Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Zib BurnWound - Detailed Descriptions

Draft as of 2024-04-09

Definitions for the zib-BurnWound resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Condition
ShortBurnWound
Alternate NamesBrandwond
2. Condition.extension
SlicingThis element introduces a set of slices on Condition.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Condition.extension:dateOfLastDressingChange
    Slice NamedateOfLastDressingChange
    Definition

    Date on which the dressing was last changed.

    Control0..1
    TypeExtension(Date of last dressing change) (Extension Type: dateTime)
    6. Condition.extension:dateOfLastDressingChange.valueDateTime:valueDateTime
    Slice NamevalueDateTime
    Definition

    Date on which the dressing was last changed.

    ShortDateOfLastDressingChange
    Alternate NamesDatumLaatsteVerbandwissel
    8. Condition.extension:extent
    Slice Nameextent
    Control0..1
    TypeExtension(HCIM BurnWound Extent) (Extension Type: Quantity)
    10. Condition.extension:extent.valueQuantity:valueQuantity
    Slice NamevalueQuantity
    Definition

    The extent of a burn wound is indicated in a percentage of the ‘Total Body Surface Area’ (TBSA). For adults, the TBSA can be calculated on the basis of the ‘rule of nines’, in which body parts are expressed in the percentage 9 and multiples of 9. This ‘rule of nines’ cannot be used for children because a child’s body proportions are different from those of an adult. For children, separate tables were developed per age group to determine the extent of burn wounds. Another option is measuring the extent using the patient’s hand surface area. The surface area of a patient’s hand (including the fingers) equals approximately 1% of their total body surface area.

    Shortextent
    Alternate NamesUitgebreidheid
    12. Condition.category
    14. Condition.code
    Definition

    Indication of the kind of the burn wound, differentiated into the cause of the injury.

    ShortBurnWound
    Alternate NamesBrandwond
    16. Condition.code.extension
    SlicingThis element introduces a set of slices on Condition.code.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 18. Condition.code.extension:burnType
      Slice NameburnType
      Control0..1
      TypeExtension(HCIM BurnWound BurnWoundType) (Extension Type: CodeableConcept)
      20. Condition.code.extension:burnType.valueCodeableConcept:valueCodeableConcept
      Slice NamevalueCodeableConcept
      Definition

      Indication of the kind of the burn wound, differentiated into the cause of the injury.

      ShortBurnType
      Alternate NamesBrandwondSoort
      22. Condition.code.coding
      Control1..?
      SlicingThis element introduces a set of slices on Condition.code.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ code
      • 24. Condition.code.coding:BurnWoundCode
        Slice NameBurnWoundCode
        Control1..1
        26. Condition.code.coding:BurnWoundCode.system
        Control1..?
        Fixed Valuehttp://snomed.info/sct
        28. Condition.code.coding:BurnWoundCode.code
        Control1..?
        Fixed Value125666000
        30. Condition.code.coding:BurnWoundCode.display
        Default ValueBrandwond
        32. Condition.bodySite
        Definition

        The location of the burn wound on the body.

        ShortAnatomicalLocation
        BindingUnless not suitable, these codes SHALL be taken from BrandwondAnatomischeLocatieCodelijst
        (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2--20171231000000)

        BrandwondAnatomischeLocatieCodelijst

        Alternate NamesAnatomischeLocatie
        34. Condition.bodySite.extension
        SlicingThis element introduces a set of slices on Condition.bodySite.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 36. Condition.bodySite.extension:Laterality
          Slice NameLaterality
          Control0..1
          TypeExtension(BodySite Qualifier) (Extension Type: CodeableConcept)
          38. Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
          Slice NamevalueCodeableConcept
          Definition

          Laterality adds information about body side to the anatomic location, e.g. left

          ShortLaterality
          BindingThe codes SHALL be taken from BrandwondLateraliteitCodelijst
          (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.4--20171231000000)

          BrandwondLateraliteitCodelijst

          Alternate NamesLateraliteit
          40. Condition.subject
          TypeReference(nl-core-patient)
          42. Condition.onset[x]
          Definition

          Date on which the burn wound appeared.

          ShortDateOfOnset
          [x] NoteSee Choice of Data Types for further information about how to use [x]
          Alternate NamesOntstaansDatum
          44. Condition.stage
          Control1..?
          46. Condition.stage.summary
          Definition

          Description of the severity of the burn wound, ranging from degree 1 - 3.

          ShortDepth
          Control1..?
          BindingUnless not suitable, these codes SHALL be taken from DieptegraadCodelijst
          (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1--20171231000000)

          DieptegraadCodelijst

          Alternate NamesDieptegraad
          48. Condition.note
          Definition

          Comment on the burn wound.

          ShortComment
          Alternate NamesToelichting

          Guidance on how to interpret the contents of this table can be found here

          0. Condition
          Definition

          A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

          ShortBurnWoundDetailed information about conditions, problems or diagnoses
          Control0..*
          Alternate NamesBrandwond
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
          dom-4: If 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-3: If 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-4: If 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-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (verificationStatus='entered-in-error' or clinicalStatus.exists())
          dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
          dom-4: If 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-3: If 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-4: If 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-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (verificationStatus='entered-in-error' or clinicalStatus.exists())
          2. Condition.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

          This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

          Control0..1
          Typeuri
          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          4. Condition.extension
          Definition

          An Extension


          May be used to represent additional information that is not part of the basic definition of the resource. 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.

