| 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-MedicationAdministration-2022Q1 |
| Url | https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-MedicationAdministration-2022Q1 |
| Version | 0.0.1 |
| Status | active |
| Date | 2022-02-14T17:27:12.548435+00:00 |
| Name | NICE-MedicationAdministration |
| Title | NICE-MedicationAdministration |
| Experimental | False |
| Description | This profile is for submitting data to the NICE related to the admission of medication. The NICE needs information regarding: - The date of administration - The route it was administered in - The dosage - The rate of administration |
| Purpose | This profile is used to submit medication administration 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) MedicationAdministration, 2017 release version 3.1 |
| Copyright | CC0 |
| Type | MedicationAdministration |
| Kind | resource |
No resources found
| StructureDefinition | |
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ScoreDay-2022Q1  | NICE-ScoreDay |
| https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1 | NICE-Verified |
| https://fhir.stichting-nice.nl/ValueSet/NICE-AdministrationRoute | NICE-AdministrationRoute |
FHIR{
"resourceType" : "StructureDefinition",
"id" : "NICE-MedicationAdministration",
"meta" : {
"lastUpdated" : "2022-08-04T15:15:04.2630353+00:00"
},
"url" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-MedicationAdministration-2022Q1",
"version" : "0.0.1",
"name" : "NICE-MedicationAdministration",
"title" : "NICE-MedicationAdministration",
"status" : "active",
"date" : "2022-02-14T17:27:12.548435+00:00",
"publisher" : "NICE",
"contact" : [
{
"name" : "NICE",
"telecom" : [
{
"system" : "email",
"value" : "vragen@stichting-nice.nl"
}
]
}
],
"description" : "This profile is for submitting data to the NICE related to the admission of medication. The NICE needs information regarding: \r\n- The date of administration \r\n- The route it was administered in \r\n- The dosage \r\n- The rate of administration",
"purpose" : "This profile is used to submit medication administration 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) MedicationAdministration, 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-SOFA",
"uri" : "https://www.stichting-nice.nl/dd/#547",
"name" : "NICE-Datadictionary-SOFA",
"comment" : "The Sequential Organ Failure Assessment (SOFA) module"
},
{
"identity" : "NICE-Datadictionary-Capacity",
"uri" : "https://www.stichting-nice.nl/dd/#561",
"name" : "NICE-Datadictionary-Capacity",
"comment" : "The Patient Acuity Registration"
},
{
"identity" : "NICE-Datadictionary-Sepsis",
"uri" : "https://www.stichting-nice.nl/dd/#646",
"name" : "NICE-Datadictionary-Sepsis",
"comment" : "The Sepsis Registration Module"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "MedicationAdministration",
"baseDefinition" : "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "MedicationAdministration",
"path" : "MedicationAdministration",
"definition" : "Medication administration is the registration of the individual administrations of the medicine on the patient by the administrator (e.g. a nurse or patient themselves), in relation to the entered agreements.\r\n\r\nThe NICE registration encompasses two types of data elements: (1) elements that require the amount of the administered product and (2) whether or not a specific kind of medication is administered to the patient. This profile can be used to submit both types."
},
{
"id" : "MedicationAdministration.extension",
"path" : "MedicationAdministration.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
},
"min" : 3
},
{
"id" : "MedicationAdministration.extension:ScoreDay",
"path" : "MedicationAdministration.extension",
"sliceName" : "ScoreDay",
"definition" : "Extension that is used to indicate the day of scoring. The first 24 hours after admission count as day 1. The next day starts from the first morning shift and lasts 24 hours, so until the start of the next morning shift. Note: Score day 1 can overlap with score day 2, and 'the first morning shift' is specified locally can differ between hospitals.\r\n\r\nScoreDay SHALL be submitted if the instance is not about the historical use of the medication.",
"min" : 1,
"type" : [
{
"code" : "Extension",
"profile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ScoreDay-2022Q1"
}
]
},
{
"id" : "MedicationAdministration.extension:Verified",
"path" : "MedicationAdministration.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" : "MedicationAdministration.extension:Verified",
