Nictiz FHIR NL STU3 Zib2017
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Resource Profile: WoundCharacteristics - Mappings

Draft as of 2024-04-09

Mappings for the WoundCharacteristics resource profile.

Mappings for HCIM PressureUlcer-v3.2(2017EN) (https://zibs.nl/wiki/PressureUlcer-v3.2(2017EN))

WoundCharacteristics
Observation
   extension
   extension (woundImage)
   extension (reasonReference)
      value[x]NL-CM:19.1.1

PressureUlcer
   component
   component (WoundLength)
      value[x] (valueQuantity)NL-CM:19.1.9

WoundLength
   component (WoundWidth)
      value[x] (valueQuantity)NL-CM:19.1.10

WoundWidth
   component (WoundDepth)
      value[x] (valueQuantity)NL-CM:19.1.11

WoundDepth

Mappings for HCIM Wound-v3.1(2017EN) (https://zibs.nl/wiki/Wound-v3.1(2017EN))

WoundCharacteristics
Observation
   extension
   extension (woundImage)
      value[x] (valueAttachment)NL-CM:19.2.15

WoundPhoto
   extension (reasonReference)
      value[x]NL-CM:19.2.1

Wound
   component
   component (WoundLength)
      value[x] (valueQuantity)NL-CM:19.2.12

WoundLength
   component (WoundWidth)
      value[x] (valueQuantity)NL-CM:19.2.13

WoundWidth
   component (WoundDepth)
      value[x] (valueQuantity)NL-CM:19.2.14

WoundDepth
   component (WoundTissue)
      value[x] (valueCodeableConcept)NL-CM:19.2.4

WoundTissue
   component (WoundInfection)
      value[x] (valueCodeableConcept)NL-CM:19.2.7

WoundInfection
   component (WoundMoisture)
      value[x] (valueCodeableConcept)NL-CM:19.2.6

Mappings for HCIM BasicElements-v1.0(2017EN) (https://zibs.nl/wiki/BasicElements-v1.0(2017EN))

WoundCharacteristics
Observation
   identifierNL-CM:0.0.6

IdentificationNumber
   subjectNL-CM:0.0.11

Subject
   effective[x]NL-CM:0.0.14

DateTime
   performerNL-CM:0.0.7

Author

Mappings for Workflow Mapping (http://hl7.org/fhir/workflow)

WoundCharacteristics
ObservationEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer
   value[x]Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
   dataAbsentReasonEvent.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
   commentEvent.note

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

WoundCharacteristics
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
   value[x]< 441742003 |Evaluation finding|
   interpretation< 260245000 |Findings values|
   bodySite< 123037004 |Body structure|
   specimen< 123038009 |Specimen|
   device< 49062001 |Device|
   referenceRange
      type< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
      appliesTo< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
   component
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (WoundLength)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x] (valueQuantity)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (WoundWidth)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x] (valueQuantity)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (WoundDepth)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x] (valueQuantity)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (WoundTissue)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueCodeableConcept)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (WoundInfection)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x] (valueCodeableConcept)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (WoundMoisture)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x] (valueCodeableConcept)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (WoundEdge)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x] (valueCodeableConcept)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

WoundCharacteristics
ObservationOBX
   extension (reasonReference)EVN.4 or by domain
   identifierOBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
   basedOnORC
   statusOBX-11
   codeOBX-3
      codingC*E.1-8, C*E.10-22
      coding (WoundObservableCode)C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3
   contextPV1
   effective[x]OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
   issuedOBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
   performerOBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
   value[x]OBX.2, OBX.5, OBX.6
   dataAbsentReasonN/A
   interpretationOBX-8
   commentNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   bodySiteOBX-20
   methodOBX-17
   specimenSPM segment
   deviceOBX-17 / PRT -10
   referenceRangeOBX.7
      lowOBX-7
      highOBX-7
      typeOBX-10
      appliesToOBX-10
      textOBX-7
   relatedRelationships established by OBX-4 usage
      typeN/A
   componentcontainment by OBX-4?
      codeOBX-3
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (WoundLength)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x] (valueQuantity)OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (WoundWidth)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x] (valueQuantity)OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (WoundDepth)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x] (valueQuantity)OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (WoundTissue)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
         codingC*E.1-8, C*E.10-22
         coding (OncoUlcerCodelistValue)C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         coding (WCSCodelistValue)C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (WoundInfection)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (WoundMoisture)containment by OBX-4?
      codeOBX-3
      value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (WoundEdge)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7

