MITRE's 'Mini-CIMI' FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)
The official URL for this profile is:
http://hl7.org/fhir/us/sw/StructureDefinition/sw-ClinicalInputForm-PatientWoundSummary
Clinical input form for the initial observation of a wound or wounds on a patient. Includes only basic who/what/where aspects, not the complete assessment. Addresses the use case of a new patient being evaluated for the presence or absence of wounds.
This profile builds on Composition.
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 ClinicalInputForm-PatientWoundSummaryModel logical model.
Summary
Mandatory: 0 element (5 nested mandatory elements)
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
SW Mapping Source
This structure represents the following SW mapping definition:
sw.ClinicalInputForm-PatientWoundSummary maps to Composition: TypeCode maps to type constrain section to 1..1 Statement maps to section.entry (slice on = reference.resolve(); slice on type = profile; slice strategy = includes)
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | SW ClinicalInputForm-PatientWoundSummary Profile | |||
  extension | 1..* | |||
| shr-base-Subject-extension | 1..1 | Reference(DomainResource) | SW Subject Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension | |
   valueReference | Reference(SW Person Profile) | Person | ||
| type | ||||
 coding | Slice: Unordered, Open by value:code | |||
  coding | Σ | 1..1 | Coding | |
  system | Fixed Value: http://loinc.org | |||
| code | Fixed Value: 39135-9 | |||
| section | 1..1 | |||
| entry | Reference(DomainResource) | Slice: Unordered, Open by profile:reference.resolve() | ||
| entry | 0..* | Reference(SW WoundPresentCluster Profile) | WoundPresentCluster | |
| entry | 0..* | Reference(SW WoundAbsent Profile) | WoundAbsent | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | I | 0..* | SW ClinicalInputForm-PatientWoundSummary Profile | |
 id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 contained | 0..* | Resource | Contained, inline Resources | |
| extension | 1..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| shr-base-Subject-extension | 1..1 | Reference(DomainResource) | SW Subject Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| url | 1..1 | uri | "http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension" | |
| valueReference | 1..1 | Reference(SW Person Profile) | Person | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Logical identifier of composition (version-independent) |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
| coding | Σ | 1..1 | Coding | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 39135-9 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| class | Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: FHIR Document Class Codes (example) |
| subject | Σ | 1..1 | Reference(Resource) | Who and/or what the composition is about |
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
| date | Σ | 1..1 | dateTime | Composition editing time |
| author | Σ | 1..* | Reference(Practitioner | Device | Patient | RelatedPerson) | Who and/or what authored the composition |
| title | Σ | 1..1 | string | Human Readable name/title |
| confidentiality | ?!Σ | 0..1 | code | As defined by affinity domain Binding: ConfidentialityClassification (required) |
| attester | ΣI | 0..* | BackboneElement | Attests to accuracy of composition |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| mode | Σ | 1..* | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
| time | Σ | 0..1 | dateTime | When the composition was attested |
| party | Σ | 0..1 | Reference(Patient | Practitioner | Organization) | Who attested the composition |
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition |
| relatesTo | ΣI | 0..* | BackboneElement | Relationships to other compositions/documents |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| code | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
 target[x] | Σ | 1..1 | Identifier, Reference(Composition) | Target of the relationship |
| event | ΣI | 0..* | BackboneElement | The clinical service(s) being documented |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (example) |
| period | Σ | 0..1 | Period | The period covered by the documentation |
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented |
| section | I | 1..1 | BackboneElement | Composition is broken into sections cmp-1: A section must at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| title | 0..1 | string | Label for section (e.g. for ToC) | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: Document Section Codes (example) | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | ?!Σ | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: List Order Codes (preferred) | |
| entry | I | Reference(DomainResource) | A reference to data that supports this section Slice: Unordered, Open by profile:reference.resolve() | |
| entry | I | 0..* | Reference(SW WoundPresentCluster Profile) | WoundPresentCluster |
| entry | I | 0..* | Reference(SW WoundAbsent Profile) | WoundAbsent |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: List Empty Reasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section Nested Section | |
| Documentation for this format | ||||
Summary
Mandatory: 0 element (5 nested mandatory elements)
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
SW Mapping Source
This structure represents the following SW mapping definition:
sw.ClinicalInputForm-PatientWoundSummary maps to Composition: TypeCode maps to type constrain section to 1..1 Statement maps to section.entry (slice on = reference.resolve(); slice on type = profile; slice strategy = includes)
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | SW ClinicalInputForm-PatientWoundSummary Profile | |||
| extension | 1..* | |||
