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 Wound

An Condition as defined by the Dutch HCIM Zorginformatiebouwsteen Wound v3.1(2017EN) A wound is an interruption of the continuity of the skin, often caused by external influences. A commonly used model for documenting the wound properties is the TIME (‘Tissue’, ‘Infection’, ‘Moisture’, ‘Edge’) model, which can be used to systematically describe the wound. For wound tissue (T in the TIME model), the structure of the WCS model (Woundcare Consultant Society, WCS Kenniscentrum Wondzorg) is used. The WCS model is not suited for describing oncological ulcers. There is a separate classification for that. Oncological ulcers are skin defects which result from the tumor process. They are different from wounds resulting from cancer treatment, such as radiotherapy, chemotherapy or surgery.

The concept does not describe decubitus wounds and burn wounds. For these, the relevant information models can be used.

Information on the wound is recorded to share this information with other health professionals. This information can be used to monitor the wound’s healing process and provide insight into the implemented policy. In a transfer situation, it facilitates continuation of the treatment.

Usage:

• Refer to this Resource Profile: Wound characteristics for HCIM Wound/PressureUlcer
• Examples for this Resource Profile: Condition/zib-wound-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	Wound
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DateOfLastDressingChange		0..1	(Complex)	DateOfLastDressingChange URL: http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
valueDateTime:valueDateTime		0..1	dateTime	Value of extension
code		0..1	CodeableConcept	WoundType Binding: WondSoortCodelijst (extensible): WondSoortCodelijst
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
bodySite		0..*	CodeableConcept	AnatomicalLocation Binding: WondAnatomischeLocatieCodelijst (extensible): WondAnatomischeLocatieCodelijst
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: WondLateraliteitCodelijst (required): WondLateraliteitCodelijst
subject		1..1	Reference(nl-core-patient)	Who has the condition?
onset[x]		0..1	dateTime, Age, Period, Range, string	WoundDateOfOnset
note		0..*	Annotation	Additional information about the Condition
text		1..1	string	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	WondSoortCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000 from this IG
Condition.bodySite	extensible	WondAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000 from this IG
Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	required	WondLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Wound 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..1	(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:$this
value[x]:valueDateTime		0..1	dateTime	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	Σ	0..1	CodeableConcept	WoundType Binding: WondSoortCodelijst (extensible): WondSoortCodelijst
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: WondAnatomischeLocatieCodelijst (extensible): WondAnatomischeLocatieCodelijst
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: WondLateraliteitCodelijst (required): WondLateraliteitCodelijst
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
onset[x]	Σ	0..1		WoundDateOfOnset
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
note		0..*	Annotation	Additional information about the Condition
text		1..1	string	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	WondSoortCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000 from this IG
Condition.bodySite	extensible	WondAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	required	WondLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--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	Wound 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..1	(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	Value of extension
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	WoundType Binding: WondSoortCodelijst (extensible): WondSoortCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
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: WondAnatomischeLocatieCodelijst (extensible): WondAnatomischeLocatieCodelijst
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: WondLateraliteitCodelijst (required): WondLateraliteitCodelijst
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		WoundDateOfOnset
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	Simple summary (disease specific) Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).
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	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	WondSoortCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000 from this IG
Condition.bodySite	extensible	WondAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	required	WondLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--20171231000000 from this IG
Condition.stage.summary	example	Condition Stage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
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(3 nested mandatory 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

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Wound
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DateOfLastDressingChange		0..1	(Complex)	DateOfLastDressingChange URL: http://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
valueDateTime:valueDateTime		0..1	dateTime	Value of extension
code		0..1	CodeableConcept	WoundType Binding: WondSoortCodelijst (extensible): WondSoortCodelijst
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
bodySite		0..*	CodeableConcept	AnatomicalLocation Binding: WondAnatomischeLocatieCodelijst (extensible): WondAnatomischeLocatieCodelijst
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: WondLateraliteitCodelijst (required): WondLateraliteitCodelijst
subject		1..1	Reference(nl-core-patient)	Who has the condition?
onset[x]		0..1	dateTime, Age, Period, Range, string	WoundDateOfOnset
note		0..*	Annotation	Additional information about the Condition
text		1..1	string	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	WondSoortCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000 from this IG
Condition.bodySite	extensible	WondAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000 from this IG
Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	required	WondLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--20171231000000 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Wound 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..1	(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:$this
value[x]:valueDateTime		0..1	dateTime	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	Σ	0..1	CodeableConcept	WoundType Binding: WondSoortCodelijst (extensible): WondSoortCodelijst
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: WondAnatomischeLocatieCodelijst (extensible): WondAnatomischeLocatieCodelijst
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: WondLateraliteitCodelijst (required): WondLateraliteitCodelijst
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
onset[x]	Σ	0..1		WoundDateOfOnset
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
note		0..*	Annotation	Additional information about the Condition
text		1..1	string	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	WondSoortCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000 from this IG
Condition.bodySite	extensible	WondAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	required	WondLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--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	Wound 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..1	(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	Value of extension
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	WoundType Binding: WondSoortCodelijst (extensible): WondSoortCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
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: WondAnatomischeLocatieCodelijst (extensible): WondAnatomischeLocatieCodelijst
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: WondLateraliteitCodelijst (required): WondLateraliteitCodelijst
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		WoundDateOfOnset
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	Simple summary (disease specific) Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).
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	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	WondSoortCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000 from this IG
Condition.bodySite	extensible	WondAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	required	WondLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--20171231000000 from this IG
Condition.stage.summary	example	Condition Stage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
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(3 nested mandatory 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

Other representations of profile: CSV, Excel, Schematron