          ShortExtensionAdditional Content defined by implementations
          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.

          Control0..*
          TypeExtension
          Alternate Namesextensions, user content
          SlicingThis element introduces a set of slices on Condition.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 6. Condition.extension:dateOfLastDressingChange
            Slice NamedateOfLastDressingChange
            Definition

            Date on which the dressing was last changed.

            ShortDateOfLastDressingChange
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Date of last dressing change) (Extension Type: dateTime)
            Alternate NamesDatumLaatsteVerbandwissel
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            8. Condition.extension:dateOfLastDressingChange.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
            10. Condition.extension:dateOfLastDressingChange.value[x]
            Definition

            Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

            ShortValue of extension
            Control0..1
            TypedateTime, date, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
            [x] NoteSee Choice of Data Types for further information about how to use [x]
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            SlicingThis element introduces a set of slices on Condition.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
            • type @ $this
            • 12. Condition.extension:dateOfLastDressingChange.value[x]:valueDateTime
              Slice NamevalueDateTime
              Definition

              Date on which the dressing was last changed.


              Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

              ShortDateOfLastDressingChangeValue of extension
              Control0..1
              TypedateTime, date, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
              [x] NoteSee Choice of Data Types for further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Alternate NamesDatumLaatsteVerbandwissel
              14. Condition.extension:extent
              Slice Nameextent
              Definition

              An Extension

              ShortExtent
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(HCIM BurnWound Extent) (Extension Type: Quantity)
              Alternate NamesUitgebreidheid
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              16. Condition.extension:extent.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-Extent
              18. Condition.extension:extent.value[x]
              Definition

              Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

              ShortValue of extension
              Control0..1
              TypeQuantity, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
              [x] NoteSee Choice of Data Types for further information about how to use [x]
              SlicingThis element introduces a set of slices on Condition.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
              • type @ $this
              • 20. Condition.extension:extent.value[x]:valueQuantity
                Slice NamevalueQuantity
                Definition

                The extent of a burn wound is indicated in a percentage of the ‘Total Body Surface Area’ (TBSA). For adults, the TBSA can be calculated on the basis of the ‘rule of nines’, in which body parts are expressed in the percentage 9 and multiples of 9. This ‘rule of nines’ cannot be used for children because a child’s body proportions are different from those of an adult. For children, separate tables were developed per age group to determine the extent of burn wounds. Another option is measuring the extent using the patient’s hand surface area. The surface area of a patient’s hand (including the fingers) equals approximately 1% of their total body surface area.


                Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                ShortextentValue of extension
                Control0..1
                TypeQuantity, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
                [x] NoteSee Choice of Data Types for further information about how to use [x]
                Alternate NamesUitgebreidheid
                22. Condition.extension:extent.value[x]:valueQuantity.comparator
                Definition

                How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

                Short< | <= | >= | > - how to understand the value
                Comments

                This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.

                Control0..1
                BindingThe codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator
                (required to http://hl7.org/fhir/ValueSet/quantity-comparator)

                How the Quantity should be understood and represented.

                Typecode
                Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                Meaning if MissingIf there is no comparator, then there is no modification of the value
                24. Condition.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

                ShortExtensions that cannot be ignored
                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.

                Control0..*
                TypeExtension
                Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                Alternate Namesextensions, user content
                26. Condition.clinicalStatus
                Definition

                The clinical status of the condition.

                Shortactive | recurrence | inactive | remission | resolved
                Comments

                This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern.

                Control0..1
                This element is affected by the following invariants: con-3, con-4
                BindingThe codes SHALL be taken from Condition Clinical Status Codeshttp://hl7.org/fhir/ValueSet/condition-clinical
                (required to http://hl7.org/fhir/ValueSet/condition-clinical)

                The clinical status of the condition or diagnosis.

                Typecode
                Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                28. Condition.verificationStatus
                Definition

                The verification status to support the clinical status of the condition.

                Shortprovisional | differential | confirmed | refuted | entered-in-error | unknown
                Comments

                verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.

                This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.

                Control0..1
                This element is affected by the following invariants: con-3
                BindingThe codes SHALL be taken from ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status
                (required to http://hl7.org/fhir/ValueSet/condition-ver-status)

                The verification status to support or decline the clinical status of the condition or diagnosis.

                Typecode
                Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Default Valueunknown
                30. Condition.category
                Definition

                A category assigned to the condition.

                Shortproblem-list-item | encounter-diagnosis
                Comments

                The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

                Control0..*
                BindingUnless not suitable, these codes SHALL be taken from For example codes, see Condition Category Codeshttp://hl7.org/fhir/ValueSet/condition-category
                (extensible to http://hl7.org/fhir/ValueSet/condition-category)
                TypeCodeableConcept
                32. Condition.code
                Definition

                Indication of the kind of the burn wound, differentiated into the cause of the injury.


                Identification of the condition, problem or diagnosis.

