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

Primary profiles defined as part of this Implementation Guide

Name Based On Definition
ClinicalInputForm-PatientWoundSummary Composition

Clinical input form for the initial observation of a wound or wounds on a patient. Includes only basic who/what/where aspects, not the complete assessment. Addresses the use case of a new patient being evaluated for the presence or absence of wounds.

ClinicalInputForm-WoundAssessment Composition

Information about a wound at a single time, structured into logical groupings for input or display.

ExchangeForm-WoundComprehensiveHistory Composition

A collection of all information about a single wound, possibly including many observations taken by different people at different times. Everything in the aggregation relates to the same wound.

PhotographicImage Observation

A photographic documentation of a condition, location, person, etc…

WoundAbsent Basic

Documents the absence of a wound.

WoundArea Observation

Area of the wound.

WoundAssessmentInterpretation Observation

Overall assessement of whether the wound is within normal parameters.

WoundBedAppearancePercentage Observation

Area of wound bed portion appearance/Entire ​Area of wound bed – Linked to a wound bed appearance

WoundBedAppearance Observation

Appearance of wound base (bed)

WoundDepth Observation

Depth of the wound.

WoundEdgeColor Observation

Color of Wound edge.

WoundEdgeDescription Observation

The state of the tissue at the edge of the wound.

WoundEpisode Observation

Whether the wound is initial or recurrent.

WoundExudateAmount Observation

Drainage amount of wound

WoundExudateAppearance Observation

Appearance of exudate from wound

WoundExudateColor Observation

Color of exudate from wound

WoundExudateOdor Observation

Odor of exudate from wound

WoundExudateVolume Observation

Appearance of exudate from wound

WoundLength Observation

Length of the wound (longest dimension).

WoundLocationObservation Observation

Body location of a wound.

WoundPeriwoundDescription Observation

A description of the skin around the wound (periwound).

WoundPresentOrAbsent Basic

The presence or absence of a wound. Observations and measurements associated with the same wound must link back to the same wound assertion. Therefore, the same wound should not be asserted more than once. The ‘same-as’ relationship can be used to link multiple assertions of the same wound, if necessary.

WoundPressureUlcerAssociation Observation

Is the wound associated with a device or pressure point?

Wound Basic

The presence of a wound.

WoundTrend Observation

Whether a condition is improving, worsening, stable, or resolved.

WoundTunnelLength Observation

The length of a wound tunnel, in cm.

WoundTunnelPresentOrAbsent Basic

The presence or absence of a discharging blind-ended track that extends from the surface of an organ to an underlying area or abscess cavity. Each wound tunnel can be persistently identified to enable tracking of the condition of the tunnel over time.

WoundTunnel Basic

The presence of a wound tunnel.

WoundTypeEtiology Observation

The source or key factor in the formation or acquisition of the wound.

WoundType Observation

The type of wound, for example, abrasion or laceration.

WoundUnderminingClockDirection Observation

Clock position of wound undermining

WoundUnderminingLength Observation

Length of wound undermining.

WoundUnderminingPresentOrAbsent Basic

The presence or absence 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.

WoundUndermining Basic

The presence of wound undermining.

WoundVisibleInternalStructure Observation

Exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound.

WoundWidth Observation

Width of the wound (perpendicular to longest dimension).