Consolidated CDA Release 2.2
2.2 - CI Build United States of America flag

Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

Resource Profile: Longitudinal Care Wound Observation

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.114 Version: 2.2
Active as of 2022-05-13 Computable Name: LongitudinalCareWoundObservation
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.114:2015-08-01

This template represents acquired or surgical wounds and is not intended to encompass all wound types. The template applies to wounds such as pressure ulcers, surgical incisions, and deep tissue injury wounds. Information in this template may include information about the wound measurements characteristics.

Usage:

Formal Views of Profile Content

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

This structure is derived from ProblemObservation

Summary

Mandatory: 9 elements (13 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.templateId is sliced based on the values of value:root, value:extension
  • There is a slice with no discriminator at Observation.targetSiteCode
  • The element Observation.entryRelationship is sliced based on the value of profile:observation

This structure is derived from ProblemObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1ProblemObservation
... classCode 1..1codeRequired Pattern: OBS
... moodCode 1..1codeRequired Pattern: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:secondary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.114
..... extension 1..1stringRequired Pattern: 2015-08-01
.... code 1..1stringRequired Pattern: ASSERTION
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
... value 1..1CDBinding: Wound Type (preferred)
... Slices for targetSiteCode 0..*CDSlice: Unordered, Open by
.... targetSiteCode:targetSiteCode1 0..1CDBinding: Body Site Value Set (preferred)
..... qualifier 0..*CRIf targetSite/qualifierCode name/value pairs are used, care must be taken to avoid conflict with the SNOMED-CT body structure code used in observation/value. SNOMED-CT body structure codes are often pre-coordinated with laterality.
...... name 1..1CV
....... code 1..1stringRequired Pattern: 272741003
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
...... value 1..1CD
....... code 1..1stringBinding: TargetSite Qualifiers (preferred)
... author 0..*AuthorParticipation
... Slices for entryRelationship 0..*ElementWhen the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Highest Pressure Ulcer Stage.
Slice: Unordered, Open by profile:observation
.... entryRelationship:woundMeasurementObservation 0..*Element
​..... typeCode 1..1Required Pattern: COMP
​..... observation 1..1WoundMeasurementObservation
.... entryRelationship:woundCharacteristic 0..*Element
​..... typeCode 1..1Required Pattern: COMP
​..... observation 1..1WoundCharacteristic
.... entryRelationship:numberofPressureUlcersObservation 0..*ElementWhen the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Number of Pressure Ulcers.
​..... typeCode 1..1Required Pattern: COMP
​..... observation 1..1NumberofPressureUlcersObservation
.... entryRelationship:highestPressureUlcerStage 0..1Element
​..... typeCode 1..1Required Pattern: COMP
​..... observation 1..1HighestPressureUlcerStage