                ShortBurnWoundIdentification of the condition, problem or diagnosis
                Control0..1
                BindingFor example codes, see Condition/Problem/Diagnosis Codeshttp://hl7.org/fhir/ValueSet/condition-code
                (example to http://hl7.org/fhir/ValueSet/condition-code)

                Identification of the condition or diagnosis.

                TypeCodeableConcept
                Summarytrue
                Requirements

                0..1 to account for primarily narrative only resources.

                Alternate Namestype, Brandwond
                34. Condition.code.extension
                Definition

                An Extension


                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.

                ShortExtensionAdditional Content defined by implementations
                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.

                Control0..*
                TypeExtension
                Alternate Namesextensions, user content
                SlicingThis element introduces a set of slices on Condition.code.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 36. Condition.code.extension:burnType
                  Slice NameburnType
                  Definition

                  An Extension

                  ShortExtension
                  Control0..1
                  TypeExtension(HCIM BurnWound BurnWoundType) (Extension Type: CodeableConcept)
                  38. Condition.code.extension:burnType.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-BurnWoundType
                  40. Condition.code.extension:burnType.value[x]
                  Definition

                  Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                  ShortValue of extension
                  Control0..1
                  TypeCodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
                  [x] NoteSee Choice of Data Types for further information about how to use [x]
                  SlicingThis element introduces a set of slices on Condition.code.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                  • type @ $this
                  • 42. Condition.code.extension:burnType.value[x]:valueCodeableConcept
                    Slice NamevalueCodeableConcept
                    Definition

                    Indication of the kind of the burn wound, differentiated into the cause of the injury.


                    Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                    ShortBurnTypeValue of extension
                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from For codes, see BrandwondSoortCodelijst
                    (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.3--20171231000000)

                    BrandwondSoortCodelijst

                    TypeCodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                    Alternate NamesBrandwondSoort
                    44. Condition.code.coding
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode defined by a terminology system
                    Comments

                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                    Control10..*
                    TypeCoding
                    Summarytrue
                    Requirements

                    Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                    SlicingThis element introduces a set of slices on Condition.code.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
                    • value @ code
                    • 46. Condition.code.coding:BurnWoundCode
                      Slice NameBurnWoundCode
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control10..1*
                      TypeCoding
                      Summarytrue
                      Requirements

                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                      48. Condition.code.coding:BurnWoundCode.system
                      Definition

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

                      ShortIdentity of the terminology system
                      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.

                      Control10..1
                      Typeuri
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

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

                      Fixed Valuehttp://snomed.info/sct
                      50. Condition.code.coding:BurnWoundCode.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).

                      ShortSymbol in syntax defined by the system
                      Control10..1
                      Typecode
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Fixed Value125666000
                      52. Condition.code.coding:BurnWoundCode.display
                      Definition

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

                      ShortRepresentation defined by the system
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

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

                      54. Condition.bodySite
                      Definition

                      The location of the burn wound on the body.


                      The anatomical location where this condition manifests itself.

                      ShortAnatomicalLocationAnatomical location, if relevant
                      Comments

                      Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both.

                      Control0..*
                      BindingUnless not suitable, these codes SHALL be taken from For example codes, see BrandwondAnatomischeLocatieCodelijsthttp://hl7.org/fhir/ValueSet/body-site
                      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2--20171231000000)

                      BrandwondAnatomischeLocatieCodelijst


                      Codes describing anatomical locations. May include laterality.

                      TypeCodeableConcept
                      Summarytrue
                      Alternate NamesAnatomischeLocatie
                      56. Condition.bodySite.extension
                      Definition

                      An Extension


                      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.

                      ShortExtensionAdditional Content defined by implementations
                      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.

                      Control0..*
                      TypeExtension
                      Alternate Namesextensions, user content
                      SlicingThis element introduces a set of slices on Condition.bodySite.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 58. Condition.bodySite.extension:Laterality
                        Slice NameLaterality
                        Definition

                        Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.

                        ShortExtension
                        Control0..1
                        TypeExtension(BodySite Qualifier) (Extension Type: CodeableConcept)
                        60. Condition.bodySite.extension:Laterality.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
                        62. Condition.bodySite.extension:Laterality.value[x]
                        Definition

                        Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                        ShortValue of extension
                        Control0..1
                        TypeCodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
                        [x] NoteSee Choice of Data Types for further information about how to use [x]
                        SlicingThis element introduces a set of slices on Condition.bodySite.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                        • type @ $this
                        • 64. Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept
                          Slice NamevalueCodeableConcept
                          Definition

                          Laterality adds information about body side to the anatomic location, e.g. left


                          Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                          ShortLateralityValue of extension
                          Control0..1
                          BindingThe codes SHALL be taken from For codes, see BrandwondLateraliteitCodelijst
                          (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.4--20171231000000)

                          BrandwondLateraliteitCodelijst

                          TypeCodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
                          [x] NoteSee Choice of Data Types for further information about how to use [x]
                          Alternate NamesLateraliteit
                          66. Condition.subject
                          Definition

                          Indicates the patient or group who the condition record is associated with.

                          ShortWho has the condition?
                          Control1..1
                          TypeReference(nl-core-patient, Patient, Group)
                          Summarytrue
                          Requirements

                          Group is typically used for veterinary or public health use cases.

                          Alternate Namespatient
                          68. Condition.onset[x]
                          Definition

                          Date on which the burn wound appeared.


