<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="Findings observed during the physical examination of the skin as a whole or an identified area of skin." /> <purpose value="To record a narrative description and clinical interpretation of the findings observed during the physical examination of the skin as a whole or an identified area of skin." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="Examination_of_the_skin"> <path value="Examination_of_the_skin" /> <short value="Examination of the skin" /> <definition value="Findings observed during the physical examination of the skin as a whole or an identified area of skin." /> <min value="1" /> <max value="1" /> <base> <path value="Examination_of_the_skin" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.System_or_structure_examined"> <path value="Examination_of_the_skin.System_or_structure_examined" /> <short value="System or structure examined" /> <definition value="Identification of the examined body system or anatomical structure." /> <min value="1" /> <max value="1" /> <base> <path value="Examination_of_the_skin.System_or_structure_examined" /> <min value="1" /> <max value="1" /> </base> </element> <element id="Examination_of_the_skin.System_or_structure_examined.value"> <path value="Examination_of_the_skin.System_or_structure_examined.value" /> <short value="System or structure examined" /> <definition value="Identification of the examined body system or anatomical structure." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.System_or_structure_examined.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Body_site"> <path value="Examination_of_the_skin.Body_site" /> <short value="Body site" /> <definition value="Identification of the area of the body under examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Body_site" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_the_skin.Body_site.value"> <path value="Examination_of_the_skin.Body_site.value" /> <short value="Body site" /> <definition value="Identification of the area of the body under examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Body_site.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Structured_body_site"> <path value="Examination_of_the_skin.Structured_body_site" /> <short value="Structured body site" /> <definition value="A structured description of the area of the body under examination." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_the_skin.Structured_body_site" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.No_abnormality_detected"> <path value="Examination_of_the_skin.No_abnormality_detected" /> <short value="No abnormality detected" /> <definition value="Statement that no abnormality was detected (NAD) on physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.No_abnormality_detected" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_the_skin.No_abnormality_detected.value"> <path value="Examination_of_the_skin.No_abnormality_detected.value" /> <short value="No abnormality detected" /> <definition value="Statement that no abnormality was detected (NAD) on physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.No_abnormality_detected.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Clinical_description"> <path value="Examination_of_the_skin.Clinical_description" /> <short value="Clinical description" /> <definition value="Narrative description of the overall findings observed during the physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Clinical_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_the_skin.Clinical_description.value"> <path value="Examination_of_the_skin.Clinical_description.value" /> <short value="Clinical description" /> <definition value="Narrative description of the overall findings observed during the physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Clinical_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Specific_findings"> <path value="Examination_of_the_skin.Specific_findings" /> <short value="Specific findings" /> <definition value="Details about specific findings about the skin." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_the_skin.Specific_findings" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Specific_findings.Finding_name"> <path value="Examination_of_the_skin.Specific_findings.Finding_name" /> <short value="Finding name" /> <definition value="The name or category of clinical finding." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Specific_findings.Finding_name" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_the_skin.Specific_findings.Finding_name.value"> <path value="Examination_of_the_skin.Specific_findings.Finding_name.value" /> <short value="Finding name" /> <definition value="The name or category of clinical finding." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Specific_findings.Finding_name.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Specific_findings.Presence"> <path value="Examination_of_the_skin.Specific_findings.Presence" /> <short value="Presence" /> <definition value="The presence or absence of the specified finding." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Specific_findings.Presence" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_the_skin.Specific_findings.Presence.value"> <path value="Examination_of_the_skin.Specific_findings.Presence.value" /> <short value="Presence" /> <definition value="The presence or absence of the specified finding." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Specific_findings.Presence.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Specific_findings.Clinical_description"> <path value="Examination_of_the_skin.Specific_findings.Clinical_description" /> <short value="Clinical description" /> <definition value="Narrative description about the specified finding." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Specific_findings.Clinical_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_the_skin.Specific_findings.Clinical_description.value"> <path value="Examination_of_the_skin.Specific_findings.Clinical_description.value" /> <short value="Clinical description" /> <definition value="Narrative description about the specified finding." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Specific_findings.Clinical_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Examination_findings"> <path value="Examination_of_the_skin.Examination_findings" /> <short value="Examination findings" /> <definition value="Structured details about the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_the_skin.Examination_findings" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Multimedia_representation"> <path value="Examination_of_the_skin.Multimedia_representation" /> <short value="Multimedia representation" /> <definition value="Digital image, video or diagram representing the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_the_skin.Multimedia_representation" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Clinical_interpretation"> <path value="Examination_of_the_skin.Clinical_interpretation" /> <short value="Clinical interpretation" /> <definition value="Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_the_skin.Clinical_interpretation" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Examination_of_the_skin.Clinical_interpretation.value"> <path value="Examination_of_the_skin.Clinical_interpretation.value" /> <short value="Clinical interpretation" /> <definition value="Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Clinical_interpretation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Comment"> <path value="Examination_of_the_skin.Comment" /> <short value="Comment" /> <definition value="Additional narrative about the physical examination findings, not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Comment" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_the_skin.Comment.value"> <path value="Examination_of_the_skin.Comment.value" /> <short value="Comment" /> <definition value="Additional narrative about the physical examination findings, not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_the_skin.Comment.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_the_skin.Examination_not_done"> <path value="Examination_of_the_skin.Examination_not_done" /> <short value="Examination not done" /> <definition value="Details to explicitly record that this examination was not performed." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_the_skin.Examination_not_done" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>