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

WoundUnderminingObservationProfile

 

The official URL for this profile is:

http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundUnderminingObservation

Assessment of deep tissue (subcutaneous fat and muscle) damage around the wound margin. Undermining are narrow sinus tracts away from the wound margins and go downward into the wound.

This profile builds on US Core Results Profile.

This profile was published on Fri Aug 17 00:00:00 EDT 2018 as a draft by HL7 Patient Care and Clinical Information Modeling Initiative Work Groups.

View the corresponding WoundUnderminingObservationModel logical model.

Summary

Mandatory: 0 element (10 nested mandatory elements)
Fixed Value: 11 elements
Prohibited: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

sw.WoundUnderminingObservation maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  PersonOfRecord maps to subject
  TopicCode maps to code
  FindingMethod maps to method
  AdditionalText maps to comment
  Category maps to category
  AnatomicalLocation maps to bodySite
  Device maps to device
  Specimen maps to specimen
  ReferenceRange maps to referenceRange
  ReferenceRange.Range.LowerBound maps to referenceRange.low
  ReferenceRange.Range.UpperBound maps to referenceRange.high
  ReferenceRange.Type maps to referenceRange.type
  ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  ReferenceRange.ApplicableAgeRange maps to referenceRange.age	
  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.string maps to component.value[x]
  EvaluationComponent.Range maps to component.value[x]
  EvaluationComponent.Ratio maps to component.value[x]
  EvaluationComponent.Media maps to component.value[x]
  EvaluationComponent.time maps to component.value[x]
  EvaluationComponent.dateTime maps to component.value[x]
  EvaluationComponent.TimePeriod maps to component.value[x]
  EvaluationComponent.IntegerQuantity maps to component.value[x]
  EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  EvaluationComponent.Interpretation maps to component.interpretation
  EvaluationComponent.ReferenceRange maps to component.referenceRange
  fix related.type to #has-member
  PanelMembers maps to related
  PanelMembers.Observation maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
  ResultValue maps to value[x]
  ExceptionValue maps to dataAbsentReason
  Interpretation maps to interpretation
  RelevantTime maps to effective[x]
  Encounter maps to context
  DeltaFlag maps to http://hl7.org/fhir/StructureDefinition/observation-delta

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

 

Terminology Bindings

PathNameConformanceValueSet
Observation.languageCommon LanguagesextensibleCommon Languages
Observation.statusObservationStatusrequiredObservationStatus
Observation.categoryObservation Category CodesextensibleObservation Category Codes
Observation.codeLOINC CodesextensibleLOINC Codes
Observation.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.methodSW FindingMethodVS ValueSetpreferredFindingMethodVS
Observation.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.referenceRange.appliesToObservation Reference Range Applies To CodesextensibleObservation Reference Range Applies To Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType
Observation.component.codeLOINC CodesexampleLOINC Codes
Observation.component.valueQuantity.comparatorQuantityComparatorrequiredQuantityComparator
Observation.component.dataAbsentReasonDataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.component.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.component.referenceRange.appliesToObservation Reference Range Applies To CodesexampleObservation Reference Range Applies To Codes
Observation.component.codeLOINC CodesexampleLOINC Codes
Observation.component.valueCodeableConceptSW ClockDirectionVS ValueSetrequiredClockDirectionVS
Observation.component.dataAbsentReasonDataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.component.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.component.referenceRange.appliesToObservation Reference Range Applies To CodesexampleObservation Reference Range Applies To 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()
us-core-2ObservationIf there is no component or related element then either a value[x] or a data absent reason must be present
: (component.empty() and related.empty()) implies (dataAbsentReason or value)
us-core-5Observation.categoryMust have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'
: where(coding.system='http://hl7.org/fhir/observation-category' and coding.code='laboratory').exists()
us-core-1Observation.effective[x]Datetime must be at least to day.
: ($this as dateTime).toString().length() >= 8
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())