Wundgröße

Die Wundgröße besteht aus den folgenden vier Datenfeldern:

  • Länge (in cm)
  • Breite (in cm)
  • Tiefe (in cm, optional)
  • Fläche (in cm2)

Diese vier Variablen werden in den Components der Observation widergegeben.

https://posithera.de/fhir/StructureDefinition/WoundSize

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectΣ I0..1Reference(Patient)
focusΣ I0..*Reference(Resource | PosiTheraBodyStructure | PosiTheraWound for NKDUC)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimeΣ1..1dateTime
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ1..1codeFixed Value
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
valueΣ1..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ1..1stringFixed Value
systemΣ I1..1uriFixed Value
codeΣ0..1codeFixed Value
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
valueΣ0..1decimal
comparatorΣ ?!0..1codeBinding
unitΣ0..1stringFixed Value
systemΣ I0..1uriFixed Value
codeΣ0..1codeFixed Value
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Beispiel für die Wundgröße

<Observation xmlns="http://hl7.org/fhir">
    <meta>
        <profile value="https://posithera.de/fhir/StructureDefinition/WoundSize" />
    </meta>
    <status value="final" />
    <category>
        <coding>
            <system value="http://hl7.org/fhir/ValueSet/observation-category" />
            <code value="exam" />
        </coding>
    </category>
    <code>
        <coding>
            <system value="http://loinc.org" />
            <code value="72287-6" />
            <display value="Wound size panel" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/example" />
    </subject>
    <focus>
        <reference value="Condition/woundExample" />
    </focus>
    <effectiveDateTime value="2019-08-21" />
    <component>
        <code>
            <coding>
                <system value="http://loinc.org" />
                <code value="39126-8" />
                <display value="Length of Wound" />
            </coding>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="401238003" />
                <display value="Length of Wound" />
            </coding>
            <text value="Wundl&#228;nge" />
        </code>
        <valueQuantity>
            <value value="3.5" />
            <unit value="cm" />
            <system value="http://unitsofmeasure.org" />
            <code value="cm" />
        </valueQuantity>
    </component>
    <component>
        <code>
            <coding>
                <system value="http://loinc.org" />
                <code value="39125-0" />
                <display value="Width of Wound" />
            </coding>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="401239006" />
                <display value="Width of wound" />
            </coding>
            <text value="Wundbreite" />
        </code>
        <valueQuantity>
            <value value="2.5" />
            <unit value="cm" />
            <system value="http://unitsofmeasure.org" />
            <code value="cm" />
        </valueQuantity>
    </component>
    <component>
        <code>
            <coding>
                <system value="http://loinc.org" />
                <code value="39114-4" />
                <display value="Depth of wound" />
            </coding>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="425094009" />
                <display value="Depth of wound" />
            </coding>
            <text value="Wundtiefe" />
        </code>
        <valueQuantity>
            <value value="1.3" />
            <unit value="cm" />
            <system value="http://unitsofmeasure.org" />
            <code value="cm" />
        </valueQuantity>
    </component>
    <component>
        <code>
            <coding>
                <system value="http://loinc.org" />
                <code value="89260-4" />
                <display value="Area of Wound" />
            </coding>
            <text value="Wundfl&#228;che" />
        </code>
        <valueQuantity>
            <value value="7.0" />
            <unit value="cm2" />
            <system value="http://unitsofmeasure.org" />
            <code value="cm2" />
        </valueQuantity>
    </component>
</Observation>