{
"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))",
"_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": "2.2.11",
"status": "active",
"id": "290d7675-505a-4575-b791-7b3b3cd5a9a3",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics",
"version": "1.0.1",
"differential": {
"element": [ {
"id": "Observation.extension",
"path": "Observation.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"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",
"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": [ {
"code": "39126-8",
"system": "http://loinc.org"
} ]
}
}, {
"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",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "Wondlengte" ],
"short": "WoundLength",
"mapping": [ {
"map": "NL-CM:19.1.9",
"comment": "WoundLength",
"identity": "hcim-pressureulcer-v3.2-2017EN"
}, {
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} ],
"sliceName": "valueQuantity",
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}, {
"id": "Observation.component:woundWidth",
"max": "1",
"path": "Observation.component",
"sliceName": "woundWidth"
}, {
"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": [ {
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"system": "http://loinc.org"
} ]
}
}, {
"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",
"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",
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"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",
"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": [ {
"code": "39127-6",
"system": "http://loinc.org"
} ]
}
}, {
"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",
"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",
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"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": "148641000146109",
"system": "http://snomed.info/sct"
} ]
}
}, {
"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": {
"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"
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}
}, {
"id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding:wondWeefselOncoUlcerCodelijst",
"max": "1",
"path": "Observation.component.value[x].coding",
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"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2--20171231000000"
}
},
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"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:wondWeefselOncoUlcerCodelijst.code",
"min": 1,
"path": "Observation.component.value[x].coding.code"
}, {
"id": "Observation.component:woundTissue.value[x]:valueCodeableConcept.coding:wondWeefselWCSCodelijst",
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"path": "Observation.component.value[x].coding",
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"min": 1,
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}, {
"id": "Observation.component:woundInfection",
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}
}, {
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}, {
"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",
"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",
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"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"
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},
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"id": "Observation.component:woundMoisture.value[x]:valueCodeableConcept"
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"path": "Observation.component.code",
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"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:woundEdge.code.coding.display",
"path": "Observation.component.code.coding.display",
"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"
} ],
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"sliceName": "valueCodeableConcept",
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"description": "WondRandCodelijst",
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}
},
"alias": [ "WondRand" ],
"id": "Observation.component:woundEdge.value[x]:valueCodeableConcept"
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"id": "Observation.component:woundImage",
"path": "Observation.component",
"sliceName": "woundImage"
}, {
"id": "Observation.component:woundImage.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
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"code": "72170-4",
"system": "http://loinc.org"
} ]
}
}, {
"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",
"type": [ {
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} ],
"short": "WoundImage",
"mapping": [ {
"map": "NL-CM:19.2.15",
"comment": "WoundImage",
"identity": "hcim-wound-v3.1-2017EN"
}, {
"map": "NL-CM:19.1.12",
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},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}