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{
  "resourceType": "StructureDefinition",
  "id": "zib-Wound-WoundObservable",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-Wound-WoundObservable",
  "version": "1.0.0",
  "name": "Zib Wound WoundObservable",
  "title": "HCIM Wound WoundObservable",
  "status": "draft",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "email",
          "value": "info@nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This WoundObservable profile caputures mutliple concepts such as wound length, width and depth which are used in more than one HCIM, namely: Wound and PressureUlcer. This profile is therefore used over multiple HCIM's.",
  "purpose": "A seperate Observation is deemed necessary for the observable properties of wounds.",
  "copyright": "CC0",
  "fhirVersion": "3.0.1",
  "mapping": [
    {
      "identity": "hcim-pressureulcer-v3.2-2017EN",
      "uri": "https://zibs.nl/wiki/PressureUlcer-v3.2(2017EN)",
      "name": "HCIM PressureUlcer-v3.2(2017EN)"
    },
    {
      "identity": "hcim-wound-v3.1-2017EN",
      "uri": "https://zibs.nl/wiki/Wound-v3.1(2017EN)",
      "name": "HCIM Wound-v3.1(2017EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:woundImage",
        "path": "Observation.extension",
        "sliceName": "woundImage",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/extension-woundImage"
          }
        ]
      },
      {
        "id": "Observation.extension:woundImage.valueAttachment:valueAttachment",
        "path": "Observation.extension.valueAttachment",
        "sliceName": "valueAttachment",
        "short": "WoundImage",
        "definition": "A photo of the wound.",
        "alias": [
          "WondFoto"
        ],
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.15",
            "comment": "WoundPhoto"
          }
        ]
      },
      {
        "id": "Observation.extension:reasonReference",
        "path": "Observation.extension",
        "sliceName": "reasonReference",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/event-reasonReference"
          }
        ]
      },
      {
        "id": "Observation.extension:reasonReference.value[x]",
        "path": "Observation.extension.value[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          },
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer"
          },
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Wound"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.1",
            "comment": "Wound"
          },
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.1",
            "comment": "PressureUlcer"
          }
        ]
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.code.coding:WoundObservableCode",
        "path": "Observation.code.coding",
        "sliceName": "WoundObservableCode",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:WoundObservableCode.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:WoundObservableCode.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "364554009"
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:WoundLength",
        "path": "Observation.component",
        "sliceName": "WoundLength",
        "max": "1"
      },
      {
        "id": "Observation.component:WoundLength.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "401238003"
            }
          ]
        }
      },
      {
        "id": "Observation.component:WoundLength.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Length of wound"
      },
      {
        "id": "Observation.component:WoundLength.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "WoundLength",
        "definition": "The length of the wound.",
        "alias": [
          "Wondlengte"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.9",
            "comment": "WoundLength"
          },
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.12",
            "comment": "WoundLength"
          }
        ]
      },
      {
        "id": "Observation.component:WoundWidth",
        "path": "Observation.component",
        "sliceName": "WoundWidth",
        "max": "1"
      },
      {
        "id": "Observation.component:WoundWidth.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "401239006"
            }
          ]
        }
      },
      {
        "id": "Observation.component:WoundWidth.code.coding",
        "path": "Observation.component.code.coding",
        "patternCoding": {
          "system": "http://snomed.info/sct",
          "code": "401239006"
        }
      },
      {
        "id": "Observation.component:WoundWidth.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Width of wound"
      },
      {
        "id": "Observation.component:WoundWidth.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "WoundWidth",
        "definition": "The width of the decubitus wound.",
        "alias": [
          "Wondbreedte"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.13",
            "comment": "WoundWidth"
          },
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.10",
            "comment": "WoundWidth"
          }
        ]
      },
      {
        "id": "Observation.component:WoundDepth",
        "path": "Observation.component",
        "sliceName": "WoundDepth",
        "max": "1"
      },
      {
        "id": "Observation.component:WoundDepth.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "425094009"
            }
          ]
        }
      },
      {
        "id": "Observation.component:WoundDepth.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Depth of wound"
      },
      {
        "id": "Observation.component:WoundDepth.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "WoundDepth",
        "definition": "The depth of the decubitus wound.",
        "alias": [
          "Wonddiepte"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-pressureulcer-v3.2-2017EN",
            "map": "NL-CM:19.1.11",
            "comment": "WoundDepth"
          },
