description: This template represents acquired or surgical wounds and is not intended to encompass all wound types. The template applies to wounds such as pressure ulcers, surgical incisions, and deep tissue injury wounds. Information in this template may include information about the wound measurements characteristics.
package_name: hl7.cda.us.ccda
derivation: constraint
name: LongitudinalCareWoundObservation
type: http://hl7.org/cda/stds/core/StructureDefinition/Observation
elements:
  templateId:
    array: true
    min: 2
    index: 0
    slicing:
      slices:
        Longitudinal-care-wound-obs:
          match: {}
          schema:
            _required: true
            index: 1
            elements:
              root:
                pattern: {type: String, value: 2.16.840.1.113883.10.20.22.4.114}
                index: 2
              extension:
                pattern: {type: String, value: '2015-08-01'}
                index: 3
            required: [root, extension]
            extensions: {}
  classCode: {index: 4}
  moodCode: {index: 5}
  code:
    index: 6
    elements:
      code:
        pattern: {type: Code, value: ASSERTION}
        index: 7
      codeSystem:
        pattern: {type: String, value: 2.16.840.1.113883.5.4}
        index: 8
    required: [codeSystem, code]
  value:
    binding: {strength: preferred, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2.6'}
    index: 9
  targetSiteCode:
    binding: {strength: preferred, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9'}
    index: 10
    elements:
      qualifier:
        short: If targetSite/qualifierCode name/value pairs are used, care must be taken to avoid conflict with the SNOMED-CT body structure code used in observation/value.  SNOMED-CT body structure codes are often pre-coordinated with laterality.
        index: 11
        elements:
          name:
            index: 12
            elements:
              code:
                pattern: {type: Code, value: '272741003'}
                index: 13
              codeSystem:
                pattern: {type: String, value: 2.16.840.1.113883.6.96}
                index: 14
            required: [codeSystem, code]
          value:
            index: 15
            elements:
              code:
                binding: {strength: preferred, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.37'}
                index: 16
            required: [code]
        required: [name, value]
  author: {index: 17}
  entryRelationship:
    short: When the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Highest Pressure Ulcer Stage.
    index: 18
    slicing:
      slices:
        woundMeasurementObservation:
          match: {}
          schema:
            array: true
            index: 19
            elements:
              typeCode:
                pattern: {type: Code, value: COMP}
                index: 20
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 21}
            required: [observation]
        woundCharacteristic:
          match: {}
          schema:
            array: true
            index: 22
            elements:
              typeCode:
                pattern: {type: Code, value: COMP}
                index: 23
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 24}
            required: [observation]
        numberofPressureUlcersObservation:
          match: {}
          schema:
            short: When the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Number of Pressure Ulcers.
            array: true
            index: 25
            elements:
              typeCode:
                pattern: {type: Code, value: COMP}
                index: 26
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 27}
            required: [observation]
        highestPressureUlcerStage:
          match: {}
          schema:
            index: 28
            elements:
              typeCode:
                pattern: {type: Code, value: COMP}
                index: 29
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 30}
            required: [observation]
package_version: 3.0.0-ballot
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/LongitudinalCareWoundObservation
base: http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation
version: 3.0.0-ballot