Mappings for RIM Mapping (http://hl7.org/v3)

WoundCharacteristics
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extension
   extension (woundImage)n/a, N/A
      idn/a
      extensionn/a
      urlN/A
      value[x]N/A
      value[x] (valueAttachment)N/A
   extension (reasonReference).outboundRelationship[typeCode=RSON].target
      idn/a
      extensionn/a
      urlN/A
      value[x]N/A
   modifierExtensionN/A
   identifierid
   basedOn.outboundRelationship[typeCode=FLFS].target
   statusstatus Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   codecode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (WoundObservableCode)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=SBJ]
   contextinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   issuedparticipation[typeCode=AUT].time
   performerparticipation[typeCode=PRF]
      idn/a
      extension (practitionerRole)n/a, N/A
      referenceN/A
      identifier.identifier
      displayN/A
   value[x]value
   dataAbsentReasonvalue.nullFlavor
   interpretationinterpretationCode
   commentsubjectOf.observationEvent[code="annotation"].value
   bodySitetargetSiteCode
   methodmethodCode
   specimenparticipation[typeCode=SPC].specimen
   deviceparticipation[typeCode=DEV]
   referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      lowvalue:IVL_PQ.low
      highvalue:IVL_PQ.high
      typeinterpretationCode
      appliesTointerpretationCode
      ageoutboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
      textvalue:ST
   relatedoutBoundRelationship
      idn/a
      extensionn/a
      modifierExtensionN/A
      type.typeCode
      target.targetObservation
   componentoutBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (WoundLength)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x] (valueQuantity)value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (WoundWidth)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x] (valueQuantity)value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (WoundDepth)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x] (valueQuantity)value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (WoundTissue)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      value[x] (valueCodeableConcept)value
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (OncoUlcerCodelistValue)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (WCSCodelistValue)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (WoundInfection)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x] (valueCodeableConcept)value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (WoundMoisture)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x] (valueCodeableConcept)value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (WoundEdge)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x] (valueCodeableConcept)value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

WoundCharacteristics
Observationclinical.diagnostics
   identifierid
   statusstatus
   categoryclass
   codewhat
   subjectwho.focus
   contextcontext
   effective[x]when.done
   issuedwhen.recorded
   performerwho.actor
   component
      codewhat
   component (WoundLength)
      codewhat
   component (WoundWidth)
      codewhat
   component (WoundDepth)
      codewhat
   component (WoundTissue)
      codewhat
   component (WoundInfection)
      codewhat
   component (WoundMoisture)
      codewhat
   component (WoundEdge)
      codewhat

Mappings for SNOMED CT Attribute Binding (http://snomed.info/sct)

WoundCharacteristics
Observation
   code116680003 |Is a|
   value[x]363714003 |Interprets|
   interpretation363713009 |Has interpretation|
   bodySite718497002 |Inherent location|
   specimen704319004 |Inherent in|
   device424226004 |Using device|
   component
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (WoundLength)
      value[x] (valueQuantity)363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (WoundWidth)
      value[x] (valueQuantity)363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (WoundDepth)
      value[x] (valueQuantity)363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (WoundTissue)
      value[x]363714003 |Interprets|
      value[x] (valueCodeableConcept)363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (WoundInfection)
      value[x] (valueCodeableConcept)363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (WoundMoisture)
      value[x] (valueCodeableConcept)363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (WoundEdge)
      value[x] (valueCodeableConcept)363714003 |Interprets|
      interpretation363713009 |Has interpretation|