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1ProblemObservation
... classCode 1..1codeBinding: ActClassObservation (required)
Required Pattern: OBS
... moodCode 1..1codeRequired Pattern: EVN
... negationInd 0..1booleanThe negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
... realmCode 0..*CS
... typeId 0..1II
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.4
..... extension 1..1stringRequired Pattern: 2015-08-01
.... templateId:secondary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.114
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code I1..1CDBinding: Problem Type (SNOMEDCT) (preferred)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: ASSERTION
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... derivationExpr 0..1ED
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: completed
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TSIf the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... value 0..1dateTime
.... inclusive 0..1boolean
.... operator 0..1code
.... low 1..1TSThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
.... high 0..1TSThe effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved.
.... width 0..1PQ
.... center 0..1TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 1..1CDBinding: Wound Type (preferred)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 0..1stringA negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CRThe observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. For example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept "pneumonia (disorder)" (233604007) an attribute "finding site" (363698007) and another concept "left lower lobe of lung (body structure)" (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML.
.... Slices for translation 0..*CDSlice: Unordered, Open by
..... translation:alt 0..*CD
...... nullFlavor 0..1codeBinding: NullFlavor (required)
...... code 0..1string
...... codeSystem 0..1string
...... codeSystemName 0..1string
...... codeSystemVersion 0..1string
...... displayName 0..1string
...... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
...... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... qualifier 0..*CR
...... translation 0..*CD
... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
... methodCode 0..*CEBinding: ObservationMethod (extensible)
... Slices for targetSiteCode 0..*CDSlice: Unordered, Open by
.... targetSiteCode:targetSiteCode1 0..1CDBinding: Body Site Value Set (preferred)
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... code 0..1string
..... codeSystem 0..1string
..... codeSystemName 0..1string
..... codeSystemVersion 0..1string
..... displayName 0..1string
..... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
..... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
..... originalText 0..1ED
..... qualifier 0..*CRIf targetSite/qualifierCode name/value pairs are used, care must be taken to avoid conflict with the SNOMED-CT body structure code used in observation/value. SNOMED-CT body structure codes are often pre-coordinated with laterality.
...... nullFlavor 0..1codeBinding: NullFlavor (required)
...... inverted 0..1boolean
...... name 1..1CV
....... nullFlavor 0..1codeBinding: NullFlavor (required)
....... code 1..1stringRequired Pattern: 272741003
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
....... codeSystemName 0..1string
....... codeSystemVersion 0..1string
....... displayName 0..1string
....... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
....... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
....... originalText 0..1ED
...... value 1..1CD
....... nullFlavor 0..1codeBinding: NullFlavor (required)
....... code 1..1stringBinding: TargetSite Qualifiers (preferred)
....... codeSystem 0..1string
....... codeSystemName 0..1string
....... codeSystemVersion 0..1string
....... displayName 0..1string
....... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
....... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
....... originalText 0..1ED
....... qualifier 0..*CR
....... translation 0..*CD
..... translation 0..*CD
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipation
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship I0..*ElementWhen the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Highest Pressure Ulcer Stage.
Slice: Unordered, Open by profile:observation
.... entryRelationship:age I0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1AgeObservation
.... entryRelationship:prognosis I0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PrognosisObservation
.... entryRelationship:priority I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PriorityPreference
.... entryRelationship:status I0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ProblemStatus
.... entryRelationship:woundMeasurementObservation I0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... entryRelationship:woundCharacteristic I0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... entryRelationship:numberofPressureUlcersObservation I0..*ElementWhen the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Number of Pressure Ulcers.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... entryRelationship:highestPressureUlcerStage I0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition
... referenceRange 0..*Element
.... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.... observationRange 1..1ObservationRange

doco Documentation for this format

This structure is derived from ProblemObservation

Summary

Mandatory: 9 elements (13 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.templateId is sliced based on the values of value:root, value:extension
  • There is a slice with no discriminator at Observation.targetSiteCode
  • The element Observation.entryRelationship is sliced based on the value of profile:observation

Differential View

This structure is derived from ProblemObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1ProblemObservation
... classCode 1..1codeRequired Pattern: OBS
... moodCode 1..1codeRequired Pattern: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:secondary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.114
..... extension 1..1stringRequired Pattern: 2015-08-01
.... code 1..1stringRequired Pattern: ASSERTION
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
... value 1..1CDBinding: Wound Type (preferred)
... Slices for targetSiteCode 0..*CDSlice: Unordered, Open by
.... targetSiteCode:targetSiteCode1 0..1CDBinding: Body Site Value Set (preferred)
..... qualifier 0..*CRIf targetSite/qualifierCode name/value pairs are used, care must be taken to avoid conflict with the SNOMED-CT body structure code used in observation/value. SNOMED-CT body structure codes are often pre-coordinated with laterality.
...... name 1..1CV
....... code 1..1stringRequired Pattern: 272741003
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
...... value 1..1CD
....... code 1..1stringBinding: TargetSite Qualifiers (preferred)
... author 0..*AuthorParticipation
... Slices for entryRelationship 0..*ElementWhen the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Highest Pressure Ulcer Stage.
Slice: Unordered, Open by profile:observation
.... entryRelationship:woundMeasurementObservation 0..*Element
​..... typeCode 1..1Required Pattern: COMP
​..... observation 1..1WoundMeasurementObservation
.... entryRelationship:woundCharacteristic 0..*Element
​..... typeCode 1..1Required Pattern: COMP
​..... observation 1..1WoundCharacteristic
.... entryRelationship:numberofPressureUlcersObservation 0..*ElementWhen the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Number of Pressure Ulcers.
​..... typeCode 1..1Required Pattern: COMP
​..... observation 1..1NumberofPressureUlcersObservation
.... entryRelationship:highestPressureUlcerStage 0..1Element
​..... typeCode 1..1Required Pattern: COMP
​..... observation 1..1HighestPressureUlcerStage

