{
"description": "This WoundObservable profile caputures mutliple concepts such as wound length, width and depth which are used in more than one HCIM, namely: Wound and PressureUlcer. This profile is therefore used over multiple HCIM's.",
"_filename": "WoundCharacteristics.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.2",
"purpose": "A seperate Observation is deemed necessary for the observable properties of wounds.",
"name": "WoundCharacteristics",
"mapping": [ {
"uri": "https://zibs.nl/wiki/PressureUlcer-v3.2(2017EN)",
"name": "HCIM PressureUlcer-v3.2(2017EN)",
"identity": "hcim-pressureulcer-v3.2-2017EN"
}, {
"uri": "https://zibs.nl/wiki/Wound-v3.1(2017EN)",
"name": "HCIM Wound-v3.1(2017EN)",
"identity": "hcim-wound-v3.1-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Wound characteristics for HCIM Wound/PressureUlcer",
"package_version": "1.3.12",
"status": "draft",
"id": "2853c677-3bb0-4188-bcb8-518de298b886",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics",
"version": "0.3.0",
"differential": {
"element": [ {
"id": "Observation.extension",
"path": "Observation.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.extension:woundImage",
"path": "Observation.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/observation-woundImage"
} ],
"sliceName": "woundImage"
}, {
"id": "Observation.extension:woundImage.valueAttachment:valueAttachment",
"path": "Observation.extension.valueAttachment",
"alias": [ "WondFoto" ],
"short": "WoundImage",
"mapping": [ {
"map": "NL-CM:19.2.15",
"comment": "WoundPhoto",
"identity": "hcim-wound-v3.1-2017EN"
} ],
"sliceName": "valueAttachment",
"definition": "A photo of the wound."
}, {
"id": "Observation.extension:reasonReference",
"max": "1",
"path": "Observation.extension",
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/event-reasonReference"
} ],
"sliceName": "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": [ {
"map": "NL-CM:19.2.1",
"comment": "Wound",
"identity": "hcim-wound-v3.1-2017EN"
}, {
"map": "NL-CM:19.1.1",
"comment": "PressureUlcer",
"identity": "hcim-pressureulcer-v3.2-2017EN"
} ]
}, {
"id": "Observation.code.coding",
"min": 1,
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:WoundObservableCode",
"max": "1",
"min": 1,
"path": "Observation.code.coding",
"sliceName": "WoundObservableCode"
}, {
"id": "Observation.code.coding:WoundObservableCode.system",
"min": 1,
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding:WoundObservableCode.code",
"min": 1,
"path": "Observation.code.coding.code",
"fixedCode": "364554009"
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "pattern"
} ]
}
}, {
"id": "Observation.component:WoundLength",
"max": "1",
"path": "Observation.component",
"sliceName": "WoundLength"
}, {
"id": "Observation.component:WoundLength.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "401238003",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:WoundLength.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Length of wound"
}, {
"id": "Observation.component:WoundLength.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "Wondlengte" ],
"short": "WoundLength",
"mapping": [ {
"map": "NL-CM:19.1.9",
"comment": "WoundLength",
"identity": "hcim-pressureulcer-v3.2-2017EN"
}, {
"map": "NL-CM:19.2.12",
"comment": "WoundLength",
"identity": "hcim-wound-v3.1-2017EN"
} ],
"sliceName": "valueQuantity",
"definition": "The length of the wound."
}, {
"id": "Observation.component:WoundWidth",
"max": "1",
"path": "Observation.component",
"sliceName": "WoundWidth"
}, {
"id": "Observation.component:WoundWidth.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "401239006",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:WoundWidth.code.coding",
"path": "Observation.component.code.coding",
"patternCoding": {
"code": "401239006",
"system": "http://snomed.info/sct"
}
}, {
"id": "Observation.component:WoundWidth.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Width of wound"
}, {
"id": "Observation.component:WoundWidth.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "Wondbreedte" ],
"short": "WoundWidth",
"mapping": [ {
"map": "NL-CM:19.2.13",
"comment": "WoundWidth",
"identity": "hcim-wound-v3.1-2017EN"
}, {
"map": "NL-CM:19.1.10",
"comment": "WoundWidth",
"identity": "hcim-pressureulcer-v3.2-2017EN"
} ],
"sliceName": "valueQuantity",
"definition": "The width of the decubitus wound."