                          Estimated or actual date or date-time the condition began, in the opinion of the clinician.

                          ShortDateOfOnsetEstimated or actual date, date-time, or age
                          Comments

                          Age is generally used when the patient reports an age at which the Condition began to occur.

                          Control0..1
                          TypeChoice of: dateTime, Age, Period, Range, string
                          [x] NoteSee Choice of Data Types for further information about how to use [x]
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Alternate NamesOntstaansDatum
                          70. Condition.stage
                          Definition

                          Clinical stage or grade of a condition. May include formal severity assessments.

                          ShortStage/grade, usually assessed formally
                          Control10..1
                          TypeBackboneElement
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                          con-1: Stage SHALL have summary or assessment (summary.exists() or assessment.exists())
                          ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                          con-1: Stage SHALL have summary or assessment (summary.exists() or assessment.exists())
                          72. Condition.stage.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

                          ShortExtensions that cannot be ignored
                          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.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                          Summarytrue
                          Alternate Namesextensions, user content, modifiers
                          74. Condition.stage.summary
                          Definition

                          Description of the severity of the burn wound, ranging from degree 1 - 3.


                          A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.

                          ShortDepthSimple summary (disease specific)
                          Control10..1
                          This element is affected by the following invariants: con-1
                          BindingUnless not suitable, these codes SHALL be taken from For example codes, see DieptegraadCodelijsthttp://hl7.org/fhir/ValueSet/condition-stage
                          (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1--20171231000000)

                          DieptegraadCodelijst


                          Codes describing condition stages (e.g. Cancer stages).

                          TypeCodeableConcept
                          Alternate NamesDieptegraad
                          76. Condition.note
                          Definition

                          Comment on the burn wound.


                          Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                          ShortCommentAdditional information about the Condition
                          Control0..*
                          TypeAnnotation
                          Alternate NamesToelichting

                          Guidance on how to interpret the contents of this table can be found here

                          0. Condition
                          Definition

                          A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

                          ShortBurnWound
                          Control0..*
                          Alternate NamesBrandwond
                          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                          dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
                          dom-4: If 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-3: If 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-4: If 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-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (verificationStatus='entered-in-error' or clinicalStatus.exists())
                          2. Condition.id
                          Definition

                          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                          ShortLogical id of this artifact
                          Comments

                          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                          Control0..1
                          Typeid
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          4. Condition.meta
                          Definition

                          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

                          ShortMetadata about the resource
                          Control0..1
                          TypeMeta
                          Summarytrue
                          6. Condition.implicitRules
                          Definition

                          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

                          ShortA set of rules under which this content was created
                          Comments

                          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

                          This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

                          Control0..1
                          Typeuri
                          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          8. Condition.language
                          Definition

                          The base language in which the resource is written.

                          ShortLanguage of the resource content
                          Comments

                          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                          Control0..1
                          BindingUnless not suitable, these codes SHALL be taken from Common Languages
                          (extensible to http://hl7.org/fhir/ValueSet/languages)

                          A human language.

                          Additional BindingsPurpose
                          AllLanguagesMax Binding
                          Typecode
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          10. Condition.text
                          Definition

                          A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                          ShortText summary of the resource, for human interpretation
                          Comments

                          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

                          Control0..1
                          This element is affected by the following invariants: dom-1
                          TypeNarrative
                          Alternate Namesnarrative, html, xhtml, display
                          12. Condition.contained
                          Definition

                          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                          ShortContained, inline Resources
                          Comments

                          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

                          Control0..*
                          TypeResource
                          Alternate Namesinline resources, anonymous resources, contained resources
                          14. Condition.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..*
                          TypeExtension
                          SlicingThis element introduces a set of slices on Condition.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 16. Condition.extension:dateOfLastDressingChange
                            Slice NamedateOfLastDressingChange
                            Definition

                            Date on which the dressing was last changed.

                            ShortDateOfLastDressingChange
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Date of last dressing change) (Extension Type: dateTime)
                            Alternate NamesDatumLaatsteVerbandwissel
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            18. Condition.extension:dateOfLastDressingChange.id
                            Definition

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

                            Shortxml:id (or equivalent in JSON)
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            20. Condition.extension:dateOfLastDressingChange.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.

                            ShortAdditional Content defined by implementations
                            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.

                            Control0..*
                            TypeExtension
                            Alternate Namesextensions, user content
                            SlicingThis element introduces a set of slices on Condition.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 22. Condition.extension:dateOfLastDressingChange.url
                              Definition

                              Source of the definition for the extension code - a logical name or a URL.

                              Shortidentifies the meaning of the extension
                              Comments

                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                              Control1..1
                              Typeuri
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
                              24. Condition.extension:dateOfLastDressingChange.value[x]
                              Definition

                              Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                              ShortValue of extension
                              Control0..1
                              TypedateTime
                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              SlicingThis element introduces a set of slices on Condition.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                              • type @ $this
                              • 26. Condition.extension:dateOfLastDressingChange.value[x]:valueDateTime
                                Slice NamevalueDateTime
                                Definition

                                Date on which the dressing was last changed.

