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

WoundTunnelingProfile

 

The official URL for this profile is: 

http://hl7.org/fhir/us/fsw/StructureDefinition/fsw-WoundTunneling

LOINC 89257-0 (Wound tunneling panel)

This profile builds on Observation.

This profile was published on Tue Aug 21 00:00:00 EDT 2018 as a draft by HL7 Patient Care and Clinical Information Modeling Initiative Work Groups.

View the corresponding WoundTunnelingModel logical model.

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 7 elements
Prohibited: 6 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.component is sliced based on the value of value:coding.code
  • The element Observation.component.code.coding is sliced based on the value of value:code

SW Mapping Source

This structure represents the following SW mapping definition:

fsw.WoundTunneling maps to Observation:
  constrain basedOn to 0..0
  constrain specimen to 0..0
  constrain device to 0..0
  constrain referenceRange to 0..0
  constrain bodySite to 0..0
  Category maps to category
  Comment maps to comment
  DataAbsentReason maps to dataAbsentReason
  DateTime maps to effective[x]
  DateTimeIssued maps to issued
  TopicCode maps to code
  Description maps to text
  EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  EvaluationComponent._Concept maps to component.code
  EvaluationComponent.Quantity maps to component.value[x]
  EvaluationComponent.CodeableConcept maps to component.value[x]
  EvaluationComponent.dateTime maps to component.value[x]
  EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  EvaluationComponent.Interpretation maps to component.interpretation
  Interpretation maps to interpretation
  Method maps to method
  ResultStatus maps to status
  fix related.type to #has-member
  PanelMembers maps to related
  PanelMembers.ObservationStatement maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SW WoundTunneling Profile
... basedOn 0..0
... category 0..1
... effectiveDateTime dateTime
... bodySite 0..0
... specimen 0..0
... device 0..0
... referenceRange 0..0
... related 0..0
... component Slice: Unordered, Open by value:coding.code
... component 0..1TunnelingClockPosition
.... code
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 72297-5
.... valueCodeableConcept CodeableConceptBinding: https://fhir.loinc.org/ValueSet/LL2218-7 (required)
.... dataAbsentReason Binding: DataAbsentReason (extensible)
... component 0..1TunnelingLength
.... code
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 89259-6
.... valueQuantity Quantity
..... system Fixed Value: http://unitsofmeasure.org
..... code Fixed Value: cm
.... dataAbsentReason Binding: DataAbsentReason (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SW WoundTunneling Profile
obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..1CodeableConceptClassification of type of observation
Binding: Observation Category Codes (preferred)
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example)
... subject Σ0..1Reference(Patient | Group | Device | Location)Who and/or what this is about
... context 0..1Reference(Encounter | EpisodeOfCare)Healthcare event during which this observation is made
... effectiveDateTime Σ0..1dateTimeClinically relevant time/time-period for observation
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣI0..1Quantity, CodeableConcept, string, boolean, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual result
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... method 0..1CodeableConceptHow it was done
Binding: Observation Methods (example)
... component ΣIBackboneElementComponent results
Slice: Unordered, Open by value:coding.code
... component ΣI0..1BackboneElementTunnelingClockPosition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 72297-5
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... valueCodeableConcept Σ0..1CodeableConceptActual component result
Binding: https://fhir.loinc.org/ValueSet/LL2218-7 (required)
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
.... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
... component ΣI0..1BackboneElementTunnelingLength
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 89259-6
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... valueQuantity Σ0..1QuantityActual component result
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ0..1codeCoded form of the unit
Fixed Value: cm
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
.... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 7 elements
Prohibited: 6 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.component is sliced based on the value of value:coding.code
  • The element Observation.component.code.coding is sliced based on the value of value:code

