<status value="draft" /> <date value="2022-07-07T09:26:15.1447718+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 wound is an interruption of the continuity of the skin, often caused by external influences. A 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. Oncological 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. The concept does not describe decubitus wounds and burn wounds. For these, the relevant information models can be used. #### Purpose Information on the wound is recorded to share this information with other health professionals. This information can be used to monitor the wound’s healing process and provide insight into the implemented policy. In a transfer situation, it facilitates continuation of the treatment. #### Evidence Base Though the TIME model can be applied to all types of wounds in the list of wound types, the wound tissue classification (T in the TIME model) is different for different types. The WCS classification is used for surgical wounds, trauma wounds, diabetic foot and venous ulcers. The following values are used: * Red wound: granulation tissue * Yellow wound: signs of infection or fibrin layer * Black wound: with necrosis (Source: www.wcs.nl) Tissue in oncological ulcers is classified as follows: * Degree I: intact epidermis with imminent damage to the skin through underlying tumor tissue * Degree II: beginning damage to the subcutis * Degree III: deep continued growth with damaged subcutis * Degree IV: dry and/or liquefactive necrosis of up to 30% of the wound surface * Degree V: dry and/or liquefactive necrosis of more than 30% of the wound surface (Source: www.oncoline.nl)"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een wond is een onderbreking van de continuïteit van de huid, veelal veroorzaakt door externe invloeden. Een veelgebruikte model om de wondkenmerken vast te leggen is het TIME (Tissue’, ‘Infection’, ‘Moisture’, ‘Edge’) model, waarbij de wond systematisch wordt beschreven. Bij wondweefsel (T uit het TIME model) wordt gebruik gemaakt van de indeling van het WCS model (Woundcare Consultant Society, WCS Kenniscentrum Wondzorg). Het WCS model is niet geschikt voor de beschrijving oncologische ulcera. Hiervoor bestaat een andere classificatie. Oncologische ulcera zijn huiddefecten die zijn ontstaan door het tumorproces. Zij onderscheiden zich van oncologische wonden die ontstaan ten gevolge van de behandeling van kanker, bijvoorbeeld radiotherapie, chemotherapie of chirurgie. Het concept beschrijft geen decubituswonden en brandwonden. Hiervoor kunnen de betreffende bouwstenen gebruikt worden. #### Purpose Gegevens over de wond worden vastgelegd om deze informatie te delen met overige zorgverleners. Met deze gegevens kan de wondgenezing gemonitord worden en wordt inzicht gegeven in het ingezette beleid. In een overdrachtssituatie faciliteert het de continuering van de behandeling. #### Evidence Base Hoewel voor alle typen wonden die in de lijst met wondsoorten staan, het TIME model toepast kan worden, is de wondweefselclassificatie (T uit het TIME model) voor verschillende typen verschillend. Bij chirurgische wond, traumatische wond, diabetische voet en ulcus cruris wordt de WCS classificatie gebruikt. Hierbij worden de volgende waarden gebruikt: * Rode wond: granulerend weefsel * Gele wond: met infectieverschijnselen of fibrinebeslag * Zwarte wond: met necrose (Bron: www.wcs.nl) Bij oncologische ulcera wordt het weefsel als volgt geclassificeerd: * Graad I: intacte epidermis met dreigende aantasting van de huid door onderliggend tumorweefsel * Graad II: beginnende aantasting subcutis * Graad III: diepe doorgroei met aantasting subcutis * Graad IV: droge en/of vervloeide necrose tot 30% van het wondoppervlak * Graad V: droge en/of vervloeide necrose op meer dan 30% van het wondoppervlak (Bron: www.oncoline.nl) **References** 1. Richtlijn Wondzorg (Nederlandse Vereniging voor Heelkunde, 2013) [Online] Beschikbaar op: [http://www.heelkunde.nl/uploads/o1/hI/o1hIRR2oR4QDojTm5pGjGA/Richtlijn-Wondzorg-final.pdf](http://www.heelkunde.nl/uploads/o1/hI/o1hIRR2oR4QDojTm5pGjGA/Richtlijn-Wondzorg-final.pdf) [Geraadpleegd: 13 februari 2015] 2. Richtlijn Oncologische ulcera (2010) [Online] Beschikbaar op: [http://www.oncoline.nl/index.php?pagina=/richtlijn/item/pagina.php&id=32570&richtlijn_id=769](http://www.oncoline.nl/index.php?pagina=/richtlijn/item/pagina.php&id=32570&richtlijn_id=769) [Geraadpleegd: 13 februari 2015] 3. WCS [Online] Beschikbaar op: [www.wcs.nl](www.wcs.nl) [Geraadpleegd: 13 februari 2015] 4. Oncoline [Online] Beschikbaar op: [www.oncoline.nl](www.oncoline.nl) [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/Wound" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <derivation value="specialization" /> <differential> <element id="Wound"> <path value="Wound" /> <short value="Wound"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Wond" /> </extension> </extension> </short> <definition value="Root concept of the Wound information model. This root concept contains all data elements of the Wound 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 de bouwsteen Wond. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Wond." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> </element> <element id="Wound.WoundType"> <path value="Wound.WoundType" /> <short value="WoundType"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="WondSoort" /> </extension> </extension> </short> <definition value="Description of the type of wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De beschrijving van het type wond." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="WoundType codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/WondSoort" /> </binding> </element> <element id="Wound.WoundTissue"> <path value="Wound.WoundTissue" /> <short value="WoundTissue"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="WondWeefsel" /> </extension> </extension> </short> <definition value="Description of the tissue of the wound. For this, the WCS model can be used. A different classification is used for oncological ulcers."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De beschrijving van het weefsel van de wond. Hierbij kan gebruik worden gemaakt van het WCS-model. Voor oncologische ulcera wordt een andere classificatie gebruikt." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="Wound.WoundInfection"> <path value="Wound.WoundInfection" /> <short value="WoundInfection"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="WondInfectie" /> </extension> </extension> </short> <definition value="Indication stating whether the wound is infected."