Package | NICEProfiling.v23Q1 |
Type | StructureDefinition |
Id | Id |
FHIR Version | R3 |
Source | https://simplifier.net/resolve?scope=NICEProfiling.v23Q1@0.5.0&canonical=https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Respiration-2022Q1 |
Url | https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Respiration-2022Q1 |
Version | 1 |
Status | active |
Date | 2022-02-07T16:11:58.5818263+00:00 |
Name | NICE-Respiration |
Title | NICE-Respiration |
Experimental | False |
Description | This profile is for sumbitting data to the NICE related to the patient's respiration. Of interest are the patient's: - FiO2 in the first 24 hours after ICU admission - Highest & lowest respiratory rate in the first 24 hours after ICU admission If also submitting sepsis related data: - Breathing frequency 2 hours before or after suspicion of sepsis |
Purpose | This profile is used to submit respiratory 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) Respiration, 2017 release version 3.1 |
Copyright | CC0 |
Type | Observation |
Kind | resource |
No resources found
StructureDefinition | |
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1 | NICE-Encounter |
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ExtremeValueType-2022Q1 | NICE-ExtremeValueType |
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1 | NICE-Patient |
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1 | NICE-Verified |
https://fhir.stichting-nice.nl/ValueSet/NICE-BreathingFrequencySepsis | NICE-BreathingFrequencySepsis |
{
"resourceType" : "StructureDefinition",
"id" : "NICE-Respiration",
"meta" : {
"lastUpdated" : "2022-04-14T08:41:24.1808746+00:00"
},
"url" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Respiration-2022Q1",
"version" : "1",
"name" : "NICE-Respiration",
"title" : "NICE-Respiration",
"status" : "active",
"date" : "2022-02-07T16:11:58.5818263+00:00",
"publisher" : "NICE",
"contact" : [
{
"name" : "NICE",
"telecom" : [
{
"system" : "email",
"value" : "vragen@stichting-nice.nl"
}
]
}
],
"description" : "This profile is for sumbitting data to the NICE related to the patient's respiration. Of interest are the patient's:\r\n- FiO2 in the first 24 hours after ICU admission\r\n- Highest & lowest respiratory rate in the first 24 hours after ICU admission\r\nIf also submitting sepsis related data:\r\n- Breathing frequency 2 hours before or after suspicion of sepsis",
"purpose" : "This profile is used to submit respiratory 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) Respiration, 2017 release version 3.1",
"copyright" : "CC0",
"fhirVersion" : "3.0.2",
"mapping" : [
{
"identity" : "NICE-Datadictionary-MDS",
"uri" : "https://www.stichting-nice.nl/dd/#528",
"name" : "NICE-Datadictionary-MDS",
"comment" : "The Minimal Data Set (MDS)"
},
{
"identity" : "NICE-Datadictionary-Sepsis",
"uri" : "https://www.stichting-nice.nl/dd/#646",
"name" : "NICE-Datadictionary-Sepsis",
"comment" : "The sepsis registration"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Observation",
"baseDefinition" : "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"definition" : "Respiratory measurements and simple assertions made about a patient or device that administered extra oxygen.\r\n\r\nThis profile should be used to submit the percentage of oxygen inhaled (FiO2) and breathing frequency (normal condition and during suspected sepsis). More information can be found in the NICE data dictionary."
