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D.4.1 StructureDefinition: WoundAssert

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is:

http://hl7.org/fhir/hspc/StructureDefinition/WoundAssert

Wound Assert is an assertion model used when the condition exists. Wound is a kind of skin alteration including breaks in skin or injury under or to skin wounds (e.g., pressure injury by stage)

This profile builds on US Core Condition (a.k.a Problem) Profile.

This profile was published on Tue Oct 09 00:00:00 CDT 2018 as a draft by HSPC.

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from US Core Condition (a.k.a Problem) Profile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*Wound Assert
... extension ExtensionSlice: Unordered, Open by value:Condition.extension
... PresentOnAdmissionExt 0..1CodeableConceptPresent On Admission
URL: http://hl7.org/fhir/hspc/StructureDefinition/PresentOnAdmissionExt
Binding: Yes/No Value Set (preferred)
... PressureUlcerAssociationExt 0..1CodeableConceptPressure Ulcer Association
URL: http://hl7.org/fhir/hspc/StructureDefinition/PressureUlcerAssociationExt
Binding: Pressure Ulcer Association value set (preferred)
... WoundAssessmentInterpretationExt 0..1CodeableConceptWound Assessment Interpretation
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundAssessmentInterpretation profiled by http://hl7.org/fhir/hspc/StructureDefinition/WoundAssessmentInterpretationExt
Binding: Wound Assessment Interpretation value set (preferred)
... EpisodeExt 0..1CodeableConceptWound Episode
URL: http://hl7.org/fhir/hspc/StructureDefinition/EpisodeExt
Binding: Episode value set (preferred)
... TrendExt 0..1CodeableConceptWound Trend
URL: http://hl7.org/fhir/hspc/StructureDefinition/TrendExt
Binding: Trend value set (preferred)
... PeriwoundConditionExt 0..1CodeableConceptPeriwound Condition
URL: http://hl7.org/fhir/hspc/StructureDefinition/PeriwoundConditionExt
Binding: Periwound Condition value set (preferred)
... WoundTypeEtiologyExt 0..1CodeableConceptWound Type Etiology
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundTypeEtiologyExt
Binding: Wound Type Etiology value set (preferred)
... WoundImageExtension 0..*AttachmentWound Image
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundImageExtension
... WoundInternalItemOrBodyStructureVisibleExt 0..1CodeableConceptWound Internal Item Or Body Structure Visible
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundInternalItemOrBodyStructureVisibleExt
Binding: Wound Internal Item Or Body Structure Visible value set (preferred)
... WoundGradationExt 0..1CodeableConceptWound Gradation
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundGradationExt
Binding: Wound Gradation Value Set (preferred)
... WoundRelatedObservationsPanel 0..*(Complex)Wound Related Observations Panel
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundRelatedObservationsPanel
... BodyLocationExt 0..1(Complex)Body Location
URL: http://hl7.org/fhir/hspc/StructureDefinition/BodyLocationExt
... RecurrenceExt 0..1CodeableConceptWound Recurrence
URL: http://hl7.org/fhir/hspc/StructureDefinition/RecurrenceExt
Binding: Recurrence value set (preferred)
... identifier 0..*IdentifierTo be used for the wound ID
... clinicalStatus 0..1codeClinical Status
... verificationStatus 1..1codeVerification Status
... code 1..1CodeableConceptwoundType
Binding: CIMI Wound Type value set (preferred)
... bodySite 0..0
... onset[x] 0..1dateTimeOnset Date
... abatement[x] 0..1dateTimeAbatement Date