                                ShortDateOfLastDressingChange
                                Control0..1
                                TypedateTime
                                [x] NoteSee Choice of Data Types for further information about how to use [x]
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Alternate NamesDatumLaatsteVerbandwissel
                                28. Condition.extension:extent
                                Slice Nameextent
                                Definition

                                An Extension

                                ShortExtent
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeExtension(HCIM BurnWound Extent) (Extension Type: Quantity)
                                Alternate NamesUitgebreidheid
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                30. Condition.extension:extent.id
                                Definition

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

                                Shortxml:id (or equivalent in JSON)
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                32. Condition.extension:extent.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.

                                ShortAdditional Content defined by implementations
                                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.

                                Control0..*
                                TypeExtension
                                Alternate Namesextensions, user content
                                SlicingThis element introduces a set of slices on Condition.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 34. Condition.extension:extent.url
                                  Definition

                                  Source of the definition for the extension code - a logical name or a URL.

                                  Shortidentifies the meaning of the extension
                                  Comments

                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                  Control1..1
                                  Typeuri
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-Extent
                                  36. Condition.extension:extent.value[x]
                                  Definition

                                  Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                                  ShortValue of extension
                                  Control0..1
                                  TypeQuantity
                                  [x] NoteSee Choice of Data Types for further information about how to use [x]
                                  SlicingThis element introduces a set of slices on Condition.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                                  • type @ $this
                                  • 38. Condition.extension:extent.value[x]:valueQuantity
                                    Slice NamevalueQuantity
                                    Definition

                                    The extent of a burn wound is indicated in a percentage of the ‘Total Body Surface Area’ (TBSA). For adults, the TBSA can be calculated on the basis of the ‘rule of nines’, in which body parts are expressed in the percentage 9 and multiples of 9. This ‘rule of nines’ cannot be used for children because a child’s body proportions are different from those of an adult. For children, separate tables were developed per age group to determine the extent of burn wounds. Another option is measuring the extent using the patient’s hand surface area. The surface area of a patient’s hand (including the fingers) equals approximately 1% of their total body surface area.

                                    Shortextent
                                    Control0..1
                                    TypeQuantity
                                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                                    Alternate NamesUitgebreidheid
                                    40. Condition.extension:extent.value[x]:valueQuantity.id
                                    Definition

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

                                    Shortxml:id (or equivalent in JSON)
                                    Control0..1
                                    Typestring
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    42. Condition.extension:extent.value[x]:valueQuantity.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.

                                    ShortAdditional Content defined by implementations
                                    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.

                                    Control0..*
                                    TypeExtension
                                    Alternate Namesextensions, user content
                                    SlicingThis element introduces a set of slices on Condition.extension.value[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 44. Condition.extension:extent.value[x]:valueQuantity.value
                                      Definition

                                      The value of the measured amount. The value includes an implicit precision in the presentation of the value.

                                      ShortNumerical value (with implicit precision)
                                      Comments

                                      The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

                                      Control0..1
                                      Typedecimal
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Precision is handled implicitly in almost all cases of measurement.

                                      Min Value0
                                      Max Value100
                                      46. Condition.extension:extent.value[x]:valueQuantity.comparator
                                      Definition

                                      How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

                                      Short< | <= | >= | > - how to understand the value
                                      Comments

                                      This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.

                                      Control0..1
                                      BindingThe codes SHALL be taken from QuantityComparator
                                      (required to http://hl7.org/fhir/ValueSet/quantity-comparator)

                                      How the Quantity should be understood and represented.

                                      Typecode
                                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                                      Meaning if MissingIf there is no comparator, then there is no modification of the value
                                      48. Condition.extension:extent.value[x]:valueQuantity.unit
                                      Definition

                                      A human-readable form of the unit.

                                      ShortUnit representation
                                      Control0..1
                                      Typestring
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

                                      50. Condition.extension:extent.value[x]:valueQuantity.system
                                      Definition

                                      The identification of the system that provides the coded form of the unit.

                                      ShortSystem that defines coded unit form
                                      Control0..1
                                      This element is affected by the following invariants: qty-3
                                      Typeuri
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to know the system that defines the coded form of the unit.

                                      52. Condition.extension:extent.value[x]:valueQuantity.code
                                      Definition

                                      A computer processable form of the unit in some unit representation system.

                                      ShortCoded form of the unit
                                      Comments

                                      The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

                                      Control0..1
                                      Typecode
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

                                      54. Condition.modifierExtension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

                                      ShortExtensions that cannot be ignored
                                      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.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                                      Alternate Namesextensions, user content
                                      56. Condition.identifier
                                      Definition

                                      This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

                                      ShortExternal Ids for this condition
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control0..*
                                      TypeIdentifier
                                      Summarytrue
                                      Requirements

                                      Need to allow connection to a wider workflow.

                                      58. Condition.clinicalStatus
                                      Definition

                                      The clinical status of the condition.

                                      Shortactive | recurrence | inactive | remission | resolved
                                      Comments

                                      This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern.

                                      Control0..1
                                      This element is affected by the following invariants: con-3, con-4
                                      BindingThe codes SHALL be taken from Condition Clinical Status Codes
                                      (required to http://hl7.org/fhir/ValueSet/condition-clinical)

                                      The clinical status of the condition or diagnosis.

