FHIR IG Statistics: StructureDefinition/NICE-Encounter
| Package | niceprofiling.v23q1 |
| Resource Type | StructureDefinition |
| Id | NICE-Encounter |
| FHIR Version | R3 |
| Source | https://simplifier.net/resolve?scope=niceprofiling.v23q1@0.5.0&canonical=https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1 |
| URL | https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1 |
| Version | 1 |
| Status | active |
| Date | 2022-01-17T16:26:51.8833453Z |
| Name | NICE-Encounter |
| Title | NICE-Encounter |
| Description | This profile was derived to submit data related to the patient's admission to the hospital or ICU. |
| Purpose | This profile is used to submit encounter 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) Encounter, 2017 release version 3.1 |
| Copyright | CC0 |
| Type | Encounter |
| Kind | resource |
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{
"resourceType": "StructureDefinition",
"id": "NICE-Encounter",
"meta": {
"lastUpdated": "2022-08-04T14:57:40.2177348+00:00"
},
"url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1",
"version": "1",
"name": "NICE-Encounter",
"title": "NICE-Encounter",
"status": "active",
"date": "2022-01-17T16:26:51.8833453Z",
"publisher": "NICE",
"contact": [
{
"name": "NICE",
"telecom": [
{
"system": "email",
"value": "vragen@stichting-nice.nl"
}
]
}
],
"description": "This profile was derived to submit data related to the patient's admission to the hospital or ICU.",
"purpose": "This profile is used to submit encounter 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) Encounter, 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)"
}
],
"kind": "resource",
"abstract": false,
"type": "Encounter",
"baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Encounter.identifier",
"path": "Encounter.identifier",
"short": "AdmissionID",
"definition": "Identifier by which this encounter is known.\r\n\r\nThis should be the (sub) admission ID/number. This element should never be changed because this will lead to unidentifiable records in the NICE registry. \r\n\r\nHospitalnumber and ICU number -which are also part of the primary key- should be mapped on an organization resource. This resource is then being referred to by means of the serviceProvider element of this profile.",
"mapping": [
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#17",
"comment": "Admission number"
}
]
},
{
"id": "Encounter.status",
"path": "Encounter.status",
"short": "finished",
"definition": "Finished encounters are required for the NICE submission.",
"fixedCode": "finished"
},
{
"id": "Encounter.class.extension",
"path": "Encounter.class.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
},
"min": 0
},
{
"id": "Encounter.class.extension:ContactTypeCodelist",
"path": "Encounter.class.extension",
"sliceName": "ContactTypeCodelist",
"short": "Contact type",
"definition": "The type of contact.\r\n\r\nFive indications of admission types are processed by NICE:\r\n- Medical: Code = AMC or EMER or HH or IMP\r\n- Emergency surgery: Code = EMSU\r\n- Planned surgery: Code = PLSU\r\n- Deceased before ICU admission: Code = DBICU\r\n- Planned admission (used for Planned admission data dictionary element): Code = PLADM",
"min": 0,
"mapping": [
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#16",
"comment": "Admission type"
},
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#241",
"comment": "Planned admission"
}
]
},
{
"id": "Encounter.class.extension:ContactTypeCodelist.valueCodeableConcept:valueCodeableConcept",
"path": "Encounter.class.extension.valueCodeableConcept",
"sliceName": "valueCodeableConcept",
"short": "Contacttype",
"definition": "The contacttype as defined by Encounter.class.ContactTypeCodelist.",
"binding": {
"strength": "extensible",
"valueSetUri": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000"
}
},
{
"id": "Encounter.class.extension:ContactTypeCodelist.valueCodeableConcept:valueCodeableConcept.coding",
"path": "Encounter.class.extension.valueCodeableConcept.coding",
"slicing": {
"description": "Slice in order to differentiate between Nictiz and NICE-codes",
"rules": "open"
},
"definition": "The contacttype that is associated with the encounter. Codes from both the Nictiz and NICE codelists can be used."
