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))
package_name: nictiz.fhir.nl.stu3.zib2017
derivation: constraint
name: WoundCharacteristics
type: Observation
elements:
  extension:
    type: Extension
    url: h
    index: 0
    slicing:
      slices:
        reasonReference:
          match: {}
          schema:
            type: Extension
            url: h
            index: 0
            elements:
              value:
                choices: [valueReference, valueReference, valueReference, valueReference]
                index: 2
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
                index: 3
  code:
    elements:
      coding:
        index: 7
        slicing:
          rules: open
          discriminator:
          - {path: code, type: value}
          min: 1
          slices:
            WoundObservableCode:
              match: {code: '364554009'}
              schema:
                _required: true
                index: 8
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 9
                  code:
                    pattern: {type: Code, value: '364554009'}
                    index: 10
                required: [system, code]
    required: [coding]
  component:
    index: 11
    slicing:
      rules: open
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        woundLength:
          match:
            code:
              coding:
              - {code: 39126-8, system: 'http://loinc.org'}
          schema:
            index: 12
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 39126-8, system: 'http://loinc.org'}
                index: 13
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Length of wound, index: 14}
              value:
                short: WoundLength
                choices: [valueQuantity]
                index: 16
              valueQuantity: {type: Quantity, short: WoundLength, choiceOf: value, index: 17}
        woundWidth:
          match:
            code:
              coding:
              - {code: 39125-0, system: 'http://loinc.org'}
          schema:
            index: 18
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 39125-0, system: 'http://loinc.org'}
                index: 19
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Width of wound, index: 20}
              value:
                short: WoundWidth
                choices: [valueQuantity]
                index: 22
              valueQuantity: {type: Quantity, short: WoundWidth, choiceOf: value, index: 23}
        woundDepth:
          match:
            code:
              coding:
              - {code: 39127-6, system: 'http://loinc.org'}
          schema:
            index: 24
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 39127-6, system: 'http://loinc.org'}
                index: 25
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Depth of wound, index: 26}
              value:
                short: WoundDepth
                choices: [valueQuantity]
                index: 28
              valueQuantity: {type: Quantity, short: WoundDepth, choiceOf: value, index: 29}
        woundTissue:
          match:
            code:
              coding:
              - {code: '148641000146109', system: 'http://snomed.info/sct'}
          schema:
            index: 30
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '148641000146109', system: 'http://snomed.info/sct'}
                index: 31
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Wound tissue, index: 32}
              value:
                short: WoundTissue
                choices: [valueCodeableConcept]
                index: 34
              valueCodeableConcept: {type: CodeableConcept, short: WoundTissue, choiceOf: value, index: 35}
              value[x]:
                elements:
                  coding:
                    index: 36
                    slicing:
                      rules: open
                      discriminator:
                      - {path: system, type: value}
                      min: null
                      max: 1
                      slices:
                        wondWeefselOncoUlcerCodelijst:
                          match: {system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.1'}
                          schema:
                            index: 37
                            elements:
                              system:
                                pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.1'}
                                index: 38
                              code: {index: 39}
                            required: [system, code]
                        wondWeefselWCSCodelijst:
                          match: {system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.2'}
                          schema:
                            index: 40
                            elements:
                              system:
                                pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.2'}
                                index: 41
                              code: {index: 42}
                            required: [system, code]
            required: [value, valueCodeableConcept]
        woundInfection:
          match:
            code:
              coding:
              - {code: '405009004', system: 'http://snomed.info/sct'}
          schema:
            index: 43
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '405009004', system: 'http://snomed.info/sct'}
                index: 44
                elements:
                  coding:
                    index: 45
                    elements:
                      display: {defaultValueString: Infection status, index: 46}
              value:
                short: WoundInfection
                choices: [valueCodeableConcept]
                index: 48
              valueCodeableConcept: {type: CodeableConcept, short: WoundInfection, choiceOf: value, index: 49}
        woundMoisture:
          match:
            code:
              coding:
              - {code: '298007001', system: 'http://snomed.info/sct'}
          schema:
            index: 50
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '298007001', system: 'http://snomed.info/sct'}
                index: 51
              value:
                short: WoundMoisture
                choices: [valueCodeableConcept]
                index: 53
              valueCodeableConcept: {type: CodeableConcept, short: WoundMoisture, choiceOf: value, index: 54}
        woundEdge:
          match:
            code:
              coding:
              - {code: '449747006', system: 'http://snomed.info/sct'}
          schema:
            index: 55
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '449747006', system: 'http://snomed.info/sct'}
                index: 56
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Wound edge finding, index: 57}
              value:
                short: WoundEdge
                choices: [valueCodeableConcept]
                index: 59
              valueCodeableConcept: {type: CodeableConcept, short: WoundEdge, choiceOf: value, index: 60}
        woundImage:
          match:
            code:
              coding:
              - {code: 72170-4, system: 'http://loinc.org'}
          schema:
            index: 61
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 72170-4, system: 'http://loinc.org'}
                index: 62
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Photographic image, index: 63}
              value:
                short: WoundImage
                choices: [valueAttachment]
                index: 65
              valueAttachment: {type: Attachment, short: WoundImage, choiceOf: value, index: 66}
package_version: 2.3.1
extensions:
  reasonReference:
    url: h
    type: Extension
    index: 0
    elements:
      value:
        choices: [valueReference, valueReference, valueReference, valueReference]
        index: 2
      valueReference:
        type: Reference
        choiceOf: value
        refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
        index: 3
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics
base: http://fhir.nl/fhir/StructureDefinition/nl-core-observation
version: 1.0.2