                                      Typecode
                                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      60. Condition.verificationStatus
                                      Definition

                                      The verification status to support the clinical status of the condition.

                                      Shortprovisional | differential | confirmed | refuted | entered-in-error | unknown
                                      Comments

                                      verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.

                                      This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.

                                      Control0..1
                                      This element is affected by the following invariants: con-3
                                      BindingThe codes SHALL be taken from ConditionVerificationStatus
                                      (required to http://hl7.org/fhir/ValueSet/condition-ver-status)

                                      The verification status to support or decline the clinical status of the condition or diagnosis.

                                      Typecode
                                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Default Valueunknown
                                      62. Condition.category
                                      Definition

                                      A category assigned to the condition.

                                      Shortproblem-list-item | encounter-diagnosis
                                      Comments

                                      The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

                                      Control0..*
                                      BindingUnless not suitable, these codes SHALL be taken from Condition Category Codes
                                      (extensible to http://hl7.org/fhir/ValueSet/condition-category)
                                      TypeCodeableConcept
                                      64. Condition.severity
                                      Definition

                                      A subjective assessment of the severity of the condition as evaluated by the clinician.

                                      ShortSubjective severity of condition
                                      Comments

                                      Coding of the severity with a terminology is preferred, where possible.

                                      Control0..1
                                      BindingThe codes SHOULD be taken from Condition/Diagnosis Severity
                                      (preferred to http://hl7.org/fhir/ValueSet/condition-severity)

                                      A subjective assessment of the severity of the condition as evaluated by the clinician.

                                      TypeCodeableConcept
                                      66. Condition.code
                                      Definition

                                      Indication of the kind of the burn wound, differentiated into the cause of the injury.

                                      ShortBurnWound
                                      Control0..1
                                      BindingFor example codes, see Condition/Problem/Diagnosis Codes
                                      (example to http://hl7.org/fhir/ValueSet/condition-code)

                                      Identification of the condition or diagnosis.

                                      TypeCodeableConcept
                                      Summarytrue
                                      Requirements

                                      0..1 to account for primarily narrative only resources.

                                      Alternate Namestype, Brandwond
                                      68. Condition.code.id
                                      Definition

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

                                      Shortxml:id (or equivalent in JSON)
                                      Control0..1
                                      Typestring
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      70. Condition.code.extension
                                      Definition

                                      An Extension

                                      ShortExtension
                                      Control0..*
                                      TypeExtension
                                      SlicingThis element introduces a set of slices on Condition.code.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 72. Condition.code.extension:burnType
                                        Slice NameburnType
                                        Definition

                                        An Extension

                                        ShortExtension
                                        Control0..1
                                        TypeExtension(HCIM BurnWound BurnWoundType) (Extension Type: CodeableConcept)
                                        74. Condition.code.extension:burnType.id
                                        Definition

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

                                        Shortxml:id (or equivalent in JSON)
                                        Control0..1
                                        Typestring
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        76. Condition.code.extension:burnType.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.

                                        ShortAdditional Content defined by implementations
                                        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.

                                        Control0..*
                                        TypeExtension
                                        Alternate Namesextensions, user content
                                        SlicingThis element introduces a set of slices on Condition.code.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 78. Condition.code.extension:burnType.url
                                          Definition

                                          Source of the definition for the extension code - a logical name or a URL.

                                          Shortidentifies the meaning of the extension
                                          Comments

                                          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                          Control1..1
                                          Typeuri
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-BurnWoundType
                                          80. Condition.code.extension:burnType.value[x]
                                          Definition

                                          Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                                          ShortValue of extension
                                          Control0..1
                                          TypeCodeableConcept
                                          [x] NoteSee Choice of Data Types for further information about how to use [x]
                                          SlicingThis element introduces a set of slices on Condition.code.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                                          • type @ $this
                                          • 82. Condition.code.extension:burnType.value[x]:valueCodeableConcept
                                            Slice NamevalueCodeableConcept
                                            Definition

                                            Indication of the kind of the burn wound, differentiated into the cause of the injury.

                                            ShortBurnType
                                            Control0..1
                                            BindingUnless not suitable, these codes SHALL be taken from BrandwondSoortCodelijst
                                            (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.3--20171231000000)

                                            BrandwondSoortCodelijst

                                            TypeCodeableConcept
                                            [x] NoteSee Choice of Data Types for further information about how to use [x]
                                            Alternate NamesBrandwondSoort
                                            84. Condition.code.coding
                                            Definition

                                            A reference to a code defined by a terminology system.

                                            ShortCode defined by a terminology system
                                            Comments

                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                            Control1..*
                                            TypeCoding
                                            Summarytrue
                                            Requirements

                                            Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                                            SlicingThis element introduces a set of slices on Condition.code.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                            • value @ code
                                            • 86. Condition.code.coding:BurnWoundCode
                                              Slice NameBurnWoundCode
                                              Definition

                                              A reference to a code defined by a terminology system.

                                              ShortCode defined by a terminology system
                                              Comments

                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                              Control1..1
                                              TypeCoding
                                              Summarytrue
                                              Requirements

                                              Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                                              88. Condition.code.coding:BurnWoundCode.id
                                              Definition

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

                                              Shortxml:id (or equivalent in JSON)
                                              Control0..1
                                              Typestring
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              90. Condition.code.coding:BurnWoundCode.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.

