HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="fsw-WoundUndermining-model"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>SW WoundUndermining Logical Model</b></p> <p>LOINC 89258-8 (Wound undermining panel)</p> </div> </text> <url value="http://hl7.org/fhir/us/fsw/StructureDefinition/fsw-WoundUndermining-model"/> <identifier> <system value="http://hl7.org/fhir/us/fsw"/> <value value="fsw.WoundUndermining"/> </identifier> <version value="1.0.0"/> <name value="WoundUnderminingModel"/> <title value="SW WoundUndermining Logical Model"/> <status value="draft"/> <date value="2018-08-21T00:00:00-04:00"/> <publisher value="HL7 Patient Care and Clinical Information Modeling Initiative Work Groups"/> <contact> <telecom> <system value="url"/> <value value="http://standardhealthrecord.org"/> </telecom> </contact> <description value="LOINC 89258-8 (Wound undermining panel)"/> <keyword> <system value="http://loinc.org"/> <code value="89258-8"/> <display value="LNC#89258-8"/> </keyword> <kind value="logical"/> <abstract value="false"/> <type value="fsw-WoundUndermining-model"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/> <derivation value="specialization"/> <snapshot> <element id="fsw-WoundUndermining-model"> <path value="fsw-WoundUndermining-model"/> <definition value="LOINC 89258-8 (Wound undermining panel)"/> <min value="0"/> <max value="*"/> <base> <path value="fsw-WoundUndermining-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.value[x]"> <path value="fsw-WoundUndermining-model.value[x]"/> <short value="Code or Quantity representing lOINC 89258-8 (Wound undermining panel)"/> <definition value="Code or Quantity representing lOINC 89258-8 (Wound undermining panel)"/> <min value="1"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.value[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/shr-core-Quantity-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.comment"> <path value="fsw-WoundUndermining-model.comment"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.comment"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.topicCode"> <path value="fsw-WoundUndermining-model.topicCode"/> <short value="The concept representing the finding or action that is the topic of the statement."/> <definition value="The concept representing the finding or action that is the topic of the statement. For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic of the action or the finding."/> <min value="1"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.topicCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.category"> <path value="fsw-WoundUndermining-model.category"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.category"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.dataAbsentReason"> <path value="fsw-WoundUndermining-model.dataAbsentReason"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.dataAbsentReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.dateTime"> <path value="fsw-WoundUndermining-model.dateTime"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.dateTime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.dateTimeIssued"> <path value="fsw-WoundUndermining-model.dateTimeIssued"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.dateTimeIssued"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.description"> <path value="fsw-WoundUndermining-model.description"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/shr-base-Narrative-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.evaluationComponent"> <path value="fsw-WoundUndermining-model.evaluationComponent"/> <short value="A 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."/> <definition value="A 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."/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.evaluationComponent"/> <min value="0"/> <max value="1"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.evaluationComponent.underminingClockPosition"> <path value="fsw-WoundUndermining-model.evaluationComponent.underminingClockPosition"/> <code> <system value="http://loinc.org"/> <code value="72294-2"/> </code> <short value="No Valueset and id in SNOMED - LOINC 72294-2 (Undermining clock position of Wound)"/> <definition value="No Valueset and id in SNOMED - LOINC 72294-2 (Undermining clock position of Wound)"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.evaluationComponent.underminingClockPosition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/fsw-UnderminingClockPosition-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.evaluationComponent.underminingLength"> <path value="fsw-WoundUndermining-model.evaluationComponent.underminingLength"/> <code> <system value="http://loinc.org"/> <code value="89259-6"/> </code> <short value="Undermining of a wound refers to tissue destruction that extends under the intact wound edge. The wound is larger at its base (wound bed) than at the skin surface. With pressure ulcers, undermining may be caused by a bacterial infection or associated with osteomyelitis. - LOINC 72293-4 (Undermining [Length] of Wound"/> <definition value="Undermining of a wound refers to tissue destruction that extends under the intact wound edge. The wound is larger at its base (wound bed) than at the skin surface. With pressure ulcers, undermining may be caused by a bacterial infection or associated with osteomyelitis. - LOINC 72293-4 (Undermining [Length] of Wound"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.evaluationComponent.underminingLength"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/fsw-UnderminingLength-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.interpretation"> <path value="fsw-WoundUndermining-model.interpretation"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.interpretation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.method"> <path value="fsw-WoundUndermining-model.method"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.method"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.resultStatus"> <path value="fsw-WoundUndermining-model.resultStatus"/> <short value="Description"/> <definition value="Description"/> <min value="1"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.resultStatus"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-status"/> </valueSetReference> </binding> </element> <element id="fsw-WoundUndermining-model.panelMembers"> <path value="fsw-WoundUndermining-model.panelMembers"/> <short value="PanelMembers represent the elements of a group of a related but independent evaluations."