<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="HdBe-FluidBalance" />
  <language value="en-US" />
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2020-09-01T00:00:00+02:00" />
    </valuePeriod>
  </extension>
  <url value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-FluidBalance" />
  <name value="HdBeFluidBalance">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBeVochtbalans" />
      </extension>
    </extension>
  </name>
  <title value="HdBe FluidBalance" />
  <status value="draft" />
  <date value="2022-07-07T15:04:03.2592055+00:00" />
  <publisher value="Healthdata.be (Sciensano)" />
  <contact>
    <name value="Service portal – healthdata.be" />
    <telecom>
      <system value="url" />
      <value value="https://sciensano.service-now.com/sp" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="The total water intake and water excretion within a certain time period: a disbalance can lead to for example dehydration or overfilling.&#xD;&#xA;#### Purpose&#xD;&#xA;Information 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.&#xD;&#xA;#### Evidence Base&#xD;&#xA;The definitions of the concepts were (partly) based on the guideline Dehydration by the VvOV.">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="De totale vochtinname en totale vochtuitscheiding binnen een bepaalde tijdsperiode: een disbalans kan leiden tot bijvoorbeeld uitdroging of overvulling.&#xD;&#xA;#### Purpose&#xD;&#xA;Het 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.&#xD;&#xA;#### Evidence Base&#xD;&#xA;De definities van de concepten zijn (deels) gebaseerd op de richtlijn Vochttekort van de VvOV." />
      </extension>
    </extension>
  </description>
  <copyright value="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 value="4.0.1" />
  <kind value="logical" />
  <abstract value="true" />
  <type value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/FluidBalance" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <derivation value="specialization" />
  <snapshot>
    <element id="FluidBalance">
      <path value="FluidBalance" />
      <short value="FluidBalance">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Vochtbalans" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the FluidBalance information model. This root concept contains all data elements of the FluidBalance information model.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Rootconcept van de bouwsteen Vochtbalans. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Vochtbalans." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <base>
        <path value="FluidBalance" />
        <min value="0" />
        <max value="*" />
      </base>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="FluidBalance.id">
      <path value="FluidBalance.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="FluidBalance.extension">
      <path value="FluidBalance.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional Content defined by implementations" />
      <definition value="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 value="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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="FluidBalance.Comment">
      <path value="FluidBalance.Comment" />
      <short value="Comment">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting" />
          </extension>
        </extension>
      </short>
      <definition value="Comment on the fluid balance.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De toelichting op de vochtbalans." />
          </extension>
        </extension>
      </definition>
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="FluidBalance.Comment" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="FluidBalance.FluidTotalIn">
      <path value="FluidBalance.FluidTotalIn" />
      <short value="FluidTotalIn">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VochtTotaalIn" />
          </extension>
        </extension>
      </short>
      <definition value="The total of fluid intake (e.g. by mouth, drip or tube feeding) in mL.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het totaal aan vochtinname (o.a. per os, infuus, sonde) in mL." />
          </extension>
        </extension>
      </definition>
      <comment value="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 value="0" />
      <max value="1" />
      <base>
        <path value="FluidBalance.FluidTotalIn" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="qty-3" />
        <severity value="error" />
        <human value="If a code for the unit is present, the system SHALL also be present" />
        <expression value="code.empty() or system.exists()" />
        <xpath value="not(exists(f:code)) or exists(f:system)" />
        <source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SN (see also Range) or CQ" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values" />
      </mapping>
    </element>
    <element id="FluidBalance.FluidTotalOut">
      <path value="FluidBalance.FluidTotalOut" />
      <short value="FluidTotalOut">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VochtTotaalUit" />
          </extension>
        </extension>
      </short>
      <definition value="The total of fluid excretion (e.g. urine production, drain, watery defecation) in mL.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het totaal aan vochtuitscheiding (o.a. urineproductie, drain, waterdunne ontlasting) in mL." />
          </extension>
        </extension>
      </definition>
      <comment value="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 value="0" />
      <max value="1" />
      <base>
        <path value="FluidBalance.FluidTotalOut" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="qty-3" />
        <severity value="error" />
        <human value="If a code for the unit is present, the system SHALL also be present" />
        <expression value="code.empty() or system.exists()" />
        <xpath value="not(exists(f:code)) or exists(f:system)" />
        <source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SN (see also Range) or CQ" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values" />
      </mapping>
    </element>
    <element id="FluidBalance.FluidBalanceStartTime">
      <path value="FluidBalance.FluidBalanceStartTime" />
      <short value="FluidBalanceStartTime">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VochtbalansStarttijd" />
          </extension>
        </extension>
      </short>
      <definition value="The time at which the measurement of the fluid balance was started.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het tijdstip waarop gestart is met de vochtbalans meting." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <base>
        <path value="FluidBalance.FluidBalanceStartTime" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="FluidBalance.FluidBalanceStopTime">
      <path value="FluidBalance.FluidBalanceStopTime" />
      <short value="FluidBalanceStopTime">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VochtbalansStoptijd" />
          </extension>
        </extension>
      </short>
      <definition value="The time at which the measurement of the fluid balance was stopped.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het tijdstip waarop gestopt is met de vochtbalans meting." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <base>
        <path value="FluidBalance.FluidBalanceStopTime" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="FluidBalance">
      <path value="FluidBalance" />
      <short value="FluidBalance">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Vochtbalans" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the FluidBalance information model. This root concept contains all data elements of the FluidBalance information model.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Rootconcept van de bouwsteen Vochtbalans. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Vochtbalans." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
    </element>
    <element id="FluidBalance.Comment">
      <path value="FluidBalance.Comment" />
      <short value="Comment">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting" />
          </extension>
        </extension>
      </short>
      <definition value="Comment on the fluid balance.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De toelichting op de vochtbalans." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element id="FluidBalance.FluidTotalIn">
      <path value="FluidBalance.FluidTotalIn" />
      <short value="FluidTotalIn">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VochtTotaalIn" />
          </extension>
        </extension>
      </short>
      <definition value="The total of fluid intake (e.g. by mouth, drip or tube feeding) in mL.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het totaal aan vochtinname (o.a. per os, infuus, sonde) in mL." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="FluidBalance.FluidTotalOut">
      <path value="FluidBalance.FluidTotalOut" />
      <short value="FluidTotalOut">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VochtTotaalUit" />
          </extension>
        </extension>
      </short>
      <definition value="The total of fluid excretion (e.g. urine production, drain, watery defecation) in mL.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het totaal aan vochtuitscheiding (o.a. urineproductie, drain, waterdunne ontlasting) in mL." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="FluidBalance.FluidBalanceStartTime">
      <path value="FluidBalance.FluidBalanceStartTime" />
      <short value="FluidBalanceStartTime">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VochtbalansStarttijd" />
          </extension>
        </extension>
      </short>
      <definition value="The time at which the measurement of the fluid balance was started.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het tijdstip waarop gestart is met de vochtbalans meting." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="FluidBalance.FluidBalanceStopTime">
      <path value="FluidBalance.FluidBalanceStopTime" />
      <short value="FluidBalanceStopTime">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VochtbalansStoptijd" />
          </extension>
        </extension>
      </short>
      <definition value="The time at which the measurement of the fluid balance was stopped.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het tijdstip waarop gestopt is met de vochtbalans meting." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
  </differential>
</StructureDefinition>