description: An Condition as defined by the Dutch HCIM Zorginformatiebouwsteen Wound v3.1(2017EN) A wound is an interruption of the continuity of the skin, often caused by external influences. \r\nA commonly used model for documenting the wound properties is the TIME (‘Tissue’, ‘Infection’, ‘Moisture’, ‘Edge’) model, which can be used to systematically describe the wound. For wound tissue (T in the TIME model), the structure of the WCS model (Woundcare Consultant Society, WCS Kenniscentrum Wondzorg) is used. The WCS model is not suited for describing oncological ulcers. There is a separate classification for that. \r\nOncological ulcers are skin defects which result from the tumor process. They are different from wounds resulting from cancer treatment, such as radiotherapy, chemotherapy or surgery. \r\n \r\nThe concept does not describe decubitus wounds and burn wounds. For these, the relevant information models can be used.
package_name: nictiz.fhir.nl.stu3.zib2017
derivation: constraint
name: Zib Wound
type: Condition
elements:
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        DateOfLastDressingChange:
          match: {url: null}
          schema:
            type: Extension
            url: h
            index: 1
            elements:
              valueDateTime:
                index: 2
                slicing:
                  slices:
                    valueDateTime:
                      match: {}
                      schema: {index: 2}
  code:
    short: WoundType
    index: 3
    elements:
      coding:
        index: 4
        elements:
          system: {index: 5}
          code: {index: 6}
        required: [system, code]
    required: [coding]
  bodySite:
    short: AnatomicalLocation
    index: 7
    extensions:
      Laterality:
        url: h
        type: Extension
        index: 9
        elements:
          valueCodeableConcept:
            short: Laterality
            index: 10
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {short: Laterality, index: 10}
    elements:
      extension:
        index: 8
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            Laterality:
              match: {url: null}
              schema:
                type: Extension
                url: h
                index: 9
                elements:
                  valueCodeableConcept:
                    short: Laterality
                    index: 10
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {short: Laterality, index: 10}
  subject:
    type: Reference
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient']
    index: 11
  onset:
    short: WoundDateOfOnset
    choices: []
    index: 13
  note:
    index: 14
    elements:
      text: {short: Comment, index: 15}
package_version: 2.2.20
extensions:
  DateOfLastDressingChange:
    url: h
    type: Extension
    index: 1
    elements:
      valueDateTime:
        index: 2
        slicing:
          slices:
            valueDateTime:
              match: {}
              schema: {index: 2}
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-Wound
base: http://hl7.org/fhir/StructureDefinition/Condition
version: 1.0.1