<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="This WoundObservable profile caputures mutliple concepts such as wound length, width and depth which are used in two different HCIMs: * [Wound v3.1(2017EN)](https://zibs.nl/wiki/Wound-v3.1(2017EN)) * [PressureUlcer v3.1(2017EN)](https://zibs.nl/wiki/PressureUlcer-v3.1(2017EN))" /> <purpose value="A seperate Observation is deemed necessary for the observable properties of wounds." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <uri value="https://zibs.nl/wiki/PressureUlcer-v3.2(2017EN)" /> <name value="HCIM PressureUlcer-v3.2(2017EN)" /> </mapping> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <uri value="https://zibs.nl/wiki/Wound-v3.1(2017EN)" /> <name value="HCIM Wound-v3.1(2017EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://fhir.nl/fhir/StructureDefinition/nl-core-observation" /> <derivation value="constraint" /> <differential> <element id="Observation.extension:reasonReference"> <path value="Observation.extension" /> <sliceName value="reasonReference" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/event-reasonReference" /> </type> </element> <element id="Observation.extension:reasonReference.value[x]"> <path value="Observation.extension.value[x]" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Wound" /> </type> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <map value="NL-CM:19.2.1" /> <comment value="Wound" /> </mapping> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.1" /> <comment value="PressureUlcer" /> </mapping> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.code.coding:WoundObservableCode"> <path value="Observation.code.coding" /> <sliceName value="WoundObservableCode" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.code.coding:WoundObservableCode.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.code.coding:WoundObservableCode.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="364554009" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="pattern" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.component:woundLength"> <path value="Observation.component" /> <sliceName value="woundLength" /> <max value="1" /> </element> <element id="Observation.component:woundLength.code"> <path value="Observation.component.code" /> <comment value="Note: this LOINC code is used by HCIM PressureUlcer, while HCIM Wound uses the equivalent SNOMED code. However, the 2020 release of HCIM Wound will also adopt this LOINC code." /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="39126-8" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:woundLength.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Length of wound" /> </element> <element id="Observation.component:woundLength.value[x]"> <path value="Observation.component.value[x]" /> <short value="WoundLength" /> <definition value="The length of the wound." /> <alias value="Wondlengte" /> <type> <code value="Quantity" /> </type> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.9" /> <comment value="WoundLength" /> </mapping> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <map value="NL-CM:19.2.12" /> <comment value="WoundLength" /> </mapping> </element> <element id="Observation.component:woundWidth"> <path value="Observation.component" /> <sliceName value="woundWidth" /> <max value="1" /> </element> <element id="Observation.component:woundWidth.code"> <path value="Observation.component.code" /> <comment value="Note: this LOINC code is used by HCIM PressureUlcer, while HCIM Wound uses the equivalent SNOMED code. However, the 2020 release of HCIM Wound will also adopt this LOINC code." /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="39125-0" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:woundWidth.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Width of wound" /> </element> <element id="Observation.component:woundWidth.value[x]"> <path value="Observation.component.value[x]" /> <short value="WoundWidth" /> <definition value="The width of the decubitus wound." /> <alias value="Wondbreedte" /> <type> <code value="Quantity" /> </type> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <map value="NL-CM:19.2.13" /> <comment value="WoundWidth" /> </mapping> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.10" /> <comment value="WoundWidth" /> </mapping> </element> <element id="Observation.component:woundDepth"> <path value="Observation.component" /> <sliceName value="woundDepth" /> <max value="1" /> </element> <element id="Observation.component:woundDepth.code"> <path value="Observation.component.code" /> <comment value="Note: this LOINC code is used by HCIM PressureUlcer, while HCIM Wound uses the equivalent SNOMED code. However, the 2020 release of HCIM Wound will also adopt this LOINC code." /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="39127-6" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:woundDepth.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Depth of wound" /> </element> <element id="Observation.component:woundDepth.value[x]"> <path value="Observation.component.value[x]" /> <short value="WoundDepth" /> <definition value="The depth of the decubitus wound." /> <alias value="Wonddiepte" /> <type> <code value="Quantity" /> </type> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.11" /> <comment value="WoundDepth" /> </mapping> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <map value="NL-CM:19.2.14" /> <comment value="WoundDepth" /> </mapping> </element> <element id="Observation.component:woundTissue"> <path value="Observation.component" /> <sliceName value="woundTissue" /> <max value="1" /> </element> <element id="Observation.component:woundTissue.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="148641000146109" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:woundTissue.