HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)

WoundAssessmentPanelModel

 

The official URL for this logical model is: 

http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundAssessmentPanel-model

Group of observations regarding the properties and severity of a wound.

This logical model was published on Fri Aug 17 00:00:00 EDT 2018 as a draft by HL7 Patient Care and Clinical Information Modeling Initiative Work Groups.

View the corresponding WoundAssessmentPanelProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. sw-WoundAssessmentPanel-model 0..*
... personOfRecord 1..1Reference(SW Person Logical Model)The person this entry belongs to.
... recorded 0..1AttributionModelThe person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.
... signed 0..1AttributionModelProvenance information specific to the signing of the clinical statement.
... additionalText 0..1stringA text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.
... contextCode 0..1CodingCode representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
.... version Σ0..1stringVersion of the system - if relevant
.... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 424975005
.... display Σ0..1stringRepresentation defined by the system
.... userSelected Σ0..1booleanIf this coding was chosen directly by the user
... encounter 0..1EncounterModelA description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
... woundAssessmentInterpretation 0..1CodingOverall assessement of whether the wound is within normal parameters.
Binding: LOINC Answer List LL3816-7 (extensible)
... relevantTime 0..1dateTime, TimePeriodModelThe time or time period that the finding addresses.
... findingMethod 0..1CodingThe technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.
Binding: SW FindingMethodVS ValueSet (preferred)
... photographicImage 0..*PhotographicImageModelPhotographicImage
... topicCode 1..1CodingThe concept representing the finding or action that is the topic of the statement.
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
.... version Σ0..1stringVersion of the system - if relevant
.... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 39135-9
.... display Σ0..1stringRepresentation defined by the system
.... userSelected Σ0..1booleanIf this coding was chosen directly by the user
... deltaFlag 0..1CodingIndicator of significant change (delta) from the last or previous measurement.
Binding: SW DeltaFlagVS ValueSet (required)
... category 1..*CodingThe type, kind, or class of this item.
Binding: Observation Category Codes (extensible)
... precondition 0..*Coding, Reference(SW Observation Logical Model)A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar.
... evaluationComponent 0..1A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation.
.... woundEpisode 0..1WoundEpisodeModelWound episode refers to a period of the wound, an incident in the course of a wound
.... woundTrend 0..1WoundTrendModelWhether a condition is improving, worsening, stable, or resolved.
.... woundPeriwoundDescription 0..1WoundPeriwoundDescriptionModelA description of the skin around the wound (periwound). Color, induration, warmth and edema should be assessed. Redness of the surrounding skin can be indicative of unrelieved pressure. Irritation of the surrounding skin can result from exposure to feces or urine, a reaction to the dressing or tape, or inappropriate removal of dressing or tape. Redness, tenderness, warmth and swelling are classical clinical signs of infection. [Reference: Brown, P., 2009]
.... woundVisibleInternalStructure 0..*WoundVisibleInternalStructureModelExposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound.
.... woundPressureUlcerAssociation 0..1WoundPressureUlcerAssociationModelIs the wound associated with a device or pressure point?
.... woundTunnelingPresentOrAbsent 0..1WoundTunnelingPresentOrAbsentModelThe presence or absence of wound tunneling.
.... woundUnderminingPresentOrAbsent 0..1WoundUnderminingPresentOrAbsentModelThe presence or absence of wound undermining.
.... woundExudatePresentOrAbsent 0..1WoundExudatePresentOrAbsentModelThe presence or absence of wound exudate.
... panelMembers 0..1BackboneElementPanelMembers represent the elements of a group of a related but independent evaluations.
.... observation 0..1Represents the result of evaluations (measurements, tests, or questions) that have been performed.
..... woundBedAppearanceObservation 0..*Reference(SW WoundBedAppearanceObservation Logical Model)The appearance of the base (bed) of the wound, together with the percentage of the bed with each type of appearance.
..... woundBedColorObservation 0..*Reference(SW WoundBedColorObservation Logical Model)Color of part or all of the wound base (bed), and the percentage of the area with that color.
..... woundEdgeObservation 0..1Reference(SW WoundEdgeObservation Logical Model)The state of the tissue at the edge of the wound.
..... woundTunnelingObservation 0..*Reference(SW WoundTunnelingObservation Logical Model)A discharging blind-ended track that extends from the surface of an organ to an underlying area or abscess cavity. The track is invariably lined with granulation tissue. In chronic cases this may be augmented with epithelial tissue.
..... woundUnderminingObservation 0..*Reference(SW WoundUnderminingObservation Logical Model)Assessment of deep tissue (subcutaneous fat and muscle) damage around the wound margin. Undermining are narrow sinus tracts away from the wound margins and go downward into the wound.
..... woundExudateObservation 0..1Reference(SW WoundExudateObservation Logical Model)Description of the fluid produced by a wound.
..... woundSizeObservation 0..1Reference(SW WoundSizeObservation Logical Model)The estimated or measured dimensions of a wound.
... woundIdentifier 1..1stringA human-readable identifier for the lesion; e.g., a letter or integer.

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL)

 

Terminology Bindings

PathNameConformanceValueSet
sw-WoundAssessmentPanel-model.woundAssessmentInterpretationLOINC LL3816-7extensibleLOINC LL3816-7
sw-WoundAssessmentPanel-model.findingMethodSW FindingMethodVS ValueSetpreferredFindingMethodVS
sw-WoundAssessmentPanel-model.deltaFlagSW DeltaFlagVS ValueSetrequiredDeltaFlagVS
sw-WoundAssessmentPanel-model.categoryObservation Category CodesextensibleObservation Category Codes