                                              ShortAdditional Content defined by implementations
                                              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.

                                              Control0..*
                                              TypeExtension
                                              Alternate Namesextensions, user content
                                              SlicingThis element introduces a set of slices on Condition.code.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 92. Condition.code.coding:BurnWoundCode.system
                                                Definition

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

                                                ShortIdentity of the terminology system
                                                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.

                                                Control1..1
                                                Typeuri
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

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

                                                Fixed Valuehttp://snomed.info/sct
                                                94. Condition.code.coding:BurnWoundCode.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.

                                                ShortVersion of the system - if relevant
                                                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.

                                                NoteThis is a business versionId, not a resource version id (see discussion)
                                                Control0..1
                                                Typestring
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                96. Condition.code.coding:BurnWoundCode.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).

                                                ShortSymbol in syntax defined by the system
                                                Control1..1
                                                Typecode
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

                                                Need to refer to a particular code in the system.

                                                Fixed Value125666000
                                                98. Condition.code.coding:BurnWoundCode.display
                                                Definition

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

                                                ShortRepresentation defined by the system
                                                Control0..1
                                                Typestring
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

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

                                                100. Condition.code.coding:BurnWoundCode.userSelected
                                                Definition

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

                                                ShortIf this coding was chosen directly by the user
                                                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.

                                                Control0..1
                                                Typeboolean
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                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.

                                                102. Condition.code.text
                                                Definition

                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                ShortPlain text representation of the concept
                                                Comments

                                                Very often the text is the same as a displayName of one of the codings.

                                                Control0..1
                                                Typestring
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                104. Condition.bodySite
                                                Definition

                                                The location of the burn wound on the body.

                                                ShortAnatomicalLocation
                                                Comments

                                                Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both.

                                                Control0..*
                                                BindingUnless not suitable, these codes SHALL be taken from BrandwondAnatomischeLocatieCodelijst
                                                (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2--20171231000000)

                                                BrandwondAnatomischeLocatieCodelijst

                                                TypeCodeableConcept
                                                Summarytrue
                                                Alternate NamesAnatomischeLocatie
                                                106. Condition.bodySite.id
                                                Definition

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

                                                Shortxml:id (or equivalent in JSON)
                                                Control0..1
                                                Typestring
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                108. Condition.bodySite.extension
                                                Definition

                                                An Extension

                                                ShortExtension
                                                Control0..*
                                                TypeExtension
                                                SlicingThis element introduces a set of slices on Condition.bodySite.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 110. Condition.bodySite.extension:Laterality
                                                  Slice NameLaterality
                                                  Definition

                                                  Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.

                                                  ShortExtension
                                                  Control0..1
                                                  TypeExtension(BodySite Qualifier) (Extension Type: CodeableConcept)
                                                  112. Condition.bodySite.extension:Laterality.id
                                                  Definition

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

                                                  Shortxml:id (or equivalent in JSON)
                                                  Control0..1
                                                  Typestring
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  114. Condition.bodySite.extension:Laterality.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.

                                                  ShortAdditional Content defined by implementations
                                                  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.

                                                  Control0..*
                                                  TypeExtension
                                                  Alternate Namesextensions, user content
                                                  SlicingThis element introduces a set of slices on Condition.bodySite.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 116. Condition.bodySite.extension:Laterality.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                    Control1..1
                                                    Typeuri
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
                                                    118. Condition.bodySite.extension:Laterality.value[x]
                                                    Definition

                                                    Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                                                    ShortValue of extension
                                                    Control0..1
                                                    TypeCodeableConcept
                                                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                    SlicingThis element introduces a set of slices on Condition.bodySite.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                                                    • type @ $this
                                                    • 120. Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept
                                                      Slice NamevalueCodeableConcept
                                                      Definition

                                                      Laterality adds information about body side to the anatomic location, e.g. left

                                                      ShortLaterality
                                                      Control0..1
                                                      BindingThe codes SHALL be taken from BrandwondLateraliteitCodelijst
                                                      (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.4--20171231000000)

                                                      BrandwondLateraliteitCodelijst

                                                      TypeCodeableConcept
                                                      [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                      Alternate NamesLateraliteit
                                                      122. Condition.bodySite.coding
                                                      Definition

                                                      A reference to a code defined by a terminology system.

                                                      ShortCode defined by a terminology system
                                                      Comments

                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                      Control0..*
                                                      TypeCoding
                                                      Summarytrue
                                                      Requirements

                                                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                                                      124. Condition.bodySite.text
                                                      Definition

                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                      ShortPlain text representation of the concept
                                                      Comments

                                                      Very often the text is the same as a displayName of one of the codings.

                                                      Control0..1
                                                      Typestring
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Requirements

                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                      126. Condition.subject
                                                      Definition

                                                      Indicates the patient or group who the condition record is associated with.

                                                      ShortWho has the condition?
                                                      Control1..1
                                                      TypeReference(nl-core-patient)
                                                      Summarytrue
                                                      Requirements

                                                      Group is typically used for veterinary or public health use cases.

                                                      Alternate Namespatient
                                                      128. Condition.context
                                                      Definition

                                                      Encounter during which the condition was first asserted.