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Indicatie of sprake is van een infectie van de wond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Wound.WoundMoisture"> <path value="Wound.WoundMoisture" /> <short value="WoundMoisture"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="WondVochtigheid" /> </extension> </extension> </short> <definition value="Description of the moisture in the wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De beschrijving van de vochtigheid van de wond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="WoundMoisture codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/WondVochtigheid" /> </binding> </element> <element id="Wound.WoundEdge"> <path value="Wound.WoundEdge" /> <short value="WoundEdge"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="WondRand" /> </extension> </extension> </short> <definition value="Description of the condition of the outer edges of the wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De beschrijving van de toestand van de randen van de wond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="WoundEdge codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/WondRand" /> </binding> </element> <element id="Wound.WoundLength"> <path value="Wound.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 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 wond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="Wound.WoundWidth"> <path value="Wound.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 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 wond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="Wound.WoundDepth"> <path value="Wound.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 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 wond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="Wound.AnatomicalLocation"> <path value="Wound.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 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 plaats van de wond op het lichaam." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="AnatomicalLocation" /> <profile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation" /> </type> </element> <element id="Wound.WoundDateOfOnset"> <path value="Wound.WoundDateOfOnset" /> <short value="WoundDateOfOnset"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="WondOntstaansdatum" /> </extension> </extension> </short> <definition value="The date on which the wound 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 wond is ontstaan." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="Wound.DateOfLastDressingChange"> <path value="Wound.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="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 van de laatste verbandwissel." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="Wound.Drain"> <path value="Wound.Drain" /> <short value="Drain"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Drain" /> </extension> </extension> </short> <definition value="A drain is a medical aid placed to drain blood and exudate from the wound area."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een drain is een hulpmiddel dat geplaatst wordt om bloed en wondvocht uit het wondgebied af te voeren." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Wound.Drain.MedicalDevice"> <path value="Wound.Drain.MedicalDevice" /> <short value="MedicalDevice"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="MedischHulpmiddel" /> </extension> </extension> </short> <definition value="Root concept of the MedicalDevice information model. This root concept contains all data elements of the MedicalDevice 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 de bouwsteen MedischHulpmiddel. Dit rootconcept bevat alle gegevenselementen van de bouwsteen MedischHulpmiddel." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Wound.Drain.MedicalDevice.Product"> <path value="Wound.Drain.MedicalDevice.Product" /> <short value="Product"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Product" /> </extension> </extension> </short> <definition value="The medical device (internally or externally)."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het medische hulpmiddel dat wordt gebruikt (inwendig of uitwendig)." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Wound.Drain.MedicalDevice.Product.ProductId"> <path value="Wound.Drain.MedicalDevice.Product.ProductId" /> <short value="ProductID"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ProductID" /> </extension> </extension> </short> <definition value="Unique identification of the product, such as the serial number. Frequently used coding systems are HIBC and GTIN. If the law requires this to be registered on the basis of a UDI (Unique Device Identifier), the unique identification must consist of a UDI-DI (Device Identifier) and a UDI-PI (Production Identifier(s)). See http://www.gs1.org/healthcare/udi for more information. The UDI-DI must be recorded in reference to GS1 GTIN (01) encryptions, with which for example a firm is linked to the product type. The UDI-PI must consist of the following: application identifier (AI); expiration date (17) and serial number (21) and/or batch or lot number (10)."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Unieke identificatie van het product, bijvoorbeeld het serienummer. Veel gebruikte coderingen zijn HIBC en GTIN. Indien de wet verplicht stelt dat deze geregistreerd wordt op basis van een UDI (Unique Device Identifier), dient de unieke identificatie opgebouwd te zijn uit een UDI-DI (Device Identifier) en een UDI-PI (Production Identifier(s)). Voor meer informatie, zie: http://www.gs1.org/healthcare/udi . De UDI-DI dient m.b.t. GS1 GTIN (01) coderingen worden vastgelegd, waarmee o.a. een firma aan het producttype wordt gekoppeld. De UDI-PI dient te bestaan uit de volgende application identifier (AI); vervaldatum (17) en serienummer (21) en/of batch- of lotnummer (10)." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="Wound.Drain.MedicalDevice.Product.ProductType"> <path value="Wound.Drain.MedicalDevice.Product.ProductType" /> <short value="ProductType"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ProductType" /> </extension> </extension> </short> <definition value="Type of drain applied to the wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Type drain dat bij de wond toegepast is." