{
  "resourceType": "StructureDefinition",
  "id": "zib-FluidBalance",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-FluidBalance",
  "version": "1.0.2",
  "name": "Zib FluidBalance",
  "title": "HCIM FluidBalance",
  "status": "active",
  "publisher": "Nictiz",
  "description": "An Observation type resource as defined by the Dutch Health Care Information Model FluidBalance 1.0 - 2017EN",
  "purpose": "#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\r\n#Rationale\r\nHCIM FluidBalance fits in Observation.  No known arguments for other resources",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-fluidbalance-v1.0-2017EN",
      "uri": "https://zibs.nl/wiki/FluidBalance-v1.0(2017EN)",
      "name": "HCIM FluidBalance-v1.0(2017EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "FluidBalance",
        "alias": [
          "Vochtbalans"
        ],
        "mapping": [
          {
            "identity": "hcim-fluidbalance-v1.0-2017EN",
            "map": "NL-CM:12.15.1",
            "comment": "FluidBalance"
          }
        ]
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "FluidBalance"
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.code.coding:FluidBalanceCode",
        "path": "Observation.code.coding",
        "sliceName": "FluidBalanceCode",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:FluidBalanceCode.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:FluidBalanceCode.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "364396009"
      },
      {
        "id": "Observation.code.coding:FluidBalanceCode.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.coding.display",
        "min": 1,
        "defaultValueString": "Fluid balance observable"
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Observation.effective[x].start",
        "path": "Observation.effective[x].start",
        "short": "FluidBalanceStartTime",
        "definition": "The time at which the measurement of the fluid balance was started.",
        "alias": [
          "VochtbalansStarttijd"
        ],
        "mapping": [
          {
            "identity": "hcim-fluidbalance-v1.0-2017EN",
            "map": "NL-CM:12.15.2",
            "comment": "FluidBalanceStartTime"
          }
        ]
      },
      {
        "id": "Observation.effective[x].end",
        "path": "Observation.effective[x].end",
        "short": "FluidBalanceStopTime",
        "definition": "The time at which the measurement of the fluid balance was stopped.",
        "alias": [
          "VochtbalansStoptijd"
        ],
        "mapping": [
          {
            "identity": "hcim-fluidbalance-v1.0-2017EN",
            "map": "NL-CM:12.15.3",
            "comment": "FluidBalanceStopTime"
          }
        ]
      },
      {
        "id": "Observation.comment",
        "path": "Observation.comment",
        "short": "Comment",
        "definition": "Comment on the fluid balance.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-fluidbalance-v1.0-2017EN",
            "map": "NL-CM:12.15.6",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:FluidTotalIn",
        "path": "Observation.component",
        "sliceName": "FluidTotalIn",
        "max": "1"
      },
      {
        "id": "Observation.component:FluidTotalIn.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "251852001"
            }
          ]
        }
      },
      {
        "id": "Observation.component:FluidTotalIn.value[x]",
        "path": "Observation.component.value[x]",
        "short": "FluidTotalIn",
        "definition": "The total of fluid intake (e.g. by mouth, drip or tube feeding) in mL.",
        "alias": [
          "VochtTotaalIn"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "example": [
          {
            "label": "example of fluidTotalIn",
            "valueQuantity": {
              "value": 560,
              "unit": "mL",
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        ],
        "mapping": [
          {
            "identity": "hcim-fluidbalance-v1.0-2017EN",
            "map": "NL-CM:12.15.4",
            "comment": "FluidTotalIn"
          }
        ]
      },
      {
        "id": "Observation.component:FluidTotalOut",
        "path": "Observation.component",
        "sliceName": "FluidTotalOut",
        "max": "1"
      },
      {
        "id": "Observation.component:FluidTotalOut.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "251841007"
            }
          ]
        }
      },
      {
        "id": "Observation.component:FluidTotalOut.value[x]",
        "path": "Observation.component.value[x]",
        "short": "FluidTotalOut",
        "alias": [
          "VochtTotaalUit"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "example": [
          {
            "label": "example of FLuidTotalOut",
            "valueQuantity": {
              "value": 800,
              "unit": "mL",
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        ],
        "mapping": [
          {
            "identity": "hcim-fluidbalance-v1.0-2017EN",
            "map": "NL-CM:12.15.5",
            "comment": "FluidTotalOut"
          }
        ]
      }
    ]
  }
}