| 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-HeartRate-2022Q1 |
| Url | https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-HeartRate-2022Q1 |
| Version | 1 |
| Status | active |
| Date | 2022-01-24T16:29:52.8331961+00:00 |
| Name | NICE-HeartRate |
| Title | NICE-HeartRate |
| Experimental | False |
| Description | This profile is for submitting the patient's lowest and highest heart rate in beats/min to the NICE. |
| Purpose | This profile is used to submit heart rate 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) HeartRate, 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 |
| http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate | zib HeartRate |
| https://fhir.stichting-nice.nl/ValueSet/NICE-HeartRateCategory | NICE-HeartRateCategory |
FHIR{
"resourceType" : "StructureDefinition",
"id" : "NICE-HeartRate",
"meta" : {
"lastUpdated" : "2022-09-01T08:28:44.4866633+00:00"
},
"url" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-HeartRate-2022Q1",
"version" : "1",
"name" : "NICE-HeartRate",
"title" : "NICE-HeartRate",
"status" : "active",
"date" : "2022-01-24T16:29:52.8331961+00:00",
"publisher" : "NICE",
"contact" : [
{
"name" : "NICE",
"telecom" : [
{
"system" : "email",
"value" : "vragen@stichting-nice.nl"
}
]
}
],
"description" : "This profile is for submitting the patient's lowest and highest heart rate in beats/min to the NICE.",
"purpose" : "This profile is used to submit heart rate 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) HeartRate, 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-HeartRate",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"definition" : "This profile defines how to represent heart rate observations in FHIR using a standard LOINC code and UCUM units of measure.\r\nThe heart frequency is the number of heartbeats per minute.\r\n\r\nThis profile should be used to submit the following:\r\n- The lowest and the highest heart frequencies during the first 24 hours of IC admission. \r\n- The highest heart rate during suspected sepsis in order to identify the presence of tachycardia.\r\n\r\nFor more information on this subject the NICE Datadictionary can be consulted."
},
{
"id" : "Observation.extension",
"path" : "Observation.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 2
},
{
"id" : "Observation.extension:ExtremeValueType",
"path" : "Observation.extension",
"sliceName" : "ExtremeValueType",
"short" : "Value extremum",
"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 heart rate (MDS)",
"min" : 1,
"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",
"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",
"definition" : "The status of the result value. Only final observations are relevant for NICE.",
"requirements" : "Other values are not relevant. Values should be validated by a practitioner.",
"fixedCode" : "final"
},
{
"id" : "Observation.category",
"path" : "Observation.category",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "coding"
}
],
"description" : "Multiple types of categories can exists. In case of a HeartRate, the category SHALL always be 'vital-signs'",
"rules" : "open"
},
"short" : "Classification of type of observation",
"definition" : "Two types of heartrate can be submitted: (1) The heart frequency that should be submitted for the minimal dataset and (2) the heart frequency that should be submitted for the sepsis registration. \r\n\r\nThe measurement type shall be differentiated by means of this category element: \r\n- If the heart rate concerns the minimal dataset, the category:HeartRateSepsis **shall NOT** be submitted. \r\n- If the heart rate concerns the sepsis registration, the category:HeartRateSepsis **shall** be submitted.",
"binding" : {
"strength" : "required",
"description" : "Codes for the heartrate category measurement",
"valueSetReference" : {
"reference" : "https://fhir.stichting-nice.nl/ValueSet/NICE-HeartRateCategory"
}
}
},
{
"id" : "Observation.category:HeartRate",
"path" : "Observation.category",
"sliceName" : "HeartRate",
"max" : "1"
},
{
"id" : "Observation.category:HeartRate.coding.system",
"path" : "Observation.category.coding.system",
"fixedUri" : "https://fhir.stichting-nice.nl/NICE-codes"
},
{
"id" : "Observation.category:HeartRate.coding.code",
"path" : "Observation.category.coding.code",
"fixedCode" : "VS"
},
{
"id" : "Observation.category:HeartRateSepsis",
"path" : "Observation.category",
"sliceName" : "HeartRateSepsis",
"definition" : "This coding is used to identify the presence of tacycardia during suspected sepsis. The **highest** heart rate during suspected sepsis shall be submitted.",
"max" : "1"
},
{
"id" : "Observation.category:HeartRateSepsis.coding.system",
"path" : "Observation.category.coding.system",
"fixedUri" : "https://fhir.stichting-nice.nl/NICE-codes"
},
{
"id" : "Observation.category:HeartRateSepsis.coding.code",
"path" : "Observation.category.coding.code",
"fixedCode" : "VS-SEPSIS"
},
{
"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"
}
],
"mustSupport" : true
},
{
"id" : "Observation.effective[x]:effectiveDateTime",
"path" : "Observation.effectiveDateTime",
"sliceName" : "effectiveDateTime",
"definition" : "Date and time of the heartrate measurement.",
"type" : [
{
"code" : "dateTime"
}
]
},
{
"id" : "Observation.valueQuantity:valueQuantity",
"path" : "Observation.valueQuantity",
"sliceName" : "valueQuantity",
"short" : "Heartrate",
"definition" : "The heart frequency measured as the number of heartbeats per minute.\r\n\r\nTwo types of heartrate can be submitted:\r\n- The heart frequency that should be submitted for the minimal dataset. **Additional information about the measurement type (highest or lowest) should be submitted by means of the extension.ExtremeValueType element.**\r\n- The heart frequency that should be submitted for the sepsis registration. In this case, the **highest** heart rate around the time that sepsis was suspected should be submitted. In case the highest heart rate is higher than 90 (beats/minute), it is scored as tachycardia.\r\n\r\nThe measurement type shall be differentiated by means of the category element.",
"mapping" : [
{
"identity" : "NICE-Datadictionary-MDS",
"map" : "https://www.stichting-nice.nl/dd/#148",
"comment" : "Lowest heart rate"
},
{
"identity" : "NICE-Datadictionary-MDS",
"map" : "https://www.stichting-nice.nl/dd/#147",
"comment" : "Highest heart rate"
},
{
"identity" : "NICE-Datadictionary-Sepsis",
"map" : "https://www.stichting-nice.nl/dd/#662",
"comment" : "Tachycardia"
}
]
}
]
},
"text" : {
}
}
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