<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="NICE-PacemakerUse" />
  <meta>
    <lastUpdated value="2023-10-26T14:18:11.8689357+00:00" />
  </meta>
  <url value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-PacemakerUse-2022Q1" />
  <version value="0.0.1" />
  <name value="NICE-PacemakerUse" />
  <title value="NICE-PacemakerUse" />
  <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 submitting data to the NICE related to the use of pacemakers." />
  <purpose value="This profile is used to submit pacemaker 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) DeviceUseProduct, 2017 release version 3.1" />
  <copyright value="CC0" />
  <fhirVersion value="3.0.2" />
  <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="DeviceUseStatement" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DeviceUseStatement" />
  <derivation value="constraint" />
  <differential>
    <element id="DeviceUseStatement">
      <path value="DeviceUseStatement" />
      <short value="Record of use of a pacemaker" />
      <definition value="A record of a pacemaker being used by a patient. A description on how the pacemaker is used is defined in extension.pacemakerUsage." />
    </element>
    <element id="DeviceUseStatement.extension">
      <path value="DeviceUseStatement.extension" />
      <min value="2" />
      <mustSupport value="true" />
    </element>
    <element id="DeviceUseStatement.extension:Verified">
      <path value="DeviceUseStatement.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." />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1" />
      </type>
    </element>
    <element id="DeviceUseStatement.extension:pacemakerUsage">
      <path value="DeviceUseStatement.extension" />
      <sliceName value="pacemakerUsage" />
      <definition value="The specific use of the external pacemaker is defined here. &#xD;&#xA;&#xD;&#xA;- Score 0: No external pacemaker. A pacemaker was connected to the patient for less then 1 hour or not connected at all.&#xD;&#xA;- Score 1: Standby. For a minimum of one hour during this shift, the pacemaker is physically connected to the patient, but less than 50% of heart activity is initiated by the external pacemaker.&#xD;&#xA;- Score 2: Atrial or ventricular pacing. For a minimum of one hour during this shift, at least 50% of the heart's activity is initiated by the external pacemaker." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-PacemakerUsage-2022Q1" />
      </type>
      <mustSupport value="true" />
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#574" />
        <comment value="Pacemaker" />
      </mapping>
    </element>
    <element id="DeviceUseStatement.extension:niceEncounterReference">
      <path value="DeviceUseStatement.extension" />
      <sliceName value="niceEncounterReference" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.stichting-nice.nl/StructureDefinition/NICE-Encounter-reference" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="DeviceUseStatement.status">
      <path value="DeviceUseStatement.status" />
      <mustSupport value="true" />
    </element>
    <element id="DeviceUseStatement.subject">
      <path value="DeviceUseStatement.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="DeviceUseStatement.whenUsed">
      <path value="DeviceUseStatement.whenUsed" />
      <definition value="The time period over which the device was used. &#xD;&#xA;&#xD;&#xA;For the Pacemaker (Capacity module) the period will be assessed. If the device is still used after ICU discharge, then the element 'end' shall not be scored." />
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#574" />
        <comment value="Pacemaker" />
      </mapping>
    </element>
    <element id="DeviceUseStatement.device">
      <path value="DeviceUseStatement.device" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-MedicalDeviceProduct-2022Q1" />
      </type>
      <mustSupport value="true" />
      <mapping>
        <identity value="NICE-Datadictionary-Capaciteitsregistratie" />
        <map value="https://www.stichting-nice.nl/dd/#574" />
        <comment value="Pacemaker" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>