<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <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. 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." /> <purpose value="A derived profile from [zib-PressureUlcer](http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." /> <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" /> <mapping> <identity value="zib-pressureulcer-v3.4-2020EN" /> <uri value="https://zibs.nl/wiki/PressureUlcer-v3.4(2020EN)" /> <name value="zib PressureUlcer-v3.4(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Condition" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer" /> <derivation value="constraint" /> <differential> <element id="Condition"> <path value="Condition" /> <comment value="The functional model of zib PressureUlcer represents a condition that needs to be tracked over time, but defines point-in-time assessments about the current state of the wound as well. For this reason, this zib is mapped onto multiple resources: this Condition profile represents the focal resource, while all point-in-time properties are mapped onto Observation and DocumentReference profiles. Those observable properties, in turn, are grouped using the [nl-core-wounds.WoundCharacteristics](http://nictiz.nl/fhir/StructureDefinition/nl-core-wounds.WoundCharacteristics) Observation profile, which can be referenced on `Condition.evidence.detail` (see slice "woundCharacteristics"). This model allows to track multiple distinct assessment moments over time in connection with the Condition. For this reason, it is not expected that the Observations for individual outcomes or DocumentReference resources are referenced from or to this Condition resource directly; all references should be channeled through the zib-wounds.WoundCharacteristics grouping Observation. Note that the individual Observations are referenced from the grouping Observation, but that the direction for DocumentReference resources is reversed. This model deviates somewhat from the zib approach. The zib model is meant to group all concepts relevant for a wound into a model, but it doesn't have a concept of changes over time. For this reason, all observable properties have a cardinality of `0..1` on the zib level, but this works out differently in the FHIR model." /> <alias value="nl-core-PressureUlcer" /> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite" /> <type> <code value="CodeableConcept" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" /> </type> </element> <element id="Condition.subject"> <path value="Condition.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" /> </type> </element> <element id="Condition.evidence.detail:woundCharacteristics"> <path value="Condition.evidence.detail" /> <sliceName value="woundCharacteristics" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-wounds.WoundCharacteristics" /> </type> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.