<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 burn wound is a wound caused by skin being exposed to heat for a certain time above a certain critical temperature. Heat above this critical temperature (+/- 40°C) will cause damage to the skin. There are different types of burn wounds, which are categorized according to the depth of the burn wound. The depth of the burn wound depends on: the temperature of the impacting heat; the duration of the impact of heat on the skin; the source of the burn (e.g. fire, fluid)." /> <purpose value="This Condition resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Burnwound v3.4 (2020)](https://zibs.nl/wiki/Burnwound-v3.4(2020EN))." /> <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-burnwound-v3.4-2020EN" /> <uri value="https://zibs.nl/wiki/Burnwound-v3.4(2020EN)" /> <name value="zib Burnwound-v3.4(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Condition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" /> <derivation value="constraint" /> <differential> <element id="Condition"> <path value="Condition" /> <short value="Burnwound" /> <comment value="The functional model of zib Burnwound 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 [zib-wounds.WoundCharacteristics](http://nictiz.nl/fhir/StructureDefinition/zib-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="Brandwond" /> <mapping> <identity value="zib-burnwound-v3.4-2020EN" /> <map value="NL-CM:19.4.1" /> <comment value="BurnWound" /> </mapping> </element> <element id="Condition.category"> <path value="Condition.category" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Condition.category:burnWoundCode"> <path value="Condition.category" /> <sliceName value="burnWoundCode" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="125666000" /> </coding> </patternCodeableConcept> </element> <element id="Condition.code"> <path value="Condition.code" /> <short value="BurnType" /> <definition value="Indication of the kind of the burn wound, differentiated into the cause of the injury." /> <alias value="BrandwondSoort" /> <binding> <strength value="extensible" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.3--20200901000000" /> </binding> <mapping> <identity value="zib-burnwound-v3.4-2020EN" /> <map value="NL-CM:19.4.9" /> <comment value="BurnType" /> </mapping> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite" /> <short value="Location / AnatomicalLocation" /> <definition value="The location of the burn wound on the body." /> <alias value="AnatomischeLocatie" /> <max value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-AnatomicalLocation" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" /> </binding> <mapping> <identity value="zib-burnwound-v3.4-2020EN" /> <map value="NL-CM:19.4.12" /> <comment value="AnatomicalLocation" /> </mapping> </element> <element id="Condition.bodySite.extension:laterality"> <path value="Condition.bodySite.extension" /> <sliceName value="laterality" /> </element> <element id="Condition.bodySite.extension:laterality.value[x]"> <path value="Condition.bodySite.extension.value[x]" /> <comment value="Please note: this concept represents Laterality concept of both zibs AnatomicalLocation and Burnwound. These concepts are exactly the same: the concept in zib Burnwound is a remnant that was left in error when the concept was migrated to zib AnatomicalLocation. See [ZIB-1951](https://nictiz.atlassian.net/issues/ZIB-1951) for more information." /> <mapping> <identity value="zib-burnwound-v3.4-2020EN" /> <map value="NL-CM:19.4.10" /> <comment value="Laterality" /> </mapping> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Condition.onset[x]:onsetDateTime"> <path value="Condition.onset[x]" /> <sliceName value="onsetDateTime" /> <short value="DateOfOnset" /> <definition value="Date on which the burn wound appeared." /> <alias value="OntstaansDatum" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-burnwound-v3.4-2020EN" /> <map value="NL-CM:19.4.3" /> <comment value="DateOfOnset" /> </mapping> </element> <element id="Condition.stage"> <path value="Condition.stage" /> <max value="1" /> </element> <element id="Condition.stage.summary"> <path value="Condition.stage.summary" /> <short value="Depth" /> <definition value="Description of the severity of the burn wound, ranging from degree 1 - 3." /> <alias value="Dieptegraad" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1--20200901000000" /> </binding> <mapping> <identity value="zib-burnwound-v3.4-2020EN" /> <map value="NL-CM:19.4.2" /> <comment value="Depth" /> </mapping> </element> <element id="Condition.evidence.detail"> <path value="Condition.evidence.detail" /> <slicing> <discriminator> <type value="profile" /> <path value="resolve()" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Condition.evidence.detail:woundCharacteristics"> <path value="Condition.evidence.detail" /> <sliceName value="woundCharacteristics" /> <comment value="The functional model of zib Burnwound 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 observations are mapped onto Observation profiles. See the comment on the root of this profile for further guidance." /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-wounds.WoundCharacteristics" /> </type> </element> <element id="Condition.note"> <path value="Condition.note" /> <max value="1" /> </element> <element id="Condition.note.text"> <path value="Condition.note.text" /> <short value="Comment" /> <definition value="Comment on the burn wound." /> <alias value="Toelichting" /> <mapping> <identity value="zib-burnwound-v3.4-2020EN" /> <map value="NL-CM:19.4.5" /> <comment value="Comment" /> </mapping> </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.