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

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Resource Profile: HCIM PressureUlcer

An Condition as defined by the Dutch HCIM Zorginformatiebouwsteen DecubitusWond v3.2(2017EN). A pressure ulcer is localized damage to the skin and/or underlying tissue, often over a bony prominence, as a result of pressure or pressure combined with friction. A pressure ulcer involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of pressure ulcers can lead to a fewer incidences and prevalence of pressure ulcers.

Information on the pressure ulcer is of importance in starting or continuing the best possible wound treatment, curatively and preventatively, and to be able to properly monitor the wound healing process.

Usage:

• Refer to this Resource Profile: Wound characteristics for HCIM Wound/PressureUlcer
• Examples for this Resource Profile: Condition/zib-pressureulcer-01

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	PressureUlcer
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DateOfLastDressingChange		0..*	(Complex)	DateOfLastDressingChange URL: http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
valueDateTime:valueDateTime		0..1	dateTime	DateOfLastDressingChange
code		0..1	CodeableConcept	PressureUlcer Binding: ProbleemNaamCodelijst (extensible)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PressureUlcerCode		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 399912005
display		0..1	string	Representation defined by the system
bodySite		0..*	CodeableConcept	AnatomicalLocation Binding: DecubitusAnatomischeLocatieCodelijst (extensible)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: DecubitusAnatomischeLocatieCodelijst (required): DecubitusAnatomischeLocatieCodelijst
subject		1..1	Reference(nl-core-patient)	Who has the condition?
onset[x]		0..1	dateTime, Age, Period, Range, string	DateOfOnset
stage
summary		0..1	CodeableConcept	DecubitusCategory Binding: DecubitusCategorieCodelijst (extensible): DecubitusCategorieCodelijst
note		0..*	Annotation	Additional information about the Condition
text		1..1	string	The annotation - text content Fixed Value: Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG
Condition.bodySite	extensible	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	required	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.stage.summary	extensible	DecubitusCategorieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	PressureUlcer con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DateOfLastDressingChange		0..*	(Complex)	DateOfLastDressingChange URL: http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange"
Slices for value[x]		0..1	dateTime	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueDateTime		0..1	dateTime	DateOfLastDressingChange
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	Σ	0..1	CodeableConcept	PressureUlcer Binding: ProbleemNaamCodelijst (extensible)
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PressureUlcerCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 399912005
display	Σ	0..1	string	Representation defined by the system
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: DecubitusAnatomischeLocatieCodelijst (extensible)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: DecubitusAnatomischeLocatieCodelijst (required): DecubitusAnatomischeLocatieCodelijst
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
onset[x]	Σ	0..1		DateOfOnset
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
note		0..*	Annotation	Additional information about the Condition
text		1..1	string	The annotation - text content Fixed Value: Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG
Condition.bodySite	extensible	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	required	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	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'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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()
dom-4	error	Condition	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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	PressureUlcer con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DateOfLastDressingChange		0..*	(Complex)	DateOfLastDressingChange URL: http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange"
Slices for value[x]		0..1	dateTime	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueDateTime		0..1	dateTime	DateOfLastDressingChange
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: Condition Category Codes (example): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	0..1	CodeableConcept	PressureUlcer Binding: ProbleemNaamCodelijst (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PressureUlcerCode	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 399912005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: DecubitusAnatomischeLocatieCodelijst (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: DecubitusAnatomischeLocatieCodelijst (required): DecubitusAnatomischeLocatieCodelijst
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode when condition first asserted
onset[x]	Σ	0..1		DateOfOnset
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		If/when in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementBoolean			boolean
abatementPeriod			Period
abatementRange			Range
abatementString			string
assertedDate	Σ	0..1	dateTime	Date record was believed accurate
asserter	Σ	0..1	Reference(Practitioner | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..1	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
summary	C	0..1	CodeableConcept	DecubitusCategory Binding: DecubitusCategorieCodelijst (extensible): DecubitusCategorieCodelijst
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content Fixed Value: Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	example	Condition Category Codes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/Diagnosis Severity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG
Condition.bodySite	extensible	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	required	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.stage.summary	extensible	DecubitusCategorieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20171231000000 from this IG
Condition.evidence.code	example	Manifestation and Symptom Codes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	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'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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()
dom-4	error	Condition	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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Condition

