<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="HdBe-PressureUlcer" />
  <language value="en-US" />
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2020-09-01T00:00:00+02:00" />
    </valuePeriod>
  </extension>
  <url value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-PressureUlcer" />
  <name value="HdBePressureUlcer">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBeDecubitusWond" />
      </extension>
    </extension>
  </name>
  <title value="HdBe PressureUlcer" />
  <status value="draft" />
  <date value="2022-07-07T15:04:03.2592055+00:00" />
  <publisher value="Healthdata.be (Sciensano)" />
  <contact>
    <name value="Service portal – healthdata.be" />
    <telecom>
      <system value="url" />
      <value value="https://sciensano.service-now.com/sp" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="A pressure ulcer is localized damage to the skin and/or underlying tissue, often over a bony prominence, as a result of pressure or pressure combined with friction. &#xD;&#xA;A pressure ulcer involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of pressure ulcers can lead to a fewer incidences and prevalence of pressure ulcers.&#xD;&#xA;&#xD;&#xA;#### Purpose&#xD;&#xA;Information on the pressure ulcer is of importance in starting or continuing the best possible wound treatment, curatively and preventatively, and to be able to properly monitor the wound healing process.&#xD;&#xA;#### Evidence Base&#xD;&#xA;To describe the wound, there are 4 categories, based on the international NPUAP/EPUAP decubitus classification system: &#xD;&#xA;&#xD;&#xA;* Category 1: non-removable redness of intact skin;&#xD;&#xA;* Category 2: loss of a partial layer of skin or blister;&#xD;&#xA;* Category 3: loss of an entire layer of skin (visible fat);&#xD;&#xA;* Category 4: loss of an entire layer of tissue (visible muscle/bone).">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="Een decubituswond is een gelokaliseerde beschadiging van de huid en/of onderliggend weefsel, meestal ter hoogte van een botuitsteeksel, als gevolg van druk of druk in samenhang met schuifkracht.&#xD;&#xA;Decubitus gaat gepaard met veel ziektelast en vermindert de kwaliteit van leven voor patiënten. Adequate risico-inschatting, preventie en behandeling van decubitus leiden tot een lagere incidentie en prevalentie van decubitus. &#xD;&#xA;#### Purpose&#xD;&#xA;Informatie over de decubitus is van belang bij het inzetten of continueren van de optimale wondbehandeling, curatief en preventief, en om de voortgang van de wondgenezing goed te kunnen monitoren.&#xD;&#xA;#### Evidence Base&#xD;&#xA;Voor het beschrijven van de wond wordt gebruik gemaakt van de indeling in 4 categoriën, , gebaseerd op het internationale NPUAP/EPUAP decubitus classificatiesysteem:&#xD;&#xA;&#xD;&#xA;* Categorie 1: niet wegdrukbare roodheid bij een intacte huid;&#xD;&#xA;* Categorie 2: verlies van een deel van de huidlaag of blaar;&#xD;&#xA;* Categorie 3: verlies van een volledige huidlaag (vet zichtbaar);&#xD;&#xA;* Categorie 4: verlies van een volledige weefsellaag (spier/bot zichtbaar).&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;**References**&#xD;&#xA;1. V&amp;VN (2011) *Landelijke multidisciplinaire richtlijn. Decubitus preventie en behandeling. *[Online] Beschikbaar op: [www.diliguide.nl/document/1613/file/pdf/](www.diliguide.nl/document/1613/file/pdf/) [Geraadpleegd: 13 februari 2015]" />
      </extension>
    </extension>
  </description>
  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
  <fhirVersion value="4.0.1" />
  <kind value="logical" />
  <abstract value="true" />
  <type value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/PressureUlcer" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <derivation value="specialization" />
  <snapshot>
    <element id="PressureUlcer">
      <path value="PressureUlcer" />
      <short value="PressureUlcer">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DecubitusWond" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Rootconcept van bouwsteen DecubitusWond. Dit concept bevat alle gegevenselementen van de bouwsteen DecubitusWond." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PressureUlcer" />
        <min value="0" />
        <max value="*" />
      </base>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PressureUlcer.id">
      <path value="PressureUlcer.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PressureUlcer.extension">
      <path value="PressureUlcer.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PressureUlcer.DecubitusCategory">
      <path value="PressureUlcer.DecubitusCategory" />
      <short value="DecubitusCategory">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DecubitusCategorie" />
          </extension>
        </extension>
      </short>
      <definition value="Description of the condition of the pressure ulcer, ranging from category 1 - 4.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Beschrijving van de toestand van decubituswond, oplopend van categorie 1 tot en met 4." />
          </extension>
        </extension>
      </definition>
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="PressureUlcer.DecubitusCategory" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="required" />
        <description value="DecubitusCategory codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/DecubitusCategorie" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
    </element>
    <element id="PressureUlcer.DateOfOnset">
      <path value="PressureUlcer.DateOfOnset" />
