{
  "description": "This profile is for sumbitting data to the NICE regarding the performance of procedures in the ICU.  Procedure indicates a therapeutic procedure undergone by the patient. If relevant, diagnostic procedures can be listed as well. A procedure can be a simple blood pressure measurement, but also a complex heart surgery.",
  "_filename": "NICE-Procedure.json",
  "package_name": "niceprofiling.v23q1",
  "date": "2022-03-03T13:33:14.7411024+00:00",
  "derivation": "constraint",
  "meta": {
    "versionId": "3",
    "lastUpdated": "2022-09-20T08:25:59.4862022+00:00"
  },
  "publisher": "NICE",
  "fhirVersion": "3.0.2",
  "purpose": "This profile is used to submit procedure 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) Procedure, 2017 release version 3.1",
  "name": "NICE-Procedure",
  "mapping": [ {
    "uri": "https://www.stichting-nice.nl/dd/#528",
    "name": "NICE-Datadictionary-MDS",
    "comment": "The Minimal Data Set (MDS)",
    "identity": "NICE-Datadictionary-MDS"
  }, {
    "uri": "https://www.stichting-nice.nl/dd/#906",
    "name": "NICE-Datadictionary-KIIC",
    "comment": "The Quality Indicators Intensive Care (KIIC) module",
    "identity": "NICE-Datadictionary-KIIC"
  }, {
    "uri": "https://www.stichting-nice.nl/dd/#905",
    "name": "NICE-Datadictionary-Complication",
    "comment": "The Complication registration",
    "identity": "NICE-Datadictionary-Complication"
  }, {
    "uri": "https://www.stichting-nice.nl/dd/#547",
    "name": "NICE-Datadictionary-SOFA",
    "comment": "The Sequential Organ Failure Assessment (SOFA) module",
    "identity": "NICE-Datadictionary-SOFA"
  }, {
    "uri": "https://www.stichting-nice.nl/dd/#561",
    "name": "NICE-Datadictionary-Capacity",
    "comment": "The Patient Acuity Registration",
    "identity": "NICE-Datadictionary-Capacity"
  }, {
    "uri": "https://www.stichting-nice.nl/dd/#646",
    "name": "NICE-Datadictionary-Sepsis",
    "comment": "The Sepsis registration",
    "identity": "NICE-Datadictionary-Sepsis"
  } ],
  "abstract": false,
  "copyright": "CC0",
  "type": "Procedure",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "NICE-Procedure",
  "package_version": "0.5.0",
  "status": "active",
  "id": "830490da-221e-4cb7-b19d-1cc94cfea3c9",
  "kind": "resource",
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Procedure-2022Q1",
  "version": "1",
  "differential": {
    "element": [ {
      "id": "Procedure",
      "path": "Procedure",
      "mapping": [ {
        "map": "https://www.stichting-nice.nl/dd/#182",
        "comment": "Mechanical ventilation within 24 hours.",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#181",
        "comment": "Mechanical ventilation on IC admission.",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#50",
        "comment": "Chronic dialysis",
        "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/#52",
        "comment": "Cirrhosis",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#58",
        "comment": "Cardio Pulmonary Resuscitation (CPR)",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#96",
        "comment": "Pre-operative ejection fraction",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#225",
        "comment": "Number of grafts",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#158",
        "comment": "Internal Mammary Arterial graft",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#29",
        "comment": "End of mechanical ventilation",
        "identity": "NICE-Datadictionary-KIIC"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#30",
        "comment": "Start of mechanical ventilation",
        "identity": "NICE-Datadictionary-KIIC"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#894",
        "comment": "Re-intubation/ re-ventilation",
        "identity": "NICE-Datadictionary-Complicatie"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#413",
        "comment": "Trachea cannula present",
        "identity": "NICE-Datadictionary-Complicatie"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#898",
        "comment": "Central venous catheter in place",
        "identity": "NICE-Datadictionary-Complicatie"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#364",
        "comment": "Respiratory support",
        "identity": "NICE-Datadictionary-SOFA"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#395",
        "comment": "Special ventilation methods (SOFA)",
        "identity": "NICE-Datadictionary-SOFA"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#174",
        "comment": "Artificial liver support (SOFA)",
        "identity": "NICE-Datadictionary-SOFA"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#28",
        "comment": "Cardiac Assist Device (SOFA)",
        "identity": "NICE-Datadictionary-SOFA"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#378",
        "comment": "Renal replacement therapy, (SOFA)",
        "identity": "NICE-Datadictionary-SOFA"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#156",
        "comment": "Intracranial pressure measurement (SOFA)",
        "identity": "NICE-Datadictionary-SOFA"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#566",
        "comment": "Continuous EEG monitoring",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#28",
        "comment": "Cardiac support (SOFA)",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#571",
        "comment": "Heart massage or cardioversion",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#573",
        "comment": "ECG monitoring",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#575",
        "comment": "Arterial access",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#578",
        "comment": "Arterial pressure measurement",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#593",
        "comment": "Invasive venous pressure measurement",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#588",
        "comment": "Pulmonary or left atrium catheter",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#597",
        "comment": "Central venous catheter",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#598",
        "comment": "Heart minute volume measurement",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#601",
        "comment": "Ventilation",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#602",
        "comment": "Placement/replacement of artificial airway",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#603",
        "comment": "Bronchial toilet",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#604",
        "comment": "Special forms of ventilation - ECMO",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#605",
        "comment": "Special forms of ventilation - DLV",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#606",
        "comment": "Special forms of ventilation - NO",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#609",
        "comment": "Special forms of ventilation - abdomen",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#610",
        "comment": "Bronchoscopy",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#613",
        "comment": "Liver dialysis",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#614",
        "comment": "Balloon tamponade",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#596",
        "comment": "Scopy",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#615",
        "comment": "RRT by IC nurses",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#616",
        "comment": "RRT by dialysis nurse",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#618",
        "comment": "Urinary tract catheter",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#631",
        "comment": "Thermoregulation",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#632",
        "comment": "Drains",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#633",
        "comment": "Hygiene procedures",
        "identity": "NICE-Datadictionary-Capacity"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#746",
        "comment": "Cardiac Assist Device (Sepsis)",
        "identity": "NICE-Datadictionary-Sepsis"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#734",
        "comment": "Special ventilation methods (Sepsis)",
        "identity": "NICE-Datadictionary-Sepsis"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#748",
        "comment": "Renal replacement therapy",
        "identity": "NICE-Datadictionary-Sepsis"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#741",
        "comment": "Artificial liver support (Sepsis)",
        "identity": "NICE-Datadictionary-Sepsis"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#747",
        "comment": "Intracranial pressure measurement (Sepsis)",
        "identity": "NICE-Datadictionary-Sepsis"
      } ]
    }, {
      "id": "Procedure.extension",
      "min": 1,
      "path": "Procedure.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Procedure.extension:Verified",
      "max": "1",
      "min": 1,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1"
      } ],
      "short": "Is the instance validated by a medical professional?",
      "sliceName": "Verified",
      "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."
    }, {
      "id": "Procedure.status",
      "path": "Procedure.status",
      "short": "completed (must be verified)",
      "fixedCode": "completed",
      "mustSupport": true
    }, {
      "id": "Procedure.category",
      "path": "Procedure.category",
      "mustSupport": true
    }, {
      "id": "Procedure.code",
      "path": "Procedure.code",
      "mustSupport": true
    }, {
      "path": "Procedure.code.coding",
      "min": 1,
      "definition": "Procedures in the NICE",
      "short": "Procedure",
      "mustSupport": true,
      "sliceName": "VerrichtingTypeCodelijst",
      "binding": {
        "strength": "required",
        "description": "NICE-ProcedureCodeList",
        "valueSetReference": {
          "display": "ProcedureCodelist",
          "reference": "https://fhir.stichting-nice.nl/fhir/ValueSet/NICE-ProcedureCodeList"
        }
      },
      "alias": [ "Verrichting" ],
      "id": "Procedure.code.coding:VerrichtingTypeCodelijst"
    }, {
      "id": "Procedure.subject",
      "path": "Procedure.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.context",
      "path": "Procedure.context",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1"
      } ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "name": "NICE",
    "telecom": [ {
      "value": "vragen@stichting-nice.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-Procedure"
}