MITRE's 'Mini-CIMI' FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)

WoundLocationObservationModel

Definitions for sw-WoundLocationObservation-model.

sw-WoundLocationObservation-model
Definition

Body location of a wound.

Control0..*
sw-WoundLocationObservation-model.findingStatus
Definition

Indicates whether the finding is preliminary, amended, final, etc.

Control1..1
BindingThe codes SHALL be taken from ObservationStatus
Typecode
sw-WoundLocationObservation-model.relevantTime
Definition

The time or time period that the statement addresses.

Control0..1
TypeChoice of: dateTime, http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-TimePeriod-model
sw-WoundLocationObservation-model.findingMethod
Definition

The method used to determine the finding.

Control0..1
TypeCoding
sw-WoundLocationObservation-model.subject
Definition

The person, place, event, condition, other statement that this statement addresses or belongs to. For an existential finding, the Subject is the 'owner' of the object said to exist or not exist. For example, the subject for a condition is a patient; the subject for wound size is a wound. Subjects are themselves statements.

Control1..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundPresentOrAbsent-model
sw-WoundLocationObservation-model.observableCode
Definition

A code describing the aspect or property of the subject being observed or measured. The ObservableCode is the 'question code' that pairs to the 'answer' contained in the ResultValue.

Control1..1
TypeCoding
sw-WoundLocationObservation-model.observableCode.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
sw-WoundLocationObservation-model.observableCode.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

sw-WoundLocationObservation-model.observableCode.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control1..1
Typeuri
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Fixed Valuehttp://loinc.org
sw-WoundLocationObservation-model.observableCode.version
Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

sw-WoundLocationObservation-model.observableCode.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Control1..1
Typecode
Requirements

Need to refer to a particular code in the system.

Fixed Value39111-0
sw-WoundLocationObservation-model.observableCode.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control0..1
Typestring
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

sw-WoundLocationObservation-model.observableCode.userSelected
Definition

Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).

Control0..1
Typeboolean
Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

sw-WoundLocationObservation-model.resultValue
Definition

The finding itself, such as the blood pressure value recorded.

Control0..1
BindingThe codes SHALL be taken from https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1181.14/expansion
TypeCoding
sw-WoundLocationObservation-model.qualifier
Definition

A condition or circumstance associated with an observation that affects the interpretation of the result value.

Control0..*
TypeCoding