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1ProblemObservation
... classCode 1..1codeBinding: ActClassObservation (required)
Required Pattern: OBS
... moodCode 1..1codeRequired Pattern: EVN
... negationInd 0..1booleanThe negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
... realmCode 0..*CS
... typeId 0..1II
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.4
..... extension 1..1stringRequired Pattern: 2015-08-01
.... templateId:secondary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.114
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code I1..1CDBinding: Problem Type (SNOMEDCT) (preferred)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: ASSERTION
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... derivationExpr 0..1ED
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: completed
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TSIf the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... value 0..1dateTime
.... inclusive 0..1boolean
.... operator 0..1code
.... low 1..1TSThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
.... high 0..1TSThe effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved.
.... width 0..1PQ
.... center 0..1TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 1..1CDBinding: Wound Type (preferred)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 0..1stringA negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CRThe observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. For example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept "pneumonia (disorder)" (233604007) an attribute "finding site" (363698007) and another concept "left lower lobe of lung (body structure)" (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML.
.... Slices for translation 0..*CDSlice: Unordered, Open by
..... translation:alt 0..*CD
...... nullFlavor 0..1codeBinding: NullFlavor (required)
...... code 0..1string
...... codeSystem 0..1string
...... codeSystemName 0..1string
...... codeSystemVersion 0..1string
...... displayName 0..1string
...... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
...... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... qualifier 0..*CR
...... translation 0..*CD
... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
... methodCode 0..*CEBinding: ObservationMethod (extensible)
... Slices for targetSiteCode 0..*CDSlice: Unordered, Open by
.... targetSiteCode:targetSiteCode1 0..1CDBinding: Body Site Value Set (preferred)
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... code 0..1string
..... codeSystem 0..1string
..... codeSystemName 0..1string
..... codeSystemVersion 0..1string
..... displayName 0..1string
..... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
..... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
..... originalText 0..1ED
..... qualifier 0..*CRIf targetSite/qualifierCode name/value pairs are used, care must be taken to avoid conflict with the SNOMED-CT body structure code used in observation/value. SNOMED-CT body structure codes are often pre-coordinated with laterality.
...... nullFlavor 0..1codeBinding: NullFlavor (required)
...... inverted 0..1boolean
...... name 1..1CV
....... nullFlavor 0..1codeBinding: NullFlavor (required)
....... code 1..1stringRequired Pattern: 272741003
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
....... codeSystemName 0..1string
....... codeSystemVersion 0..1string
....... displayName 0..1string
....... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
....... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
....... originalText 0..1ED
...... value 1..1CD
....... nullFlavor 0..1codeBinding: NullFlavor (required)
....... code 1..1stringBinding: TargetSite Qualifiers (preferred)
....... codeSystem 0..1string
....... codeSystemName 0..1string
....... codeSystemVersion 0..1string
....... displayName 0..1string
....... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
....... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
....... originalText 0..1ED
....... qualifier 0..*CR
....... translation 0..*CD
..... translation 0..*CD
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipation
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship I0..*ElementWhen the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Highest Pressure Ulcer Stage.
Slice: Unordered, Open by profile:observation
.... entryRelationship:age I0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1AgeObservation
.... entryRelationship:prognosis I0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PrognosisObservation
.... entryRelationship:priority I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PriorityPreference
.... entryRelationship:status I0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ProblemStatus
.... entryRelationship:woundMeasurementObservation I0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... entryRelationship:woundCharacteristic I0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... entryRelationship:numberofPressureUlcersObservation I0..*ElementWhen the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Number of Pressure Ulcers.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... entryRelationship:highestPressureUlcerStage I0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition
... referenceRange 0..*Element
.... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.... observationRange 1..1ObservationRange