},
{
"id": "Encounter.class.extension:ContactTypeCodelist.valueCodeableConcept:valueCodeableConcept.coding:contactTypeCodelistNICE",
"path": "Encounter.class.extension.valueCodeableConcept.coding",
"sliceName": "contactTypeCodelistNICE",
"short": "ContactType",
"definition": "The NICE-ContactType codelist contains codes that further specifies the codes from the Nictiz codelist. The NICE codes can be used to register the following contact types:\r\n\r\n- Emergency surgery: Code = EMSU\r\n- Planned surgery: Code = PLSU\r\n- Deceased before ICU admission: Code = DBICU\r\n- Planned admission (used for Planned admission data dictionary element): Code = PLADM",
"mustSupport": true,
"binding": {
"strength": "extensible",
"description": "ContactType",
"valueSetUri": "https://fhir.stichting-nice.nl/ValueSet/NICE-ContactType"
}
},
{
"id": "Encounter.subject",
"path": "Encounter.subject",
"short": "The patient present at the encounter",
"definition": "The patient present at the encounter.",
"type": [
{
"code": "Reference",
"targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
}
]
},
{
"id": "Encounter.participant.type",
"path": "Encounter.participant.type",
"comment": "The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr, Referring etc.). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.",
"mapping": [
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#356",
"comment": "Referring Specialism"
}
]
},
{
"id": "Encounter.participant.individual",
"path": "Encounter.participant.individual",
"definition": "The healthcare provider with whom the contact took place. The specialty and role of the healthcare provider can be entered in the HealthcareProvider information model as well.\r\n\r\nThis shall be a reference to NICE-PractitionerRole. In NICE-PractitionerRole the specialty is registered which can be used together with participant.type.coding.healthProfessionalRole to identify the referring specialty.",
"type": [
{
"code": "Reference",
"targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-PractitionerRole-2022Q1"
}
],
"mapping": [
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#356",
"comment": "Referring Specialism"
}
]
},
{
"id": "Encounter.participant.individual.extension",
"path": "Encounter.participant.individual.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
},
"min": 0
},
{
"id": "Encounter.participant.individual.extension:practitionerRole",
"path": "Encounter.participant.individual.extension",
"sliceName": "practitionerRole",
"min": 0,
"mustSupport": true
},
{
"id": "Encounter.participant.individual.extension:practitionerRole.valueReference:valueReference",
"path": "Encounter.participant.individual.extension.valueReference",
"sliceName": "valueReference",
"definition": "The reference to a NICE-PractitionerRole. In NICE-PractitionerRole the specialty is registered which can be used together with participant.type.coding.healthProfessionalRole to identify the referring specialty.",
"type": [
{
"code": "Reference",
"targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-PractitionerRole-2022Q1"
}
]
},
{
"id": "Encounter.period",
"path": "Encounter.period",
"mapping": [
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#11",
"comment": "Hospital admission date"
},
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#12",
"comment": "IC admission date"
},
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#12",
"comment": "IC admission time"
},
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#86",
"comment": "Hospital discharge date"
},
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#87",
"comment": "IC discharge date"
},
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#89",
"comment": "IC discharge time"
}
]
},
{
"id": "Encounter.hospitalization.admitSource",
"path": "Encounter.hospitalization.admitSource",
"definition": "Location from which the patient came before the encounter.\r\n\r\nThe coding is extended (sliced) with codes that are defined in the NICE datadictionary:\r\n- Sometimes the NICE codes are a specification of the SNOMED-CT codes. **The NICE codes SHALL be used if applicable.** These codes are included in coding:admitSourceCodelistNICE.\r\n- NICE codes 15 (Home) and 16 (Other) should be mapped on 264362003 (SNOMED-CT) and OTH (NullFlavor) resp.",
"binding": {
"strength": "extensible",
"valueSetUri": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000"
},
"mapping": [
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#14",
"comment": "Origin"
}
]
},
{
"id": "Encounter.hospitalization.admitSource.coding",
"path": "Encounter.hospitalization.admitSource.coding",
"slicing": {
"description": "Slice in order to differentiate between Nictiz and NICE-codes.",
"rules": "open"
}
},
{
"id": "Encounter.hospitalization.admitSource.coding:admitSourceCodelistNICE",
"path": "Encounter.hospitalization.admitSource.coding",
"sliceName": "admitSourceCodelistNICE",
"short": "NICE admit source",
"definition": "NICE admission source codes. NICE codes 15 (Home) and 16 (Other) should be mapped on 264362003 (SNOMED-CT) and OTH (NullFlavor) resp.",
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "Admit source",
"valueSetUri": "https://fhir.stichting-nice.nl/ValueSet/NICE-AdmitSource"
}
},
{
"id": "Encounter.hospitalization.dischargeDisposition",
"path": "Encounter.hospitalization.dischargeDisposition",
"definition": "Location to which the patient will go after the encounter.\r\n\r\nThe coding is extended (sliced) with codes that are defined in the NICE datadictionary:\r\n- Sometimes the NICE codes are a specification of the SNOMED-CT codes. **The NICE codes SHALL be used if applicable.** These codes are included in coding:dischargeDispositionCodelistNICE.\r\n- NICE codes 7 (Mortuary) and 8 (Home) and 9 (Other) should be mapped on 183676005 (SNOMED-CT) and 264362003 (SNOMED-CT) and OTH (NullFlavor) resp.",
"binding": {
"strength": "extensible",
"valueSetUri": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000"
},
"mapping": [
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#82",
"comment": "Patient died in hospital"
},
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#90",
"comment": "ICU Discharge destination"
}
]
},
{
"id": "Encounter.hospitalization.dischargeDisposition.coding",
"path": "Encounter.hospitalization.dischargeDisposition.coding",
"slicing": {
"description": "Slice in order to differentiate between Nictiz and NICE-codes.",
"rules": "open"
}
},
{
"id": "Encounter.hospitalization.dischargeDisposition.coding:dischargeDispositionCodelistNICE",
"path": "Encounter.hospitalization.dischargeDisposition.coding",
"sliceName": "dischargeDispositionCodelistNICE",
"short": "NICE discharge disposition",
"definition": "NICE discharge disposition codes. NICE codes 7 (Mortuary) and 8 (Home) and 9 (Other) should be mapped on 183676005 (SNOMED-CT) and 264362003 (SNOMED-CT) and OTH (NullFlavor) resp.",
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "Discharge disposition",
"valueSetUri": "https://fhir.stichting-nice.nl/ValueSet/NICE-DischargeDisposition"
}
},
{
"id": "Encounter.serviceProvider",
"path": "Encounter.serviceProvider",
"definition": "The physical location at which the contact took place.\r\n\r\nThis should be used to indicate where the ICU contact took place . NICE needs this information in order to assign a unique number for the hospital and ICU department.",
"min": 1,
"mapping": [
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#150",
"comment": "Hospital number"
},
{
"identity": "NICE-Datadictionary-MDS",
"map": "https://www.stichting-nice.nl/dd/#155",
"comment": "ICU number"
}
]
}
]
}
}
FHIR