<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="An Condition as defined by the Dutch HCIM Zorginformatiebouwsteen DecubitusWond v3.2(2017EN). 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="Information on the pressure ulcer is of importance in starting or continuing the best possible wound treatment, curatively and preventatively, and to be able to properly monitor the wound healing process." /> <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-basicelements-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" /> <name value="HCIM BasicElements-v1.0(2017EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <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 individual component observations for this HCIM are captured using the [WoundCharacteristics profile](http://nictiz.nl/fhir/StructureDefinition/WoundCharacteristics)." /> <alias value="DecubitusWond" /> </element> <element id="Condition.extension:DateOfLastDressingChange"> <path value="Condition.extension" /> <sliceName value="DateOfLastDressingChange" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange" /> </type> </element> <element id="Condition.extension:DateOfLastDressingChange.value[x]"> <path value="Condition.extension.value[x]" /> <short value="DateOfLastDressingChange" /> <definition value="The date on which the dressing was last changed." /> <alias value="DatumLaatsteVerbandWissel" /> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.8" /> <comment value="DateOfLastDressingChange" /> </mapping> </element> <element id="Condition.code"> <path value="Condition.code" /> <short value="PressureUlcer" /> <alias value="DecubitusWond" /> <binding> <strength value="extensible" /> <valueSetUri value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000" /> </binding> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.1" /> <comment value="PressureUlcer" /> </mapping> </element> <element id="Condition.code.coding"> <path value="Condition.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Condition.code.coding:PressureUlcerCode"> <path value="Condition.code.coding" /> <sliceName value="PressureUlcerCode" /> <min value="1" /> <max value="1" /> </element> <element id="Condition.code.coding:PressureUlcerCode.system"> <path value="Condition.code.coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Condition.code.coding:PressureUlcerCode.code"> <path value="Condition.code.coding.code" /> <min value="1" /> <fixedCode value="399912005" /> </element> <element id="Condition.code.coding:PressureUlcerCode.display"> <path value="Condition.code.coding.display" /> <defaultValueString value="Pressure ulcer" /> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite" /> <short value="AnatomicalLocation" /> <alias value="AnatomischeLocatie" /> <binding> <strength value="extensible" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000" /> <display value="ProbleemAnatomischeLocatieCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-PressureUlcer-v3.2-2017EN" /> <map value="NL-CM:19.1.4" /> <comment value="AnatomicalLocation" /> </mapping> </element> <element id="Condition.bodySite.extension:Laterality"> <path value="Condition.bodySite.extension" /> <sliceName value="Laterality" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier" /> </type> </element> <element id="Condition.bodySite.extension:Laterality.value[x]"> <path value="Condition.bodySite.extension.value[x]" /> <short value="Laterality" /> <definition value="Laterality adds information about body side to the anatomic location, e.g. left" /> <alias value="Lateraliteit" /> <binding> <strength value="required" /> <description value="DecubitusWondLateraliteitCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.3--20171231000000" /> </valueSetReference> </binding> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.13" /> <comment value="Laterality" /> </mapping> </element> <element id="Condition.subject"> <path value="Condition.subject" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.11" /> <comment value="Subject" /> </mapping> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]" /> <short value="DateOfOnset" /> <definition value="The date on which the pressure ulcer appeared." /> <alias value="OntstaansDatum" /> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.3" /> <comment value="DateOfOnset" /> </mapping> </element> <element id="Condition.stage.summary"> <path value="Condition.stage.summary" /> <short value="DecubitusCategory" /> <alias value="DecubitusCategorie" /> <binding> <strength value="extensible" /> <description value="DecubitusCategorieCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20171231000000" /> <display value="DecubitusCategorieCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-pressureulcer-v3.2-2017EN" /> <map value="NL-CM:19.1.2" /> <comment value="DecubitusCategory" /> </mapping> </element> <element id="Condition.note"> <path value="Condition.note" /> <definition value="A comment of the decubitus wound." /> </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="hcim-PressureUlcer-v3.2-2017EN" /> <map value="NL-CM:19.1.5" /> <comment value="Comment" /> </mapping> </element> </differential> </StructureDefinition>