HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)
{
"resourceType" : "StructureDefinition",
"id" : "sw-WoundAbsenceAssertion",
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<p><b>SW WoundAbsenceAssertion Profile</b></p>
<p>Documents the absence of a wound at a given body site.
No wounds anywhere on the body can be indicated by omitting the anatomical location, or using the Snomed code #181469002 (Entire skin (body structure)) in WoundAnatomicalLocation.</p>
<p><b>SW Mapping Summary</b></p>
<p><pre>sw.WoundAbsenceAssertion maps to Basic:
</pre></p>
</div>"
},
"url" : "http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundAbsenceAssertion",
"identifier" : [
{
"system" : "http://hl7.org/fhir/us/sw",
"value" : "sw.WoundAbsenceAssertion"
}
],
"version" : "1.0.0",
"name" : "WoundAbsenceAssertionProfile",
"title" : "SW WoundAbsenceAssertion Profile",
"status" : "draft",
"date" : "2018-08-17T00:00:00-04:00",
"publisher" : "HL7 Patient Care and Clinical Information Modeling Initiative Work Groups",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://standardhealthrecord.org"
}
]
}
],
"description" : "Documents the absence of a wound at a given body site.
No wounds anywhere on the body can be indicated by omitting the anatomical location, or using the Snomed code #181469002 (Entire skin (body structure)) in WoundAnatomicalLocation.",
"purpose" : "Need some way to safely (without breaking interoperability) allow implementers to exchange content not supported by the initial set of declared resources.",
"fhirVersion" : "3.0.1",
"mapping" : [
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/w5",
"name" : "W5 Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Basic",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Basic",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Basic:sw-WoundAbsenceAssertion",
"path" : "Basic",
"short" : "SW WoundAbsenceAssertion Profile",
"definition" : "Documents the absence of a wound at a given body site.
No wounds anywhere on the body can be indicated by omitting the anatomical location, or using the Snomed code #181469002 (Entire skin (body structure)) in WoundAnatomicalLocation.",
"alias" : [
"Z-resource",
"Extension-resource",
"Custom-resource"
],
"min" : 0,
"max" : "*",
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "DomainResource"
},
{
"key" : "dom-1",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression" : "contained.text.empty()",
"xpath" : "not(parent::f:contained and f:text)",
"source" : "DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source" : "DomainResource"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "rim",
"map" : "Act, Entity or Role"
},
{
"identity" : "w5",
"map" : "infrastructure.structure"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.id",
"path" : "Basic.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "id"
}
],
"isSummary" : true
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.meta",
"path" : "Basic.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"isSummary" : true
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.implicitRules",
"path" : "Basic.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.
This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"isModifier" : true,
"isSummary" : true
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.language",
"path" : "Basic.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}
],
"strength" : "extensible",
"description" : "A human language.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/languages"
}
}
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.text",
"path" : "Basic.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"condition" : [
"dom-1"
],
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.contained",
"path" : "Basic.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension",
"path" : "Basic.extension",
"slicing" : {
"id" : "3",
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. 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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 4,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:personofrecord",
"path" : "Basic.extension",
"sliceName" : "personofrecord",
"definition" : "The person this entry belongs to.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-PersonOfRecord-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:recorded",
"path" : "Basic.extension",
"sliceName" : "recorded",
"definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Recorded-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:signed",
"path" : "Basic.extension",
"sliceName" : "signed",
"definition" : "Provenance information specific to the signing of the clinical statement.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Signed-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:additionaltext",
"path" : "Basic.extension",
"sliceName" : "additionaltext",
"definition" : "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:contextcode",
"path" : "Basic.extension",
"sliceName" : "contextcode",
"definition" : "Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:contextcode.id",
"path" : "Basic.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:contextcode.extension:extension",
"path" : "Basic.extension.extension",
"sliceName" : "extension",
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:contextcode.url",
"path" : "Basic.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:contextcode.valueCodeableConcept",
"path" : "Basic.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/sw/ValueSet/cimi-statement-AbsenceContextVS"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:encounter",
"path" : "Basic.extension",
"sliceName" : "encounter",
"definition" : "A 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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:interpretation",
"path" : "Basic.extension",
"sliceName" : "interpretation",
"definition" : "A clinical interpretation of a finding (applies to both assertions and observation).",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:relevanttime",
"path" : "Basic.extension",
"sliceName" : "relevanttime",
"definition" : "The time or time period that the finding addresses.