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Wound tissue" /> </element> <element id="Observation.component:woundTissue.value[x]"> <path value="Observation.component.value[x]" /> <short value="WoundTissue" /> <alias value="WondWeefsel" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <map value="NL-CM:19.2.4" /> <comment value="WoundTissue" /> </mapping> </element> <element id="Observation.component:woundTissue.value[x].coding"> <path value="Observation.component.value[x].coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <max value="1" /> </element> <element id="Observation.component:woundTissue.value[x].coding:wondWeefselOncoUlcerCodelijst"> <path value="Observation.component.value[x].coding" /> <sliceName value="wondWeefselOncoUlcerCodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="WondWeefselOncoUlcerCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2--20171231000000" /> <display value="WondWeefselOncoUlcerCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.component:woundTissue.value[x].coding:wondWeefselOncoUlcerCodelijst.system"> <path value="Observation.component.value[x].coding.system" /> <min value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.1" /> </element> <element id="Observation.component:woundTissue.value[x].coding:wondWeefselOncoUlcerCodelijst.code"> <path value="Observation.component.value[x].coding.code" /> <min value="1" /> </element> <element id="Observation.component:woundTissue.value[x].coding:wondWeefselWCSCodelijst"> <path value="Observation.component.value[x].coding" /> <sliceName value="wondWeefselWCSCodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="WondWeefselWCSCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1--20171231000000" /> <display value="WondWeefselWCSCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.component:woundTissue.value[x].coding:wondWeefselWCSCodelijst.system"> <path value="Observation.component.value[x].coding.system" /> <min value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.7.2" /> </element> <element id="Observation.component:woundTissue.value[x].coding:wondWeefselWCSCodelijst.code"> <path value="Observation.component.value[x].coding.code" /> <min value="1" /> </element> <element id="Observation.component:woundInfection"> <path value="Observation.component" /> <sliceName value="woundInfection" /> <max value="1" /> </element> <element id="Observation.component:woundInfection.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="405009004" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:woundInfection.code.coding"> <path value="Observation.component.code.coding" /> <max value="1" /> </element> <element id="Observation.component:woundInfection.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Infection status" /> </element> <element id="Observation.component:woundInfection.value[x]"> <path value="Observation.component.value[x]" /> <short value="WoundInfection" /> <alias value="WondInfectie" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="v2 Yes/no Indicator" /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v2-0136" /> </valueSetReference> </binding> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <map value="NL-CM:19.2.7" /> <comment value="WoundInfection" /> </mapping> </element> <element id="Observation.component:woundMoisture"> <path value="Observation.component" /> <sliceName value="woundMoisture" /> <max value="1" /> </element> <element id="Observation.component:woundMoisture.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="298007001" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:woundMoisture.value[x]"> <path value="Observation.component.value[x]" /> <short value="WoundMoisture" /> <definition value="Description of the moisture in the wound." /> <alias value="WondVochtigheid" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="WondVochtigheidCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3--20171231000000" /> <display value="WondVochtigheidCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <map value="NL-CM:19.2.6" /> </mapping> </element> <element id="Observation.component:woundEdge"> <path value="Observation.component" /> <sliceName value="woundEdge" /> <max value="1" /> </element> <element id="Observation.component:woundEdge.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="449747006" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:woundEdge.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Wound edge finding" /> </element> <element id="Observation.component:woundEdge.value[x]"> <path value="Observation.component.value[x]" /> <short value="WoundEdge" /> <definition value="Description of the condition of the outer edges of the wound." /> <alias value="WondRand" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="WondRandCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5--20171231000000" /> <display value="WondRandCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-Wound-v3.1-2017EN" /> <map value="NL-CM:19.2.11" /> <comment value="WoundEdge" /> </mapping> </element> <element id="Observation.component:woundImage"> <path value="Observation.component" /> <sliceName value="woundImage" /> </element> <element id="Observation.component:woundImage.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="72170-4" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:woundImage.code.coding.display"> <path value="Observation.component.code.coding.display" /> <defaultValueString value="Photographic image" /> </element> <element id="Observation.component:woundImage.value[x]"> <path value="Observation.component.value[x]" /> <short value="WoundImage" /> <type> <code value="Attachment" /> </type> <mapping> <identity value="hcim-wound-v3.1-2017EN" /> <map value="NL-CM:19.2.15" /> <comment value="WoundImage" /> </mapping> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.12" /> <comment value="WoundImage" /> </mapping> </element> </differential> </StructureDefinition>