Lower Extremity Skin Wound Assessment Implementation Guide STU1 CI Build

Lower Extremity Skin Wound Assessment - IG, published by HL7 International - Electronic Health Records Work Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/fhir-skin-wound-ig/ and changes regularly. See the Directory of published versions

JSON Format: Condition-skinwoundassert-example

Raw json


{
  "resourceType" : "Condition",
  "id" : "skinwoundassert-example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/WoundAssert"
    ],
    "security" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"skinwoundassert-example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition \"skinwoundassert-example\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-WoundAssert.html\">WoundAssert</a></p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}\">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>PresentOnAdmission</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373066001)</span></p><p><b>PressureUlcerAssociation</b>: Pressure point of skin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#449753006)</span></p><p><b>WoundAssessmentInterpretation</b>: Within defined limits <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#449501000124109)</span></p><p><b>Episodeextension</b>: Recurrent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255227004)</span></p><p><b>Trend</b>: Stabilization of status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#409052007)</span></p><p><b>PeriwoundConditionextension</b>: Pain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#22253000)</span></p><p><b>WoundTypeEtiologyextension</b>: Pressure point of skin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#449753006)</span></p><p><b>Wound Image</b>: </p><p><b>WoundInternalItemOrBodyStructureVisibleextension</b>: Structure of fascia <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#84820005)</span></p><p><b>WoundGradationextension</b>: First degree burn of skin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#403190006)</span></p><p><b>WoundRelatedObservationsPanelExt</b>: <a href=\"Observation-skinwoundrelatedobservationspanel-example.html\">Observation/skinwoundrelatedobservationspanel-example</a></p><blockquote><p><b>BodyLocationExtension</b></p><p><b>value</b>: Skin structure of heel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#84607009)</span></p><p><b>value</b>: Structure of right half of body <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#85421007)</span></p><p><b>value</b>: Exteriorized <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#261788001)</span></p><p><b>value</b>: Talar facet of navicular bone of foot <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2986006)</span></p><p><b>BodyLocationOrientation</b>: Bone structure of calcaneum <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#80144004)</span></p><p><b>ClockFacePosition</b>: 8 o'clock position <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260341007)</span></p><blockquote><p><b>DistanceFromLandmark</b></p><p><b>value</b>: Caliper <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#44056008)</span></p><p><b>value</b>: 0.5 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cm = 'cm')</span></p></blockquote><p><b>SurfaceOrientation</b>: Posterior <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255551008)</span></p><p><b>value</b>: Large <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255509001)</span></p></blockquote><blockquote><p><b>BodyLocationExtension</b></p><p><b>value</b>: 2 wk<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code wk = 'wk')</span></p><p><b>value</b>: Second <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#81170007)</span></p></blockquote><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: Abrasion and/or friction burn of skin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#400012003)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example.html\">Patient/patient-example: Amy V. Shaw</a> \" SHAW\"</p><p><b>recordedDate</b>: 2019-03-26</p><p><b>asserter</b>: <a href=\"Practitioner-practitioner-example.html\">Practitioner/practitioner-example</a> \" BONE\"</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/PresentOnAdmissionExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "373066001",
            "display" : "Yes"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/PressureUlcerAssociationExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "449753006",
            "display" : "Pressure point of skin"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/WoundAssessmentInterpretationExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "449501000124109",
            "display" : "Within defined limits"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/EpisodeExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "255227004",
            "display" : "Recurrent"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/TrendExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "409052007",
            "display" : "Stabilization of status"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/PeriwoundConditionExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "22253000",
            "display" : "Pain"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/WoundTypeEtiologyExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "449753006",
            "display" : "Pressure point of skin"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/WoundImageExtension",
      "valueAttachment" : {
        "contentType" : "application/pdf",
        "language" : "en",
        "url" : "http://example.org/woundimages.pdf",
        "title" : "Wound images"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/WoundInternalItemOrBodyStructureVisibleExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "84820005",
            "display" : "Structure of fascia"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/WoundGradationExt",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "403190006",
            "display" : "First degree burn of skin"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/WoundRelatedObservationsPanelExt",
      "valueReference" : {
        "reference" : "Observation/skinwoundrelatedobservationspanel-example"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/BodyLocationExt",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/AnatomicLocationExt",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "84607009",
                "display" : "Skin structure of heel"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/BodySideExt",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "85421007",
                "display" : "Structure of right half of body"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/BodyLocationOrientationExt",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "261788001",
                "display" : "Exteriorized"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/UnderlyingAnatomicalStructureExt",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "2986006",
                "display" : "Talar facet of navicular bone of foot"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/BodyLandmarkOrientationExt",
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/BodyLandmarkDescriptionExt",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "80144004",
                    "display" : "Bone structure of calcaneum"
                  }
                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/ClockFacePositionExt",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "260341007",
                    "display" : "8 o'clock position"
                  }
                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/DistanceFromLandmarkExt",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/DeviceExt",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "44056008",
                        "display" : "Caliper"
                      }
                    ]
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/DistanceFromLandmarkMeasurementExt",
                  "valueQuantity" : {
                    "value" : 0.5,
                    "unit" : "cm",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "cm"
                  }
                }
              ]
            },
            {
              "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/SurfaceOrientationExt",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "255551008",
                    "display" : "Posterior"
                  }
                ]
              }
            }
          ]
        },
        {
          "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/BodyLocationQualifierExt",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "255509001",
                "display" : "Large"
              }
            ]
          }
        }
      ]
    },
    {
      "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/WoundRecurrenceExt",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/PeriodicityExt",
          "valueQuantity" : {
            "value" : 2,
            "unit" : "wk",
            "system" : "http://unitsofmeasure.org",
            "code" : "wk"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/lower-extremity-skin-wound-assessment/StructureDefinition/RecurrenceExt",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "81170007",
                "display" : "Second"
              }
            ]
          }
        }
      ]
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "400012003",
        "display" : "Abrasion and/or friction burn of skin"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/patient-example",
    "display" : "Amy V. Shaw"
  },
  "recordedDate" : "2019-03-26",
  "asserter" : {
    "reference" : "Practitioner/practitioner-example"
  }
}