{
  "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.",
  "_filename": "NICE-BodyTemperature.json",
  "package_name": "niceprofiling.v23q1",
  "date": "2021-11-17T08:44:41.9878582+00:00",
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2022-07-14T10:33:17.0021696+00:00"
  },
  "publisher": "NICE",
  "fhirVersion": "3.0.2",
  "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.",
  "name": "NICE-BodyTemperature",
  "mapping": [ {
    "uri": "https://www.stichting-nice.nl/dd/#528",
    "name": "NICE-Datadictionary-MDS",
    "comment": "The Minimal Data Set (MDS)",
    "identity": "NICE-Datadictionary-MDS"
  } ],
  "abstract": false,
  "copyright": "CC0",
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "NICE-BodyTemperature",
  "package_version": "0.4.0",
  "status": "active",
  "id": "d92f93ae-1e9d-4724-ab9c-ed97e98d7b69",
  "kind": "resource",
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-BodyTemperature-2022Q1",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "mapping": [ {
        "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",
        "identity": "NICE-Datadictionary-MDS"
      } ],
      "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)"
    }, {
      "id": "Observation.extension",
      "min": 1,
      "path": "Observation.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.extension:Verified",
      "max": "1",
      "min": 1,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1"
      } ],
      "short": "Is the instance validated by a medical professional?",
      "sliceName": "Verified",
      "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."
    }, {
      "id": "Observation.extension:NICE-ExtremeValueType",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-ExtremeValueType-2022Q1"
      } ],
      "short": "Highest | Lowest",
      "sliceName": "NICE-ExtremeValueType"
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "short": "Only validated (final) values",
      "fixedCode": "final",
      "definition": "The status of the temperature value. Needs to be validated by a clinician."
    }, {
      "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",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "effectiveDateTime"
    }, {
      "id": "Observation.valueQuantity:valueQuantity",
      "path": "Observation.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",
      "sliceName": "valueQuantity"
    }, {
      "id": "Observation.valueQuantity:valueQuantity.value",
      "path": "Observation.valueQuantity.value",
      "constraint": [ {
        "key": "valueRange",
        "human": "Restricts the minimum and maximum allowed values",
        "severity": "error",
        "expression": "ValueQuantity.value >= 10.0 and ValueQuantity.value <= 43.0"
      } ],
      "maxValueDecimal": 43.0,
      "minValueDecimal": 10.0
    }, {
      "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."
    } ]
  },
  "contact": [ {
    "name": "NICE",
    "telecom": [ {
      "value": "vragen@stichting-nice.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature"
}