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FHIR IG Statistics: StructureDefinition/WoundCharacteristics

Packagenictiz.fhir.nl.stu3.zib2017
Resource TypeStructureDefinition
IdWoundCharacteristics
FHIR VersionR3
Sourcehttps://simplifier.net/resolve?scope=nictiz.fhir.nl.stu3.zib2017@2.3.0&canonical=http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics
URLhttp://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics
Version1.0.1
Statusactive
NameWoundCharacteristics
TitleWound characteristics for HCIM Wound/PressureUlcer
Realmnl
Authorityhl7
DescriptionThis WoundObservable profile caputures mutliple concepts such as wound length, width and depth which are used in two different HCIMs: * [Wound v3.1(2017EN)](https://zibs.nl/wiki/Wound-v3.1(2017EN)) * [PressureUlcer v3.1(2017EN)](https://zibs.nl/wiki/PressureUlcer-v3.1(2017EN))
PurposeA seperate Observation is deemed necessary for the observable properties of wounds.
CopyrightCC0
TypeObservation
Kindresource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
zib-PressureUlcerzib PressureUlcer
zib-Woundzib Wound
nl-core-observationnl-core-observation
ValueSet
2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5--20171231000000WondRandCodelijst
2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3--20171231000000WondVochtigheidCodelijst
2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1--20171231000000WondWeefselWCSCodelijst
2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2--20171231000000WondWeefselOncoUlcerCodelijst

