| Package | NICEProfiling.v23Q1 |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R3 |
| Source | https://simplifier.net/resolve?scope=NICEProfiling.v23Q1@0.1.0&canonical=https://fhir.stichting-nice.nl/StructureDefinition/NICE-Respiration_Oud |
| Url | https://fhir.stichting-nice.nl/StructureDefinition/NICE-Respiration_Oud |
| Version | 0.0.1 |
| Status | draft |
| Date | 2022-01-06T16:20:13.7052736Z |
| Name | NICE-Respiration_Oud |
| Title | NICE-Respiration_Oud |
| Experimental | False |
| Description | A Profile that is specifically derived for the purpose of exchanging Respiration-related date for the Dutch NICE (National Intensive Care Evaluation) submission. Consult http://nice.nl/[...]/DictionaryFHIR for a list of NICE data dictionary elements that can be echanged using this profile. This is a profile derived from Dutch zib-Respirartion in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB). Version 3.1, release 2017. |
| Purpose | # Purpose of HCIM Observing a person’s spontaneous breathing, including recording breathing frequency, depth and rhythm, is done to gain an indication of the health condition of the patient’s pulmonary system. # Purpose of this profile This profile defines the main building block for observing a patients respiratory parameters, including spontaneous breathing and info about administered oxygen (via the extension zib-Respiration-AdministeredOxygen). It is complemented by the profiles zib-Respiration-AdministeredOxygen-MedicalDevice (DeviceUseStatement) and zib-Respiration-AdministeredOxygen-MedicalDeviceProduct (Device) to register the device used to administer extra oxygen. |
| Type | Observation |
| Kind | resource |
No resources found
| StructureDefinition | |
http://fhir.nl/fhir/StructureDefinition/nl-core-observation  | nl-core-observation |
| http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen | HCIM Respiration AdministeredOxygen |
| http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000 | AfwijkendAdemhalingspatroonCodelijst |
| http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000 | DiepteCodelijst |
| http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000 | RitmeCodelijst |
FHIR{
"resourceType" : "StructureDefinition",
"id" : "6c609c65-2a66-4a48-b995-90ebe20f6630",
"meta" : {
"lastUpdated" : "2022-01-06T16:23:13.032+00:00"
},
"url" : "https://fhir.stichting-nice.nl/StructureDefinition/NICE-Respiration_Oud",
"version" : "0.0.1",
"name" : "NICE-Respiration_Oud",
"title" : "NICE-Respiration_Oud",
"status" : "draft",
"date" : "2022-01-06T16:20:13.7052736Z",
"publisher" : "NICE",
"description" : "A Profile that is specifically derived for the purpose of exchanging Respiration-related date for the Dutch NICE (National Intensive Care Evaluation) submission. Consult http://nice.nl/[...]/DictionaryFHIR for a list of NICE data dictionary elements that can be echanged using this profile. This is a profile derived from Dutch zib-Respirartion in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB). Version 3.1, release 2017.",
"purpose" : "# Purpose of HCIM\r\nObserving a person’s spontaneous breathing, including recording breathing frequency, depth and rhythm, is done to gain an indication of the health condition of the patient’s pulmonary system.\r\n\r\n# Purpose of this profile\r\nThis profile defines the main building block for observing a patients respiratory parameters, including spontaneous breathing and info about administered oxygen (via the extension zib-Respiration-AdministeredOxygen). It is complemented by the profiles zib-Respiration-AdministeredOxygen-MedicalDevice (DeviceUseStatement) and zib-Respiration-AdministeredOxygen-MedicalDeviceProduct (Device) to register the device used to administer extra oxygen.",
"fhirVersion" : "3.0.2",
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"uri" : "https://zibs.nl/wiki/Respiration-v3.1(2017EN)",
"name" : "HCIM Respiration-v3.1(2017EN)"
},
{
"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://fhir.nl/fhir/StructureDefinition/nl-core-observation",
"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.",
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.1",
"comment" : "Respiration"
}
]
},
{
"id" : "Observation.extension",
"path" : "Observation.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 0
},
{
"id" : "Observation.extension:administeredOxygen",
"path" : "Observation.extension",