| shr-base-Subject-extension | 1..1 | Reference(DomainResource) | SW Subject Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension | |
| valueReference | Reference(SW Person Profile) | Person | ||
| type | ||||
| coding | Slice: Unordered, Open by value:code | |||
| coding | Σ | 1..1 | Coding | |
| system | Fixed Value: http://loinc.org | |||
| code | Fixed Value: 39135-9 | |||
| section | 1..1 | |||
| entry | Reference(DomainResource) | Slice: Unordered, Open by profile:reference.resolve() | ||
| entry | 0..* | Reference(SW WoundPresentCluster Profile) | WoundPresentCluster | |
| entry | 0..* | Reference(SW WoundAbsent Profile) | WoundAbsent | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | I | 0..* | SW ClinicalInputForm-PatientWoundSummary Profile | |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 1..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| shr-base-Subject-extension | 1..1 | Reference(DomainResource) | SW Subject Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| url | 1..1 | uri | "http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension" | |
| valueReference | 1..1 | Reference(SW Person Profile) | Person | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Logical identifier of composition (version-independent) |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
| coding | Σ | 1..1 | Coding | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 39135-9 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| class | Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: FHIR Document Class Codes (example) |
| subject | Σ | 1..1 | Reference(Resource) | Who and/or what the composition is about |
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
| date | Σ | 1..1 | dateTime | Composition editing time |
| author | Σ | 1..* | Reference(Practitioner | Device | Patient | RelatedPerson) | Who and/or what authored the composition |
| title | Σ | 1..1 | string | Human Readable name/title |
| confidentiality | ?!Σ | 0..1 | code | As defined by affinity domain Binding: ConfidentialityClassification (required) |
| attester | ΣI | 0..* | BackboneElement | Attests to accuracy of composition |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| mode | Σ | 1..* | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
| time | Σ | 0..1 | dateTime | When the composition was attested |
| party | Σ | 0..1 | Reference(Patient | Practitioner | Organization) | Who attested the composition |
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition |
| relatesTo | ΣI | 0..* | BackboneElement | Relationships to other compositions/documents |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| code | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
| target[x] | Σ | 1..1 | Identifier, Reference(Composition) | Target of the relationship |
| event | ΣI | 0..* | BackboneElement | The clinical service(s) being documented |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (example) |
| period | Σ | 0..1 | Period | The period covered by the documentation |
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented |
| section | I | 1..1 | BackboneElement | Composition is broken into sections cmp-1: A section must at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| title | 0..1 | string | Label for section (e.g. for ToC) | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: Document Section Codes (example) | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | ?!Σ | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: List Order Codes (preferred) | |
| entry | I | Reference(DomainResource) | A reference to data that supports this section Slice: Unordered, Open by profile:reference.resolve() | |
| entry | I | 0..* | Reference(SW WoundPresentCluster Profile) | WoundPresentCluster |
| entry | I | 0..* | Reference(SW WoundAbsent Profile) | WoundAbsent |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: List Empty Reasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section Nested Section | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
| Path | Name | Conformance | ValueSet |
| Composition.language | Common Languages | extensible | Common Languages |
| Composition.status | CompositionStatus | required | CompositionStatus |
| Composition.type | FHIR Document Type Codes | preferred | FHIR Document Type Codes |
| Composition.class | FHIR Document Class Codes | example | FHIR Document Class Codes |
| Composition.confidentiality | ConfidentialityClassification | required | ConfidentialityClassification |
| Composition.attester.mode | CompositionAttestationMode | required | CompositionAttestationMode |
| Composition.relatesTo.code | DocumentRelationshipType | required | DocumentRelationshipType |
| Composition.event.code | v3 Code System ActCode | example | v3 Code System ActCode |
| Composition.section.code | Document Section Codes | example | Document Section Codes |
| Composition.section.mode | ListMode | required | ListMode |
| Composition.section.orderedBy | List Order Codes | preferred | List Order Codes |
| Composition.section.emptyReason | List Empty Reasons | preferred | List Empty Reasons |
| Id | Path | Details | Requirements |
| dom-2 | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | Composition | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | Composition | If 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-3 | Composition | If 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() | |
| ele-1 | Composition.attester | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Composition.relatesTo | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Composition.event | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Composition.section | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| cmp-1 | Composition.section | A section must at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | Composition.section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |