{
  "description": "This profile is for sumbitting data to the NICE related to treatment impairments on:\\r\\n- Heart massage\\r\\n- Ventilation treatment\\r\\n- Re-admission",
  "_filename": "NICE-TreatmentDirective.json",
  "package_name": "niceprofiling.v23q1",
  "date": "2021-11-01T12:37:25.2564731+00:00",
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2022-08-04T15:26:50.5769636+00:00"
  },
  "publisher": "NICE",
  "fhirVersion": "3.0.2",
  "purpose": "This profile is used to submit treatment directive 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) TreatmentDirective, 2017 release version 3.1",
  "name": "NICE-TreatmentDirective",
  "mapping": [ {
    "uri": "https://www.stichting-nice.nl/dd/#528",
    "name": "NICE-Datadictionary-MDS",
    "comment": "The Minimal Data Set (MDS)",
    "identity": "NICE-Datadictionary-MDS"
  } ],
  "abstract": false,
  "copyright": "CC0",
  "type": "Consent",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "NICE-TreatmentDirective",
  "package_version": "0.3.0",
  "status": "active",
  "id": "e406d48f-098a-4034-8d18-8f9c6b132f97",
  "kind": "resource",
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-TreatmentDirective-2022Q1",
  "version": "0.0.1",
  "differential": {
    "element": [ {
      "id": "Consent",
      "path": "Consent",
      "definition": "A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.\r\n\r\nThe required registration of treatment directives is categorised into four types: CPR, ventilator support, renal replacement therapy and ICU readmission."
    }, {
      "id": "Consent.extension",
      "min": 3,
      "path": "Consent.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Consent.extension:additionalSources",
      "min": 1,
      "path": "Consent.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "sliceName": "additionalSources"
    }, {
      "id": "Consent.extension:Verified",
      "max": "1",
      "min": 1,
      "path": "Consent.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": "Consent.extension:treatment",
      "min": 1,
      "path": "Consent.extension",
      "mapping": [ {
        "map": "https://www.stichting-nice.nl/dd/#922",
        "comment": "Heart massage treatment impairment on IC admission",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#923",
        "comment": "Heart massage treatment impairment on IC discharge",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#924",
        "comment": "Ventilation treatment impairment on IC admission",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#925",
        "comment": "Ventilation treatment impairment on IC discharge",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#928",
        "comment": "Re-admission treatment impairment",
        "identity": "NICE-Datadictionary-MDS"
      } ],
      "sliceName": "treatment",
      "definition": "The medical treatment to which the treatment instruction applies. The instruction is documented in the treatmentPermitted element.",
      "mustSupport": true
    }, {
      "id": "Consent.extension:treatment.value[x]",
      "path": "Consent.extension.value[x]",
      "binding": {
        "strength": "extensible",
        "valueSetUri": "https://fhir.stichting-nice.nl/ValueSet/NICE-TreatmentCodelist"
      }
    }, {
      "id": "Consent.modifierExtension",
      "min": 1,
      "path": "Consent.modifierExtension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Consent.modifierExtension:treatmentPermitted",
      "min": 1,
      "path": "Consent.modifierExtension",
      "mapping": [ {
        "map": "https://www.stichting-nice.nl/dd/#922",
        "comment": "Heart massage treatment impairment on IC admission",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#923",
        "comment": "Heart massage treatment impairment on IC discharge",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#924",
        "comment": "Ventilation treatment impairment on IC admission",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#925",
        "comment": "Ventilation treatment impairment on IC discharge",
        "identity": "NICE-Datadictionary-MDS"
      }, {
        "map": "https://www.stichting-nice.nl/dd/#928",
        "comment": "Re-admission treatment impairment",
        "identity": "NICE-Datadictionary-MDS"
      } ],
      "sliceName": "treatmentPermitted",
      "mustSupport": true
    }, {
      "id": "Consent.patient",
      "path": "Consent.patient",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
      } ],
      "mustSupport": true
    }, {
      "id": "Consent.dateTime",
      "min": 1,
      "path": "Consent.dateTime",
      "short": "When this Consent was registered",
      "definition": "When this Consent/TreatmentDirective was registered.",
      "mustSupport": true
    }, {
      "id": "Consent.consentingParty",
      "path": "Consent.consentingParty",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
      }, {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
      }, {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
      }, {
        "code": "Reference",
        "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
      } ]
    } ]
  },
  "contact": [ {
    "name": "NICE",
    "telecom": [ {
      "value": "vragen@stichting-nice.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective"
}