<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="This Condition resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) PressureUlcer v3.4 (2020)](https://zibs.nl/wiki/PressureUlcer-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-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="true" /> <type value="Condition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" /> <derivation value="constraint" /> <differential> <element id="Condition"> <path value="Condition" /> <short value="PressureUlcer" /> <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 [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="DecubitusWond" /> <mapping> <identity value="zib-pressureulcer-v3.4-2020EN" /> <map value="NL-CM:19.1.1" /> <comment value="PressureUlcer" /> </mapping> </element> <element id="Condition.code"> <path value="Condition.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="399912005" /> </coding> </patternCodeableConcept> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite" /> <short value="Location / AnatomicalLocation" /> <definition value="The location of the decubitus 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-pressureulcer-v3.4-2020EN" /> <map value="NL-CM:19.1.14" /> <comment value="AnatomicalLocation" /> </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="The date on which the pressure ulcer appeared." /> <alias value="OntstaansDatum" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-pressureulcer-v3.4-2020EN" /> <map value="NL-CM:19.1.3" /> <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="DecubitusCategory" /> <definition value="Description of the condition of the pressure ulcer, ranging from category 1 - 4." /> <alias value="DecubitusCategorie" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20200901000000" /> </binding> <mapping> <identity value="zib-pressureulcer-v3.4-2020EN" /> <map value="NL-CM:19.1.2" /> <comment value="DecubitusCategory" /> </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 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 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="A comment of the decubitus wound." /> <alias value="Toelichting" /> <mapping> <identity value="zib-pressureulcer-v3.4-2020EN" /> <map value="NL-CM:19.1.5" /> <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.