      <short value="DateOfOnset">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntstaansDatum" />
          </extension>
        </extension>
      </short>
      <definition value="The date on which the pressure ulcer appeared.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De datum waarop de decubituswond is ontstaan." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PressureUlcer.DateOfOnset" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PressureUlcer.AnatomicalLocation">
      <path value="PressureUlcer.AnatomicalLocation" />
      <short value="AnatomicalLocation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="AnatomischeLocatie" />
          </extension>
        </extension>
      </short>
      <definition value="The location of the decubitus wound on the body.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De locatie op het lichaam waar de decubituswond zich bevindt." />
          </extension>
        </extension>
      </definition>
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PressureUlcer.AnatomicalLocation" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
    </element>
    <element id="PressureUlcer.DateOfLastDressingChange">
      <path value="PressureUlcer.DateOfLastDressingChange" />
      <short value="DateOfLastDressingChange">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DatumLaatsteVerbandwissel" />
          </extension>
        </extension>
      </short>
      <definition value="The date on which the dressing was last changed.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De datum waarop het verband de laatste maal verwisseld is." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PressureUlcer.DateOfLastDressingChange" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PressureUlcer.WoundLength">
      <path value="PressureUlcer.WoundLength" />
      <short value="WoundLength">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Wondlengte" />
          </extension>
        </extension>
      </short>
      <definition value="The length of the decubitus wound.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De lengte van de decubituswond." />
          </extension>
        </extension>
      </definition>
      <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PressureUlcer.WoundLength" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="qty-3" />
        <severity value="error" />
        <human value="If a code for the unit is present, the system SHALL also be present" />
        <expression value="code.empty() or system.exists()" />
        <xpath value="not(exists(f:code)) or exists(f:system)" />
        <source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SN (see also Range) or CQ" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values" />
      </mapping>
    </element>
    <element id="PressureUlcer.WoundWidth">
      <path value="PressureUlcer.WoundWidth" />
      <short value="WoundWidth">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Wondbreedte" />
          </extension>
        </extension>
      </short>
      <definition value="The width of the decubitus wound.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De breedte van de decubituswond." />
          </extension>
        </extension>
      </definition>
      <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PressureUlcer.WoundWidth" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="qty-3" />
        <severity value="error" />
        <human value="If a code for the unit is present, the system SHALL also be present" />
        <expression value="code.empty() or system.exists()" />
        <xpath value="not(exists(f:code)) or exists(f:system)" />
        <source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SN (see also Range) or CQ" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values" />
      </mapping>
    </element>
    <element id="PressureUlcer.WoundDepth">
      <path value="PressureUlcer.WoundDepth" />
      <short value="WoundDepth">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Wonddiepte" />
          </extension>
        </extension>
      </short>
      <definition value="The depth of the decubitus wound.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De diepte van de decubituswond." />
          </extension>
        </extension>
      </definition>
      <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PressureUlcer.WoundDepth" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="qty-3" />
        <severity value="error" />
        <human value="If a code for the unit is present, the system SHALL also be present" />
        <expression value="code.empty() or system.exists()" />
        <xpath value="not(exists(f:code)) or exists(f:system)" />
        <source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SN (see also Range) or CQ" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values" />
      </mapping>
    </element>
    <element id="PressureUlcer.WoundImage">
      <path value="PressureUlcer.WoundImage" />
      <short value="WoundImage">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="WondFoto" />
          </extension>
        </extension>
      </short>
      <definition value="A photo of the decubitus wound as visual information.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Een foto van de decubituswond als visuele informatie." />
          </extension>
        </extension>
      </definition>
      <comment value="A stream of bytes, base64 encoded" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PressureUlcer.WoundImage" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="base64Binary" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PressureUlcer.Comment">
