FHIR IG Statistics: StructureDefinition/NICE-UrineOutput

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{
  "resourceType": "StructureDefinition",
  "id": "NICE-UrineOutput",
  "meta": {
    "lastUpdated": "2022-08-04T15:27:16.1578223+00:00"
  },
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-UrineOutput-2022Q1",
  "version": "0.0.1",
  "name": "NICE-UrineOutput",
  "title": "NICE-UrineOutput",
  "status": "active",
  "date": "2022-02-07T16:10:32.3070502+00:00",
  "publisher": "NICE",
  "contact": [
    {
      "name": "NICE",
      "telecom": [
        {
          "system": "email",
          "value": "vragen@stichting-nice.nl"
        }
      ]
    }
  ],
  "description": "This profile is for sumbitting data to the NICE related to:\r\n- Time of measurement\r\n- Total urine output in the first 24 hours of admission",
  "purpose": "This profile is used to submit urine output 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) UrineOutput, 2017 release version 3.1",
  "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)"
    },
    {
      "identity": "NICE-Datadictionary-SOFA",
      "uri": "https://www.stichting-nice.nl/dd/#547",
      "name": "NICE-Datadictionary-SOFA",
      "comment": "The Sequential Organ Failure Assessment (SOFA) module"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-FluidBalance",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "UrineOutput",
        "definition": "The observation of the total urine output during ICU admission."
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 2
      },
      {
        "id": "Observation.extension:ScoreDay",
        "path": "Observation.extension",
        "sliceName": "ScoreDay",
        "definition": "Extension that is used to indicate the day of scoring. The first 24 hours after admission count as day 1. The next day starts from the first morning shift and lasts 24 hours, so until the start of the next morning shift. Note: Score day 1 can overlap with score day 2, and 'the first morning shift' is specified locally can differ between hospitals.",
        "min": 1,
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ScoreDay-2022Q1"
          }
        ]
      },
      {
        "id": "Observation.extension:Verified",
        "path": "Observation.extension",
        "sliceName": "Verified",
        "short": "Specifying validation status",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1"
          }
        ]
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "final | amended",
        "definition": "The status of the result value. This value SHALL be final or amended.",
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": false
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.context",
        "path": "Observation.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effectivePeriod:effectivePeriod",
        "path": "Observation.effectivePeriod",
        "sliceName": "effectivePeriod",
        "definition": "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 \"physiologically relevant time\". 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.\r\n\r\nIn case both the registration date/time and the measurement date/time is known, only the measurement date/time shall be used. \r\nIn most cases only one DateTime is registered for observing the output. In this case the time is regarded as the 'end' time.",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#10",
            "comment": "Acute renal failure"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#430",
            "comment": "Urine output in first 24 hours"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#393",
            "comment": "Diuresis"
          }
        ]
      },
      {
        "id": "Observation.effectivePeriod:effectivePeriod.end",
        "path": "Observation.effectivePeriod.end",
        "definition": "The time at which the measurement of the fluid balance was stopped.\r\n\r\nThis field shall be used in case there is only one time registered that is related to fluid balance output.\r\nIn most cases only one DateTime is registered for observing the output. In this case the time is regarded as the 'end' time."
      },
      {
        "id": "Observation.component:TotalUrineOut",
        "path": "Observation.component",
        "sliceName": "TotalUrineOut",
        "short": "Total urine output",
        "definition": "Total urine output/diuresis on the ScoreDay concerned **OR** the total urine output/diurises which can be associated with oliguria.",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#10",
            "comment": "Acute renal failure"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#430",
            "comment": "Urine output in first 24 hours"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#393",
            "comment": "Diuresis"
          }
        ]
      },
      {
        "id": "Observation.component:TotalUrineOut.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component:TotalUrineOut.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "364202003"
      },
      {
        "id": "Observation.component:TotalUrineOut.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:TotalUrineOut.value[x]:valueQuantity.unit",
        "path": "Observation.component.valueQuantity.unit",
        "min": 1
      },
      {
        "id": "Observation.component:TotalUrineOut.value[x]:valueQuantity.system",
        "path": "Observation.component.valueQuantity.system",
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:TotalUrineOut.referenceRange",
        "path": "Observation.component.referenceRange",
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange"
      }
    ]
  }
}