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredPattern: OBS
Observation.templateId:primary.nullFlavorrequiredNullFlavor
Observation.templateId:secondary.nullFlavorrequiredNullFlavor
Observation.codepreferredProblem Type (SNOMEDCT)
Observation.code.nullFlavorrequiredNullFlavor
Observation.statusCoderequiredActStatus
Observation.statusCode.nullFlavorrequiredNullFlavor
Observation.effectiveTime.nullFlavorrequiredNullFlavor
Observation.priorityCodeextensibleActPriority
Observation.languageCoderequiredHumanLanguage
Observation.valuepreferredWound Type
Observation.value.nullFlavorrequiredNullFlavor
Observation.value.translation:alt.nullFlavorrequiredNullFlavor
Observation.interpretationCoderequiredObservationInterpretation
Observation.methodCodeextensibleObservationMethod
Observation.targetSiteCode:targetSiteCode1preferredBodySiteValueSet
Observation.targetSiteCode:targetSiteCode1.nullFlavorrequiredNullFlavor
Observation.targetSiteCode:targetSiteCode1.qualifier.nullFlavorrequiredNullFlavor
Observation.targetSiteCode:targetSiteCode1.qualifier.name.nullFlavorrequiredNullFlavor
Observation.targetSiteCode:targetSiteCode1.qualifier.value.nullFlavorrequiredNullFlavor
Observation.targetSiteCode:targetSiteCode1.qualifier.value.codepreferredTargetSite Qualifiers
Observation.subject.typeCoderequiredFixed Value: SBJ
Observation.subject.contextControlCoderequiredFixed Value: OP
Observation.subject.awarenessCodeextensibleTargetAwareness
Observation.informant.typeCoderequiredFixed Value: INF
Observation.informant.contextControlCoderequiredFixed Value: OP
Observation.referenceRange.typeCoderequiredFixed Value: REFV

Constraints

IdGradePathDetailsRequirements
1198-32950errorObservation.codeIf code is selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950) (CONF:1198-32950).
:
obs-er-1errorObservation.entryRelationshipOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
obs-er-1errorObservation.entryRelationship:ageOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
obs-er-1errorObservation.entryRelationship:prognosisOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
obs-er-1errorObservation.entryRelationship:priorityOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
obs-er-1errorObservation.entryRelationship:statusOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
obs-er-1errorObservation.entryRelationship:woundMeasurementObservationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
ele-1errorObservation.entryRelationship:woundMeasurementObservation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.entryRelationship:woundMeasurementObservation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-er-1errorObservation.entryRelationship:woundCharacteristicOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
ele-1errorObservation.entryRelationship:woundCharacteristic.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.entryRelationship:woundCharacteristic.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-er-1errorObservation.entryRelationship:numberofPressureUlcersObservationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
ele-1errorObservation.entryRelationship:numberofPressureUlcersObservation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.entryRelationship:numberofPressureUlcersObservation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-er-1errorObservation.entryRelationship:highestPressureUlcerStageOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
ele-1errorObservation.entryRelationship:highestPressureUlcerStage.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.entryRelationship:highestPressureUlcerStage.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()