"path" : "MedicationAdministration.extension",
"sliceName" : "Verified",
"short" : "Is the instance validated by a medical professional?",
"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.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1"
}
]
},
{
"id" : "MedicationAdministration.dosage.route",
"path" : "MedicationAdministration.dosage.route",
"definition" : "The route through which the medication is administered (oral, nasal, intravenous,...)\r\n\r\nThe original Nictiz valueset describes that all values from the Dutch G-standaard (administration routes) can be submitted. However, NICE can only process the following codes (which is also due to the fact that NICE doens't have to know all specific administration routes):\r\n- Intraveneus (intravenous)\r\n- Intra-arterieel (Intra-arterial)\r\n- Oraal (Oral)\r\n- Niet ingevuld (Not registered)\r\n- Niet van toepassing (not applicable)",
"binding" : {
"strength" : "extensible",
"description" : "MedicationAdministrationRouteCodelist",
"valueSetUri" : "https://fhir.stichting-nice.nl/ValueSet/NICE-AdministrationRoute"
},
"mapping" : [
{
"identity" : "NICE-Datadictionary-MDS",
"map" : "https://www.stichting-nice.nl/dd/#432",
"comment" : "Vasoactive medication"
},
{
"identity" : "NICE-Datadictionary-Capacity",
"map" : "https://www.stichting-nice.nl/dd/#576",
"comment" : "Administration of arterial medication"
},
{
"identity" : "NICE-Datadictionary-Capacity",
"map" : "https://www.stichting-nice.nl/dd/#572",
"comment" : "Continuous intravenous administration of antiarrythmics"
},
{
"identity" : "NICE-Datadictionary-Capacity",
"map" : "https://www.stichting-nice.nl/dd/#599",
"comment" : "Anticoagulation"
},
{
"identity" : "NICE-Datadictionary-Capacity",
"map" : "https://www.stichting-nice.nl/dd/#611",
"comment" : "Nutrition - parenteral"
},
{
"identity" : "NICE-Datadictionary-Capacity",
"map" : "https://www.stichting-nice.nl/dd/#625",
"comment" : "Antibiotics (IV)"
}
]
},
{
"id" : "MedicationAdministration.dosage.dose",
"path" : "MedicationAdministration.dosage.dose",
"definition" : "Amount of the administered product\r\n\r\nNOTE: NICE will not process exact dose values because they are not required to interpret the data dictionary elements. HOWEVER, when sending a MedicationAdministration record/instance this value shall NOT be 0 in order for NICE to process the instance. Otherwise the instance is marked as 'not administered'."
},
{
"id" : "MedicationAdministration.dosage.rate[x]",
"path" : "MedicationAdministration.dosage.rate[x]",
"definition" : "The administering speed is used in slow administration of liquid. In practice, the measuring unit is almost always ml/hour. \r\n\r\nFor example, with an administering speed of 10ml/hour: \r\n- amount = 10 (Ratio.numerator.Quantity.value)\r\n- dose unit = ml (Ratio.numerator.Quantity.unit)\r\n- time unit = hour (Ratio.denominator.Quantity.unit)\r\n\r\n**A hospital should only submit the highest dosage rate per ScoreDay as described in the data dictionary. Submission of multiple values will not be processed by NICE.**\r\n\r\nSubmitting the administering speed is only relevant for the NICE elements that require administration dosage:\r\n- Highest dopamine speed (SOFA/Sepsis)\r\n- Highest adrenaline speed (SOFA/Sepsis)\r\n- Highest noradrenaline speed (SOFA/Sepsis)",
"constraint" : [
{
"key" : "valueExtremes",
"severity" : "error",
"human" : "Defines the lower bounds and upper bounds of the allowed values for Bodyheight",
"expression" : "MedicationAdministration.dosage.rate.quantity > 0.0 and MedicationAdministration.dosage.rate.quantity < 100.0"
}
],
"mapping" : [
{
"identity" : "NICE-Datadictionary-SOFA",
"map" : "https://www.stichting-nice.nl/dd/#18",
"comment" : "Highest adrenaline speed (SOFA)"
},
{
"identity" : "NICE-Datadictionary-SOFA",
"map" : "https://www.stichting-nice.nl/dd/#224",
"comment" : "Highest noradrenaline speed (SOFA)"
},
{
"identity" : "NICE-Datadictionary-SOFA",
"map" : "https://www.stichting-nice.nl/dd/#94",
"comment" : "Highest dopamine speed"
},
{
"identity" : "NICE-Datadictionary-Sepsis",
"map" : "https://www.stichting-nice.nl/dd/#740",
"comment" : "Highest dopamine speed (Sepsis)"
},
{
"identity" : "NICE-Datadictionary-Sepsis",
"map" : "https://www.stichting-nice.nl/dd/#744",
"comment" : "Highest adrenaline speed (Sepsis)"
},
{
"identity" : "NICE-Datadictionary-Sepsis",
"map" : "https://www.stichting-nice.nl/dd/#745",
"comment" : "Highest noradrenaline speed (Sepsis)"
}
]
}
]
},
"text" : {
}
}
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