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

WoundVisibleInternalStructureProfile

 

The official URL for this profile is: 

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

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

This profile builds on Observation.

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 WoundVisibleInternalStructureModel logical model.

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 3 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.code.coding is sliced based on the value of value:code

SW Mapping Source

This structure represents the following SW mapping definition:

sw.WoundVisibleInternalStructure maps to Observation:
  constrain component to 0..0
  constrain related to 0..0
  constrain bodySite to 0..0
  ObservableCode maps to code
  ResultValue maps to value[x]
  RelevantTime maps to effective[x]
  FindingStatus maps to status
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SW WoundVisibleInternalStructure Profile
... extension 1..*
... shr-base-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-FindingMethod-extension
... shr-base-Subject-extension 1..1Reference(DomainResource)SW Subject Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension
.... valueReference Reference(SW Wound Profile)Wound
... shr-base-Qualifier-extension 0..*CodeableConceptSW Qualifier Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Qualifier-extension
... code
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... system Fixed Value: http://loinc.org
..... code Fixed Value: 89250-5
... valueCodeableConcept CodeableConceptBinding: LOINC Answer List LL4935-4 (preferred)
... bodySite 0..0
... related 0..0
... component 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SW WoundVisibleInternalStructure Profile
obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 1..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... shr-base-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-FindingMethod-extension
... shr-base-Subject-extension 1..1Reference(DomainResource)SW Subject Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension"
.... valueReference 1..1Reference(SW Wound Profile)Wound
... shr-base-Qualifier-extension 0..*CodeableConceptSW Qualifier Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Qualifier-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)Fulfills plan, proposal or order
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..*CodeableConceptClassification of type of observation
Binding: Observation Category Codes (preferred)
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 89250-5
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ0..1Reference(Patient | Group | Device | Location)Who and/or what this is about
... context 0..1Reference(Encounter | EpisodeOfCare)Healthcare event during which this observation is made
... effective[x] Σ0..1dateTime, PeriodClinically relevant time/time-period for observation
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | Patient | RelatedPerson)Who is responsible for the observation
... valueCodeableConcept Σ0..1CodeableConceptActual result
Binding: LOINC Answer List LL4935-4 (preferred)
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... method 0..1CodeableConceptHow it was done
Binding: Observation Methods (example)
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible)
.... appliesTo 0..*CodeableConceptReference range population
Binding: Observation Reference Range Applies To Codes (example)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation

doco Documentation for this format

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 3 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.code.coding is sliced based on the value of value:code

SW Mapping Source

This structure represents the following SW mapping definition:

sw.WoundVisibleInternalStructure maps to Observation:
  constrain component to 0..0
  constrain related to 0..0
  constrain bodySite to 0..0
  ObservableCode maps to code
  ResultValue maps to value[x]
  RelevantTime maps to effective[x]
  FindingStatus maps to status

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SW WoundVisibleInternalStructure Profile
... extension 1..*
... shr-base-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-FindingMethod-extension
... shr-base-Subject-extension 1..1Reference(DomainResource)SW Subject Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension
.... valueReference Reference(SW Wound Profile)Wound
... shr-base-Qualifier-extension 0..*CodeableConceptSW Qualifier Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Qualifier-extension
... code
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... system Fixed Value: http://loinc.org
..... code Fixed Value: 89250-5
... valueCodeableConcept CodeableConceptBinding: LOINC Answer List LL4935-4 (preferred)
... bodySite 0..0
... related 0..0
... component 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SW WoundVisibleInternalStructure Profile
obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 1..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... shr-base-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-FindingMethod-extension
... shr-base-Subject-extension 1..1Reference(DomainResource)SW Subject Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Subject-extension"
.... valueReference 1..1Reference(SW Wound Profile)Wound
... shr-base-Qualifier-extension 0..*CodeableConceptSW Qualifier Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/shr-base-Qualifier-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)Fulfills plan, proposal or order
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..*CodeableConceptClassification of type of observation
Binding: Observation Category Codes (preferred)
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 89250-5
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ0..1Reference(Patient | Group | Device | Location)Who and/or what this is about
... context 0..1Reference(Encounter | EpisodeOfCare)Healthcare event during which this observation is made
... effective[x] Σ0..1dateTime, PeriodClinically relevant time/time-period for observation
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | Patient | RelatedPerson)Who is responsible for the observation
... valueCodeableConcept Σ0..1CodeableConceptActual result
Binding: LOINC Answer List LL4935-4 (preferred)
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... method 0..1CodeableConceptHow it was done
Binding: Observation Methods (example)
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible)
.... appliesTo 0..*CodeableConceptReference range population
Binding: Observation Reference Range Applies To Codes (example)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation

doco Documentation for this format

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

 

Terminology Bindings

PathNameConformanceValueSet
Observation.languageCommon LanguagesextensibleCommon Languages
Observation.statusObservationStatusrequiredObservationStatus
Observation.categoryObservation Category CodespreferredObservation Category Codes
Observation.codeLOINC CodesexampleLOINC Codes
Observation.valueCodeableConceptLOINC LL4935-4preferredLOINC LL4935-4
Observation.dataAbsentReasonObservation Value Absent ReasonextensibleObservation Value Absent Reason
Observation.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.methodObservation MethodsexampleObservation Methods
Observation.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.referenceRange.appliesToObservation Reference Range Applies To CodesexampleObservation Reference Range Applies To Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType
Observation.component.codeLOINC CodesexampleLOINC Codes
Observation.component.dataAbsentReasonObservation Value Absent ReasonextensibleObservation Value Absent Reason
Observation.component.interpretationObservation Interpretation CodesextensibleObservation Interpretation 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()
ele-1Observation.referenceRangeAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
obs-3Observation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()