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="ProductType codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/WondDrainType" /> </binding> </element> <element id="Wound.Drain.MedicalDevice.ProductDescription"> <path value="Wound.Drain.MedicalDevice.ProductDescription" /> <short value="ProductDescription"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ProductOmschrijving" /> </extension> </extension> </short> <definition value="Textual description of the product."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Tekstuele beschrijving van het product." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Wound.Drain.MedicalDevice.AnatomicalLocation"> <path value="Wound.Drain.MedicalDevice.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="Patient’s anatomical location of the medical device used."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Anatomische locatie van het gebruikte hulpmiddel bij de patiënt." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="AnatomicalLocation" /> <profile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation" /> </type> </element> <element id="Wound.Drain.MedicalDevice.Indication"> <path value="Wound.Drain.MedicalDevice.Indication" /> <short value="Indication"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Indicatie" /> </extension> </extension> </short> <definition value="The medical reason for use of the medical device."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De medische reden voor het gebruik van het medisch hulpmiddel." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Wound.Drain.MedicalDevice.Indication.Problem"> <path value="Wound.Drain.MedicalDevice.Indication.Problem" /> <short value="Problem"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Probleem" /> </extension> </extension> </short> <definition value="Root concept of the Problem information model. A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the patient himselve (in the form of a complaint) or by their healthprofessional (in the form of a diagnosis, for example)."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Rootconcept van de bouwsteen Probleem. Een probleem beschrijft een toestand met betrekking tot de gezondheid en/of het welzijn van een individu. Deze toestand kan zijn benoemd door de patiënt zelf (een klacht), of door zijn of haar zorgverlener (onder andere een diagnose)." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem" /> </type> </element> <element id="Wound.Drain.MedicalDevice.StartDate"> <path value="Wound.Drain.MedicalDevice.StartDate" /> <short value="StartDate"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="BeginDatum" /> </extension> </extension> </short> <definition value="The start date of the first use or implant of the medical device. A ‘vague’ date, such as only the year, is permitted."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De startdatum van eerste toepassing of implantatie het medische hulpmiddel. Een vage datum, bijv. alleen een jaartal, is toegestaan." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="Wound.Drain.MedicalDevice.EindDatum"> <path value="Wound.Drain.MedicalDevice.EindDatum" /> <short value="EindDatum"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="EindDatum" /> </extension> </extension> </short> <definition value="The end date of the last use or explant of the medical device. A ‘vague’ date, such as only the year, is permitted."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De einddatum van de laatste toepassing of explantatie van het medische hulpmiddel. Een vage datum, bijv. alleen een jaartal, is toegestaan." /> </extension> </extension> </definition> <alias value="EndDate" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="Wound.Drain.MedicalDevice.Comment"> <path value="Wound.Drain.MedicalDevice.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="Comment about use or information on the medical device used."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Opmerking bij de toepassing of informatie over het gebruikte hulpmiddel." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="Wound.Drain.MedicalDevice.Location"> <path value="Wound.Drain.MedicalDevice.Location" /> <short value="Location"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Locatie" /> </extension> </extension> </short> <definition value="The healthcare organization at which use of the medical device was initiated or where the aid was implanted."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De zorgaanbieder waar het gebruik van het hulpmiddel geïnitieerd werd of waar het hulpmiddel geïmplanteerd werd." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Wound.Drain.MedicalDevice.Location.HealthcareOrganization"> <path value="Wound.Drain.MedicalDevice.Location.HealthcareOrganization" /> <short value="HealthcareOrganization"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Zorgaanbieder" /> </extension> </extension> </short> <definition value="Root concept of the Healthcare Organization information model. This root concept contains all data elements of the Healthcare Organization 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 de bouwsteen Zorgaanbieder. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Zorgaanbieder." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthcareOrganization" /> </type> </element> <element id="Wound.Drain.MedicalDevice.HealthProfessional"> <path value="Wound.Drain.MedicalDevice.HealthProfessional" /> <short value="HealthProfessional"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Zorgverlener" /> </extension> </extension> </short> <definition value="The healthcare professional involved in the indication for use of the medical device implant."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De zorgverlener betrokken bij de indicatiestelling voor het gebruik of de implantatie van het hulpmiddel." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthProfessional" /> </type> </element> <element id="Wound.WoundImage"> <path value="Wound.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 wound."> <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 wond." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <type> <code value="base64Binary" /> </type> </element> <element id="Wound.Comment"> <path value="Wound.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="Comment on the wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De toelichting op de wond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> </differential> </StructureDefinition>