doco Documentation for this format

This structure is derived from US Core Condition (a.k.a Problem) Profile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*Wound Assert
... 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)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension ExtensionExtension
Slice: Unordered, Open by value:Condition.extension
... PresentOnAdmissionExt I0..1CodeableConceptPresent On Admission
URL: http://hl7.org/fhir/hspc/StructureDefinition/PresentOnAdmissionExt
Binding: Yes/No Value Set (preferred)
... PressureUlcerAssociationExt I0..1CodeableConceptPressure Ulcer Association
URL: http://hl7.org/fhir/hspc/StructureDefinition/PressureUlcerAssociationExt
Binding: Pressure Ulcer Association value set (preferred)
... WoundAssessmentInterpretationExt I0..1CodeableConceptWound Assessment Interpretation
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundAssessmentInterpretation profiled by http://hl7.org/fhir/hspc/StructureDefinition/WoundAssessmentInterpretationExt
Binding: Wound Assessment Interpretation value set (preferred)
... EpisodeExt I0..1CodeableConceptWound Episode
URL: http://hl7.org/fhir/hspc/StructureDefinition/EpisodeExt
Binding: Episode value set (preferred)
... TrendExt I0..1CodeableConceptWound Trend
URL: http://hl7.org/fhir/hspc/StructureDefinition/TrendExt
Binding: Trend value set (preferred)
... PeriwoundConditionExt I0..1CodeableConceptPeriwound Condition
URL: http://hl7.org/fhir/hspc/StructureDefinition/PeriwoundConditionExt
Binding: Periwound Condition value set (preferred)
... WoundTypeEtiologyExt I0..1CodeableConceptWound Type Etiology
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundTypeEtiologyExt
Binding: Wound Type Etiology value set (preferred)
... WoundImageExtension I0..*AttachmentWound Image
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundImageExtension
... WoundInternalItemOrBodyStructureVisibleExt I0..1CodeableConceptWound Internal Item Or Body Structure Visible
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundInternalItemOrBodyStructureVisibleExt
Binding: Wound Internal Item Or Body Structure Visible value set (preferred)
... WoundGradationExt I0..1CodeableConceptWound Gradation
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundGradationExt
Binding: Wound Gradation Value Set (preferred)
... WoundRelatedObservationsPanel 0..*(Complex)Wound Related Observations Panel
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundRelatedObservationsPanel
... BodyLocationExt I0..1(Complex)Body Location
URL: http://hl7.org/fhir/hspc/StructureDefinition/BodyLocationExt
... RecurrenceExt I0..1CodeableConceptWound Recurrence
URL: http://hl7.org/fhir/hspc/StructureDefinition/RecurrenceExt
Binding: Recurrence value set (preferred)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierTo be used for the wound ID
... clinicalStatus ?!SΣI0..1codeClinical Status
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!SΣI1..1codeVerification Status
Binding: ConditionVerificationStatus (required)
... category S1..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: US Core Condition Category Codes (preferred)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... code SΣ1..1CodeableConceptwoundType
Binding: CIMI Wound Type value set (preferred)
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onsetDateTime Σ0..1dateTimeOnset Date
... abatementDateTime I0..1dateTimeAbatement Date
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(Practitioner | Patient | RelatedPerson)Person who asserts this condition
... stage I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Differential View

This structure is derived from US Core Condition (a.k.a Problem) Profile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*Wound Assert
... extension ExtensionSlice: Unordered, Open by value:Condition.extension
... PresentOnAdmissionExt 0..1CodeableConceptPresent On Admission
URL: http://hl7.org/fhir/hspc/StructureDefinition/PresentOnAdmissionExt
Binding: Yes/No Value Set (preferred)
... PressureUlcerAssociationExt 0..1CodeableConceptPressure Ulcer Association
URL: http://hl7.org/fhir/hspc/StructureDefinition/PressureUlcerAssociationExt
Binding: Pressure Ulcer Association value set (preferred)
... WoundAssessmentInterpretationExt 0..1CodeableConceptWound Assessment Interpretation
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundAssessmentInterpretation profiled by http://hl7.org/fhir/hspc/StructureDefinition/WoundAssessmentInterpretationExt
Binding: Wound Assessment Interpretation value set (preferred)
... EpisodeExt 0..1CodeableConceptWound Episode
URL: http://hl7.org/fhir/hspc/StructureDefinition/EpisodeExt
Binding: Episode value set (preferred)
... TrendExt 0..1CodeableConceptWound Trend
URL: http://hl7.org/fhir/hspc/StructureDefinition/TrendExt
Binding: Trend value set (preferred)
... PeriwoundConditionExt 0..1CodeableConceptPeriwound Condition
URL: http://hl7.org/fhir/hspc/StructureDefinition/PeriwoundConditionExt
Binding: Periwound Condition value set (preferred)
... WoundTypeEtiologyExt 0..1CodeableConceptWound Type Etiology
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundTypeEtiologyExt
Binding: Wound Type Etiology value set (preferred)
... WoundImageExtension 0..*AttachmentWound Image
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundImageExtension
... WoundInternalItemOrBodyStructureVisibleExt 0..1CodeableConceptWound Internal Item Or Body Structure Visible
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundInternalItemOrBodyStructureVisibleExt
Binding: Wound Internal Item Or Body Structure Visible value set (preferred)
... WoundGradationExt 0..1CodeableConceptWound Gradation
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundGradationExt
Binding: Wound Gradation Value Set (preferred)
... WoundRelatedObservationsPanel 0..*(Complex)Wound Related Observations Panel
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundRelatedObservationsPanel
... BodyLocationExt 0..1(Complex)Body Location
URL: http://hl7.org/fhir/hspc/StructureDefinition/BodyLocationExt
... RecurrenceExt 0..1CodeableConceptWound Recurrence
URL: http://hl7.org/fhir/hspc/StructureDefinition/RecurrenceExt
Binding: Recurrence value set (preferred)
... identifier 0..*IdentifierTo be used for the wound ID
... clinicalStatus 0..1codeClinical Status
... verificationStatus 1..1codeVerification Status
... code 1..1CodeableConceptwoundType
Binding: CIMI Wound Type value set (preferred)
... bodySite 0..0
... onset[x] 0..1dateTimeOnset Date
... abatement[x] 0..1dateTimeAbatement Date

