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

Primary logical models defined as part of this Implementation Guide

Name Definition
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.

ClinicalInputForm-WoundAssessment

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

ExchangeForm-WoundComprehensiveHistory

A collection of all information about a single wound, possibly including many observations taken by different people at different times. Everything in the aggregation relates to the same wound.

PhotographicImage

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

WoundAbsent

Documents the absence of a wound.

WoundArea

Area of the wound.

WoundAssessmentInterpretation

Overall assessement of whether the wound is within normal parameters.

WoundBedAppearance

Appearance of wound base (bed)

WoundBedAppearancePercentage

Area of wound bed portion appearance/Entire ​Area of wound bed – Linked to a wound bed appearance

WoundDepth

Depth of the wound.

WoundEdgeColor

Color of Wound edge.

WoundEdgeDescription

The state of the tissue at the edge of the wound.

WoundEpisode

Whether the wound is initial or recurrent.

WoundExudateAmount

Drainage amount of wound

WoundExudateAppearance

Appearance of exudate from wound

WoundExudateColor

Color of exudate from wound

WoundExudateOdor

Odor of exudate from wound

WoundExudateVolume

Appearance of exudate from wound

WoundLength

Length of the wound (longest dimension).

WoundLocationObservation

Body location of a wound.

Wound

The presence of a wound.

WoundPeriwoundDescription

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

WoundPresentOrAbsent

The presence or absence of a wound. Observations and measurements associated with the same wound must link back to the same wound assertion. Therefore, the same wound should not be asserted more than once. The ‘same-as’ relationship can be used to link multiple assertions of the same wound, if necessary.

WoundPressureUlcerAssociation

Is the wound associated with a device or pressure point?

WoundTrend

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

WoundTunnelLength

The length of a wound tunnel, in cm.

WoundTunnel

The presence of a wound tunnel.

WoundTunnelPresentOrAbsent

The presence or absence of a discharging blind-ended track that extends from the surface of an organ to an underlying area or abscess cavity. Each wound tunnel can be persistently identified to enable tracking of the condition of the tunnel over time.

WoundTypeEtiology

The source or key factor in the formation or acquisition of the wound.

WoundType

The type of wound, for example, abrasion or laceration.

WoundUnderminingClockDirection

Clock position of wound undermining

WoundUnderminingLength

Length of wound undermining.

WoundUndermining

The presence of wound undermining.

WoundUnderminingPresentOrAbsent

The presence or absence 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.

WoundVisibleInternalStructure

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

WoundWidth

Width of the wound (perpendicular to longest dimension).