MITRE's 'Mini-CIMI' FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)

ClinicalInputForm-WoundAssessmentModel

Definitions for sw-ClinicalInputForm-WoundAssessment-model.

sw-ClinicalInputForm-WoundAssessment-model
Definition

Information about a wound at a single time, structured into logical groupings for input or display.

Control0..*
sw-ClinicalInputForm-WoundAssessment-model.subject
Definition

The person, place, event, condition, other statement that this statement addresses or belongs to. For an existential finding, the Subject is the 'owner' of the object said to exist or not exist. For example, the subject for a condition is a patient; the subject for wound size is a wound. Subjects are themselves statements.

Control1..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-Wound-model
sw-ClinicalInputForm-WoundAssessment-model.typeCode
Definition

A code that describes the type of composition or section, such as a section or document type identifier.

Control1..1
TypeCoding
sw-ClinicalInputForm-WoundAssessment-model.typeCode.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
sw-ClinicalInputForm-WoundAssessment-model.typeCode.extension
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.

Control0..*
TypeExtension
Comments

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.

sw-ClinicalInputForm-WoundAssessment-model.typeCode.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control1..1
Typeuri
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

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.

Fixed Valuehttp://loinc.org
sw-ClinicalInputForm-WoundAssessment-model.typeCode.version
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.

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
Comments

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.

sw-ClinicalInputForm-WoundAssessment-model.typeCode.code
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).

Control1..1
Typecode
Requirements

Need to refer to a particular code in the system.

Fixed Value39135-9
sw-ClinicalInputForm-WoundAssessment-model.typeCode.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control0..1
Typestring
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

sw-ClinicalInputForm-WoundAssessment-model.typeCode.userSelected
Definition

Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).

Control0..1
Typeboolean
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.

Comments

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.

sw-ClinicalInputForm-WoundAssessment-model.statement
Definition

Base class for all types of clinical statements.

Control0..1
sw-ClinicalInputForm-WoundAssessment-model.statement.woundAssessmentInterpretation
Definition

Overall assessement of whether the wound is within normal parameters.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundAssessmentInterpretation-model
sw-ClinicalInputForm-WoundAssessment-model.statement.photographicImage
Definition

A photographic documentation of a condition, location, person, etc...

Control0..*
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-PhotographicImage-model
sw-ClinicalInputForm-WoundAssessment-model.statement.woundTrend
Definition

Whether a condition is improving, worsening, stable, or resolved.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundTrend-model
sw-ClinicalInputForm-WoundAssessment-model.statement.woundPeriwoundDescription
Definition

A description of the skin around the wound (periwound).

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundPeriwoundDescription-model
sw-ClinicalInputForm-WoundAssessment-model.statement.woundVisibleInternalStructure
Definition

Exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound.

Control0..*
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundVisibleInternalStructure-model
sw-ClinicalInputForm-WoundAssessment-model.statement.woundPressureUlcerAssociation
Definition

Is the wound associated with a device or pressure point?

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundPressureUlcerAssociation-model
sw-ClinicalInputForm-WoundAssessment-model.statement.timeOfAbatement
Definition

The end, remission or resolution of a disease.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/shr-entity-TimeOfAbatement-model
sw-ClinicalInputForm-WoundAssessment-model.statement.woundSizeCluster
Definition

The dimensions of the wound.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundSizeCluster-model
sw-ClinicalInputForm-WoundAssessment-model.statement.woundBedAndEdgeCluster
Definition

Assessment of the wound bed (base) and edge, including the appearance and color of each.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundBedAndEdgeCluster-model
sw-ClinicalInputForm-WoundAssessment-model.statement.woundTunnelingAndUnderminingCluster
Definition

Assessment and measurement of tunnels and undermining of the wound.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundTunnelingAndUnderminingCluster-model
sw-ClinicalInputForm-WoundAssessment-model.statement.woundExudateCluster
Definition

Descriptions of the exudate of the wound. Applicable only if wound exudate is present.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundExudateCluster-model