<status value="active" /> <date value="2023-10-04T15:33:14.3221484+00:00" /> <publisher value="NICE" /> <contact> <name value="NICE" /> <telecom> <system value="email" /> <value value="vragen@stichting-nice.nl" /> </telecom> </contact> <description value="Body temperature taken during first 24 hours of IC admission. - Use temperature measured via rectum, blood, oesophagus or ear. - In case temperature is measured orally, add 0.5 degrees. - In case temperature is measured via armpit or groin, add 1 degree. - Temperature measured peripherally (such as on the skin) may not be submitted. - For surgical and resuscitated patients also use the artificially lowered body temperature." /> <purpose value="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 value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="NICE-Datadictionary-MDS" /> <uri value="https://www.stichting-nice.nl/dd/#528" /> <name value="NICE-Datadictionary-MDS" /> <comment value="The Minimal Data Set (MDS)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <definition value="This profile defines how to represent Body Temperature observations in FHIR using a standard LOINC code and UCUM units of measure. Measuring 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 value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#405" /> <comment value="Highest body temperature" /> </mapping> <mapping> <identity value="NICE-Datadictionary-MDS" /> <map value="https://www.stichting-nice.nl/dd/#406" /> <comment value="Lowest body temperature" /> </mapping> </element> <element id="Observation.extension"> <path value="Observation.extension" /> <min value="1" /> </element> <element id="Observation.extension:Verified"> <path value="Observation.extension" /> <sliceName value="Verified" /> <short value="Is the instance validated by a medical professional?" /> <definition value="Extension that is used to indicate whether the entire instance has been validated. Every 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 value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1" /> </type> </element> <element id="Observation.extension:NICE-ExtremeValueType"> <path value="Observation.extension" /> <sliceName value="NICE-ExtremeValueType" /> <short value="Highest | Lowest" /> <type> <code value="Extension" /> <profile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ExtremeValueType-2022Q1" /> </type> </element> <element id="Observation.status"> <path value="Observation.status" /> <short value="Only validated (final) values" /> <definition value="The status of the temperature value. Needs to be validated by a clinician." /> <fixedCode value="final" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1" /> </type> </element> <element id="Observation.context"> <path value="Observation.context" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1" /> </type> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effectiveDateTime" /> <sliceName value="effectiveDateTime" /> <type> <code value="dateTime" /> </type> </element> <element id="Observation.valueQuantity:valueQuantity"> <path value="Observation.valueQuantity" /> <sliceName value="valueQuantity" /> <comment value="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. The measurement must be taken within a time period of 2 hours before to a maximum of 2 hours after suspicion of sepsis" /> </element> <element id="Observation.valueQuantity:valueQuantity.value"> <path value="Observation.valueQuantity.value" /> <minValueDecimal value="10.0" /> <maxValueDecimal value="43.0" /> <constraint> <key value="valueRange" /> <severity value="error" /> <human value="Restricts the minimum and maximum allowed values" /> <expression value="ValueQuantity.value >= 10.0 and ValueQuantity.value <= 43.0" /> </constraint> </element> <element id="Observation.valueQuantity:valueQuantity.unit"> <path value="Observation.valueQuantity.unit" /> <short value="Degrees in Celcius (Cel)" /> <definition value="A human-readable form of the unit. 'Cel' is preferable, as defined in UCUM." /> </element> </differential> </StructureDefinition>