{
  "resourceType": "StructureDefinition",
  "id": "HdBe-FluidBalance",
  "language": "en-US",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2020-08-31T22:00:00+00:00"
      }
    }
  ],
  "url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-FluidBalance",
  "name": "HdBeFluidBalance",
  "_name": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "nl-NL"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBeVochtbalans"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "title": "HdBe FluidBalance",
  "status": "draft",
  "date": "2022-07-07T15:04:03.2592055+00:00",
  "publisher": "Healthdata.be (Sciensano)",
  "contact": [
    {
      "name": "Service portal – healthdata.be",
      "telecom": [
        {
          "system": "url",
          "value": "https://sciensano.service-now.com/sp",
          "use": "work"
        }
      ]
    }
  ],
  "description": "The total water intake and water excretion within a certain time period: a disbalance can lead to for example dehydration or overfilling.\r\n#### Purpose\r\nInformation about the water balance provides insight in the care plan for drinking and possibly administering extra fluids, when the balance is disrupted such as dehydration or overfilling.\r\n#### Evidence Base\r\nThe definitions of the concepts were (partly) based on the guideline Dehydration by the VvOV.",
  "_description": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "nl-NL"
          },
          {
            "url": "content",
            "valueMarkdown": "De totale vochtinname en totale vochtuitscheiding binnen een bepaalde tijdsperiode: een disbalans kan leiden tot bijvoorbeeld uitdroging of overvulling.\r\n#### Purpose\r\nHet vastleggen van de vochtbalans geeft inzage in het beleid rondom het drinken en eventueel extra toedienen van vocht, wanneer het evenwicht verstoord is zoals bij uitdroging of overvulling.\r\n#### Evidence Base\r\nDe definities van de concepten zijn (deels) gebaseerd op de richtlijn Vochttekort van de VvOV."
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "fhirVersion": "4.0.1",
  "kind": "logical",
  "abstract": true,
  "type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/FluidBalance",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "snapshot": {
    "element": [
      {
        "id": "FluidBalance",
        "path": "FluidBalance",
        "short": "FluidBalance",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Vochtbalans"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Root concept of the FluidBalance information model. This root concept contains all data elements of the FluidBalance information model.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Rootconcept van de bouwsteen Vochtbalans. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Vochtbalans."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "FluidBalance",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FluidBalance.id",
        "path": "FluidBalance.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "comment": "Note that FHIR strings may not exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FluidBalance.extension",
        "path": "FluidBalance.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "FluidBalance.Comment",
        "path": "FluidBalance.Comment",
        "short": "Comment",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Toelichting"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Comment on the fluid balance.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "De toelichting op de vochtbalans."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "comment": "Note that FHIR strings may not exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FluidBalance.Comment",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FluidBalance.FluidTotalIn",
        "path": "FluidBalance.FluidTotalIn",
        "short": "FluidTotalIn",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VochtTotaalIn"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The total of fluid intake (e.g. by mouth, drip or tube feeding) in mL.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het totaal aan vochtinname (o.a. per os, infuus, sonde) in mL."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FluidBalance.FluidTotalIn",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qty-3",
            "severity": "error",
            "human": "If a code for the unit is present, the system SHALL also be present",
            "expression": "code.empty() or system.exists()",
            "xpath": "not(exists(f:code)) or exists(f:system)",
            "source": "http://hl7.org/fhir/StructureDefinition/Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "SN (see also Range) or CQ"
          },
          {
            "identity": "rim",
            "map": "PQ, IVL<PQ>, MO, CO, depending on the values"
          }
        ]
      },
      {
        "id": "FluidBalance.FluidTotalOut",
        "path": "FluidBalance.FluidTotalOut",
        "short": "FluidTotalOut",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VochtTotaalUit"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The total of fluid excretion (e.g. urine production, drain, watery defecation) in mL.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het totaal aan vochtuitscheiding (o.a. urineproductie, drain, waterdunne ontlasting) in mL."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FluidBalance.FluidTotalOut",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qty-3",
            "severity": "error",
            "human": "If a code for the unit is present, the system SHALL also be present",
            "expression": "code.empty() or system.exists()",
            "xpath": "not(exists(f:code)) or exists(f:system)",
            "source": "http://hl7.org/fhir/StructureDefinition/Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "SN (see also Range) or CQ"
          },
          {
            "identity": "rim",
            "map": "PQ, IVL<PQ>, MO, CO, depending on the values"
          }
        ]
      },
      {
        "id": "FluidBalance.FluidBalanceStartTime",
        "path": "FluidBalance.FluidBalanceStartTime",
        "short": "FluidBalanceStartTime",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VochtbalansStarttijd"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The time at which the measurement of the fluid balance was started.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het tijdstip waarop gestart is met de vochtbalans meting."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 1,
        "max": "1",
        "base": {
          "path": "FluidBalance.FluidBalanceStartTime",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FluidBalance.FluidBalanceStopTime",
        "path": "FluidBalance.FluidBalanceStopTime",
        "short": "FluidBalanceStopTime",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VochtbalansStoptijd"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The time at which the measurement of the fluid balance was stopped.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het tijdstip waarop gestopt is met de vochtbalans meting."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 1,
        "max": "1",
        "base": {
          "path": "FluidBalance.FluidBalanceStopTime",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
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          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "FluidBalance",
        "path": "FluidBalance",
        "short": "FluidBalance",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Vochtbalans"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Root concept of the FluidBalance information model. This root concept contains all data elements of the FluidBalance information model.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Rootconcept van de bouwsteen Vochtbalans. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Vochtbalans."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "FluidBalance.Comment",
        "path": "FluidBalance.Comment",
        "short": "Comment",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Toelichting"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Comment on the fluid balance.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "De toelichting op de vochtbalans."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "FluidBalance.FluidTotalIn",
        "path": "FluidBalance.FluidTotalIn",
        "short": "FluidTotalIn",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VochtTotaalIn"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The total of fluid intake (e.g. by mouth, drip or tube feeding) in mL.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het totaal aan vochtinname (o.a. per os, infuus, sonde) in mL."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "FluidBalance.FluidTotalOut",
        "path": "FluidBalance.FluidTotalOut",
        "short": "FluidTotalOut",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VochtTotaalUit"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The total of fluid excretion (e.g. urine production, drain, watery defecation) in mL.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het totaal aan vochtuitscheiding (o.a. urineproductie, drain, waterdunne ontlasting) in mL."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "FluidBalance.FluidBalanceStartTime",
        "path": "FluidBalance.FluidBalanceStartTime",
        "short": "FluidBalanceStartTime",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VochtbalansStarttijd"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The time at which the measurement of the fluid balance was started.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het tijdstip waarop gestart is met de vochtbalans meting."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "FluidBalance.FluidBalanceStopTime",
        "path": "FluidBalance.FluidBalanceStopTime",
        "short": "FluidBalanceStopTime",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "VochtbalansStoptijd"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The time at which the measurement of the fluid balance was stopped.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het tijdstip waarop gestopt is met de vochtbalans meting."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      }
    ]
  }
}