{
  "resourceType": "StructureDefinition",
  "id": "NICE-BodyTemperature",
  "meta": {
    "lastUpdated": "2023-10-04T15:03:29.9601462+00:00"
  },
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-BodyTemperature-2022Q1",
  "name": "NICE-BodyTemperature",
  "title": "NICE-BodyTemperature",
  "status": "active",
  "date": "2023-10-04T15:33:14.3221484+00:00",
  "publisher": "NICE",
  "contact": [
    {
      "name": "NICE",
      "telecom": [
        {
          "system": "email",
          "value": "vragen@stichting-nice.nl"
        }
      ]
    }
  ],
  "description": "Body temperature taken during first 24 hours of IC admission. \r\n\r\n- Use temperature measured via rectum, blood, oesophagus or ear.\r\n- In case temperature is measured orally, add 0.5 degrees.\r\n- In case temperature is measured via armpit or groin, add 1 degree.\r\n- Temperature measured peripherally (such as on the skin) may not be submitted.\r\n- For surgical and resuscitated patients also use the artificially lowered body temperature.",
  "purpose": "A profile derived from the HL7 Vital Signs profile for body temperature in order to add mappings from the Dutch Health and Care Information models (HCIM; Dutch: Zorginformatiebouwsteen or ZIB) BodyTemperature version 3.1, release 2017.",
  "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": "Observation",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "definition": "This profile defines how to represent Body Temperature observations in FHIR using a standard LOINC code and UCUM units of measure.\r\nMeasuring and documenting the body temperature of a person as a surrogate for a person’s central body temperature (the highest temperature at the centre of the torso)",
        "mapping": [
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#405",
            "comment": "Highest body temperature"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#406",
            "comment": "Lowest body temperature"
          }
        ]
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "min": 1
      },
      {
        "id": "Observation.extension:Verified",
        "path": "Observation.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": "Observation.extension:NICE-ExtremeValueType",
        "path": "Observation.extension",
        "sliceName": "NICE-ExtremeValueType",
        "short": "Highest | Lowest",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ExtremeValueType-2022Q1"
          }
        ]
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "Only validated (final) values",
        "definition": "The status of the temperature value. Needs to be validated by a clinician.",
        "fixedCode": "final"
      },
      {
        "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"
          }
        ]
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effectiveDateTime",
        "sliceName": "effectiveDateTime",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.valueQuantity:valueQuantity",
        "path": "Observation.valueQuantity",
        "sliceName": "valueQuantity",
        "comment": "Use temperature measured via rectum, blood, oesophagus or ear. If temperature is measured orally, add 0.5 degrees. If temperature is measured via the armpit or groin, add 1 degree. \r\nThe measurement must be taken within a time period of 2 hours before to a maximum of 2 hours after suspicion of sepsis"
      },
      {
        "id": "Observation.valueQuantity:valueQuantity.value",
        "path": "Observation.valueQuantity.value",
        "minValueDecimal": 10.0,
        "maxValueDecimal": 43.0,
        "constraint": [
          {
            "key": "valueRange",
            "severity": "error",
            "human": "Restricts the minimum and maximum allowed values",
            "expression": "ValueQuantity.value >= 10.0 and ValueQuantity.value <= 43.0"
          }
        ]
      },
      {
        "id": "Observation.valueQuantity:valueQuantity.unit",
        "path": "Observation.valueQuantity.unit",
        "short": "Degrees in Celcius (Cel)",
        "definition": "A human-readable form of the unit. 'Cel' is preferable, as defined in UCUM."
      }
    ]
  }
}