FHIR IG Statistics: StructureDefinition/WoundCharacteristics
| Package | nictiz.fhir.nl.stu3.zib2017 |
| Resource Type | StructureDefinition |
| Id | WoundCharacteristics |
| FHIR Version | R3 |
| Source | https://simplifier.net/resolve?scope=nictiz.fhir.nl.stu3.zib2017@2.3.0&canonical=http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics |
| URL | http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics |
| Version | 1.0.1 |
| Status | active |
| Name | WoundCharacteristics |
| Title | Wound characteristics for HCIM Wound/PressureUlcer |
| Realm | nl |
| Authority | hl7 |
| Description | This 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)) |
| Purpose | A seperate Observation is deemed necessary for the observable properties of wounds. |
| Copyright | CC0 |
| Type | Observation |
| Kind | resource |
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{
"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": [
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"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"
}
]
}
]
}
}
FHIR