"sliceName" : "administeredOxygen",
"short" : "AdministeredOxygen",
"definition" : "Container of the AdministeredOxygen concept. This container contains all data elements of the AdministeredOxygen concept.",
"alias" : [
"ToegediendeZuurstof"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen"
}
],
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.8",
"comment" : "AdministeredOxygen"
}
]
},
{
"id" : "Observation.extension:administeredOxygen.extension",
"path" : "Observation.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 0
},
{
"id" : "Observation.extension:administeredOxygen.extension:extraOxygenAdministration",
"path" : "Observation.extension.extension",
"sliceName" : "extraOxygenAdministration",
"min" : 0
},
{
"id" : "Observation.extension:administeredOxygen.extension:extraOxygenAdministration.valueBoolean:valueBoolean",
"path" : "Observation.extension.extension.valueBoolean",
"sliceName" : "valueBoolean",
"short" : "ExtraOxygenAdministration",
"definition" : "An indication stating whether the patient is given extra oxygen. In that event, additional information can be recorded in the concepts that are part of the AdministeredOxygen container.",
"alias" : [
"ExtraZuurstofToediening"
],
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.12",
"comment" : "ExtraOxygenAdministration"
}
]
},
{
"id" : "Observation.extension:administeredOxygen.extension:flowRate",
"path" : "Observation.extension.extension",
"sliceName" : "flowRate",
"min" : 0
},
{
"id" : "Observation.extension:administeredOxygen.extension:flowRate.valueQuantity:valueQuantity",
"path" : "Observation.extension.extension.valueQuantity",
"sliceName" : "valueQuantity",
"short" : "FlowRate",
"definition" : "The amount of administered oxygen. The value is between 0.0 and 50.0 l/min.",
"alias" : [
"FlowRate"
],
"example" : [
{
"label" : "Example of flow rate",
"valueQuantity" : {
"value" : 2.0,
"unit" : "l/min",
"system" : "http://unitsofmeasure.org",
"code" : "l/min"
}
}
],
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.10",
"comment" : "FlowRate"
}
]
},
{
"id" : "Observation.extension:administeredOxygen.extension:flowRate.valueQuantity:valueQuantity.value",
"path" : "Observation.extension.extension.valueQuantity.value",
"minValueDecimal" : 0.0,
"maxValueDecimal" : 50.0
},
{
"id" : "Observation.extension:administeredOxygen.extension:fiO2",
"path" : "Observation.extension.extension",
"sliceName" : "fiO2",
"min" : 0,
"mapping" : [
{
"identity" : "NICE-Datadictionary-MDS",
"language" : "English/Dutch",
"map" : "https://www.stichting-nice.nl/dd/#114",
"comment" : "FiO2 (MDS)"
}
]
},
{
"id" : "Observation.extension:administeredOxygen.extension:fiO2.valueQuantity:valueQuantity",
"path" : "Observation.extension.extension.valueQuantity",
"sliceName" : "valueQuantity",
"short" : "FiO2",
"definition" : "The fractional concentration of inspired oxygen. Value is between 15% and 100%, with a normal value of 21% (no extra oxygen administered).\r\n\r\nSubmit FiO2 relating to the sample with PaO2 and PaCO2 measurement which, when combined, result in the highest alveolar-arterial oxygen pressure difference in the first 24 hours of IC admission. More information on this definition can be found in the NICE datadictionary: https://www.stichting-nice.nl/dd/#114",
"alias" : [
"FiO2"
],
"example" : [
{
"label" : "Example of FiO2",
"valueQuantity" : {
"value" : 29,
"unit" : "{percentage}",
"system" : "http://unitsofmeasure.org"
}
}
],
"minValueQuantity" : {
"value" : 15,
"comparator" : ">=",
"unit" : "%"
},
"maxValueQuantity" : {
"value" : 100,
"comparator" : "<=",
"unit" : "%"
},
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.9",
"comment" : "FiO2"
}
]
},
{
"id" : "Observation.extension:administeredOxygen.extension:fiO2.valueQuantity:valueQuantity.value",
"path" : "Observation.extension.extension.valueQuantity.value",
"minValueDecimal" : 15,
"maxValueDecimal" : 100
},
{
"id" : "Observation.extension:valueExtremum",
"path" : "Observation.extension",
"sliceName" : "valueExtremum",
"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" : "http://fhir.stichting-nice.nl/Extension/NICE-valueExtremum"
}
]
},
{
"id" : "Observation.extension:valueExtremum.valueCodeableConcept:valueCodeableConcept",
"path" : "Observation.extension.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"definition" : "Submit \"L\" for the lowest or \"H\" for the highest score during the ScoreDay."
