antiarrythmics: C01B (Antiarrhythmics)&#xD;&#xA;- Administration of arterial medication: All (non-specified)&#xD;&#xA;- Nutrition - parenteral: B05BA (Solutions for parenteral nutrition)&#xD;&#xA;- Anticoagulation: B01 (Antithrombotic agents)&#xD;&#xA;- Antibiotics (IV): J01 (Antibacterials)" />
      <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/#78" />
        <comment value="Diabetes" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-MDS" />
        <map value="https://www.stichting-nice.nl/dd/#159" />
        <comment value="Immunological insuffiency" />
      </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/#432" />
        <comment value="Vasoactive medication" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-SOFA" />
        <map value="https://www.stichting-nice.nl/dd/#18" />
        <comment value="Highest adrenaline speed" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-SOFA" />
        <map value="https://www.stichting-nice.nl/dd/#93" />
        <comment value="Dobutamine administration" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-SOFA" />
        <map value="https://www.stichting-nice.nl/dd/#94" />
        <comment value="Highest dopamine speed" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-SOFA" />
        <map value="https://www.stichting-nice.nl/dd/#224" />
        <comment value="Highest noradrenaline speed" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-SOFA" />
        <map value="https://www.stichting-nice.nl/dd/#238" />
        <comment value="Administration of phospodiesterase inhibitors" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Sepsis" />
        <map value="https://www.stichting-nice.nl/dd/#740" />
        <comment value="Highest dopamine speed (Sepsis)" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Sepsis" />
        <map value="https://www.stichting-nice.nl/dd/#742" />
        <comment value="Dobutamine administration (Sepsis)" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Sepsis" />
        <map value="https://www.stichting-nice.nl/dd/#743" />
        <comment value="Administration of phospodiesterase inhibitors" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Sepsis" />
        <map value="https://www.stichting-nice.nl/dd/#744" />
        <comment value="Highest adrenaline speed (Sepsis)" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Sepsis" />
        <map value="https://www.stichting-nice.nl/dd/#745" />
        <comment value="Highest noradrenaline speed (Sepsis)" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#572" />
        <comment value="Continuous intravenous administration of antiarrythmics" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#576" />
        <comment value="Administration of arterial medication" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#599" />
        <comment value="Anticoagulation" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#611" />
        <comment value="Nutrition - parenteral" />
      </mapping>
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#625" />
        <comment value="Antibiotics (IV)" />
      </mapping>
    </element>
    <element id="Medication.code.coding:productCodeATCCodelijst">
      <path value="Medication.code.coding" />
      <sliceName value="productCodeATCCodelijst" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>