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*Wound Assert
... 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)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension ExtensionExtension
Slice: Unordered, Open by value:Condition.extension
... PresentOnAdmissionExt I0..1CodeableConceptPresent On Admission
URL: http://hl7.org/fhir/hspc/StructureDefinition/PresentOnAdmissionExt
Binding: Yes/No Value Set (preferred)
... PressureUlcerAssociationExt I0..1CodeableConceptPressure Ulcer Association
URL: http://hl7.org/fhir/hspc/StructureDefinition/PressureUlcerAssociationExt
Binding: Pressure Ulcer Association value set (preferred)
... WoundAssessmentInterpretationExt I0..1CodeableConceptWound Assessment Interpretation
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundAssessmentInterpretation profiled by http://hl7.org/fhir/hspc/StructureDefinition/WoundAssessmentInterpretationExt
Binding: Wound Assessment Interpretation value set (preferred)
... EpisodeExt I0..1CodeableConceptWound Episode
URL: http://hl7.org/fhir/hspc/StructureDefinition/EpisodeExt
Binding: Episode value set (preferred)
... TrendExt I0..1CodeableConceptWound Trend
URL: http://hl7.org/fhir/hspc/StructureDefinition/TrendExt
Binding: Trend value set (preferred)
... PeriwoundConditionExt I0..1CodeableConceptPeriwound Condition
URL: http://hl7.org/fhir/hspc/StructureDefinition/PeriwoundConditionExt
Binding: Periwound Condition value set (preferred)
... WoundTypeEtiologyExt I0..1CodeableConceptWound Type Etiology
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundTypeEtiologyExt
Binding: Wound Type Etiology value set (preferred)
... WoundImageExtension I0..*AttachmentWound Image
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundImageExtension
... WoundInternalItemOrBodyStructureVisibleExt I0..1CodeableConceptWound Internal Item Or Body Structure Visible
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundInternalItemOrBodyStructureVisibleExt
Binding: Wound Internal Item Or Body Structure Visible value set (preferred)
... WoundGradationExt I0..1CodeableConceptWound Gradation
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundGradationExt
Binding: Wound Gradation Value Set (preferred)
... WoundRelatedObservationsPanel 0..*(Complex)Wound Related Observations Panel
URL: http://hl7.org/fhir/hspc/StructureDefinition/WoundRelatedObservationsPanel
... BodyLocationExt I0..1(Complex)Body Location
URL: http://hl7.org/fhir/hspc/StructureDefinition/BodyLocationExt
... RecurrenceExt I0..1CodeableConceptWound Recurrence
URL: http://hl7.org/fhir/hspc/StructureDefinition/RecurrenceExt
Binding: Recurrence value set (preferred)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierTo be used for the wound ID
... clinicalStatus ?!SΣI0..1codeClinical Status
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!SΣI1..1codeVerification Status
Binding: ConditionVerificationStatus (required)
... category S1..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: US Core Condition Category Codes (preferred)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... code SΣ1..1CodeableConceptwoundType
Binding: CIMI Wound Type value set (preferred)
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onsetDateTime Σ0..1dateTimeOnset Date
... abatementDateTime I0..1dateTimeAbatement Date
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(Practitioner | Patient | RelatedPerson)Person who asserts this condition
... stage I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathConformanceValueSet
Condition.clinicalStatusrequiredCondition Clinical Status Codes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredUS Core Condition Category Codes
Condition.codepreferredCIMI Wound Type value set

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2ConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ConditionIf 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-3ConditionIf 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()
con-4ConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
con-3ConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
: verificationStatus='entered-in-error' or clinicalStatus.exists()
us-core-1ConditionA code in Condition.category SHOULD be from US Core Condition Category Codes value set.
: where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.stageAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-1Condition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
ele-1Condition.evidenceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-2Condition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
.