Summary

Mandatory: 0 element(4 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
• http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	PressureUlcer
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DateOfLastDressingChange		0..*	(Complex)	DateOfLastDressingChange URL: http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
valueDateTime:valueDateTime		0..1	dateTime	DateOfLastDressingChange
code		0..1	CodeableConcept	PressureUlcer Binding: ProbleemNaamCodelijst (extensible)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PressureUlcerCode		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 399912005
display		0..1	string	Representation defined by the system
bodySite		0..*	CodeableConcept	AnatomicalLocation Binding: DecubitusAnatomischeLocatieCodelijst (extensible)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: DecubitusAnatomischeLocatieCodelijst (required): DecubitusAnatomischeLocatieCodelijst
subject		1..1	Reference(nl-core-patient)	Who has the condition?
onset[x]		0..1	dateTime, Age, Period, Range, string	DateOfOnset
stage
summary		0..1	CodeableConcept	DecubitusCategory Binding: DecubitusCategorieCodelijst (extensible): DecubitusCategorieCodelijst
note		0..*	Annotation	Additional information about the Condition
text		1..1	string	The annotation - text content Fixed Value: Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG
Condition.bodySite	extensible	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	required	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.stage.summary	extensible	DecubitusCategorieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20171231000000 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	PressureUlcer con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DateOfLastDressingChange		0..*	(Complex)	DateOfLastDressingChange URL: http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange"
Slices for value[x]		0..1	dateTime	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueDateTime		0..1	dateTime	DateOfLastDressingChange
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	Σ	0..1	CodeableConcept	PressureUlcer Binding: ProbleemNaamCodelijst (extensible)
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PressureUlcerCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 399912005
display	Σ	0..1	string	Representation defined by the system
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: DecubitusAnatomischeLocatieCodelijst (extensible)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: DecubitusAnatomischeLocatieCodelijst (required): DecubitusAnatomischeLocatieCodelijst
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
onset[x]	Σ	0..1		DateOfOnset
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
note		0..*	Annotation	Additional information about the Condition
text		1..1	string	The annotation - text content Fixed Value: Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG
Condition.bodySite	extensible	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	required	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	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'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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()
dom-4	error	Condition	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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	PressureUlcer con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DateOfLastDressingChange		0..*	(Complex)	DateOfLastDressingChange URL: http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange"
Slices for value[x]		0..1	dateTime	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueDateTime		0..1	dateTime	DateOfLastDressingChange
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: Condition Category Codes (example): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	0..1	CodeableConcept	PressureUlcer Binding: ProbleemNaamCodelijst (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PressureUlcerCode	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 399912005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: DecubitusAnatomischeLocatieCodelijst (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: DecubitusAnatomischeLocatieCodelijst (required): DecubitusAnatomischeLocatieCodelijst
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode when condition first asserted
onset[x]	Σ	0..1		DateOfOnset
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		If/when in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementBoolean			boolean
abatementPeriod			Period
abatementRange			Range
abatementString			string
assertedDate	Σ	0..1	dateTime	Date record was believed accurate
asserter	Σ	0..1	Reference(Practitioner | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..1	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
summary	C	0..1	CodeableConcept	DecubitusCategory Binding: DecubitusCategorieCodelijst (extensible): DecubitusCategorieCodelijst
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content Fixed Value: Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	example	Condition Category Codes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/Diagnosis Severity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG
Condition.bodySite	extensible	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	required	DecubitusAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2--20171231000000 from this IG
Condition.stage.summary	extensible	DecubitusCategorieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20171231000000 from this IG
Condition.evidence.code	example	Manifestation and Symptom Codes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	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'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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()
dom-4	error	Condition	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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Condition

Summary

Mandatory: 0 element(4 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
• http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding

Other representations of profile: CSV, Excel, Schematron