The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium).",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:findingmethod",
"path" : "Basic.extension",
"sliceName" : "findingmethod",
"definition" : "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:media",
"path" : "Basic.extension",
"sliceName" : "media",
"definition" : "A file that contains audio, video, image, or similar content.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode",
"path" : "Basic.extension",
"sliceName" : "topiccode",
"definition" : "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" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-TopicCode-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.id",
"path" : "Basic.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.extension:extension",
"path" : "Basic.extension.extension",
"sliceName" : "extension",
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.url",
"path" : "Basic.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-TopicCode-extension",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept",
"path" : "Basic.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.id",
"path" : "Basic.extension.valueCodeableConcept.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.extension",
"path" : "Basic.extension.valueCodeableConcept.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding",
"path" : "Basic.extension.valueCodeableConcept.coding",
"slicing" : {
"id" : "1",
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Code defined by a terminology system",
"definition" : "A reference to a code defined by a terminology system.",
"comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements" : "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1-8, C*E.10-22"
},
{
"identity" : "rim",
"map" : "union(., ./translation)"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003",
"path" : "Basic.extension.valueCodeableConcept.coding",
"sliceName" : "Fixed_416462003",
"short" : "Wound (disorder)",
"definition" : "Wound (disorder)",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.id",
"path" : "Basic.extension.valueCodeableConcept.coding.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.extension",
"path" : "Basic.extension.valueCodeableConcept.coding.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.system",
"path" : "Basic.extension.valueCodeableConcept.coding.system",
"short" : "Identity of the terminology system",
"definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
"comment" : "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.",
"requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://snomed.info/sct",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
},
{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.version",
"path" : "Basic.extension.valueCodeableConcept.coding.version",
"short" : "Version of the system - if relevant",
"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.",
"comment" : "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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.code",
"path" : "Basic.extension.valueCodeableConcept.coding.code",
"short" : "Symbol in syntax defined by the system",
"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).",
"requirements" : "Need to refer to a particular code in the system.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"fixedCode" : "416462003",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Basic.extension.valueCodeableConcept.coding.display",
"short" : "Representation defined by the system",
"definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.userSelected",
"path" : "Basic.extension.valueCodeableConcept.coding.userSelected",
"short" : "If this coding was chosen directly by the user",
"definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment" : "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.",
"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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Basic.extension.valueCodeableConcept.text",
"short" : "Plain text representation of the concept",
"definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment" : "Very often the text is the same as a displayName of one of the codings.",
"requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code="text/plain"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category",
"path" : "Basic.extension",
"sliceName" : "category",
"definition" : "The type, kind, or class of this item.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-element-Category-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.id",
"path" : "Basic.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.extension:extension",
"path" : "Basic.extension.extension",
"sliceName" : "extension",
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.url",
"path" : "Basic.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-element-Category-extension",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept",
"path" : "Basic.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.id",
"path" : "Basic.extension.valueCodeableConcept.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.extension",
"path" : "Basic.extension.valueCodeableConcept.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding",
"path" : "Basic.extension.valueCodeableConcept.coding",
"slicing" : {
"id" : "2",
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Code defined by a terminology system",
"definition" : "A reference to a code defined by a terminology system.",
"comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements" : "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1-8, C*E.10-22"
},
{
"identity" : "rim",
"map" : "union(., ./translation)"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam",
"path" : "Basic.extension.valueCodeableConcept.coding",
"sliceName" : "Fixed_exam",