}, {
"id": "Observation.component:WoundDepth",
"max": "1",
"path": "Observation.component",
"sliceName": "WoundDepth"
}, {
"id": "Observation.component:WoundDepth.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "425094009",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:WoundDepth.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Depth of wound"
}, {
"id": "Observation.component:WoundDepth.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "Wonddiepte" ],
"short": "WoundDepth",
"mapping": [ {
"map": "NL-CM:19.1.11",
"comment": "WoundDepth",
"identity": "hcim-pressureulcer-v3.2-2017EN"
}, {
"map": "NL-CM:19.2.14",
"comment": "WoundDepth",
"identity": "hcim-wound-v3.1-2017EN"
} ],
"sliceName": "valueQuantity",
"definition": "The depth of the decubitus wound."
}, {
"id": "Observation.component:WoundTissue",
"max": "1",
"path": "Observation.component",
"sliceName": "WoundTissue"
}, {
"id": "Observation.component:WoundTissue.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "19.2.4",
"system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0"
} ]
}
}, {
"id": "Observation.component:WoundTissue.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Wound tissue"
}, {
"id": "Observation.component:WoundTissue.value[x]",
"path": "Observation.component.value[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept",
"min": 1,
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "WondWeefsel" ],
"short": "WoundTissue",
"mapping": [ {
"map": "NL-CM:19.2.4",
"comment": "WoundTissue",
"identity": "hcim-wound-v3.1-2017EN"
} ],
"sliceName": "valueCodeableConcept"
}, {
"id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding",
"max": "1",
"path": "Observation.component.value[x].coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:OncoUlcerCodelistValue",
"max": "1",
"path": "Observation.component.value[x].coding",
"binding": {
"strength": "required",
"description": "WondWeefselOncoUlcerCodelijst",
"valueSetReference": {
"display": "WondWeefselOncoUlcerCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2--20171231000000"
}
},
"sliceName": "OncoUlcerCodelistValue"
}, {
"id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:OncoUlcerCodelistValue.system",
"min": 1,
"path": "Observation.component.value[x].coding.system",
"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:OncoUlcerCodelistValue.code",
"min": 1,
"path": "Observation.component.value[x].coding.code"
}, {
"id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:WCSCodelistValue",
"max": "1",
"path": "Observation.component.value[x].coding",
"binding": {
"strength": "required",
"description": "WondWeefselWCSCodelijst",
"valueSetReference": {
"display": "WondWeefselWCSCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1--20171231000000"
}
},
"sliceName": "WCSCodelistValue"
}, {
"id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:WCSCodelistValue.system",
"min": 1,
"path": "Observation.component.value[x].coding.system",
"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:WCSCodelistValue.code",
"min": 1,
"path": "Observation.component.value[x].coding.code"
}, {
"id": "Observation.component:WoundInfection",
"max": "1",
"path": "Observation.component",
"sliceName": "WoundInfection"
}, {
"id": "Observation.component:WoundInfection.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "405009004",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:WoundInfection.code.coding",
"max": "1",
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:WoundInfection.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Infection status"
}, {
"id": "Observation.component:WoundInfection.value[x]:valueCodeableConcept",
"path": "Observation.component.valueCodeableConcept",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "WondInfectie" ],
"short": "WoundInfection",
"binding": {
"strength": "required",
"description": "v2 Yes/no Indicator",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
},
"mapping": [ {
"map": "NL-CM:19.2.7",
"comment": "WoundInfection",
"identity": "hcim-wound-v3.1-2017EN"
} ],
"sliceName": "valueCodeableConcept"
}, {
"id": "Observation.component:WoundMoisture",
"max": "1",
"path": "Observation.component",
"sliceName": "WoundMoisture"
}, {
"id": "Observation.component:WoundMoisture.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "298007001",
"system": "http://snomed.info/sct"
} ]
}
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Description of the moisture in the wound.",
"short": "WoundMoisture",
"mapping": [ {
"map": "NL-CM:19.2.6",
"identity": "hcim-wound-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "WondVochtigheidCodelijst",
"valueSetReference": {
"display": "WondVochtigheidCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3--20171231000000"
}
},
"alias": [ "WondVochtigheid" ],
"id": "Observation.component:WoundMoisture.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:WoundEdge",
"max": "1",
"path": "Observation.component",
"sliceName": "WoundEdge"
}, {
"id": "Observation.component:WoundEdge.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "449747006",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:WoundEdge.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Wound edge finding"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Description of the condition of the outer edges of the wound.",
"short": "WoundEdge",
"mapping": [ {
"map": "NL-CM:19.2.11",
"comment": "WoundEdge",
"identity": "hcim-Wound-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "WondRandCodelijst",
"valueSetReference": {
"display": "WondRandCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5--20171231000000"
}
},
"alias": [ "WondRand" ],
"id": "Observation.component:WoundEdge.value[x]:valueCodeableConcept"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}