/> <definition value="PanelMembers represent the elements of a group of a related but independent evaluations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent evaluation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself."/> <min value="0"/> <max value="0"/> <base> <path value="fsw-WoundUndermining-model.panelMembers"/> <min value="0"/> <max value="0"/> </base> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/fsw-PanelMembers-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="fsw-WoundUndermining-model"> <path value="fsw-WoundUndermining-model"/> <definition value="LOINC 89258-8 (Wound undermining panel)"/> <min value="0"/> <max value="*"/> <base> <path value="fsw-WoundUndermining-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.value[x]"> <path value="fsw-WoundUndermining-model.value[x]"/> <short value="Code or Quantity representing lOINC 89258-8 (Wound undermining panel)"/> <definition value="Code or Quantity representing lOINC 89258-8 (Wound undermining panel)"/> <min value="1"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.value[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/shr-core-Quantity-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.comment"> <path value="fsw-WoundUndermining-model.comment"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.comment"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.topicCode"> <path value="fsw-WoundUndermining-model.topicCode"/> <short value="The concept representing the finding or action that is the topic of the statement."/> <definition value="The concept representing the finding or action that is the topic of the statement. For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic of the action or the finding."/> <min value="1"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.topicCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.category"> <path value="fsw-WoundUndermining-model.category"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.category"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.dataAbsentReason"> <path value="fsw-WoundUndermining-model.dataAbsentReason"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.dataAbsentReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.dateTime"> <path value="fsw-WoundUndermining-model.dateTime"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.dateTime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.dateTimeIssued"> <path value="fsw-WoundUndermining-model.dateTimeIssued"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.dateTimeIssued"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.description"> <path value="fsw-WoundUndermining-model.description"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/shr-base-Narrative-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.evaluationComponent"> <path value="fsw-WoundUndermining-model.evaluationComponent"/> <short value="A 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."/> <definition value="A 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."/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.evaluationComponent"/> <min value="0"/> <max value="1"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.evaluationComponent.underminingClockPosition"> <path value="fsw-WoundUndermining-model.evaluationComponent.underminingClockPosition"/> <code> <system value="http://loinc.org"/> <code value="72294-2"/> </code> <short value="No Valueset and id in SNOMED - LOINC 72294-2 (Undermining clock position of Wound)"/> <definition value="No Valueset and id in SNOMED - LOINC 72294-2 (Undermining clock position of Wound)"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.evaluationComponent.underminingClockPosition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/fsw-UnderminingClockPosition-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.evaluationComponent.underminingLength"> <path value="fsw-WoundUndermining-model.evaluationComponent.underminingLength"/> <code> <system value="http://loinc.org"/> <code value="89259-6"/> </code> <short value="Undermining of a wound refers to tissue destruction that extends under the intact wound edge. The wound is larger at its base (wound bed) than at the skin surface. With pressure ulcers, undermining may be caused by a bacterial infection or associated with osteomyelitis. - LOINC 72293-4 (Undermining [Length] of Wound"/> <definition value="Undermining of a wound refers to tissue destruction that extends under the intact wound edge. The wound is larger at its base (wound bed) than at the skin surface. With pressure ulcers, undermining may be caused by a bacterial infection or associated with osteomyelitis. - LOINC 72293-4 (Undermining [Length] of Wound"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.evaluationComponent.underminingLength"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/fsw-UnderminingLength-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.interpretation"> <path value="fsw-WoundUndermining-model.interpretation"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.interpretation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.method"> <path value="fsw-WoundUndermining-model.method"/> <short value="Description"/> <definition value="Description"/> <min value="0"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.method"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="fsw-WoundUndermining-model.resultStatus"> <path value="fsw-WoundUndermining-model.resultStatus"/> <short value="Description"/> <definition value="Description"/> <min value="1"/> <max value="1"/> <base> <path value="fsw-WoundUndermining-model.resultStatus"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-status"/> </valueSetReference> </binding> </element> <element id="fsw-WoundUndermining-model.panelMembers"> <path value="fsw-WoundUndermining-model.panelMembers"/> <short value="PanelMembers represent the elements of a group of a related but independent evaluations."/> <definition value="PanelMembers represent the elements of a group of a related but independent evaluations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent evaluation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself."/> <min value="0"/> <max value="0"/> <base> <path value="fsw-WoundUndermining-model.panelMembers"/> <min value="0"/> <max value="0"/> </base> <type> <code value="http://hl7.org/fhir/us/fsw/StructureDefinition/fsw-PanelMembers-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </differential> </StructureDefinition>