description: 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.r4.zib2020
derivation: constraint
name: ZibWound
abstract: true
type: Condition
elements:
  category:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: value}
      min: 1
      slices:
        woundCode:
          match:
            coding:
            - {code: '416462003', system: 'http://snomed.info/sct'}
          schema:
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: '416462003', system: 'http://snomed.info/sct'}
            _required: true
            index: 1
          min: 1
          max: 1
  code:
    short: WoundType
    binding: {strength: extensible, valueSet: 'http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20200901000000'}
    index: 2
  bodySite:
    short: Location / AnatomicalLocation
    type: CodeableConcept
    binding: {strength: required, valueSet: 'http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000'}
    index: 3
  onset:
    choices: []
    index: 5
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        onsetDateTime:
          match: {}
          schema:
            short: WoundDateOfOnset
            choices: [onsetDateTime]
            index: 7
  onsetDateTime:
    short: WoundDateOfOnset
    type: dateTime
    choiceOf: onset
    index: 8
    slicing:
      slices:
        onsetDateTime:
          match: {}
          schema: {short: WoundDateOfOnset, type: dateTime, choiceOf: onset, index: 8}
  evidence:
    elements:
      detail:
        index: 9
        slicing:
          rules: open
          discriminator:
          - {path: resolve(), type: profile}
          min: null
          slices:
            woundCharacteristics:
              match: {}
              schema:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-wounds.WoundCharacteristics']
                index: 10
  note:
    index: 11
    elements:
      text: {short: Comment, index: 12}
package_version: 0.12.0-beta.3
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-Wound
base: http://hl7.org/fhir/StructureDefinition/Condition
version: null
required: [category]