"definition" : "A reference to a code defined by a terminology system.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.id",
"path" : "Basic.extension.valueCodeableConcept.coding.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.extension",
"path" : "Basic.extension.valueCodeableConcept.coding.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.system",
"path" : "Basic.extension.valueCodeableConcept.coding.system",
"short" : "Identity of the terminology system",
"definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
"comment" : "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.",
"requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/observation-category",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
},
{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.version",
"path" : "Basic.extension.valueCodeableConcept.coding.version",
"short" : "Version of the system - if relevant",
"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.",
"comment" : "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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.code",
"path" : "Basic.extension.valueCodeableConcept.coding.code",
"short" : "Symbol in syntax defined by the system",
"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).",
"requirements" : "Need to refer to a particular code in the system.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"fixedCode" : "exam",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Basic.extension.valueCodeableConcept.coding.display",
"short" : "Representation defined by the system",
"definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.userSelected",
"path" : "Basic.extension.valueCodeableConcept.coding.userSelected",
"short" : "If this coding was chosen directly by the user",
"definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment" : "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.",
"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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Basic.extension.valueCodeableConcept.text",
"short" : "Plain text representation of the concept",
"definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment" : "Very often the text is the same as a displayName of one of the codings.",
"requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code="text/plain"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:woundanatomicallocation",
"path" : "Basic.extension",
"sliceName" : "woundanatomicallocation",
"definition" : "SW WoundAnatomicalLocation Extension",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundAnatomicalLocation-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.modifierExtension",
"path" : "Basic.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.identifier",
"path" : "Basic.identifier",
"short" : "Business identifier",
"definition" : "Identifier assigned to the resource for business purposes, outside the context of FHIR.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "./identifier"
},
{
"identity" : "w5",
"map" : "id"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.code",
"path" : "Basic.code",
"short" : "Kind of Resource",
"definition" : "Identifies the 'type' of resource - equivalent to the resource name for other resources.",
"comment" : "Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code.
This element is labeled as a modifier because the it defines the meaning of the resource and cannot be ignored.",
"requirements" : "Must be able to distinguish different types of Basic resources.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sw/CodeSystem/SW-basic-resource-type",
"code" : "sw-WoundAbsenceAssertion"
}
]
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "BasicResourceType"
}
],
"strength" : "example",
"description" : "Codes for identifying types of resources not yet defined by FHIR",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/basic-resource-type"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "w5",
"map" : "what"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.subject",
"path" : "Basic.subject",
"short" : "Identifies the focus of this resource",
"definition" : "Identifies the patient, practitioner, device or any other resource that is the "focus" of this resource.",
"comment" : "Optional as not all potential resources will have subjects. Resources associated with multiple subjects can handle this via extension.",
"requirements" : "Needed for partitioning the resource by Patient.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "./participation[typeCode='SBJ'] (possibly through a ControlAct and Role)"
},
{
"identity" : "w5",
"map" : "who.focus"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.created",
"path" : "Basic.created",
"short" : "When created",
"definition" : "Identifies when the resource was first created.",
"requirements" : "Allows ordering resource instances by time.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "date"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "./participation[typeCode='AUT']/time (possibly through a ControlAct and Role)"
},
{
"identity" : "w5",
"map" : "when.recorded"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.author",
"path" : "Basic.author",
"short" : "Who created",
"definition" : "Indicates who was responsible for creating the resource instance.",
"requirements" : "Needed for partitioning the resource.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "./participation[typeCode='SUB'] (possibly through a ControlAct and Role)"
},
{
"identity" : "w5",
"map" : "who.author"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Basic:sw-WoundAbsenceAssertion",
"path" : "Basic",
"short" : "SW WoundAbsenceAssertion Profile",
"definition" : "Documents the absence of a wound at a given body site.
No wounds anywhere on the body can be indicated by omitting the anatomical location, or using the Snomed code #181469002 (Entire skin (body structure)) in WoundAnatomicalLocation."