                                                      ShortEncounter or episode when condition first asserted
                                                      Comments

                                                      This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".

                                                      Control0..1
                                                      TypeReference(Encounter, EpisodeOfCare)
                                                      Summarytrue
                                                      Alternate Namesencounter
                                                      130. Condition.onset[x]
                                                      Definition

                                                      Date on which the burn wound appeared.

                                                      ShortDateOfOnset
                                                      Comments

                                                      Age is generally used when the patient reports an age at which the Condition began to occur.

                                                      Control0..1
                                                      TypeChoice of: dateTime, Age, Period, Range, string
                                                      [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Alternate NamesOntstaansDatum
                                                      132. Condition.abatement[x]
                                                      Definition

                                                      The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

                                                      ShortIf/when in resolution/remission
                                                      Comments

                                                      There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

                                                      Control0..1
                                                      This element is affected by the following invariants: con-4
                                                      TypeChoice of: dateTime, Age, boolean, Period, Range, string
                                                      [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      134. Condition.assertedDate
                                                      Definition

                                                      The date on which the existance of the Condition was first asserted or acknowledged.

                                                      ShortDate record was believed accurate
                                                      Comments

                                                      The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified.  The date of the last record modification can be retrieved from the resource metadata.

                                                      Control0..1
                                                      TypedateTime
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      136. Condition.asserter
                                                      Definition

                                                      Individual who is making the condition statement.

                                                      ShortPerson who asserts this condition
                                                      Control0..1
                                                      TypeReference(Practitioner, Patient, RelatedPerson)
                                                      Summarytrue
                                                      138. Condition.stage
                                                      Definition

                                                      Clinical stage or grade of a condition. May include formal severity assessments.

                                                      ShortStage/grade, usually assessed formally
                                                      Control1..1
                                                      TypeBackboneElement
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                                                      con-1: Stage SHALL have summary or assessment (summary.exists() or assessment.exists())
                                                      140. Condition.stage.id
                                                      Definition

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

                                                      Shortxml:id (or equivalent in JSON)
                                                      Control0..1
                                                      Typestring
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      142. Condition.stage.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.

                                                      ShortAdditional Content defined by implementations
                                                      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.

                                                      Control0..*
                                                      TypeExtension
                                                      Alternate Namesextensions, user content
                                                      144. Condition.stage.modifierExtension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

                                                      ShortExtensions that cannot be ignored
                                                      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.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                                                      Summarytrue
                                                      Alternate Namesextensions, user content, modifiers
                                                      146. Condition.stage.summary
                                                      Definition

                                                      Description of the severity of the burn wound, ranging from degree 1 - 3.

                                                      ShortDepth
                                                      Control1..1
                                                      This element is affected by the following invariants: con-1
                                                      BindingUnless not suitable, these codes SHALL be taken from DieptegraadCodelijst
                                                      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1--20171231000000)

                                                      DieptegraadCodelijst

                                                      TypeCodeableConcept
                                                      Alternate NamesDieptegraad
                                                      148. Condition.stage.assessment
                                                      Definition

                                                      Reference to a formal record of the evidence on which the staging assessment is based.

                                                      ShortFormal record of assessment
                                                      Control0..*
                                                      This element is affected by the following invariants: con-1
                                                      TypeReference(ClinicalImpression, DiagnosticReport, Observation)
                                                      150. Condition.evidence
                                                      Definition

                                                      Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.

                                                      ShortSupporting evidence
                                                      Comments

                                                      The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

                                                      Control0..*
                                                      TypeBackboneElement
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                                                      con-2: evidence SHALL have code or details (code.exists() or detail.exists())
                                                      152. Condition.evidence.id
                                                      Definition

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

                                                      Shortxml:id (or equivalent in JSON)
                                                      Control0..1
                                                      Typestring
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      154. Condition.evidence.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.

                                                      ShortAdditional Content defined by implementations
                                                      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.

                                                      Control0..*
                                                      TypeExtension
                                                      Alternate Namesextensions, user content
                                                      156. Condition.evidence.modifierExtension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

                                                      ShortExtensions that cannot be ignored
                                                      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.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                                                      Summarytrue
                                                      Alternate Namesextensions, user content, modifiers
                                                      158. Condition.evidence.code
                                                      Definition

                                                      A manifestation or symptom that led to the recording of this condition.

                                                      ShortManifestation/symptom
                                                      Control0..*
                                                      This element is affected by the following invariants: con-2
                                                      BindingFor example codes, see Manifestation and Symptom Codes
                                                      (example to http://hl7.org/fhir/ValueSet/manifestation-or-symptom)

                                                      Codes that describe the manifestation or symptoms of a condition.

                                                      TypeCodeableConcept
                                                      Summarytrue
                                                      160. Condition.evidence.detail
                                                      Definition

                                                      Links to other relevant information, including pathology reports.

                                                      ShortSupporting information found elsewhere
                                                      Control0..*
                                                      This element is affected by the following invariants: con-2
                                                      TypeReference(Resource)
                                                      Summarytrue
                                                      162. Condition.note
                                                      Definition

                                                      Comment on the burn wound.

                                                      ShortComment
                                                      Control0..*
                                                      TypeAnnotation
                                                      Alternate NamesToelichting