Narrative

No narrative content found in resource


Source

{
  "resourceType": "StructureDefinition",
  "id": "WoundCharacteristics",
  "url": "http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics",
  "version": "1.0.1",
  "name": "WoundCharacteristics",
  "title": "Wound characteristics for HCIM Wound/PressureUlcer",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This WoundObservable profile caputures mutliple concepts such as wound length, width and depth which are used in two different HCIMs:\r\n\r\n* [Wound v3.1(2017EN)](https://zibs.nl/wiki/Wound-v3.1(2017EN))\r\n* [PressureUlcer v3.1(2017EN)](https://zibs.nl/wiki/PressureUlcer-v3.1(2017EN))",
  "purpose": "A seperate Observation is deemed necessary for the observable properties of wounds.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-pressureulcer-v3.2-2017EN",
      "uri": "https://zibs.nl/wiki/PressureUlcer-v3.2(2017EN)",
      "name": "HCIM PressureUlcer-v3.2(2017EN)"
    },
    {
      "identity": "hcim-wound-v3.1-2017EN",
      "uri": "https://zibs.nl/wiki/Wound-v3.1(2017EN)",
      "name": "HCIM Wound-v3.1(2017EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:reasonReference",
        "path": "Observation.extension",
        "sliceName": "reasonReference",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/event-reasonReference"
          }
        ]
      },
      {
        "id": "Observation.extension:reasonReference.value[x]",
        "path": "Observation.extension.value[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          },
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer"
          },
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Wound"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.1",
            "comment": "Wound"
          },
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.1",
            "comment": "PressureUlcer"
          }
        ]
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.code.coding:WoundObservableCode",
        "path": "Observation.code.coding",
        "sliceName": "WoundObservableCode",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:WoundObservableCode.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:WoundObservableCode.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "364554009"
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:woundLength",
        "path": "Observation.component",
        "sliceName": "woundLength",
        "max": "1"
      },
      {
        "id": "Observation.component:woundLength.code",
        "path": "Observation.component.code",
        "comment": "Note: this LOINC code is used by HCIM PressureUlcer, while HCIM Wound uses the equivalent SNOMED code. However, the 2020 release of HCIM Wound will also adopt this LOINC code.",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "39126-8"
            }
          ]
        }
      },
      {
        "id": "Observation.component:woundLength.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Length of wound"
      },
      {
        "id": "Observation.component:woundLength.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "WoundLength",
        "definition": "The length of the wound.",
        "alias": [
          "Wondlengte"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.9",
            "comment": "WoundLength"
          },
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.12",
            "comment": "WoundLength"
          }
        ]
      },
      {
        "id": "Observation.component:woundWidth",
        "path": "Observation.component",
        "sliceName": "woundWidth",
        "max": "1"
      },
      {
        "id": "Observation.component:woundWidth.code",
        "path": "Observation.component.code",
        "comment": "Note: this LOINC code is used by HCIM PressureUlcer, while HCIM Wound uses the equivalent SNOMED code. However, the 2020 release of HCIM Wound will also adopt this LOINC code.",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "39125-0"
            }
          ]
        }
      },
      {
        "id": "Observation.component:woundWidth.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Width of wound"
      },
      {
        "id": "Observation.component:woundWidth.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "WoundWidth",
        "definition": "The width of the decubitus wound.",
        "alias": [
          "Wondbreedte"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.13",
            "comment": "WoundWidth"
          },
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.10",
            "comment": "WoundWidth"
          }
        ]
      },
      {
        "id": "Observation.component:woundDepth",
        "path": "Observation.component",
        "sliceName": "woundDepth",
        "max": "1"
      },
      {
        "id": "Observation.component:woundDepth.code",
        "path": "Observation.component.code",
        "comment": "Note: this LOINC code is used by HCIM PressureUlcer, while HCIM Wound uses the equivalent SNOMED code. However, the 2020 release of HCIM Wound will also adopt this LOINC code.",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "39127-6"
            }
          ]
        }
      },
      {
        "id": "Observation.component:woundDepth.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Depth of wound"
      },
      {
        "id": "Observation.component:woundDepth.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "WoundDepth",
        "definition": "The depth of the decubitus wound.",
        "alias": [
          "Wonddiepte"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.11",
            "comment": "WoundDepth"
          },
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.14",
            "comment": "WoundDepth"
          }
        ]
      },
      {
        "id": "Observation.component:woundTissue",
        "path": "Observation.component",
        "sliceName": "woundTissue",
        "max": "1"
      },
      {
        "id": "Observation.component:woundTissue.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "148641000146109"
            }
          ]
        }
      },
      {
        "id": "Observation.component:woundTissue.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Wound tissue"
      },
      {
        "id": "Observation.component:woundTissue.value[x]",
        "path": "Observation.component.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:woundTissue.value[x]:valueCodeableConcept",
        "path": "Observation.component.value[x]",
        "sliceName": "valueCodeableConcept",
        "short": "WoundTissue",
        "alias": [
          "WondWeefsel"
        ],
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.4",
            "comment": "WoundTissue"
          }
        ]
      },
      {
        "id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding",
        "path": "Observation.component.value[x].coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "max": "1"
      },
      {
        "id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding:wondWeefselOncoUlcerCodelijst",
        "path": "Observation.component.value[x].coding",
        "sliceName": "wondWeefselOncoUlcerCodelijst",
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "WondWeefselOncoUlcerCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2--20171231000000",
            "display": "WondWeefselOncoUlcerCodelijst"
          }
        }
      },
      {
        "id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding:wondWeefselOncoUlcerCodelijst.system",
        "path": "Observation.component.value[x].coding.system",
        "min": 1,
        "fixedUri": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.1"
      },
      {
        "id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding:wondWeefselOncoUlcerCodelijst.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding:wondWeefselWCSCodelijst",
        "path": "Observation.component.value[x].coding",
        "sliceName": "wondWeefselWCSCodelijst",
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "WondWeefselWCSCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1--20171231000000",
            "display": "WondWeefselWCSCodelijst"
          }
        }
      },
      {
        "id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding:wondWeefselWCSCodelijst.system",
        "path": "Observation.component.value[x].coding.system",
        "min": 1,
        "fixedUri": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.2"
      },
      {
        "id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding:wondWeefselWCSCodelijst.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:woundInfection",
        "path": "Observation.component",
        "sliceName": "woundInfection",
        "max": "1"
      },
      {
        "id": "Observation.component:woundInfection.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "405009004"
            }
          ]
        }
      },
      {
        "id": "Observation.component:woundInfection.code.coding",
        "path": "Observation.component.code.coding",
        "max": "1"
      },
      {
        "id": "Observation.component:woundInfection.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Infection status"
      },
      {
        "id": "Observation.component:woundInfection.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "WoundInfection",
        "alias": [
          "WondInfectie"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "v2 Yes/no Indicator",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/v2-0136"
          }
        },
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.7",
            "comment": "WoundInfection"
          }
        ]
      },
      {
        "id": "Observation.component:woundMoisture",
        "path": "Observation.component",
        "sliceName": "woundMoisture",
        "max": "1"
      },
      {
        "id": "Observation.component:woundMoisture.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "298007001"
            }
          ]
        }
      },
      {
        "id": "Observation.component:woundMoisture.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "WoundMoisture",
        "definition": "Description of the moisture in the wound.",
        "alias": [
          "WondVochtigheid"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "WondVochtigheidCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3--20171231000000",
            "display": "WondVochtigheidCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.6"
          }
        ]
      },
      {
        "id": "Observation.component:woundEdge",
        "path": "Observation.component",
        "sliceName": "woundEdge",
        "max": "1"
      },
      {
        "id": "Observation.component:woundEdge.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "449747006"
            }
          ]
        }
      },
      {
        "id": "Observation.component:woundEdge.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Wound edge finding"
      },
      {
        "id": "Observation.component:woundEdge.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "WoundEdge",
        "definition": "Description of the condition of the outer edges of the wound.",
        "alias": [
          "WondRand"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "WondRandCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5--20171231000000",
            "display": "WondRandCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-Wound-v3.1-2017EN",
            "map": "NL-CM:19.2.11",
            "comment": "WoundEdge"
          }
        ]
      },
      {
        "id": "Observation.component:woundImage",
        "path": "Observation.component",
        "sliceName": "woundImage"
      },
      {
        "id": "Observation.component:woundImage.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72170-4"
            }
          ]
        }
      },
      {
        "id": "Observation.component:woundImage.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Photographic image"
      },
      {
        "id": "Observation.component:woundImage.value[x]:valueAttachment",
        "path": "Observation.component.valueAttachment",
        "sliceName": "valueAttachment",
        "short": "WoundImage",
        "type": [
          {
            "code": "Attachment"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.15",
            "comment": "WoundImage"
          },
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.12",
            "comment": "WoundImage"
          }
        ]
      }
    ]
  }
}