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.14",
            "comment": "WoundDepth"
          }
        ]
      },
      {
        "id": "Observation.component:WoundTissue",
        "path": "Observation.component",
        "sliceName": "WoundTissue",
        "max": "1"
      },
      {
        "id": "Observation.component:WoundTissue.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0",
              "code": "19.2.4"
            }
          ]
        }
      },
      {
        "id": "Observation.component:WoundTissue.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Wound tissue"
      },
      {
        "id": "Observation.component:WoundTissue.value[x]",
        "path": "Observation.component.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept",
        "path": "Observation.component.value[x]",
        "sliceName": "valueCodeableConcept",
        "short": "WoundTissue",
        "alias": [
          "WondWeefsel"
        ],
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.4",
            "comment": "WoundTissue"
          }
        ]
      },
      {
        "id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding",
        "path": "Observation.component.value[x].coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "max": "1"
      },
      {
        "id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:OncoUlcerCodelistValue",
        "path": "Observation.component.value[x].coding",
        "sliceName": "OncoUlcerCodelistValue",
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "WondWeefselOncoUlcerCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2--20171231000000",
            "display": "WondWeefselOncoUlcerCodelijst"
          }
        }
      },
      {
        "id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:OncoUlcerCodelistValue.system",
        "path": "Observation.component.value[x].coding.system",
        "min": 1,
        "fixedUri": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.1"
      },
      {
        "id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:OncoUlcerCodelistValue.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:WCSCodelistValue",
        "path": "Observation.component.value[x].coding",
        "sliceName": "WCSCodelistValue",
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "WondWeefselWCSCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1--20171231000000",
            "display": "WondWeefselWCSCodelijst"
          }
        }
      },
      {
        "id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:WCSCodelistValue.system",
        "path": "Observation.component.value[x].coding.system",
        "min": 1,
        "fixedUri": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.2"
      },
      {
        "id": "Observation.component:WoundTissue.value[x]:valueCodeableConcept.coding:WCSCodelistValue.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:WoundInfection",
        "path": "Observation.component",
        "sliceName": "WoundInfection",
        "max": "1"
      },
      {
        "id": "Observation.component:WoundInfection.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "405009004"
            }
          ]
        }
      },
      {
        "id": "Observation.component:WoundInfection.code.coding",
        "path": "Observation.component.code.coding",
        "max": "1"
      },
      {
        "id": "Observation.component:WoundInfection.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Infection status"
      },
      {
        "id": "Observation.component:WoundInfection.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "WoundInfection",
        "alias": [
          "WondInfectie"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "v2 Yes/no Indicator",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/v2-0136"
          }
        },
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.7",
            "comment": "WoundInfection"
          }
        ]
      },
      {
        "id": "Observation.component:WoundMoisture",
        "path": "Observation.component",
        "sliceName": "WoundMoisture",
        "max": "1"
      },
      {
        "id": "Observation.component:WoundMoisture.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "298007001"
            }
          ]
        }
      },
      {
        "id": "Observation.component:WoundMoisture.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "WoundMoisture",
        "definition": "Description of the moisture in the wound.",
        "alias": [
          "WondVochtigheid"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "WondVochtigheidCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3--20171231000000",
            "display": "WondVochtigheidCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-wound-v3.1-2017EN",
            "map": "NL-CM:19.2.6"
          }
        ]
      },
      {
        "id": "Observation.component:WoundEdge",
        "path": "Observation.component",
        "sliceName": "WoundEdge",
        "max": "1"
      },
      {
        "id": "Observation.component:WoundEdge.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "449747006"
            }
          ]
        }
      },
      {
        "id": "Observation.component:WoundEdge.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Wound edge finding"
      },
      {
        "id": "Observation.component:WoundEdge.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "WoundEdge",
        "definition": "Description of the condition of the outer edges of the wound.",
        "alias": [
          "WondRand"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "WondRandCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5--20171231000000",
            "display": "WondRandCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-Wound-v3.1-2017EN",
            "map": "NL-CM:19.2.11",
            "comment": "WoundEdge"
          }
        ]
      }
    ]
  }
}

name : Zib Wound WoundObservable

{

}