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension",
"path" : "Basic.extension",
"min" : 4,
"max" : "*"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:personofrecord",
"path" : "Basic.extension",
"sliceName" : "personofrecord",
"definition" : "The person this entry belongs to.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-PersonOfRecord-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:recorded",
"path" : "Basic.extension",
"sliceName" : "recorded",
"definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Recorded-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:signed",
"path" : "Basic.extension",
"sliceName" : "signed",
"definition" : "Provenance information specific to the signing of the clinical statement.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Signed-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:additionaltext",
"path" : "Basic.extension",
"sliceName" : "additionaltext",
"definition" : "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:contextcode",
"path" : "Basic.extension",
"sliceName" : "contextcode",
"definition" : "Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:contextcode.valueCodeableConcept",
"path" : "Basic.extension.valueCodeableConcept",
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/sw/ValueSet/cimi-statement-AbsenceContextVS"
}
}
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:encounter",
"path" : "Basic.extension",
"sliceName" : "encounter",
"definition" : "A 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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:interpretation",
"path" : "Basic.extension",
"sliceName" : "interpretation",
"definition" : "A clinical interpretation of a finding (applies to both assertions and observation).",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:relevanttime",
"path" : "Basic.extension",
"sliceName" : "relevanttime",
"definition" : "The time or time period that the finding addresses.
The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium).",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:findingmethod",
"path" : "Basic.extension",
"sliceName" : "findingmethod",
"definition" : "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:media",
"path" : "Basic.extension",
"sliceName" : "media",
"definition" : "A file that contains audio, video, image, or similar content.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode",
"path" : "Basic.extension",
"sliceName" : "topiccode",
"definition" : "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" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-TopicCode-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept",
"path" : "Basic.extension.valueCodeableConcept"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding",
"path" : "Basic.extension.valueCodeableConcept.coding",
"slicing" : {
"id" : "1",
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"ordered" : false,
"rules" : "open"
},
"min" : 1,
"max" : "*"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003",
"path" : "Basic.extension.valueCodeableConcept.coding",
"sliceName" : "Fixed_416462003",
"short" : "Wound (disorder)",
"definition" : "Wound (disorder)",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.system",
"path" : "Basic.extension.valueCodeableConcept.coding.system",
"fixedUri" : "http://snomed.info/sct"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:topiccode.valueCodeableConcept.coding:Fixed_416462003.code",
"path" : "Basic.extension.valueCodeableConcept.coding.code",
"fixedCode" : "416462003"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category",
"path" : "Basic.extension",
"sliceName" : "category",
"definition" : "The type, kind, or class of this item.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-element-Category-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept",
"path" : "Basic.extension.valueCodeableConcept"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding",
"path" : "Basic.extension.valueCodeableConcept.coding",
"slicing" : {
"id" : "2",
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"ordered" : false,
"rules" : "open"
},
"min" : 1,
"max" : "*"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam",
"path" : "Basic.extension.valueCodeableConcept.coding",
"sliceName" : "Fixed_exam",
"definition" : "A reference to a code defined by a terminology system.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.system",
"path" : "Basic.extension.valueCodeableConcept.coding.system",
"fixedUri" : "http://hl7.org/fhir/observation-category"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:category.valueCodeableConcept.coding:Fixed_exam.code",
"path" : "Basic.extension.valueCodeableConcept.coding.code",
"fixedCode" : "exam"
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.extension:woundanatomicallocation",
"path" : "Basic.extension",
"sliceName" : "woundanatomicallocation",
"definition" : "SW WoundAnatomicalLocation Extension",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundAnatomicalLocation-extension"
}
]
},
{
"id" : "Basic:sw-WoundAbsenceAssertion.code",
"path" : "Basic.code",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sw/CodeSystem/SW-basic-resource-type",
"code" : "sw-WoundAbsenceAssertion"
}
]
}
}
]
}
}