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:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        reasonReference:
          match: {url: null}
          schema:
            type: Extension
            url: h
            index: 1
            elements:
              value:
                choices: [valueReference, valueReference, valueReference, valueReference]
                index: 3
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
                index: 4
  code:
    elements:
      coding:
        index: 8
        slicing:
          rules: open
          discriminator:
          - {path: code, type: value}
          min: 1
          slices:
            WoundObservableCode:
              match: {code: '364554009'}
              schema:
                _required: true
                index: 9
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 10
                  code:
                    pattern: {type: Code, value: '364554009'}
                    index: 11
                required: [system, code]
    required: [coding]
  component:
    index: 12
    slicing:
      rules: open
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        woundLength:
          match:
            code:
              coding:
              - {code: 39126-8, system: 'http://loinc.org'}
          schema:
            index: 13
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 39126-8, system: 'http://loinc.org'}
                index: 14
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Length of wound, index: 15}
              valueQuantity:
                type: Quantity
                short: WoundLength
                index: 16
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema: {type: Quantity, short: WoundLength, index: 16}
        woundWidth:
          match:
            code:
              coding:
              - {code: 39125-0, system: 'http://loinc.org'}
          schema:
            index: 17
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 39125-0, system: 'http://loinc.org'}
                index: 18
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Width of wound, index: 19}
              valueQuantity:
                type: Quantity
                short: WoundWidth
                index: 20
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema: {type: Quantity, short: WoundWidth, index: 20}
        woundDepth:
          match:
            code:
              coding:
              - {code: 39127-6, system: 'http://loinc.org'}
          schema:
            index: 21
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 39127-6, system: 'http://loinc.org'}
                index: 22
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Depth of wound, index: 23}
              valueQuantity:
                type: Quantity
                short: WoundDepth
                index: 24
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema: {type: Quantity, short: WoundDepth, index: 24}
        woundTissue:
          match:
            code:
              coding:
              - {code: '148641000146109', system: 'http://snomed.info/sct'}
          schema:
            index: 25
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '148641000146109', system: 'http://snomed.info/sct'}
                index: 26
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Wound tissue, index: 27}
              value:
                choices: []
                index: 29
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this, type: type}
                  min: null
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema:
                        short: WoundTissue
                        choices: [valueCodeableConcept]
                        _required: true
                        index: 31
                      min: 1
              valueCodeableConcept:
                short: WoundTissue
                type: CodeableConcept
                choiceOf: value
                index: 32
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: WoundTissue, type: CodeableConcept, _required: true, choiceOf: value, index: 32}
                      min: 1
              value[x]:
                elements:
                  coding:
                    index: 33
                    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: 34
                            elements:
                              system:
                                pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.1'}
                                index: 35
                              code: {index: 36}
                            required: [system, code]
                        wondWeefselWCSCodelijst:
                          match: {system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.2'}
                          schema:
                            index: 37
                            elements:
                              system:
                                pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.2'}
                                index: 38
                              code: {index: 39}
                            required: [system, code]
            required: [valueCodeableConcept]
        woundInfection:
          match:
            code:
              coding:
              - {code: '405009004', system: 'http://snomed.info/sct'}
          schema:
            index: 40
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '405009004', system: 'http://snomed.info/sct'}
                index: 41
                elements:
                  coding:
                    index: 42
                    elements:
                      display: {defaultValueString: Infection status, index: 43}
              valueCodeableConcept:
                type: CodeableConcept
                short: WoundInfection
                index: 44
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {type: CodeableConcept, short: WoundInfection, index: 44}
        woundMoisture:
          match:
            code:
              coding:
              - {code: '298007001', system: 'http://snomed.info/sct'}
          schema:
            index: 45
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '298007001', system: 'http://snomed.info/sct'}
                index: 46
              valueCodeableConcept:
                short: WoundMoisture
                type: CodeableConcept
                index: 47
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: WoundMoisture, type: CodeableConcept, index: 47}
        woundEdge:
          match:
            code:
              coding:
              - {code: '449747006', system: 'http://snomed.info/sct'}
          schema:
            index: 48
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '449747006', system: 'http://snomed.info/sct'}
                index: 49
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Wound edge finding, index: 50}
              valueCodeableConcept:
                short: WoundEdge
                type: CodeableConcept
                index: 51
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: WoundEdge, type: CodeableConcept, index: 51}
        woundImage:
          match:
            code:
              coding:
              - {code: 72170-4, system: 'http://loinc.org'}
          schema:
            index: 52
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 72170-4, system: 'http://loinc.org'}
                index: 53
                elements:
                  coding:
                    elements:
                      display: {defaultValueString: Photographic image, index: 54}
              valueAttachment:
                type: Attachment
                short: WoundImage
                index: 55
                slicing:
                  slices:
                    valueAttachment:
                      match: {}
                      schema: {type: Attachment, short: WoundImage, index: 55}
package_version: 2.3.0
extensions:
  reasonReference:
    url: h
    type: Extension
    index: 1
    elements:
      value:
        choices: [valueReference, valueReference, valueReference, valueReference]
        index: 3
      valueReference:
        type: Reference
        choiceOf: value
        refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
        index: 4
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics
base: http://fhir.nl/fhir/StructureDefinition/nl-core-observation
version: 1.0.1