},
{
"id" : "Observation.extension",
"path" : "Observation.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "Observation.extension:AdministeredOxygen",
"path" : "Observation.extension",
"sliceName" : "AdministeredOxygen",
"min" : 0
},
{
"id" : "Observation.extension:AdministeredOxygen.extension",
"path" : "Observation.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 0
},
{
"id" : "Observation.extension:AdministeredOxygen.extension:fiO2",
"path" : "Observation.extension.extension",
"sliceName" : "fiO2",
"min" : 0,
"mapping" : [
{
"identity" : "NICE-Datadictionary-MDS",
"map" : "https://www.stichting-nice.nl/dd/#114",
"comment" : "FiO2 (MDS)"
}
]
},
{
"id" : "Observation.extension:ExtremeValueType",
"path" : "Observation.extension",
"sliceName" : "ExtremeValueType",
"short" : "Highest/lowest vakue indication",
"definition" : "A range of specific NICE Datadictionary elements require to submit a lowest and/or highest measurement. This extension element should be used to differentiate between those two measurement types.\r\n\r\nThe following NICE Datadictionary element requires lowest and/or highest measurements:\r\n- Lowest/Highest respiratory rate (MDS)",
"min" : 0,
"type" : [
{
"code" : "Extension",
"profile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ExtremeValueType-2022Q1"
}
]
},
{
"id" : "Observation.extension:ExtremeValueType.valueCodeableConcept:valueCodeableConcept",
"path" : "Observation.extension.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "Value of ExtremeValueType",
"definition" : "Submit \"L\" for the lowest or \"H\" for the highest score during the ScoreDay."
},
{
"id" : "Observation.extension:Verified",
"path" : "Observation.extension",
"sliceName" : "Verified",
"short" : "Specifying validation status",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1"
}
]
},
{
"id" : "Observation.status",
"path" : "Observation.status",
"short" : "final | amended",
"definition" : "The status of the result value. This value SHALL be final or amended."
},
{
"id" : "Observation.subject",
"path" : "Observation.subject",
"type" : [
{
"code" : "Reference",
"targetProfile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
}
]
},
{
"id" : "Observation.context",
"path" : "Observation.context",
"type" : [
{
"code" : "Reference",
"targetProfile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1"
}
]
},
{
"id" : "Observation.component:BreathingFrequency",
"path" : "Observation.component",
"sliceName" : "BreathingFrequency",
"mapping" : [
{
"identity" : "NICE-Datadictionary-MDS",
"map" : "https://www.stichting-nice.nl/dd/#365",
"comment" : "Highest respiratory rate"
},
{
"identity" : "NICE-Datadictionary-MDS",
"map" : "https://www.stichting-nice.nl/dd/#366",
"comment" : "Lowest respiratory rate"
}
]
},
{
"id" : "Observation.component:BreathingFrequency.valueQuantity:valueQuantity.system",
"path" : "Observation.component.valueQuantity.system",
"fixedUri" : "http://unitsofmeasure.org"
},
{
"id" : "Observation.component:BreathingFrequencySepsis",
"path" : "Observation.component",
"sliceName" : "BreathingFrequencySepsis",
"short" : "Breathing freuqency sepsis suspected",
"definition" : "Additional component for submitting respiratory frequency measurements that are required for the sepsis registration. In this case, the respiratory frequency around the time that sepsis was suspected should be submitted.",
"mapping" : [
{
"identity" : "NICE-Datadictionary-Sepsis",
"map" : "https://www.stichting-nice.nl/dd/#663",
"comment" : "Respiratory frequency"
}
]
},
{
"id" : "Observation.component:BreathingFrequencySepsis.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9279-1",
"display" : "Respiratory rate"
}
]
}
},
{
"id" : "Observation.component:BreathingFrequencySepsis.code.coding.system",
"path" : "Observation.component.code.coding.system",
"fixedUri" : "https://fhir.stichting-nice.nl/NICE-codes"
},
{
"id" : "Observation.component:BreathingFrequencySepsis.code.coding.code",
"path" : "Observation.component.code.coding.code",
"fixedCode" : "SuspectedSepsis"
},
{
"id" : "Observation.component:BreathingFrequencySepsis.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"definition" : "A code from the NICE-HeartRateCategory valueset shall be used to specify the breathing frequency during suspected sepsis",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"description" : "Breathingfrequency during suspected sepsis",
"valueSetUri" : "https://fhir.stichting-nice.nl/ValueSet/NICE-BreathingFrequencySepsis"
}
}
]
},
"text" : {
}
}
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