<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="NICE-IntravenousFluid" />
  <meta>
    <lastUpdated value="2023-10-04T15:03:40.300153+00:00" />
  </meta>
  <url value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-IntravenousFluid-2022Q1" />
  <version value="1" />
  <name value="NICE-IntravenousFluid" />
  <title value="NICE-IntravenousFluid" />
  <status value="active" />
  <date value="2023-10-26T09:56:07.4563357+00:00" />
  <publisher value="NICE" />
  <contact>
    <name value="NICE" />
    <telecom>
      <system value="email" />
      <value value="vragen@stichting-nice.nl" />
    </telecom>
  </contact>
  <description value="This profile is for submitting data on the total quantity of infused intravenous fluid in ml incl. blood products to the NICE." />
  <purpose value="This profile is used to submit intravenous fluid 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) IntravenousFluid, 2017 release version 3.1" />
  <copyright value="CC0" />
  <fhirVersion value="3.0.2" />
  <mapping>
    <identity value="NICE-Datadictionary-Capacity" />
    <uri value="https://www.stichting-nice.nl/dd/#561" />
    <name value="NICE-Datadictionary-Capacity" />
    <comment value="The Patient Acuity Registration" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-FluidBalance" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <short value="IntravenousFluid" />
      <definition value="The observation of the total intravenous fluids that are administered during ICU admission." />
    </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.&#xD;&#xA;&#xD;&#xA;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." />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1" />
      </type>
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <short value="final | amended" />
      <definition value="The status of the result value. This value SHALL be final or amended." />
      <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.effectivePeriod:effectivePeriod">
      <path value="Observation.effectivePeriod" />
      <sliceName value="effectivePeriod" />
      <definition value="The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the &quot;physiologically relevant time&quot;. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.&#xD;&#xA;&#xD;&#xA;In case both the registration date/time and the measurement date/time is known, only the measurement date/time shall be used. &#xD;&#xA;In most cases only one DateTime is registered for observing the output. In this case the time is regarded as the 'end' time." />
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#600" />
        <comment value="Total intravenous fluid" />
      </mapping>
    </element>
    <element id="Observation.effectivePeriod:effectivePeriod.end">
      <path value="Observation.effectivePeriod.end" />
      <definition value="The time at which the measurement of the fluid balance was stopped.&#xD;&#xA;&#xD;&#xA;This field shall be used in case there is only one time registered that is related to fluid balance output.&#xD;&#xA;In most cases only one DateTime is registered for observing the output. In this case the time is regarded as the 'end' time." />
    </element>
    <element id="Observation.component:FluidTotalIn">
      <path value="Observation.component" />
      <sliceName value="FluidTotalIn" />
      <definition value="The quantity of infused intravenous fluid in a specific unit. This also includes blood products." />
      <min value="1" />
      <mustSupport value="true" />
      <mapping>
        <identity value="NICE-Datadictionary-Capacity" />
        <map value="https://www.stichting-nice.nl/dd/#600" />
        <comment value="Total intravenous fluid" />
      </mapping>
    </element>
    <element id="Observation.component:FluidTotalIn.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.component:FluidTotalIn.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <fixedCode value="103744005" />
    </element>
    <element id="Observation.component:FluidTotalIn.valueQuantity:valueQuantity.unit">
      <path value="Observation.component.valueQuantity.unit" />
      <min value="1" />
    </element>
    <element id="Observation.component:FluidTotalIn.valueQuantity:valueQuantity.system">
      <path value="Observation.component.valueQuantity.system" />
      <fixedUri value="http://unitsofmeasure.org" />
    </element>
  </differential>
</StructureDefinition>