SW Mapping Source

This structure represents the following SW mapping definition:

fsw.WoundTunneling maps to Observation:
  constrain basedOn to 0..0
  constrain specimen to 0..0
  constrain device to 0..0
  constrain referenceRange to 0..0
  constrain bodySite to 0..0
  Category maps to category
  Comment maps to comment
  DataAbsentReason maps to dataAbsentReason
  DateTime maps to effective[x]
  DateTimeIssued maps to issued
  TopicCode maps to code
  Description maps to text
  EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  EvaluationComponent._Concept maps to component.code
  EvaluationComponent.Quantity maps to component.value[x]
  EvaluationComponent.CodeableConcept maps to component.value[x]
  EvaluationComponent.dateTime maps to component.value[x]
  EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  EvaluationComponent.Interpretation maps to component.interpretation
  Interpretation maps to interpretation
  Method maps to method
  ResultStatus maps to status
  fix related.type to #has-member
  PanelMembers maps to related
  PanelMembers.ObservationStatement maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SW WoundTunneling Profile
... basedOn 0..0
... category 0..1
... effectiveDateTime dateTime
... bodySite 0..0
... specimen 0..0
... device 0..0
... referenceRange 0..0
... related 0..0
... component Slice: Unordered, Open by value:coding.code
... component 0..1TunnelingClockPosition
.... code
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 72297-5
.... valueCodeableConcept CodeableConceptBinding: https://fhir.loinc.org/ValueSet/LL2218-7 (required)
.... dataAbsentReason Binding: DataAbsentReason (extensible)
... component 0..1TunnelingLength
.... code
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 89259-6
.... valueQuantity Quantity
..... system Fixed Value: http://unitsofmeasure.org
..... code Fixed Value: cm
.... dataAbsentReason Binding: DataAbsentReason (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SW WoundTunneling Profile
obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..1CodeableConceptClassification of type of observation
Binding: Observation Category Codes (preferred)
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example)
... subject Σ0..1Reference(Patient | Group | Device | Location)Who and/or what this is about
... context 0..1Reference(Encounter | EpisodeOfCare)Healthcare event during which this observation is made
... effectiveDateTime Σ0..1dateTimeClinically relevant time/time-period for observation
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣI0..1Quantity, CodeableConcept, string, boolean, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodActual result
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... method 0..1CodeableConceptHow it was done
Binding: Observation Methods (example)
... component ΣIBackboneElementComponent results
Slice: Unordered, Open by value:coding.code
... component ΣI0..1BackboneElementTunnelingClockPosition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 72297-5
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... valueCodeableConcept Σ0..1CodeableConceptActual component result
Binding: https://fhir.loinc.org/ValueSet/LL2218-7 (required)
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
.... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
... component ΣI0..1BackboneElementTunnelingLength
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 89259-6
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... valueQuantity Σ0..1QuantityActual component result
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ0..1codeCoded form of the unit
Fixed Value: cm
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
.... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
Observation.languageCommon LanguagesextensibleCommon Languages
Observation.statusObservationStatusrequiredObservationStatus
Observation.categoryObservation Category CodespreferredObservation Category Codes
Observation.codeLOINC CodesexampleLOINC Codes
Observation.dataAbsentReasonObservation Value Absent ReasonextensibleObservation Value Absent Reason
Observation.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.methodObservation MethodsexampleObservation Methods
Observation.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.referenceRange.appliesToObservation Reference Range Applies To CodesexampleObservation Reference Range Applies To Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType
Observation.component.codeLOINC CodesexampleLOINC Codes
Observation.component.valueCodeableConcept?extrequiredhttps://fhir.loinc.org/ValueSet/LL2218-7
Observation.component.dataAbsentReasonDataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.component.codeLOINC CodesexampleLOINC Codes
Observation.component.valueQuantity.comparatorQuantityComparatorrequiredQuantityComparator
Observation.component.dataAbsentReasonDataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes

 

Constraints

IdPathDetailsRequirements
dom-2ObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3ObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
obs-7ObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or code!=component.code
obs-6ObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
ele-1Observation.componentAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Observation.componentAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Observation.componentAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())