},
{
"id" : "Observation.status",
"path" : "Observation.status",
"short" : "final",
"definition" : "The status of the result value. Only final observations are relevant for NICE.",
"fixedCode" : "final"
},
{
"id" : "Observation.code.coding",
"path" : "Observation.code.coding",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "Observation.code.coding:RespiratoryAssessment",
"path" : "Observation.code.coding",
"sliceName" : "RespiratoryAssessment",
"min" : 1,
"max" : "1"
},
{
"id" : "Observation.code.coding:RespiratoryAssessment.system",
"path" : "Observation.code.coding.system",
"min" : 1,
"fixedUri" : "http://snomed.info/sct"
},
{
"id" : "Observation.code.coding:RespiratoryAssessment.code",
"path" : "Observation.code.coding.code",
"min" : 1,
"fixedCode" : "422834003"
},
{
"id" : "Observation.code.coding:RespiratoryAssessment.display",
"path" : "Observation.code.coding.display",
"defaultValueString" : "Respiratory assessment"
},
{
"id" : "Observation.subject",
"path" : "Observation.subject",
"type" : [
{
"code" : "Reference",
"targetProfile" : "https://fhir.stichting-nice.nl/StructureDefinition/NICE-Patient"
}
]
},
{
"id" : "Observation.context",
"path" : "Observation.context",
"type" : [
{
"code" : "Reference",
"targetProfile" : "https://fhir.stichting-nice.nl/StructureDefinition/NICE-Encounter"
}
]
},
{
"id" : "Observation.effective[x]:effectiveDateTime",
"path" : "Observation.effectiveDateTime",
"sliceName" : "effectiveDateTime",
"short" : "BreathingDateTime",
"definition" : "Date and if possible time of measurement.",
"alias" : [
"AdemhalingDatumTijd"
],
"min" : 1,
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.4",
"comment" : "BreathingDateTime"
}
]
},
{
"id" : "Observation.comment",
"path" : "Observation.comment",
"short" : "Comment",
"definition" : "Comment on additional factors that can influence breathing such as the extent of fear, pain, nutrition in the case of infants or a tracheostomy.",
"alias" : [
"Toelichting"
],
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.3",
"comment" : "Comment"
}
]
},
{
"id" : "Observation.component",
"path" : "Observation.component",
"slicing" : {
"discriminator" : [
{
"type" : "pattern",
"path" : "code"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.component:BreathingFrequency",
"path" : "Observation.component",
"sliceName" : "BreathingFrequency",
"max" : "1",
"mapping" : [
{
"identity" : "NICE-Datadictionary-MDS",
"language" : "English/Dutch",
"map" : "https://www.stichting-nice.nl/dd/#366",
"comment" : "Lowest respiratory rate"
},
{
"identity" : "NICE-Datadictionary-MDS",
"language" : "English/Dutch",
"map" : "https://www.stichting-nice.nl/dd/#365",
"comment" : "Highest respiratory rate"
}
]
},
{
"id" : "Observation.component:BreathingFrequency.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9279-1"
}
]
}
},
{
"id" : "Observation.component:BreathingFrequency.value[x]:valueQuantity",
"path" : "Observation.component.valueQuantity",
"sliceName" : "valueQuantity",
"short" : "BreathingFrequency",
"definition" : "The value of the measured breathing frequency. The breathing frequency is the number of breaths per minute.\r\n\r\n**Additional information about the measurement type (highest or lowest) should be submitted by means of the extension.valueExtremum element.**",
"alias" : [
"Ademfrequentie"
],
"type" : [
{
"code" : "Quantity"
}
],
"example" : [
{
"label" : "Example of breathing frequency",
"valueQuantity" : {
"value" : 15.0,
"unit" : "breaths per minute",
"system" : "http://unitsofmeasure.org",
"code" : "{breaths}/min"
}
}
],