      <path value="PressureUlcer.Comment" />
      <short value="Comment">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting" />
          </extension>
        </extension>
      </short>
      <definition value="A comment of the decubitus wound.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Een toelichting op de decubituswond." />
          </extension>
        </extension>
      </definition>
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PressureUlcer.Comment" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="PressureUlcer">
      <path value="PressureUlcer" />
      <short value="PressureUlcer">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DecubitusWond" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Rootconcept van bouwsteen DecubitusWond. Dit concept bevat alle gegevenselementen van de bouwsteen DecubitusWond." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
    </element>
    <element id="PressureUlcer.DecubitusCategory">
      <path value="PressureUlcer.DecubitusCategory" />
      <short value="DecubitusCategory">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DecubitusCategorie" />
          </extension>
        </extension>
      </short>
      <definition value="Description of the condition of the pressure ulcer, ranging from category 1 - 4.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Beschrijving van de toestand van decubituswond, oplopend van categorie 1 tot en met 4." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="DecubitusCategory codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/DecubitusCategorie" />
      </binding>
    </element>
    <element id="PressureUlcer.DateOfOnset">
      <path value="PressureUlcer.DateOfOnset" />
      <short value="DateOfOnset">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntstaansDatum" />
          </extension>
        </extension>
      </short>
      <definition value="The date on which the pressure ulcer appeared.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De datum waarop de decubituswond is ontstaan." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="PressureUlcer.AnatomicalLocation">
      <path value="PressureUlcer.AnatomicalLocation" />
      <short value="AnatomicalLocation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="AnatomischeLocatie" />
          </extension>
        </extension>
      </short>
      <definition value="The location of the decubitus wound on the body.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De locatie op het lichaam waar de decubituswond zich bevindt." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation" />
      </type>
    </element>
    <element id="PressureUlcer.DateOfLastDressingChange">
      <path value="PressureUlcer.DateOfLastDressingChange" />
      <short value="DateOfLastDressingChange">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DatumLaatsteVerbandwissel" />
          </extension>
        </extension>
      </short>
      <definition value="The date on which the dressing was last changed.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De datum waarop het verband de laatste maal verwisseld is." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="PressureUlcer.WoundLength">
      <path value="PressureUlcer.WoundLength" />
      <short value="WoundLength">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Wondlengte" />
          </extension>
        </extension>
      </short>
      <definition value="The length of the decubitus wound.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De lengte van de decubituswond." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="PressureUlcer.WoundWidth">
      <path value="PressureUlcer.WoundWidth" />
      <short value="WoundWidth">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Wondbreedte" />
          </extension>
        </extension>
      </short>
      <definition value="The width of the decubitus wound.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De breedte van de decubituswond." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="PressureUlcer.WoundDepth">
      <path value="PressureUlcer.WoundDepth" />
      <short value="WoundDepth">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Wonddiepte" />
          </extension>
        </extension>
      </short>
      <definition value="The depth of the decubitus wound.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De diepte van de decubituswond." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="PressureUlcer.WoundImage">
      <path value="PressureUlcer.WoundImage" />
      <short value="WoundImage">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="WondFoto" />
          </extension>
        </extension>
      </short>
      <definition value="A photo of the decubitus wound as visual information.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Een foto van de decubituswond als visuele informatie." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <type>
        <code value="base64Binary" />
      </type>
    </element>
    <element id="PressureUlcer.Comment">
      <path value="PressureUlcer.Comment" />
      <short value="Comment">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting" />
          </extension>
        </extension>
      </short>
      <definition value="A comment of the decubitus wound.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Een toelichting op de decubituswond." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
  </differential>
</StructureDefinition>