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.2",
"comment" : "BreathingFrequency"
}
]
},
{
"id" : "Observation.component:BreathingFrequency.interpretation.coding",
"path" : "Observation.component.interpretation.coding",
"binding" : {
"strength" : "preferred",
"description" : "Set met 'Bij verdenking sepsis'"
}
},
{
"id" : "Observation.component:Rhythm",
"path" : "Observation.component",
"sliceName" : "Rhythm",
"max" : "1"
},
{
"id" : "Observation.component:Rhythm.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "48064009"
}
]
}
},
{
"id" : "Observation.component:Rhythm.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "Rhythm",
"definition" : "The rhythm or regularity of breathing.",
"alias" : [
"Ritme"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"description" : "RitmeCodelijst",
"valueSetReference" : {
"reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000",
"display" : "RitmeCodelijst"
}
},
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.5",
"comment" : "Rhythm"
}
]
},
{
"id" : "Observation.component:Depth",
"path" : "Observation.component",
"sliceName" : "Depth",
"max" : "1"
},
{
"id" : "Observation.component:Depth.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "271626009"
}
]
}
},
{
"id" : "Observation.component:Depth.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "Depth",
"definition" : "The depth of the breaths.",
"alias" : [
"Diepte"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"description" : "DiepteCodelijst",
"valueSetReference" : {
"reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000",
"display" : "DiepteCodelijst"
}
},
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.6",
"comment" : "Depth"
}
]
},
{
"id" : "Observation.component:DeviatingBreathingPattern",
"path" : "Observation.component",
"sliceName" : "DeviatingBreathingPattern",
"max" : "1"
},
{
"id" : "Observation.component:DeviatingBreathingPattern.code",
"path" : "Observation.component.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "278907009"
}
]
}
},
{
"id" : "Observation.component:DeviatingBreathingPattern.value[x]:valueCodeableConcept",
"path" : "Observation.component.valueCodeableConcept",
"sliceName" : "valueCodeableConcept",
"short" : "DeviatingBreathingPattern",
"definition" : "Specific, abnormal breathing patterns.",
"alias" : [
"AfwijkendAdemhalingspatroon"
],
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"description" : "AfwijkendAdemhalingspatroonCodelijst",
"valueSetReference" : {
"reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000",
"display" : "AfwijkendAdemhalingspatroonCodelijst"
}
},
"mapping" : [
{
"identity" : "hcim-respiration-v3.1-2017EN",
"map" : "NL-CM:12.5.7",
"comment" : "DeviatingBreathingPattern"
}
]
},
{
"id" : "Observation.component:BreathingFrequencySepsis",
"path" : "Observation.component",
"sliceName" : "BreathingFrequencySepsis",
"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.",
"max" : "1",
"mapping" : [
{
"identity" : "NICE-Datadictionary-Sepsis",
"language" : "English/Dutch",
"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"
}
]
}
},
{
"id" : "Observation.component:BreathingFrequencySepsis.value[x]:valueQuantity",
"path" : "Observation.component.valueQuantity",
"sliceName" : "valueQuantity",
"short" : "Breathing frequency",
"definition" : "The value of the measured breathing frequency. The breathing frequency is the number of breaths per minute.\r\n\r\n*The respiratory frequency measurement around the time that sepsis was suspected should be submitted.*",
"type" : [
{
"code" : "Quantity"
}
]
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.